Canadian Baseline
1.2.0 - CI Build
Canadian Baseline
1.2.0 - CI Build
Canadian Baseline, published by HL7 Canada - FHIR Implementation Work Group. This guide is not an authorized publication; it is the continuous build for version 1.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-Canada/ca-baseline/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medication | Version: 1.2.0 | |||
| Draft as of 2024-12-27 | Computable Name: MedicationProfile | |||
Proposed constraints and extensions on the Medication resource. Generated as a first step toward creating a set of Canadian Baseline FHIR profiles.
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:
Key differences from PrescribeIT Medication Profile:
Note:
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| 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 | ||||
| Path | Conformance | ValueSet | URI |
| Medication.code | preferred | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproducthttps://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct | |
| Medication.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1from the FHIR Standard | |
| Medication.form | example | DispensableDrugForm https://fhir.infoway-inforoute.ca/ValueSet/dispensabledrugform |
| 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() |
Other representations of profile: CSV, Excel, Schematron
