AU Base Implementation Guide
6.0.0-draft - Draft

Publication Build: This will be filled in by the publication tooling

## ValueSet: Medicine Item Change

Official URL: http://terminology.hl7.org.au/ValueSet/medicine-item-change | Version: 6.0.0-draft
Standards status: Trial-use | Maturity Level: 1 | Computable Name: MedicineItemChange
Other Identifiers: OID:2.16.840.1.113883.2.3.4.2.4.6
Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.

The Medicine Item Change value set includes values that may be used to identify that a change that has been made, or is recommended to be made, to a medicine item.

References

- AU Medicine List

Changes since version 5.0.0:

- No changes

### Logical Definition (CLD)

Profile: `https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4`

- Include all codes defined in `http://terminology.hl7.org.au/CodeSystem/medicine-item-change`

### Expansion

Expansion performed internally based on codesystem Medicine Item Change v6.0.0-draft (CodeSystem)

This value set contains 15 concepts

Level | Code | System | Display (en-AU) | Definition
1 | nochange | http://terminology.hl7.org.au/CodeSystem/medicine-item-change |  | No change has been made to this medicine.
1 | changed | http://terminology.hl7.org.au/CodeSystem/medicine-item-change |  | A change has been made to this medicine; for example, new medicine prescribed or dosage change.
2 | new | http://terminology.hl7.org.au/CodeSystem/medicine-item-change |  | A new medicine item is introduced.
3 | prescribed | http://terminology.hl7.org.au/CodeSystem/medicine-item-change |  | A new medicine item has been prescribed.
2 | ceased | http://terminology.hl7.org.au/CodeSystem/medicine-item-change |  | A medicine that was previously taken by the individual may actually be ceased as it required immediate attention. This cessation is anticipated to be permanent. Example uses: the medicine in question is considered ineffective or has caused serious adverse effects.
2 | suspended | http://terminology.hl7.org.au/CodeSystem/medicine-item-change |  | A medicine that was previously taken by the individual may be temporarily stopped. Example uses: medication in question may reach toxicity blood level, or suspected to have caused some undesirable effects; or needs to be suspended before a surgical/diagnostic procedure.
2 | cancelled | http://terminology.hl7.org.au/CodeSystem/medicine-item-change |  | The prescription for this medicine item was cancelled. The patient may be advised to complete the course of the prescribed medicine. This advice is a clinical decision made based on assessment of the patients clinical condition.
2 | amended | http://terminology.hl7.org.au/CodeSystem/medicine-item-change |  | The current medicine item has been changed in some way, e.g. dose, form, route, frequency change.
1 | recommended | http://terminology.hl7.org.au/CodeSystem/medicine-item-change |  | A change has been recommended to this medicine but may not have occurred yet, e.g. medicine recommended to be stopped.
2 | new-recommended | http://terminology.hl7.org.au/CodeSystem/medicine-item-change |  | A new medicine item is recommended.
3 | prescription-recommended | http://terminology.hl7.org.au/CodeSystem/medicine-item-change |  | It may be recommended that the usual GP prescribe a new medicine to be taken by the individual. The addition may not be urgent or there may be an arrangement that all medicine changes are to be enacted by the GP as the coordinator of the individual‘s overall care.
2 | review-recommended | http://terminology.hl7.org.au/CodeSystem/medicine-item-change |  | It may be recommended to the usual GP that a medicine that was previously taken by the individual be reviewed. The outcome of the review may be that the medicine is amended or stopped.
2 | cessation-recommended | http://terminology.hl7.org.au/CodeSystem/medicine-item-change |  | It may be recommended to the usual GP that a medicine that was previously taken by the individual be ceased.
2 | suspension-recommended | http://terminology.hl7.org.au/CodeSystem/medicine-item-change |  | It may be recommended to the usual GP that a medicine item that was previously taken by the individual be temporarily stopped. Example uses: medication in question may reach toxicity blood level, or suspected to have caused some undesirable effects; or needs to be suspended before a surgical/diagnostic procedure.
2 | cancellation-recommended | http://terminology.hl7.org.au/CodeSystem/medicine-item-change |  | The prescription for this medicine item is recommended to be cancelled. The patient may be advised to complete the course of the prescribed medicine. This advice is a clinical decision made based on assessment of the patients clinical condition.

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code | The code (used as the code in the resource instance)
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition | An explanation of the meaning of the concept
Comments | Additional notes about how to use the code