Australian Base Implementation Guide (AU Base 2)
This page is part of the Australian Base IG (v2.2.0: AU Base 2 on R4) based on FHIR R4. For a full list of available versions, see the Directory of published versions 
AU Base Medication Administration [FMM Level 2]
This profile defines a medication administration structure including core localisation concepts for use in an Australian context.
The purpose of this profile is to provide national level agreement on core localised concepts.
This profile does not force conformance to core localised concepts. It enables implementers and modellers to make their own rules, i.e. profiling, about how to support these concepts for specific implementation needs.
No extensions are available for this profile.
A full medication definition as medicationReference or medicationCodeableConcept can be included to define the drug/medication concept. Medication definition includes coding as:
No examples are available for this profile.
The official URL for this profile is:
http://hl7.org.au/fhir/StructureDefinition/au-medicationadministration
This profile defines a medication administration structure including core localisation concepts for use in an Australian context.
This profile builds on MedicationAdministration.
This profile was published on Mon Jul 05 00:00:00 AEST 2021 as a draft by Health Level Seven Australia (Medications WG).
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationAdministration | 0..* | MedicationAdministration | A record of medication administered to a patient in an Australian healthcare context | |
  id | Σ | 0..1 | string | Logical id of this artifact |
 meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Additional content defined by implementations | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | 0..* | Identifier | External identifier | |
| instantiates | Σ | 0..* | uri | Instantiates protocol or definition |
 partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event |
| status | ?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. |
| statusReason | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated. | |
| category | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. | |
 Slices for medication[x] | Σ | 1..1 | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |
  medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(Medication) | |||
 medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. |
  id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| Slices for coding | Σ | 0..* | Coding | Medication Codes Slice: Unordered, Open by value:system |
 coding:pbs | Σ | 0..* | Coding | PBS Item Code Binding: PBS Item Codes (preferred) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
 userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| coding:gtin | Σ | 0..* | Coding | Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.gs1.org/gtin |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| coding:amt | Σ | 0..* | Coding | AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| medication-type | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
 coding:mimsPackage | Σ | 0..1 | Coding | MIMS Package Binding: MIMS (preferred) |
 id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.mims.com.au/codes |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| medication[x]:medicationReference | Σ | 0..1 | Reference(AU Base Medication) | Medication Reference |
| subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication |
| context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |
| supportingInformation | 0..* | Reference(Resource) | Additional information to support administration | |
 effective[x] | Σ | 1..1 | Start and end time of administration | |
| effectiveDateTime | dateTime | |||
 effectivePeriod | Period | |||
| performer | Σ | 0..* | BackboneElement | Who performed the medication administration and what they did |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| function | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication. | |
| actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration |
| reasonCode | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. | |
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |
| request | 0..1 | Reference(MedicationRequest) | Request administration performed against | |
| device | 0..* | Reference(Device) | Device used to administer | |
| note | 0..* | Annotation | Information about the administration | |
| dosage | I | 0..1 | BackboneElement | Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x] |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| text | 0..1 | string | Free text dosage instructions e.g. SIG | |
| site | 0..1 | CodeableConcept | Body site administered to Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred) | |
| route | 0..1 | CodeableConcept | Path of substance into body Binding: https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 (preferred) | |
| method | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (preferred) | |
| dose | 0..1 | SimpleQuantity | Amount of medication per dose | |
| rate[x] | 0..1 | Dose quantity per unit of time | ||
| rateRatio | Ratio | |||
| rateQuantity | Quantity(SimpleQuantity) | |||
| eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |
| Documentation for this format | ||||
Differential View
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationAdministration | 0..* | MedicationAdministration | A record of medication administered to a patient in an Australian healthcare context | |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | 0..* | Identifier | External identifier | |
| instantiates | Σ | 0..* | uri | Instantiates protocol or definition |
| partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event |
| status | ?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. |
| statusReason | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated. | |
| category | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. | |
| Slices for medication[x] | Σ | 1..1 | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(Medication) | |||
| medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| Slices for coding | Σ | 0..* | Coding | Medication Codes Slice: Unordered, Open by value:system |
| coding:pbs | Σ | 0..* | Coding | PBS Item Code Binding: PBS Item Codes (preferred) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| coding:gtin | Σ | 0..* | Coding | Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.gs1.org/gtin |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| coding:amt | Σ | 0..* | Coding | AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| medication-type | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| coding:mimsPackage | Σ | 0..1 | Coding | MIMS Package Binding: MIMS (preferred) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.mims.com.au/codes |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| medication[x]:medicationReference | Σ | 0..1 | Reference(AU Base Medication) | Medication Reference |
| subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication |
| context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |
| supportingInformation | 0..* | Reference(Resource) | Additional information to support administration | |
| effective[x] | Σ | 1..1 | Start and end time of administration | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| performer | Σ | 0..* | BackboneElement | Who performed the medication administration and what they did |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| function | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication. | |
| actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration |
| reasonCode | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. | |
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |
| request | 0..1 | Reference(MedicationRequest) | Request administration performed against | |
| device | 0..* | Reference(Device) | Device used to administer | |
| note | 0..* | Annotation | Information about the administration | |
| dosage | I | 0..1 | BackboneElement | Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x] |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| text | 0..1 | string | Free text dosage instructions e.g. SIG | |
| site | 0..1 | CodeableConcept | Body site administered to Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred) | |
| route | 0..1 | CodeableConcept | Path of substance into body Binding: https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 (preferred) | |
| method | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (preferred) | |
| dose | 0..1 | SimpleQuantity | Amount of medication per dose | |
| rate[x] | 0..1 | Dose quantity per unit of time | ||
| rateRatio | Ratio | |||
| rateQuantity | Quantity(SimpleQuantity) | |||
| eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron
Below is an overview of the required search and read operations.
Summary of Search Criteria for StructureDefinition-au-medicationadministration
none defined
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