This page is part of AU Base v4.0.0 based on FHIR R4. For a full list of available versions, see the Directory of published versions
AU Base Medication Dispense [FMM 2]
This profile defines a medication dispense structure that localises core concepts, including identifiers and terminology, 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.
These definitions, defined as profiles of Identifier, represent common data held in the MedicationDispense.identifier element:
Extensions used in this profile:
Potentially useful extensions:
A full medication definition as medicationReference or medicationCodeableConcept can be included to define the drug/medication concept. Medication definition includes coding as:
First dispense for Reaptan against Prescription for Reaptan
Second dispense for Reaptan against Prescription for Reaptan
The official URL for this profile is:
http://hl7.org.au/fhir/StructureDefinition/au-medicationdispense
This profile defines a medication dispense structure that localises core concepts, including identifiers and terminology, for use in an Australian context.
This profile builds on MedicationDispense.
This profile was published on 2022-04-04 as a active 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 | ||||
---|---|---|---|---|---|---|---|---|
MedicationDispense | I | 0..* | MedicationDispense | A dispense record for a medication for 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): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
subsidised-concurrent-supply | 0..1 | Coding | Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: https://healthterminologies.gov.au/fhir/ValueSet/concurrent-supply-grounds-1 (required) | |||||
dispense-number | 0..1 | integer | Number of this dispense URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | 0..* | Identifier, AULocalDispenseIdentifier | External identifier | |||||
partOf | 0..* | Reference(Procedure) | Event that dispense is part of | |||||
status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. | ||||
statusReason[x] | 0..1 | Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed. | ||||||
statusReasonCodeableConcept | CodeableConcept | |||||||
statusReasonReference | Reference(DetectedIssue) | |||||||
category | 0..1 | CodeableConcept | Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered. | |||||
Slices for medication[x] | Σ | 1..1 | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(Medication) | |||||||
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Dispensed Medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system 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 | |||||
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 | |||||
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 | |||||
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 | Medication primary text | ||||
medication[x]:medicationReference | Σ | 0..1 | Reference(Medication) | Dispensed Medication | ||||
subject | Σ | 0..1 | Reference(Patient | Group) | Who the dispense is for | ||||
context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event | |||||
supportingInformation | 0..* | Reference(Resource) | Information that supports the dispensing of the medication | |||||
performer | 0..* | BackboneElement | Who performed event | |||||
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 | Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication. | |||||
actor | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was performing | |||||
location | 0..1 | Reference(Location) | Where the dispense occurred | |||||
authorizingPrescription | 0..* | Reference(AU Base Medication Request) | Medication order that authorizes the dispense | |||||
type | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. | |||||
quantity | 0..1 | SimpleQuantity | Amount dispensed | |||||
daysSupply | 0..1 | SimpleQuantity | Amount of medication expressed as a timing amount | |||||
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed | ||||
whenHandedOver | 0..1 | dateTime | When product was given out | |||||
destination | 0..1 | Reference(Location) | Where the medication was sent | |||||
receiver | 0..* | Reference(Patient | Practitioner) | Who collected the medication | |||||
note | 0..* | Annotation | Information about the dispense | |||||
dosageInstruction | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context | |||||
substitution | 0..1 | BackboneElement | Whether a substitution was performed on the dispense | |||||
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 | ||||
wasSubstituted | 1..1 | boolean | Whether a substitution was or was not performed on the dispense | |||||
type | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription. | |||||
reason | 0..1 | CodeableConcept | Why was substitution made Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred) | |||||
responsibleParty | 0..* | Reference(Practitioner | PractitionerRole) | Who is responsible for the substitution | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | Clinical issue with action | |||||
eventHistory | 0..* | Reference(Provenance) | A list of relevant lifecycle events | |||||
Documentation for this format |
Differential View
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationDispense | I | 0..* | MedicationDispense | A dispense record for a medication for 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): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
subsidised-concurrent-supply | 0..1 | Coding | Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: https://healthterminologies.gov.au/fhir/ValueSet/concurrent-supply-grounds-1 (required) | |||||
dispense-number | 0..1 | integer | Number of this dispense URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | 0..* | Identifier, AULocalDispenseIdentifier | External identifier | |||||
partOf | 0..* | Reference(Procedure) | Event that dispense is part of | |||||
status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. | ||||
statusReason[x] | 0..1 | Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed. | ||||||
statusReasonCodeableConcept | CodeableConcept | |||||||
statusReasonReference | Reference(DetectedIssue) | |||||||
category | 0..1 | CodeableConcept | Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered. | |||||
Slices for medication[x] | Σ | 1..1 | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(Medication) | |||||||
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Dispensed Medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system 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 | |||||
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 | |||||
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 | |||||
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 | Medication primary text | ||||
medication[x]:medicationReference | Σ | 0..1 | Reference(Medication) | Dispensed Medication | ||||
subject | Σ | 0..1 | Reference(Patient | Group) | Who the dispense is for | ||||
context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event | |||||
supportingInformation | 0..* | Reference(Resource) | Information that supports the dispensing of the medication | |||||
performer | 0..* | BackboneElement | Who performed event | |||||
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 | Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication. | |||||
actor | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was performing | |||||
location | 0..1 | Reference(Location) | Where the dispense occurred | |||||
authorizingPrescription | 0..* | Reference(AU Base Medication Request) | Medication order that authorizes the dispense | |||||
type | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. | |||||
quantity | 0..1 | SimpleQuantity | Amount dispensed | |||||
daysSupply | 0..1 | SimpleQuantity | Amount of medication expressed as a timing amount | |||||
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed | ||||
whenHandedOver | 0..1 | dateTime | When product was given out | |||||
destination | 0..1 | Reference(Location) | Where the medication was sent | |||||
receiver | 0..* | Reference(Patient | Practitioner) | Who collected the medication | |||||
note | 0..* | Annotation | Information about the dispense | |||||
dosageInstruction | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context | |||||
substitution | 0..1 | BackboneElement | Whether a substitution was performed on the dispense | |||||
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 | ||||
wasSubstituted | 1..1 | boolean | Whether a substitution was or was not performed on the dispense | |||||
type | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription. | |||||
reason | 0..1 | CodeableConcept | Why was substitution made Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred) | |||||
responsibleParty | 0..* | Reference(Practitioner | PractitionerRole) | Who is responsible for the substitution | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | Clinical issue with action | |||||
eventHistory | 0..* | Reference(Provenance) | A list of relevant lifecycle events | |||||
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-medicationdispense
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