This profile was generated from HL7 StructureDefinition on 2019-03-28 and constrained during a review of US Core against Canadian sources. RxNorm is not used in Canada and the list of medicinal products available differs from the US, therefore PrescribeIT Medication Profile was used as a basis for this profile - with some significant differences due to structural differences between versions of FHIR.

Key differences from USCoreR4 Medication:

• RxNorm is not used in Canada, replaced with a Canadian list of MedicationForm

Key differences from PrescribeIT Medication Profile:

• Medication.id left with FHIR defaults
• Medication.product element has been deleted from FHIR, used Medication.form, Medication.ingredient, Medication.amount instead of equiv. elements in Medication.product

Note:

• medicationStrength, isRepresentative, and isActive extensions socialized in this profile and come from the PrescribeIT 2.0 specification
• Medication.ingredient.item[x] is currently restricted in a manner consistent with the PrescribeIT Medication profile. « Question for Implementors: Is this preferable to providing references to other Medication (and potentially Substance) resources?
• ON DHDR and HL7 v3 AdministerableMedicine appear to approach similar things differently than below.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Medication Profile dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:medicationstrength		0..1	?gen-e1? [CanonicalType[http://prescribeit.ca/fhir/StructureDefinition/ext-medication-strength-description]]	Socialized Optional Extension: Medication Strength URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-strength-description ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣ	1..1	CodeableConcept	Codes that identify this medication Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time. ele-1: All FHIR elements must have a @value or children Example DIN: {"coding":[{"system":"http://hl7.org/fhir/NamingSystem/ca-hc-din"}]} Example NPN: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-hc-npn"}]} Example CCDD: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/hc-CCDD"}]} Example SNOMED CT (Medications) - IPS: {"coding":[{"system":"http://snomed.info/sct"}]} Example WHO ATC IPS: {"coding":[{"system":"http://www.whocc.no/atc"}]}
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding	SΣ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:isRepresentative		0..1	?gen-e1? [CanonicalType[http://prescribeit.ca/fhir/StructureDefinition/ext-medication-code-representative]]	Socialized Optional Extension: Code is Representative URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-code-representative ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. ele-1: All FHIR elements must have a @value or children
manufacturer	Σ	0..1	Reference(Organization Profile)	Manufacturer of the item ele-1: All FHIR elements must have a @value or children
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: DispensableDrugForm (example): TBD. This is a placeholder for a comprehensive valueset, which would be created and maintained by Canada Health Infoway. Currently seeking implementer feedback and input from pan-Canadian profiles to support updates to the nominated valueSet. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.code	preferred	https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	example	DispensableDrugForm https://fhir.infoway-inforoute.ca/ValueSet/dispensabledrugform from https://terminologystandardsservice.ca/tx/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Medication

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Medication Profile
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:medicationstrength		0..1	?gen-e1? [CanonicalType[http://prescribeit.ca/fhir/StructureDefinition/ext-medication-strength-description]]	Socialized Optional Extension: Medication Strength URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-strength-description
code	S	1..1	CodeableConcept	Codes that identify this medication Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time. Example DIN: {"coding":[{"system":"http://hl7.org/fhir/NamingSystem/ca-hc-din"}]} Example NPN: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-hc-npn"}]} Example CCDD: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/hc-CCDD"}]} Example SNOMED CT (Medications) - IPS: {"coding":[{"system":"http://snomed.info/sct"}]} Example WHO ATC IPS: {"coding":[{"system":"http://www.whocc.no/atc"}]}
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
coding	S	0..*	Coding	Code defined by a terminology system
Slices for extension				Content/Rules for all slices
extension:isRepresentative		0..1	?gen-e1? [CanonicalType[http://prescribeit.ca/fhir/StructureDefinition/ext-medication-code-representative]]	Socialized Optional Extension: Code is Representative URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-code-representative
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
text	S	0..1	string	Plain text representation of the concept
manufacturer		0..1	Reference(Organization Profile)	Manufacturer of the item
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: DispensableDrugForm (example): TBD. This is a placeholder for a comprehensive valueset, which would be created and maintained by Canada Health Infoway. Currently seeking implementer feedback and input from pan-Canadian profiles to support updates to the nominated valueSet.
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.code	preferred	https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
Medication.form	example	DispensableDrugForm https://fhir.infoway-inforoute.ca/ValueSet/dispensabledrugform from https://terminologystandardsservice.ca/tx/fhir

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Medication Profile
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:medicationstrength		0..1	?gen-e1? [CanonicalType[http://prescribeit.ca/fhir/StructureDefinition/ext-medication-strength-description]]	Socialized Optional Extension: Medication Strength URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-strength-description
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	SΣ	1..1	CodeableConcept	Codes that identify this medication Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time. Example DIN: {"coding":[{"system":"http://hl7.org/fhir/NamingSystem/ca-hc-din"}]} Example NPN: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-hc-npn"}]} Example CCDD: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/hc-CCDD"}]} Example SNOMED CT (Medications) - IPS: {"coding":[{"system":"http://snomed.info/sct"}]} Example WHO ATC IPS: {"coding":[{"system":"http://www.whocc.no/atc"}]}
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:isRepresentative		0..1	?gen-e1? [CanonicalType[http://prescribeit.ca/fhir/StructureDefinition/ext-medication-code-representative]]	Socialized Optional Extension: Code is Representative URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-code-representative
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization Profile)	Manufacturer of the item
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: DispensableDrugForm (example): TBD. This is a placeholder for a comprehensive valueset, which would be created and maintained by Canada Health Infoway. Currently seeking implementer feedback and input from pan-Canadian profiles to support updates to the nominated valueSet.
amount	Σ	0..1	Ratio	Amount of drug in package
ingredient		0..*	BackboneElement	Active or inactive ingredient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1		The actual ingredient or content
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
isActive		0..1	boolean	Active ingredient indicator
strength		0..1	Ratio	Quantity of ingredient present
batch		0..1	BackboneElement	Details about packaged medications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
lotNumber		0..1	string	Identifier assigned to batch
expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Medication.code	preferred	https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	example	DispensableDrugForm https://fhir.infoway-inforoute.ca/ValueSet/dispensabledrugform from https://terminologystandardsservice.ca/tx/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Medication Profile dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:medicationstrength		0..1	?gen-e1? [CanonicalType[http://prescribeit.ca/fhir/StructureDefinition/ext-medication-strength-description]]	Socialized Optional Extension: Medication Strength URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-strength-description ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣ	1..1	CodeableConcept	Codes that identify this medication Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time. ele-1: All FHIR elements must have a @value or children Example DIN: {"coding":[{"system":"http://hl7.org/fhir/NamingSystem/ca-hc-din"}]} Example NPN: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-hc-npn"}]} Example CCDD: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/hc-CCDD"}]} Example SNOMED CT (Medications) - IPS: {"coding":[{"system":"http://snomed.info/sct"}]} Example WHO ATC IPS: {"coding":[{"system":"http://www.whocc.no/atc"}]}
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding	SΣ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:isRepresentative		0..1	?gen-e1? [CanonicalType[http://prescribeit.ca/fhir/StructureDefinition/ext-medication-code-representative]]	Socialized Optional Extension: Code is Representative URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-code-representative ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. ele-1: All FHIR elements must have a @value or children
manufacturer	Σ	0..1	Reference(Organization Profile)	Manufacturer of the item ele-1: All FHIR elements must have a @value or children
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: DispensableDrugForm (example): TBD. This is a placeholder for a comprehensive valueset, which would be created and maintained by Canada Health Infoway. Currently seeking implementer feedback and input from pan-Canadian profiles to support updates to the nominated valueSet. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.code	preferred	https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	example	DispensableDrugForm https://fhir.infoway-inforoute.ca/ValueSet/dispensabledrugform from https://terminologystandardsservice.ca/tx/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from Medication

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Medication Profile
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:medicationstrength		0..1	?gen-e1? [CanonicalType[http://prescribeit.ca/fhir/StructureDefinition/ext-medication-strength-description]]	Socialized Optional Extension: Medication Strength URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-strength-description
code	S	1..1	CodeableConcept	Codes that identify this medication Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time. Example DIN: {"coding":[{"system":"http://hl7.org/fhir/NamingSystem/ca-hc-din"}]} Example NPN: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-hc-npn"}]} Example CCDD: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/hc-CCDD"}]} Example SNOMED CT (Medications) - IPS: {"coding":[{"system":"http://snomed.info/sct"}]} Example WHO ATC IPS: {"coding":[{"system":"http://www.whocc.no/atc"}]}
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
coding	S	0..*	Coding	Code defined by a terminology system
Slices for extension				Content/Rules for all slices
extension:isRepresentative		0..1	?gen-e1? [CanonicalType[http://prescribeit.ca/fhir/StructureDefinition/ext-medication-code-representative]]	Socialized Optional Extension: Code is Representative URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-code-representative
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
text	S	0..1	string	Plain text representation of the concept
manufacturer		0..1	Reference(Organization Profile)	Manufacturer of the item
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: DispensableDrugForm (example): TBD. This is a placeholder for a comprehensive valueset, which would be created and maintained by Canada Health Infoway. Currently seeking implementer feedback and input from pan-Canadian profiles to support updates to the nominated valueSet.
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.code	preferred	https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
Medication.form	example	DispensableDrugForm https://fhir.infoway-inforoute.ca/ValueSet/dispensabledrugform from https://terminologystandardsservice.ca/tx/fhir

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Medication Profile
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:medicationstrength		0..1	?gen-e1? [CanonicalType[http://prescribeit.ca/fhir/StructureDefinition/ext-medication-strength-description]]	Socialized Optional Extension: Medication Strength URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-strength-description
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	SΣ	1..1	CodeableConcept	Codes that identify this medication Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time. Example DIN: {"coding":[{"system":"http://hl7.org/fhir/NamingSystem/ca-hc-din"}]} Example NPN: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-hc-npn"}]} Example CCDD: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/hc-CCDD"}]} Example SNOMED CT (Medications) - IPS: {"coding":[{"system":"http://snomed.info/sct"}]} Example WHO ATC IPS: {"coding":[{"system":"http://www.whocc.no/atc"}]}
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:isRepresentative		0..1	?gen-e1? [CanonicalType[http://prescribeit.ca/fhir/StructureDefinition/ext-medication-code-representative]]	Socialized Optional Extension: Code is Representative URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-code-representative
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization Profile)	Manufacturer of the item
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: DispensableDrugForm (example): TBD. This is a placeholder for a comprehensive valueset, which would be created and maintained by Canada Health Infoway. Currently seeking implementer feedback and input from pan-Canadian profiles to support updates to the nominated valueSet.
amount	Σ	0..1	Ratio	Amount of drug in package
ingredient		0..*	BackboneElement	Active or inactive ingredient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1		The actual ingredient or content
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
isActive		0..1	boolean	Active ingredient indicator
strength		0..1	Ratio	Quantity of ingredient present
batch		0..1	BackboneElement	Details about packaged medications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
lotNumber		0..1	string	Identifier assigned to batch
expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Medication.code	preferred	https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	example	DispensableDrugForm https://fhir.infoway-inforoute.ca/ValueSet/dispensabledrugform from https://terminologystandardsservice.ca/tx/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Medication

Summary

Mandatory: 1 element(2 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Organization Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization)

Extensions

This structure refers to these extensions:

• Unable to summarise extension http://prescribeit.ca/fhir/StructureDefinition/ext-medication-strength-description (no extension found)
• Unable to summarise extension http://prescribeit.ca/fhir/StructureDefinition/ext-medication-code-representative (no extension found)