Australian Base Implementation Guide
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 Statement [FMM 2]
This profile defines a medication statement structure that localises core concepts, including 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.
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:
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
The official URL for this profile is:
http://hl7.org.au/fhir/StructureDefinition/au-medicationstatement
This profile defines a medication statement structure that localises core concepts, including terminology, for use in an Australian context.
This profile builds on MedicationStatement.
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 |
|---|---|---|---|---|
  MedicationStatement | 0..* | MedicationStatement | A record of medication being taken by a patient in an Australian healthcare context | |
  Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 medication-long-term | 0..1 | boolean | Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term | |
 Slices for medication[x] | 1..1 | CodeableConcept, Reference(Medication) | Medication Detail Slice: Unordered, Closed by type:$this | |
  medication[x]:medicationCodeableConcept | 0..1 | CodeableConcept | Coded Medication | |
  Slices for coding | 0..* | Coding | Medication Codes Slice: Unordered, Open by value:system | |
 coding:pbs | 0..* | Coding | PBS Item Code Binding: PBS Item Codes (preferred) | |
  system | 1..1 | uri | Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item | |
| coding:gtin | 0..* | Coding | Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.gs1.org/gtin | |
| coding:amt | 0..* | Coding | AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred) | |
| 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 | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
 coding:mimsPackage | 0..1 | Coding | MIMS Package Binding: MIMS (preferred) | |
 system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.mims.com.au/codes | |
| text | 0..1 | string | Medication primary text | |
| medication[x]:medicationReference | 0..1 | Reference() | Medication Reference | |
| reasonCode | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1 (preferred) | |
  dosage | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement | 0..* | MedicationStatement | A record of medication being taken by 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 | |||||
| medication-long-term | 0..1 | boolean | Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term | |||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | External identifier | ||||
 basedOn | Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | ||||
| status | ?!Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | ||||
| statusReason | 0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. | |||||
| category | Σ | 0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | ||||
| Slices for medication[x] | Σ | 1..1 | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | |||||
| medicationCodeableConcept | CodeableConcept | |||||||
| medicationReference | Reference(Medication) | |||||||
| medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | ||||
| 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 | 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 | |||||
| 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 Reference | ||||
| subject | Σ | 1..1 | Reference(Patient | Group) | Who is/was taking the medication | ||||
| context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||
 effective[x] | Σ | 0..1 | The date/time or interval when the medication is/was/will be taken | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted? | ||||
| informationSource | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication | |||||
| derivedFrom | 0..* | Reference(Resource) | Additional supporting information | |||||
| reasonCode | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1 (preferred) | |||||
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken | |||||
| note | 0..* | Annotation | Further information about the statement | |||||
| dosage | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context | |||||
| Documentation for this format | ||||||||
Differential View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | 0..* | MedicationStatement | A record of medication being taken by a patient in an Australian healthcare context | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| medication-long-term | 0..1 | boolean | Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term | |
| Slices for medication[x] | 1..1 | CodeableConcept, Reference(Medication) | Medication Detail Slice: Unordered, Closed by type:$this | |
| medication[x]:medicationCodeableConcept | 0..1 | CodeableConcept | Coded Medication | |
| Slices for coding | 0..* | Coding | Medication Codes Slice: Unordered, Open by value:system | |
| coding:pbs | 0..* | Coding | PBS Item Code Binding: PBS Item Codes (preferred) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item | |
| coding:gtin | 0..* | Coding | Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.gs1.org/gtin | |
| coding:amt | 0..* | Coding | AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred) | |
| 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 | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| coding:mimsPackage | 0..1 | Coding | MIMS Package Binding: MIMS (preferred) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.mims.com.au/codes | |
| text | 0..1 | string | Medication primary text | |
| medication[x]:medicationReference | 0..1 | Reference() | Medication Reference | |
| reasonCode | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1 (preferred) | |
| dosage | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement | 0..* | MedicationStatement | A record of medication being taken by 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 | |||||
| medication-long-term | 0..1 | boolean | Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | External identifier | ||||
| basedOn | Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | ||||
| status | ?!Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | ||||
| statusReason | 0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. | |||||
| category | Σ | 0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | ||||
| Slices for medication[x] | Σ | 1..1 | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | |||||
| medicationCodeableConcept | CodeableConcept | |||||||
| medicationReference | Reference(Medication) | |||||||
| medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | ||||
| 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 | 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 | |||||
| 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 Reference | ||||
| subject | Σ | 1..1 | Reference(Patient | Group) | Who is/was taking the medication | ||||
| context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||
| effective[x] | Σ | 0..1 | The date/time or interval when the medication is/was/will be taken | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted? | ||||
| informationSource | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication | |||||
| derivedFrom | 0..* | Reference(Resource) | Additional supporting information | |||||
| reasonCode | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1 (preferred) | |||||
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken | |||||
| note | 0..* | Annotation | Further information about the statement | |||||
| dosage | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context | |||||
| 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-medicationstatement
none defined
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(IG Publisher v4.0.1-a53ec6ee1b) generated on Mon, May 30, 2022 21:52+1000. |
