Australian Base Implementation Guide (AU Base 2)

This page is part of the Australian Base IG (v2.1.0: AU Base 2 on R4) based on FHIR R4. For a full list of available versions, see the Directory of published versions

1.0 StructureDefinition-au-medicationstatement

AU Base Medication Statement [FMM Level 2]

This profile defines a medication statement structure including core localisation concepts for use in an Australian context.

Medication Reference/Coding

Full medication definitions as a Medication resource can be referenced or codings are use be used to define relevant drug/medication concepts. This includes coding as:

  • PBS Item Code - Pharmaceutical Benefits Scheme coding, claiming context is not relevant as medicine coding.
  • GTIN - Global Trade Item Number, physical product reference.
  • AMT Code - Australian Medicines Terminology, national drug terminology.
  • MIMS Package - commonly used medicine coding.

Extensions

Extensions used in this profile:

  • Long Term [1]
  • MedicationStatement.medication.coding: Medication Type [1]
  • Medication Brand Name [1] - Not to be used if medicationReference is used. This text-only extension is supplied to support a brand name where no brand concept coding is available. Use medicationCodeableConcept if a brand concept coding is available.
  • Medication Generic Drug Name [1] - Not to be used if medicationReference is used. This text-only extension is supplied to support a generic name where no generic concept coding is available. Use medicationCodeableConcept if a generic concept coding is available.
  • NOTE: if extensions Medication Brand Name or Medication Generic Drug Name are used then medicationCodeableConcept must also be used.

Examples

Practitioner reports patient is taking Roferon-A three times a week on Mon Wed Sat

Long-term use of medication Zoloft

Practitioner reports patient has had Diflucan

1.0.1 Formal Views of Profile Content

The official URL for this profile is: 

http://hl7.org.au/fhir/StructureDefinition/au-medicationstatement

This profile defines a medication statement structure including core localisation concepts for use in an Australian context.

This profile builds on MedicationStatement.

This profile was published on Mon Jul 29 00:00:00 AEST 2019 as a draft by Health Level Seven Australia (Medications WG).

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..*MedicationStatementA record of medication being taken by a patient in an Australian healthcare context
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... medication-long-term 0..1booleanMedication Long Term Indicator
URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
... medication-brand-name 0..1stringMedication Brand Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
... medication-generic-name 0..1stringMedication Generic Drug Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
... medication[x] 1..1(Slice Definition)Medication Detail
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationCodeableConcept 0..1CodeableConceptCoded Medication
..... coding 0..*(Slice Definition)Medication Codes
Slice: Unordered, Open by value:system
...... coding:pbs 0..*CodingPBS Item Code
Binding: PBS Medicines Item Codes (preferred)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
...... coding:gtin 0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN for Medicines (preferred)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://www.gs1.org/gtin
...... coding:amt 0..*CodingAMT Medicines
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
....... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... medication-type 0..1CodingClass of Medication Coding
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... coding:mimsPackage 0..1CodingMIMS Package
Binding: MIMS Terminology (preferred)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://www.mims.com.au/codes
.... medicationReference:medicationReference 0..1Reference(AU Base Medication)Medication Reference
... reasonCode 0..*CodeableConceptReason for why the medication is being/was taken
Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1 (preferred)
... dosage 0..*AUBaseDosageDosage information in an Australian healthcare context

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement I0..*MedicationStatementA record of medication being taken by a patient in an Australian healthcare context
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
... medication-long-term I0..1booleanMedication Long Term Indicator
URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
... medication-brand-name I0..1stringMedication Brand Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
... medication-generic-name I0..1stringMedication Generic Drug Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierExternal identifier
... basedOn ΣI0..*Reference(MedicationRequest | CarePlan | ServiceRequest)Fulfils plan, proposal or order
... partOf ΣI0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)Part of referenced event
... status ?!ΣI1..1codeactive | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
... statusReason I0..*CodeableConceptReason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example)
... category ΣI0..1CodeableConceptType of medication usage
Binding: Medication usage category codes (preferred)
... medication[x] ΣI1..1(Slice Definition)Medication Detail
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example)
.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationCodeableConcept ΣI0..1CodeableConceptCoded Medication
Binding: SNOMEDCTMedicationCodes (example)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding ΣI0..*(Slice Definition)Medication Codes
Slice: Unordered, Open by value:system
...... coding:pbs ΣI0..*CodingPBS Item Code
Binding: PBS Medicines Item Codes (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system ΣI1..1uriIdentity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
....... version ΣI0..1stringVersion of the system - if relevant
....... code ΣI0..1codeSymbol in syntax defined by the system
....... display ΣI0..1stringRepresentation defined by the system
....... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
...... coding:gtin ΣI0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN for Medicines (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system ΣI1..1uriIdentity of the terminology system
Fixed Value: http://www.gs1.org/gtin
....... version ΣI0..1stringVersion of the system - if relevant
....... code ΣI0..1codeSymbol in syntax defined by the system
....... display ΣI0..1stringRepresentation defined by the system
....... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
...... coding:amt ΣI0..*CodingAMT Medicines
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... medication-type I0..1CodingClass of Medication Coding
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
....... system ΣI1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version ΣI0..1stringVersion of the system - if relevant
....... code ΣI0..1codeSymbol in syntax defined by the system
....... display ΣI0..1stringRepresentation defined by the system
....... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
...... coding:mimsPackage ΣI0..1CodingMIMS Package
Binding: MIMS Terminology (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system ΣI1..1uriIdentity of the terminology system
Fixed Value: http://www.mims.com.au/codes
....... version ΣI0..1stringVersion of the system - if relevant
....... code ΣI0..1codeSymbol in syntax defined by the system
....... display ΣI0..1stringRepresentation defined by the system
....... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text ΣI0..1stringPlain text representation of the concept
.... medication[x]:medicationReference ΣI0..1Reference(AU Base Medication)Medication Reference
... subject ΣI1..1Reference(Patient | Group)Who is/was taking the medication
... context ΣI0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with MedicationStatement
... effective[x] ΣI0..1The date/time or interval when the medication is/was/will be taken
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... dateAsserted ΣI0..1dateTimeWhen the statement was asserted?
... informationSource I0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)Person or organization that provided the information about the taking of this medication
... derivedFrom I0..*Reference(Resource)Additional supporting information
... reasonCode I0..*CodeableConceptReason for why the medication is being/was taken
Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1 (preferred)
... reasonReference I0..*Reference(Condition | Observation | DiagnosticReport)Condition or observation that supports why the medication is being/was taken
... note I0..*AnnotationFurther information about the statement
... dosage I0..*AUBaseDosageDosage information in an Australian healthcare context

doco Documentation for this format

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..*MedicationStatementA record of medication being taken by a patient in an Australian healthcare context
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... medication-long-term 0..1booleanMedication Long Term Indicator
URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
... medication-brand-name 0..1stringMedication Brand Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
... medication-generic-name 0..1stringMedication Generic Drug Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
... medication[x] 1..1(Slice Definition)Medication Detail
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationCodeableConcept 0..1CodeableConceptCoded Medication
..... coding 0..*(Slice Definition)Medication Codes
Slice: Unordered, Open by value:system
...... coding:pbs 0..*CodingPBS Item Code
Binding: PBS Medicines Item Codes (preferred)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
...... coding:gtin 0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN for Medicines (preferred)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://www.gs1.org/gtin
...... coding:amt 0..*CodingAMT Medicines
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
....... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... medication-type 0..1CodingClass of Medication Coding
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... coding:mimsPackage 0..1CodingMIMS Package
Binding: MIMS Terminology (preferred)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://www.mims.com.au/codes
.... medicationReference:medicationReference 0..1Reference(AU Base Medication)Medication Reference
... reasonCode 0..*CodeableConceptReason for why the medication is being/was taken
Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1 (preferred)
... dosage 0..*AUBaseDosageDosage information in an Australian healthcare context

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement I0..*MedicationStatementA record of medication being taken by a patient in an Australian healthcare context
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
... medication-long-term I0..1booleanMedication Long Term Indicator
URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
... medication-brand-name I0..1stringMedication Brand Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
... medication-generic-name I0..1stringMedication Generic Drug Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierExternal identifier
... basedOn ΣI0..*Reference(MedicationRequest | CarePlan | ServiceRequest)Fulfils plan, proposal or order
... partOf ΣI0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)Part of referenced event
... status ?!ΣI1..1codeactive | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
... statusReason I0..*CodeableConceptReason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example)
... category ΣI0..1CodeableConceptType of medication usage
Binding: Medication usage category codes (preferred)
... medication[x] ΣI1..1(Slice Definition)Medication Detail
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example)
.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationCodeableConcept ΣI0..1CodeableConceptCoded Medication
Binding: SNOMEDCTMedicationCodes (example)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding ΣI0..*(Slice Definition)Medication Codes
Slice: Unordered, Open by value:system
...... coding:pbs ΣI0..*CodingPBS Item Code
Binding: PBS Medicines Item Codes (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system ΣI1..1uriIdentity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
....... version ΣI0..1stringVersion of the system - if relevant
....... code ΣI0..1codeSymbol in syntax defined by the system
....... display ΣI0..1stringRepresentation defined by the system
....... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
...... coding:gtin ΣI0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN for Medicines (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system ΣI1..1uriIdentity of the terminology system
Fixed Value: http://www.gs1.org/gtin
....... version ΣI0..1stringVersion of the system - if relevant
....... code ΣI0..1codeSymbol in syntax defined by the system
....... display ΣI0..1stringRepresentation defined by the system
....... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
...... coding:amt ΣI0..*CodingAMT Medicines
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... medication-type I0..1CodingClass of Medication Coding
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
....... system ΣI1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version ΣI0..1stringVersion of the system - if relevant
....... code ΣI0..1codeSymbol in syntax defined by the system
....... display ΣI0..1stringRepresentation defined by the system
....... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
...... coding:mimsPackage ΣI0..1CodingMIMS Package
Binding: MIMS Terminology (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system ΣI1..1uriIdentity of the terminology system
Fixed Value: http://www.mims.com.au/codes
....... version ΣI0..1stringVersion of the system - if relevant
....... code ΣI0..1codeSymbol in syntax defined by the system
....... display ΣI0..1stringRepresentation defined by the system
....... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text ΣI0..1stringPlain text representation of the concept
.... medication[x]:medicationReference ΣI0..1Reference(AU Base Medication)Medication Reference
... subject ΣI1..1Reference(Patient | Group)Who is/was taking the medication
... context ΣI0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with MedicationStatement
... effective[x] ΣI0..1The date/time or interval when the medication is/was/will be taken
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... dateAsserted ΣI0..1dateTimeWhen the statement was asserted?
... informationSource I0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)Person or organization that provided the information about the taking of this medication
... derivedFrom I0..*Reference(Resource)Additional supporting information
... reasonCode I0..*CodeableConceptReason for why the medication is being/was taken
Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1 (preferred)
... reasonReference I0..*Reference(Condition | Observation | DiagnosticReport)Condition or observation that supports why the medication is being/was taken
... note I0..*AnnotationFurther information about the statement
... dosage I0..*AUBaseDosageDosage information in an Australian healthcare context

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron

 

1.0.2 Quick Start

Below is an overview of the required search and read operations.

Summary of Search Criteria for StructureDefinition-au-medicationstatement

none defined