| Package | ca.infoway.io.core |
| Type | StructureDefinition |
| Id | Id |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=ca.infoway.io.core@1.0.0-dft-preballot&canonical=http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/medicationstatement-ca-core |
| Url | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/medicationstatement-ca-core |
| Status | draft |
| Date | 2025-03-06 |
| Name | MedicationStatementCACore |
| Title | Medication Statement (CA-Core) |
| Experimental | False |
| Realm | ca |
| Authority | national |
| Description | This profile applies constraints to the MedicationStatement resource for CA Core+ to support documentation of medication usage in the pan-Canadian context. |
| Copyright | Copyright © 2025+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy). |
| Type | MedicationStatement |
| Kind | resource |
No resources found
FHIR
{
"resourceType" : "StructureDefinition",
"id" : "medicationstatement-ca-core",
"url" : "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/medicationstatement-ca-core",
"name" : "MedicationStatementCACore",
"title" : "Medication Statement (CA-Core)",
"status" : "draft",
"experimental" : false,
"date" : "2025-03-06",
"publisher" : "Canada Health Infoway",
"contact" : [
{
"name" : "National Standards Release Centre",
"telecom" : [
{
"system" : "url",
"value" : "http://www.infoway-inforoute.ca"
},
{
"system" : "email",
"value" : "standards@infoway-inforoute.ca"
}
]
}
],
"description" : "This profile applies constraints to the MedicationStatement resource for CA Core+ to support documentation of medication usage in the pan-Canadian context.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "CA"
}
]
}
],
"copyright" : "Copyright © 2025+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).",
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "pCHDCF-CACDI"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "MedicationStatement",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "MedicationStatement",
"path" : "MedicationStatement",
"short" : "Record of medication being taken by a patient",
"definition" : "A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. \n\nThe primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information.",
"comment" : "When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered:\rMedicationStatement.status + MedicationStatement.wasNotTaken\rStatus=Active + NotTaken=T = Not currently taking\rStatus=Completed + NotTaken=T = Not taken in the past\rStatus=Intended + NotTaken=T = No intention of taking\rStatus=Active + NotTaken=F = Taking, but not as prescribed\rStatus=Active + NotTaken=F = Taking\rStatus=Intended +NotTaken= F = Will be taking (not started)\rStatus=Completed + NotTaken=F = Taken in past\rStatus=In Error + NotTaken=N/A = In Error.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationStatement",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"key" : "dom-2",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression" : "contained.contained.empty()",
"xpath" : "not(parent::f:contained and f:contained)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-3",
"severity" : "error",
"human" : "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",
"expression" : "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()",
"xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-4",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-5",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression" : "contained.meta.security.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:security))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean" : true
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key" : "dom-6",
"severity" : "warning",
"human" : "A resource should have narrative for robust management",
"expression" : "text.`div`.exists()",
"xpath" : "exists(f:text/h:div)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "workflow",
"map" : "Event"
},
{
"identity" : "rim",
"map" : "SubstanceAdministration"
},
{
"identity" : "pCHDCF-CACDI",
"map" : "Medication Event"
},
{
"identity" : "pCHDCF-CACDI",
"map" : "Medication Statement"
}
]
},
{
"id" : "MedicationStatement.id",
"path" : "MedicationStatement.id",
"short" : "Logical id of this artifact",
"definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "MedicationStatement.meta",
"path" : "MedicationStatement.meta",
"short" : "Metadata about the resource",
"definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Meta"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "MedicationStatement.implicitRules",
"path" : "MedicationStatement.implicitRules",
"short" : "A set of rules under which this content was created",
"definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : true,
"isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary" : true
},
{
"id" : "MedicationStatement.language",
"path" : "MedicationStatement.language",
"short" : "Language of the resource content",
"definition" : "The base language in which the resource is written.",
"comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}
],
"strength" : "preferred",
"description" : "A human language.",
"valueSet" : "http://hl7.org/fhir/ValueSet/languages"
}
},
{
"id" : "MedicationStatement.text",
"path" : "MedicationStatement.text",
"short" : "Text summary of the resource, for human interpretation",
"definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
"alias" : [
"narrative",
"html",
"xhtml",
"display"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "Act.text?"
}
]
},
{
"id" : "MedicationStatement.contained",
"path" : "MedicationStatement.contained",
"short" : "Contained, inline Resources",
"definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
"alias" : [
"inline resources",
"anonymous resources",
"contained resources"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Resource"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationStatement.extension",
"path" : "MedicationStatement.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationStatement.modifierExtension",
"path" : "MedicationStatement.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationStatement.identifier",
"path" : "MedicationStatement.identifier",
"short" : "External identifier",
"definition" : "Identifiers associated with this Medication Statement that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.",
"comment" : "This is a business identifier, not a resource identifier.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationStatement.identifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.identifier"
},
{
"identity" : "w5",
"map" : "FiveWs.identifier"
},
{
"identity" : "rim",
"map" : ".id"
}
]
},
{
"id" : "MedicationStatement.basedOn",
"path" : "MedicationStatement.basedOn",
"short" : "Fulfils plan, proposal or order",
"definition" : "A plan, proposal or order that is fulfilled in whole or in part by this event.",
"requirements" : "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationStatement.basedOn",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/MedicationRequest",
"http://hl7.org/fhir/StructureDefinition/CarePlan",
"http://hl7.org/fhir/StructureDefinition/ServiceRequest"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.basedOn"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]"
}
]
},
{
"id" : "MedicationStatement.partOf",
"path" : "MedicationStatement.partOf",
"short" : "Part of referenced event",
"definition" : "A larger event of which this particular event is a component or step.",
"requirements" : "This should not be used when indicating which resource a MedicationStatement has been derived from. If that is the use case, then MedicationStatement.derivedFrom should be used.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationStatement.partOf",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
"http://hl7.org/fhir/StructureDefinition/MedicationDispense",
"http://hl7.org/fhir/StructureDefinition/MedicationStatement",
"http://hl7.org/fhir/StructureDefinition/Procedure",
"http://hl7.org/fhir/StructureDefinition/Observation"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.partOf"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]"
}
]
},
{
"id" : "MedicationStatement.status",
"path" : "MedicationStatement.status",
"short" : "active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken",
"definition" : "A code representing the patient or other source's judgment about the state of the medication used that this statement is about. Generally, this will be active or completed.",
"comment" : "MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error).\r\rThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "MedicationStatement.status",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : true,
"isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "MedicationStatementStatus"
}
],
"strength" : "required",
"description" : "A coded concept indicating the current status of a MedicationStatement.",
"valueSet" : "http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1"
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.status"
},
{
"identity" : "w5",
"map" : "FiveWs.status"
},
{
"identity" : "rim",
"map" : ".statusCode"
}
]
},
{
"id" : "MedicationStatement.statusReason",
"path" : "MedicationStatement.statusReason",
"short" : "Reason for current status",
"definition" : "Captures the reason for the current state of the MedicationStatement.",
"comment" : "This is generally only used for \"exception\" statuses such as \"not-taken\", \"on-hold\", \"cancelled\" or \"entered-in-error\". The reason for performing the event at all is captured in reasonCode, not here.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationStatement.statusReason",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "MedicationStatementStatusReason"
}
],
"strength" : "example",
"description" : "A coded concept indicating the reason for the status of the statement.",
"valueSet" : "http://hl7.org/fhir/ValueSet/reason-medication-status-codes"
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.statusReason"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
}
]
},
{
"id" : "MedicationStatement.category",
"path" : "MedicationStatement.category",
"short" : "Type of medication usage",
"definition" : "Indicates where the medication is expected to be consumed or administered.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationStatement.category",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "MedicationStatementCategory"
}
],
"strength" : "preferred",
"description" : "A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.",
"valueSet" : "http://hl7.org/fhir/ValueSet/medication-statement-category"
},
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.class"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"
}
]
},
{
"id" : "MedicationStatement.medication[x]",
"path" : "MedicationStatement.medication[x]",
"slicing" : {
"discriminator" : [
{
"type" : "type",
"path" : "$this"
}
],
"ordered" : false,
"rules" : "open"
},
"short" : "What medication was taken",
"definition" : "Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.",
"comment" : "It is expected that medicationCodeableConcept will be used in most situations, however there may be some situations like custom formularies where a Medication resource should be referenced.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "MedicationStatement.medication[x]",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
},
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/Medication"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "MedicationCode"
}
],
"strength" : "example",
"description" : "A coded concept identifying the substance or product being taken.",
"valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.code"
},
{
"identity" : "w5",
"map" : "FiveWs.what[x]"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=CSM].role[classCode=ADMM or MANU]"
}
]
},
{
"id" : "MedicationStatement.medication[x]:medicationReference",
"path" : "MedicationStatement.medication[x]",
"sliceName" : "medicationReference",
"short" : "What medication was taken",
"definition" : "Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.",
"comment" : "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationStatement.medication[x]",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/medication-ca-core"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.code"
},
{
"identity" : "w5",
"map" : "FiveWs.what[x]"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=CSM].role[classCode=ADMM or MANU]"
},
{
"identity" : "pCHDCF-CACDI",
"map" : "Drug*",
"comment" : "*The reference that is the target of this element conveys additional details about the Medication (e.g., Drug Code, English Description, French Description) as indicated in the pCHDCF artefacts. Readers should review the profile to understand the pCHDCF mapping against its elements"
}
]
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "MedicationStatement.medication[x]",
"sliceName" : "medicationCodeableConcept",
"short" : "Concept - reference to a terminology or just text",
"definition" : "A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.",
"comment" : "The preferred binding on this element may continue to change as pCHDCF undergoes further refinement. The point-in-time materials provided by pCHDCF to create the profiles in this release recommends the use of the PrescriptionMedicinalProduct valueSet which uses a codeSystem canonical url that is heavily implemented in production but is not the preferred codeSystem (HC-CCDD) expressed in THO. This will be addressed through pCHDCF and is expected to resolve any current differences in other pan-Canadian specifications (e.g., PS-CA) that currently utilize the HC-CCDD valueSet.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationStatement.medication[x]",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "MedicationCode"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "candidate"
},
{
"url" : "valueSet",
"valueCanonical" : "http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/LicensedNaturalHealthProducts"
},
{
"url" : "documentation",
"valueMarkdown" : "ValueSet for licensed natural health products"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "candidate"
},
{
"url" : "valueSet",
"valueCanonical" : "http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips"
},
{
"url" : "documentation",
"valueMarkdown" : "per pCHDCF: Can be used for the international use case where a medication is not available in Canada and therefore does not appear in the recommended pan-Canadian value sets. ATC is the recommended supporting classification for reporting and analysis"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "candidate"
},
{
"url" : "valueSet",
"valueCanonical" : "https://fhir.infoway-inforoute.ca/ValueSet/pharmaceuticalbiologicproductandsubstancecode"
},
{
"url" : "documentation",
"valueMarkdown" : "per PCHDCF: The alternate value set can be used for the international use case where the medication is not available in Canada and therefore does not appear in the recommended pan-Canadian value sets"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "candidate"
},
{
"url" : "valueSet",
"valueCanonical" : "http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/DIN"
},
{
"url" : "documentation",
"valueMarkdown" : "A Drug Identification Number (DIN) is a computer-generated eight digit number assigned by Health Canada to a drug product prior to being marketed in Canada. It uniquely identifies all drug products sold in a dosage form in Canada"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
}
],
"strength" : "preferred",
"description" : "A coded concept identifying the substance or product being taken.",
"valueSet" : "https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct"
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.code"
},
{
"identity" : "w5",
"map" : "FiveWs.what[x]"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=CSM].role[classCode=ADMM or MANU]"
},
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity" : "pCHDCF-CACDI",
"map" : "Drug Code*",
"comment" : "*The CodeableConcept datatype may also be used to conveys additional details about the Medication (e.g., Drug Code, English Description, French Description) as indicated in the pCHDCF artefacts."
}
]
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.id",
"path" : "MedicationStatement.medication[x].id",
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"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.extension",
"path" : "MedicationStatement.medication[x].extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.coding",
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{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "MedicationStatement.medication[x].coding",
"short" : "A reference to a code defined by a terminology system",
"definition" : "A reference to a code defined by a terminology system.",
"comment" : "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.",
"requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.",
"min" : 1,
"max" : "*",
"base" : {
"path" : "CodeableConcept.coding",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Coding",
"profile" : [
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/coding-ca-core"
]
}
],
"condition" : [
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],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
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}
],
"mustSupport" : true,
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"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.1-8, C*E.10-22"
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{
"identity" : "rim",
"map" : "union(., ./translation)"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
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{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
},
{
"identity" : "rim",
"map" : "CV"
},
{
"identity" : "orim",
"map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
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]
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.coding.id",
"path" : "MedicationStatement.medication[x].coding.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.coding.extension",
"path" : "MedicationStatement.medication[x].coding.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
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"isSummary" : false,
"mapping" : [
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"identity" : "rim",
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}
]
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.coding.system",
"path" : "MedicationStatement.medication[x].coding.system",
"short" : "Identity of the terminology system",
"definition" : "The identification of the code system that defines the meaning of the symbol in the code.",
"comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
"requirements" : "Need to be unambiguous about the source of the definition of the symbol.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Coding.system",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
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],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.3"
},
{
"identity" : "rim",
"map" : "./codeSystem"
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{
"identity" : "orim",
"map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
},
{
"identity" : "pCHDCF-CACDI",
"map" : "Drug Code System URI"
}
]
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.coding.version",
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"definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.version",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.7"
},
{
"identity" : "rim",
"map" : "./codeSystemVersion"
},
{
"identity" : "orim",
"map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
}
]
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.coding.code",
"path" : "MedicationStatement.medication[x].coding.code",
"short" : "Symbol in syntax defined by the system",
"definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"requirements" : "Need to refer to a particular code in the system.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Coding.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.1"
},
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "orim",
"map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
},
{
"identity" : "pCHDCF-CACDI",
"map" : "Drug Code"
}
]
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.coding.display",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "MedicationStatement.medication[x].coding.display",
"short" : "Representation defined by the system",
"definition" : "A representation of the meaning of the code in the system, following the rules of the system.",
"requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Coding.display",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.2 - but note this is not well followed"
},
{
"identity" : "rim",
"map" : "CV.displayName"
},
{
"identity" : "orim",
"map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
},
{
"identity" : "pCHDCF-CACDI",
"map" : "Drug English Description",
"comment" : "Display may be populated with english or french description depending on the context of the primary language for the user at the time this code is selected. Secondary or translated coding.display values should be conveyed using the translation extension"
},
{
"identity" : "pCHDCF-CACDI",
"map" : "Drug French Description",
"comment" : "Display may be populated with english or french description depending on the context of the primary language for the user at the time this code is selected. Secondary or translated coding.display values should be conveyed using the translation extension"
}
]
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.coding.display.id",
"path" : "MedicationStatement.medication[x].coding.display.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references)",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.coding.display.extension",
"path" : "MedicationStatement.medication[x].coding.display.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.coding.display.extension:translation",
"path" : "MedicationStatement.medication[x].coding.display.extension",
"sliceName" : "translation",
"short" : "Language Translation (Localization)",
"definition" : "Language translation from base language of resource to another language.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/translation"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "ST.translation"
}
]
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.coding.display.value",
"path" : "MedicationStatement.medication[x].coding.display.value",
"representation" : [
"xmlAttr"
],
"short" : "Primitive value for string",
"definition" : "The actual value",
"min" : 0,
"max" : "1",
"base" : {
"path" : "string.value",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/regex",
"valueString" : "[ \\r\\n\\t\\S]+"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"maxLength" : 1048576,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.coding.userSelected",
"path" : "MedicationStatement.medication[x].coding.userSelected",
"short" : "If this coding was chosen directly by the user",
"definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
"comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.userSelected",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "Sometimes implied by being first"
},
{
"identity" : "rim",
"map" : "CD.codingRationale"
},
{
"identity" : "orim",
"map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"
}
]
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.text",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "MedicationStatement.medication[x].text",
"short" : "Plain text representation of the concept",
"definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
"comment" : "Very often the text is the same as a displayName of one of the codings.",
"requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.9. But note many systems use C*E.2 for this"
},
{
"identity" : "rim",
"map" : "./originalText[mediaType/code=\"text/plain\"]/data"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
},
{
"identity" : "pCHDCF-CACDI",
"map" : "Medication Entered Description"
}
]
},
{
"id" : "MedicationStatement.subject",
"path" : "MedicationStatement.subject",
"short" : "Who is/was taking the medication",
"definition" : "The person, animal or group who is/was taking the medication.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "MedicationStatement.subject",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core",
"http://hl7.org/fhir/StructureDefinition/Group"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.subject"
},
{
"identity" : "w5",
"map" : "FiveWs.subject[x]"
},
{
"identity" : "v2",
"map" : "PID-3-Patient ID List"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
},
{
"identity" : "w5",
"map" : "FiveWs.subject"
},
{
"identity" : "pCHDCF-CACDI",
"map" : "Patient"
}
]
},
{
"id" : "MedicationStatement.subject.id",
"path" : "MedicationStatement.subject.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationStatement.subject.extension",
"path" : "MedicationStatement.subject.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationStatement.subject.reference",
"path" : "MedicationStatement.subject.reference",
"short" : "Literal reference, Relative, internal or absolute URL",
"definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.reference",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"condition" : [
"ref-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationStatement.subject.type",
"path" : "MedicationStatement.subject.type",
"short" : "Type the reference refers to (e.g. \"Patient\")",
"definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.type",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "FHIRResourceTypeExt"
}
],
"strength" : "extensible",
"description" : "Aa resource (or, for logical models, the URI of the logical model).",
"valueSet" : "http://hl7.org/fhir/ValueSet/resource-types"
},
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationStatement.subject.identifier",
"path" : "MedicationStatement.subject.identifier",
"short" : "Logical reference, when literal reference is not known",
"definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.identifier",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".identifier"
}
]
},
{
"id" : "MedicationStatement.subject.display",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "MedicationStatement.subject.display",
"short" : "Text alternative for the resource",
"definition" : "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.display",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationStatement.context",
"path" : "MedicationStatement.context",
"short" : "Encounter / Episode associated with MedicationStatement",
"definition" : "The encounter or episode of care that establishes the context for this MedicationStatement.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationStatement.context",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/Encounter",
"http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.context"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
}
]
},
{
"id" : "MedicationStatement.effective[x]",
"path" : "MedicationStatement.effective[x]",
"slicing" : {
"discriminator" : [
{
"type" : "type",
"path" : "$this"
}
],
"ordered" : false,
"rules" : "open"
},
"short" : "The date/time or interval when the medication is/was/will be taken",
"definition" : "The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No).",
"comment" : "This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the \"end\" date will be omitted. The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationStatement.effective[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
},
{
"code" : "Period"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.occurrence[x]"
},
{
"identity" : "w5",
&n "xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.2 - but note this is not well followed"
},
{
"identity" : "rim",
"map" : "CV.displayName"
},
{
"identity" : "orim",
"map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
}
]
},
{
"id" : "MedicationStat "key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "PIVL.count"
}
]
},
{
"id" : "MedicationStatement.dosage.timing.repeat.duration",
"path" : "MedicationStatement.dosage.timing.repeat.duration",
"short" : "How long when it happens",
"definition" : "How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration.",
"comment" : "For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).",
"requirements" : "Some activities are not instantaneous and need to be maintained for a period of time.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Timing.repeat.duration",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "decimal"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "PIVL.phase"
}
]
},
{
"id" : "MedicationStatement.dosage.timing.repeat.durationMax",
"path" : "MedicationStatement.dosage.timing.repeat.durationMax",
"short" : "How long when it happens (Max)",
"definition" : "If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length.",
"comment" : "For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).",
"requirements" : "Some activities are not instantaneous and need to be maintained for a period of time.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Timing.repeat.durationMax",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "decimal"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "PIVL.phase"
}
]
},
{
"id" : "MedicationStatement.dosage.timing.repeat.durationUnit",
"path" : "MedicationStatement.dosage.timing.repeat.durationUnit",
"short" : "s | min | h | d | wk | mo | a - unit of time (UCUM)",
"definition" : "The units of time for the duration, in UCUM units.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Timing.repeat.durationUnit",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "UnitsOfTime"
}
],
"strength" : "required",
"description" : "A unit of time (units from UCUM).",
"valueSet" : "http://hl7.org/fhir/ValueSet/units-of-time|4.0.1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "PIVL.phase.unit"
}
]
},
{
"id" : "MedicationStatement.dosage.timing.repeat.frequency",
"path" : "MedicationStatement.dosage.timing.repeat.frequency",
"short" : "Event occurs frequency times per period",
"definition" : "The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Timing.repeat.frequency",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "positiveInt"
}
],
"meaningWhenMissing" : "If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this",
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "PIVL.phase"
}
]
},
{
"id" : "MedicationStatement.dosage.timing.repeat.frequencyMax",
"path" : "MedicationStatement.dosage.timing.repeat.frequencyMax",
"short" : "Event occurs up to frequencyMax times per period",
"definition" : "If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Timing.repeat.frequencyMax",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "positiveInt"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "PIVL.phase"
}
]
},
{
"id" : "MedicationStatement.dosage.timing.repeat.period",
"path" : "MedicationStatement.dosage.timing.repeat.period",
"short" : "Event occurs frequency times per period",
"definition" : "Indicates the duration of time over which repetitions are to occur; e.g. to express \"3 times per day\", 3 would be the frequency and \"1 day\" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Timing.repeat.period",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "decimal"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "PIVL.phase"
}
]
},
{
"id" : "MedicationStatement.dosage.timing.repeat.periodMax",
"path" : "MedicationStatement.dosage.timing.repeat.periodMax",
"short" : "Upper limit of period (3-4 hours)",
"definition" : "If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as \"do this once every 3-5 days.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Timing.repeat.periodMax",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "decimal"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "PIVL.phase"
}
]
},
{
"id" : "MedicationStatement.dosage.timing.repeat.periodUnit",
"path" : "MedicationStatement.dosage.timing.repeat.periodUnit",
"short" : "s | min | h | d | wk | mo | a - unit of time (UCUM)",
"definition" : "The units of time for the period in UCUM units.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Timing.repeat.periodUnit",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "UnitsOfTime"
}
],
"strength" : "required",
"description" : "A unit of time (units from UCUM).",
"valueSet" : "http://hl7.org/fhir/ValueSet/units-of-time|4.0.1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "PIVL.phase.unit"
}
]
},
{
"id" : "MedicationStatement.dosage.timing.repeat.dayOfWeek",
"path" : "MedicationStatement.dosage.timing.repeat.dayOfWeek",
"short" : "mon | tue | wed | thu | fri | sat | sun",
"definition" : "If one or more days of week is provided, then the action happens only on the specified day(s).",
"comment" : "If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Timing.repeat.dayOfWeek",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "DayOfWeek"
}
],
"strength" : "required",
"valueSet" : "http://hl7.org/fhir/ValueSet/days-of-week|4.0.1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationStatement.dosage.timing.repeat.timeOfDay",
"path" : "MedicationStatement.dosage.timing.repeat.timeOfDay",
"short" : "Time of day for action",
"definition" : "Specified time of day for action to take place.",
"comment" : "When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Timing.repeat.timeOfDay",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "time"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationStatement.dosage.timing.repeat.when",
"path" : "MedicationStatement.dosage.timing.repeat.when",
"short" : "Code for time period of occurrence",
"definition" : "An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur.",
"comment" : "When more than one event is listed, the event is tied to the union of the specified events.",
"requirements" : "Timings are frequently determined by occurrences such as waking, eating and sleep.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Timing.repeat.when",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "EventTiming"
}
],
"strength" : "required",
"description" : "Real world event relating to the schedule.",
"valueSet" : "http://hl7.org/fhir/ValueSet/event-timing|4.0.1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "EIVL.event"
}
]
},
{
"id" : "MedicationStatement.dosage.timing.repeat.offset",
"path" : "MedicationStatement.dosage.timing.repeat.offset",
"short" : "Minutes from event (before or after)",
"definition" : "The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Timing.repeat.offset",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "unsignedInt"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "EIVL.offset"
}
]
},
{
"id" : "MedicationStatement.dosage.timing.code",
"path" : "MedicationStatement.dosage.timing.code",
"short" : "BID | TID | QID | AM | PM | QD | QOD | +",
"definition" : "A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).",
"comment" : "BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is \"always at 7am and 6pm\". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Timing.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "TimingAbbreviation"
}
],
"strength" : "preferred",
"description" : "Code for a known / defined timing pattern.",
"valueSet" : "http://hl7.org/fhir/ValueSet/timing-abbreviation"
},
"mapping" : [
{
"identity" : "rim",
"map" : "QSC.code"
},
{
"identity" : "pCHDCF-CACDI",
"map" : "Medication Timing Code"
}
]
},
{
"id" : "MedicationStatement.dosage.asNeeded[x]",
"path" : "MedicationStatement.dosage.asNeeded[x]",
"short" : "Take \"as needed\" (for x)",
"definition" : "Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).",
"comment" : "Can express \"as needed\" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express \"as needed\" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not \"prn\" or \"as needed\".",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.asNeeded[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
},
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "MedicationAsNeededReason"
}
],
"strength" : "example",
"description" : "A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example \"pain\", \"30 minutes prior to sexual intercourse\", \"on flare-up\" etc.",
"valueSet" : "http://hl7.org/fhir/ValueSet/medication-as-needed-reason"
},
"mapping" : [
{
"identity" : "v2",
"map" : "TQ1-9"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code=\"as needed\"].value=boolean or codable concept"
}
]
},
{
"id" : "MedicationStatement.dosage.site",
"path" : "MedicationStatement.dosage.site",
"short" : "Body site to administer to",
"definition" : "Body site to administer to.",
"comment" : "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](extension-bodysite.html). May be a summary code, or a reference to a very precise definition of the location, or both.",
"requirements" : "A coded specification of the anatomic site where the medication first enters the body.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.site",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "MedicationAdministrationSite"
}
],
"strength" : "example",
"description" : "A coded concept describing the site location the medicine enters into or onto the body.",
"valueSet" : "http://hl7.org/fhir/ValueSet/approach-site-codes"
},
"mapping" : [
{
"identity" : "v2",
"map" : "RXR-2"
},
{
"identity" : "rim",
"map" : ".approachSiteCode"
}
]
},
{
"id" : "MedicationStatement.dosage.route",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "MedicationStatement.dosage.route",
"short" : "Concept - reference to a terminology or just text",
"definition" : "A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.",
"comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"requirements" : "A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.route",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "RouteOfAdministration"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "candidate"
},
{
"url" : "valueSet",
"valueCanonical" : "http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration"
},
{
"url" : "documentation",
"valueMarkdown" : "IPS ValueSet used to convey Route of Administration"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "candidate"
},
{
"url" : "valueSet",
"valueCanonical" : "https://fhir.infoway-inforoute.ca/ValueSet/prescriptionrouteofadministration"
},
{
"url" : "documentation",
"valueMarkdown" : "Route of administration for the prescription from the PrescribeIT value set. Implementers should anticipate that data collected and or exchanged in the context of ePrescribing may contain concepts from this valueSet. While not the preferred terminology for broader pan-Canadian exchange use cases, this additional binding is surfaced to socialize the value sets that may be more commonly in use. Where multiple codings can be supplied, it is encouraged to supply the original coding alongside the pan-Canadian preferred terminology."
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
}
],
"strength" : "preferred",
"description" : "SCTCA Route of Administration",
"valueSet" : "https://fhir.infoway-inforoute.ca/ValueSet/routeofadministration"
},
"mapping" : [
{
"identity" : "v2",
"map" : "RXR-1"
},
{
"identity" : "rim",
"map" : ".routeCode"
},
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
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}
]
},
{
"id" : "MedicationStatement.dosage.route.id",
"path" : "MedicationStatement.dosage.route.id",
"representation" : [
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],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationStatement.dosage.route.extension",
"path" : "MedicationStatement.dosage.route.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
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"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
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{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
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"xpath" : "@value|f:*|h:div",
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{
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],
"path" : "MedicationStatement.dosage.route.coding",
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"definition" : "A reference to a code defined by a terminology system.",
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"requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.",
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"max" : "*",
"base" : {
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},
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"code" : "Coding",
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}
],
"condition" : [
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"constraint" : [
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{
"identity" : "rim",
"map" : "CV"
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{
"identity" : "orim",
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],
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},
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"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
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],
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}
],
"isModifier" : false,
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"mapping" : [
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]
},
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"path" : "url"
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],
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},
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"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
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"min" : 0,
"max" : "*",
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"max" : "*"
},
"type" : [
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"code" : "Extension"
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],
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"key" : "ele-1",
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"xpath" : "@value|f:*|h:div",
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},
{
"key" : "ext-1",
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],
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]
},
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"definition" : "The identification of the code system that defines the meaning of the symbol in the code.",
"comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
"requirements" : "Need to be unambiguous about the source of the definition of the symbol.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.system",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
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],
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{
"key" : "ele-1",
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],
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{
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{
"identity" : "orim",
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{
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},
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"max" : "1",
"base" : {
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"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
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{
"key" : "ele-1",
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],
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{
"identity" : "v2",
"map" : "C*E.7"
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{
"identity" : "rim",
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{
"identity" : "orim",
"map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
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]
},
{
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"max" : "1",
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"max" : "1"
},
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],
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],
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"map" : "C*E.1"
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{
"identity" : "rim",
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{
"identity" : "orim",
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{
"identity" : "pCHDCF-CACDI",
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]
},
{
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"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
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],
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"min" : 0,
"max" : "1",
"base" : {
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"min" : 0,
"max" : "1"
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],
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"map" : "CV.displayName"
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{
"identity" : "orim",
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]
},
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],
"short" : "xml:id (or equivalent in JSON)",
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"path" : "MedicationStatement.dosage.route.coding.display.value",
"representation" : [
"xmlAttr"
],
"short" : "Primitive value for string",
"definition" : "The actual value",
"min" : 0,
"max" : "1",
"base" : {
"path" : "string.value",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/regex",
"valueString" : "[ \\r\\n\\t\\S]+"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"maxLength" : 1048576,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "MedicationStatement.dosage.route.coding.userSelected",
"path" : "MedicationStatement.dosage.route.coding.userSelected",
"short" : "If this coding was chosen directly by the user",
"definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
"comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.userSelected",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "Sometimes implied by being first"
},
{
"identity" : "rim",
"map" : "CD.codingRationale"
},
{
"identity" : "orim",
"map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"
}
]
},
{
"id" : "MedicationStatement.dosage.route.text",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "MedicationStatement.dosage.route.text",
"short" : "Plain text representation of the concept",
"definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
"comment" : "Very often the text is the same as a displayName of one of the codings.",
"requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.9. But note many systems use C*E.2 for this"
},
{
"identity" : "rim",
"map" : "./originalText[mediaType/code=\"text/plain\"]/data"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
}
]
},
{
"id" : "MedicationStatement.dosage.method",
"path" : "MedicationStatement.dosage.method",
"short" : "Technique for administering medication",
"definition" : "Technique for administering medication.",
"comment" : "Terminologies used often pre-coordinate this term with the route and or form of administration.",
"requirements" : "A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.method",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "MedicationAdministrationMethod"
}
],
"strength" : "example",
"description" : "A coded concept describing the technique by which the medicine is administered.",
"valueSet" : "http://hl7.org/fhir/ValueSet/administration-method-codes"
},
"mapping" : [
{
"identity" : "v2",
"map" : "RXR-4"
},
{
"identity" : "rim",
"map" : ".doseQuantity"
}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate",
"path" : "MedicationStatement.dosage.doseAndRate",
"short" : "Amount of medication administered",
"definition" : "The amount of medication administered.",
"comment" : "This element is included in the CACDI. In future versions additional constraints or obligations may be applied to this element.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Dosage.doseAndRate",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Element"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "TQ1-2"
}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate.id",
"path" : "MedicationStatement.dosage.doseAndRate.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate.extension",
"path" : "MedicationStatement.dosage.doseAndRate.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate.type",
"path" : "MedicationStatement.dosage.doseAndRate.type",
"short" : "The kind of dose or rate specified",
"definition" : "The kind of dose or rate specified, for example, ordered or calculated.",
"requirements" : "If the type is not populated, assume to be \"ordered\".",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.doseAndRate.type",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "DoseAndRateType"
}
],
"strength" : "example",
"description" : "The kind of dose or rate specified.",
"valueSet" : "http://hl7.org/fhir/ValueSet/dose-rate-type"
},
"mapping" : [
{
"identity" : "v2",
"map" : "RXO-21; RXE-23"
}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate.dose[x]",
"path" : "MedicationStatement.dosage.doseAndRate.dose[x]",
"slicing" : {
"discriminator" : [
{
"type" : "type",
"path" : "$this"
}
],
"ordered" : false,
"rules" : "open"
},
"short" : "Amount of medication per dose",
"definition" : "Amount of medication per dose.",
"comment" : "Mapping of this concept applies to the Quantity data type, however implementers should note that some systems use the Range data type to convey a similar concept when dosing is done as a range",
"requirements" : "The amount of therapeutic or other substance given at one administration event.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.doseAndRate.dose[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Range"
},
{
"code" : "Quantity",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"strength" : "preferred",
"description" : "Units of measure and/or products that convey the amount of drug to be given to a patient in one dose from the PrescribeIT value set",
"valueSet" : "https://fhir.infoway-inforoute.ca/ValueSet/prescriptiondosequantityunit"
},
"mapping" : [
{
"identity" : "v2",
"map" : "RXO-2, RXE-3"
},
{
"identity" : "rim",
"map" : ".doseQuantity"
}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity",
"path" : "MedicationStatement.dosage.doseAndRate.dose[x]",
"sliceName" : "doseQuantity",
"short" : "A fixed quantity (no comparator)",
"definition" : "The comparator is not used on a SimpleQuantity",
"comment" : "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"requirements" : "The amount of therapeutic or other substance given at one administration event.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.doseAndRate.dose[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Quantity",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "qty-3",
"severity" : "error",
"human" : "If a code for the unit is present, the system SHALL also be present",
"expression" : "code.empty() or system.exists()",
"xpath" : "not(exists(f:code)) or exists(f:system)",
"source" : "http://hl7.org/fhir/StructureDefinition/Quantity"
},
{
"key" : "sqty-1",
"severity" : "error",
"human" : "The comparator is not used on a SimpleQuantity",
"expression" : "comparator.empty()",
"xpath" : "not(exists(f:comparator))",
"source" : "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "RXO-2, RXE-3"
},
{
"identity" : "rim",
"map" : ".doseQuantity"
},
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "SN (see also Range) or CQ"
},
{
"identity" : "rim",
"map" : "PQ, IVL<PQ>, MO, CO, depending on the values"
}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.id",
"path" : "MedicationStatement.dosage.doseAndRate.dose[x].id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.extension",
"path" : "MedicationStatement.dosage.doseAndRate.dose[x].extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.value",
"path" : "MedicationStatement.dosage.doseAndRate.dose[x].value",
"short" : "Numerical value (with implicit precision)",
"definition" : "The value of the measured amount. The value includes an implicit precision in the presentation of the value.",
"comment" : "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).",
"requirements" : "Precision is handled implicitly in almost all cases of measurement.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Quantity.value",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "decimal"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "SN.2 / CQ - N/A"
},
{
"identity" : "rim",
"map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
},
{
"identity" : "pCHDCF-CACDI",
"map" : "Medication Dose per Administration Quantity"
}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.comparator",
"path" : "MedicationStatement.dosage.doseAndRate.dose[x].comparator",
"short" : "< | <= | >= | > - how to understand the value",
"definition" : "Not allowed to be used in this context",
"requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Quantity.comparator",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"meaningWhenMissing" : "If there is no comparator, then there is no modification of the value",
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : true,
"isModifierReason" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value",
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "QuantityComparator"
}
],
"strength" : "required",
"description" : "How the Quantity should be understood and represented.",
"valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"
},
"mapping" : [
{
"identity" : "v2",
"map" : "SN.1 / CQ.1"
},
{
"identity" : "rim",
"map" : "IVL properties"
}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.unit",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "MedicationStatement.dosage.doseAndRate.dose[x].unit",
"short" : "Unit representation",
"definition" : "A human-readable form of the unit.",
"requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Quantity.unit",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "(see OBX.6 etc.) / CQ.2"
},
{
"identity" : "rim",
"map" : "PQ.unit"
}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.system",
"path" : "MedicationStatement.dosage.doseAndRate.dose[x].system",
"short" : "System that defines coded unit form",
"definition" : "The identification of the system that provides the coded form of the unit.",
"requirements" : "Need to know the system that defines the coded form of the unit.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Quantity.system",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"condition" : [
"qty-3"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
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}
],
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{
"identity" : "v2",
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{
"identity" : "rim",
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{
"identity" : "pCHDCF-CACDI",
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}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.code",
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"requirements" : "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.",
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"type" : [
{
"code" : "code"
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],
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{
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],
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}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate.rate[x]",
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"requirements" : "Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.",
"min" : 0,
"max" : "1",
"base" : {
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},
"type" : [
{
"code" : "Ratio"
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{
"code" : "Range"
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{
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}
],
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{
"key" : "ele-1",
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],
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{
"identity" : "v2",
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{
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]
},
{
"id" : "MedicationStatement.dosage.maxDosePerPeriod",
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"comment" : "This is intended for use as an adjunct to the dosage when there is an upper cap. For example \"2 tablets every 4 hours to a maximum of 8/day\".",
"requirements" : "The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.",
"min" : 0,
"max" : "1",
"base" : {
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},
"type" : [
{
"code" : "Ratio"
}
],
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{
"key" : "ele-1",
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}
],
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{
"identity" : "v2",
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},
{
"identity" : "rim",
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}
]
},
{
"id" : "MedicationStatement.dosage.maxDosePerAdministration",
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"comment" : "This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.",
"requirements" : "The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.",
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"max" : "1",
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},
"type" : [
{
"code" : "Quantity",
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}
],
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"key" : "ele-1",
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],
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}
]
},
{
"id" : "MedicationStatement.dosage.maxDosePerLifetime",
"path" : "MedicationStatement.dosage.maxDosePerLifetime",
"short" : "Upper limit on medication per lifetime of the patient",
"definition" : "Upper limit on medication per lifetime of the patient.",
"requirements" : "The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.",
"min" : 0,
"max" : "1",
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"path" : "Dosage.maxDosePerLifetime",
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"max" : "1"
},
"type" : [
{
"code" : "Quantity",
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}
],
"constraint" : [
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"key" : "ele-1",
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],
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}
]
}
]
},
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{
"id" : "MedicationStatement",
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"identity" : "pCHDCF-CACDI",
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{
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}
]
},
{
"id" : "MedicationStatement.status",
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},
{
"id" : "MedicationStatement.medication[x]",
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}
],
"ordered" : false,
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},
"comment" : "It is expected that medicationCodeableConcept will be used in most situations, however there may be some situations like custom formularies where a Medication resource should be referenced.",
"mustSupport" : true
},
{
"id" : "MedicationStatement.medication[x]:medicationReference",
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"max" : "1",
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{
"code" : "Reference",
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}
],
"mapping" : [
{
"identity" : "pCHDCF-CACDI",
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}
]
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept",
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"min" : 0,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept",
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]
}
],
"binding" : {
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{
"extension" : [
{
"url" : "purpose",
"valueCode" : "candidate"
},
{
"url" : "valueSet",
"valueCanonical" : "http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/LicensedNaturalHealthProducts"
},
{
"url" : "documentation",
"valueMarkdown" : "ValueSet for licensed natural health products"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
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{
"extension" : [
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"url" : "purpose",
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{
"url" : "valueSet",
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},
{
"url" : "documentation",
"valueMarkdown" : "per pCHDCF: Can be used for the international use case where a medication is not available in Canada and therefore does not appear in the recommended pan-Canadian value sets. ATC is the recommended supporting classification for reporting and analysis"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
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{
"extension" : [
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"url" : "purpose",
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{
"url" : "valueSet",
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},
{
"url" : "documentation",
"valueMarkdown" : "per PCHDCF: The alternate value set can be used for the international use case where the medication is not available in Canada and therefore does not appear in the recommended pan-Canadian value sets"
}
],
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{
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"url" : "purpose",
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},
{
"url" : "valueSet",
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},
{
"url" : "documentation",
"valueMarkdown" : "A Drug Identification Number (DIN) is a computer-generated eight digit number assigned by Health Canada to a drug product prior to being marketed in Canada. It uniquely identifies all drug products sold in a dosage form in Canada"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
}
],
"strength" : "preferred",
"valueSet" : "https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct"
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"mapping" : [
{
"identity" : "pCHDCF-CACDI",
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}
]
},
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"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.coding",
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},
{
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]
},
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{
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]
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.coding.display",
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{
"identity" : "pCHDCF-CACDI",
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},
{
"identity" : "pCHDCF-CACDI",
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}
]
},
{
"id" : "MedicationStatement.medication[x]:medicationCodeableConcept.text",
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"mapping" : [
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]
},
{
"id" : "MedicationStatement.subject",
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{
"code" : "Reference",
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}
],
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"mapping" : [
{
"identity" : "pCHDCF-CACDI",
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}
]
},
{
"id" : "MedicationStatement.subject.reference",
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},
{
"id" : "MedicationStatement.effective[x]",
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],
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]
},
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"max" : "1",
"type" : [
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"code" : "Extension",
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}
],
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},
{
"id" : "MedicationStatement.effective[x]:effectivePeriod",
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"sliceName" : "effectivePeriod",
"comment" : "This element is included in CACDI and is the preferred way to convey this data element.",
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"max" : "1",
"type" : [
{
"code" : "Period"
}
]
},
{
"id" : "MedicationStatement.dateAsserted",
"path" : "MedicationStatement.dateAsserted",
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{
"identity" : "pCHDCF-CACDI",
"map" : "Event Start Date Time"
}
]
},
{
"id" : "MedicationStatement.reasonCode",
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{
"code" : "CodeableConcept",
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}
],
"mustSupport" : true,
"binding" : {
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{
"extension" : [
{
"url" : "purpose",
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},
{
"url" : "valueSet",
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},
{
"url" : "documentation",
"valueMarkdown" : "A value set for health-related conditions which can be diagnoses, the results of a clinical observation or assessment of judgment"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
}
],
"strength" : "preferred",
"valueSet" : "http://fhir.infoway-inforoute.ca/cacore/ValueSet/PHCVS"
}
},
{
"id" : "MedicationStatement.reasonCode.coding.system",
"path" : "MedicationStatement.reasonCode.coding.system",
"min" : 1,
"mustSupport" : true,
"mapping" : [
{
"identity" : "pCHDCF-CACDI",
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]
},
{
"id" : "MedicationStatement.reasonCode.coding.code",
"path" : "MedicationStatement.reasonCode.coding.code",
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"mustSupport" : true,
"mapping" : [
{
"identity" : "pCHDCF-CACDI",
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]
},
{
"id" : "MedicationStatement.reasonCode.text",
"path" : "MedicationStatement.reasonCode.text",
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},
{
"id" : "MedicationStatement.dosage",
"path" : "MedicationStatement.dosage",
"mustSupport" : true
},
{
"id" : "MedicationStatement.dosage.text",
"path" : "MedicationStatement.dosage.text",
"mustSupport" : true
},
{
"id" : "MedicationStatement.dosage.timing.code",
"path" : "MedicationStatement.dosage.timing.code",
"mapping" : [
{
"identity" : "pCHDCF-CACDI",
"map" : "Medication Timing Code"
}
]
},
{
"id" : "MedicationStatement.dosage.route",
"path" : "MedicationStatement.dosage.route",
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{
"code" : "CodeableConcept",
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}
],
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"binding" : {
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"extension" : [
{
"url" : "purpose",
"valueCode" : "candidate"
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"url" : "valueSet",
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},
{
"url" : "documentation",
"valueMarkdown" : "IPS ValueSet used to convey Route of Administration"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
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},
{
"url" : "valueSet",
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},
{
"url" : "documentation",
"valueMarkdown" : "Route of administration for the prescription from the PrescribeIT value set. Implementers should anticipate that data collected and or exchanged in the context of ePrescribing may contain concepts from this valueSet. While not the preferred terminology for broader pan-Canadian exchange use cases, this additional binding is surfaced to socialize the value sets that may be more commonly in use. Where multiple codings can be supplied, it is encouraged to supply the original coding alongside the pan-Canadian preferred terminology."
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
}
],
"strength" : "preferred",
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}
},
{
"id" : "MedicationStatement.dosage.route.coding.system",
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{
"identity" : "pCHDCF-CACDI",
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]
},
{
"id" : "MedicationStatement.dosage.route.coding.code",
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{
"identity" : "pCHDCF-CACDI",
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}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate",
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},
{
"id" : "MedicationStatement.dosage.doseAndRate.dose[x]",
"path" : "MedicationStatement.dosage.doseAndRate.dose[x]",
"slicing" : {
"discriminator" : [
{
"type" : "type",
"path" : "$this"
}
],
"ordered" : false,
"rules" : "open"
},
"comment" : "Mapping of this concept applies to the Quantity data type, however implementers should note that some systems use the Range data type to convey a similar concept when dosing is done as a range",
"binding" : {
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"description" : "Units of measure and/or products that convey the amount of drug to be given to a patient in one dose from the PrescribeIT value set",
"valueSet" : "https://fhir.infoway-inforoute.ca/ValueSet/prescriptiondosequantityunit"
}
},
{
"id" : "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity",
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}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.value",
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{
"identity" : "pCHDCF-CACDI",
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]
},
{
"id" : "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.system",
"path" : "MedicationStatement.dosage.doseAndRate.dose[x].system",
"mapping" : [
{
"identity" : "pCHDCF-CACDI",
"map" : "Medication Dose Unit of Measure Code",
"comment" : "*To fully provide meaning to unit of measure under this definition, the system and code sub-elements must be used together"
}
]
},
{
"id" : "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.code",
"path" : "MedicationStatement.dosage.doseAndRate.dose[x].code",
"mapping" : [
{
"identity" : "pCHDCF-CACDI",
"map" : "Medication Dose Unit of Measure Code",
"comment" : "*To fully provide meaning to unit of measure under this definition, the system and code sub-elements must be used together"
}
]
}
]
},
"text" : {
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.