AU Base Implementation Guide
6.0.0-draft - Draft

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## : List - Medicine list with changes - XML Representation

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    <List xmlns="http://hl7.org/fhir">
      <id value="example2"/>
      <meta>
        <profile value="http://hl7.org.au/fhir/StructureDefinition/au-medlist"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml">
                <h1>MEDICINE LIST</h1>

                <h2>PATIENT</h2>
                <table>
                    <tbody>
                        <tr>
                            <th>Name</th>
                            <td>
                                <p>David Goodpatient</p>
                            </td>
                        </tr>
                        <tr>
                            <th>DoB</th>
                            <td>14 September 1953</td>
                        </tr>
                        <tr>
                            <th>Gender</th>
                            <td>Male</td>
                        </tr>
                        <tr>
                            <th>Address</th>
                            <td>2 Round Court, QLD 4113</td>
                        </tr>
                    </tbody>
                </table>

                <h2>SOURCE OF MEDICINE LIST</h2>
                <table>
                    <tbody>
                        <tr>
                            <th>Name</th>
                            <td>
                                <p>Iam Practitioner</p>
                            </td>
                        </tr>
                        <tr>
                            <th>HPI-I</th>
                            <td>8003619900015717</td>
                        </tr>
                        <tr>
                            <th>Phone</th>
                            <td>0755501234</td>
                        </tr>
                        <tr>
                            <th>Email</th>
                            <td>iam.practitioner@example.com</td>
                        </tr>
                    </tbody>
                </table>

                <h2>CONSULTATION DETAILS</h2>
                <table>
                    <tbody>
                        <tr>
                            <th>Consultation date</th>
                            <td>15 Mar 2019</td>
                        </tr>
                        <tr>
                            <th>Consultation summary</th>
                            <td>Patient presented with weakness over the last couple of days. No other
                                symptoms. Revised patient's medications. Advised patient to see the
                                usual GPs clinic for further consultation and review. </td>
                        </tr>
                    </tbody>
                </table>

                <h3>CURRENT MEDICINES</h3>
                <table border="1">
                    <thead>
                        <tr>
                            <th>Medicine</th>
                            <th>Direction</th>
                            <th>Medicine Purpose</th>
                            <th>Medicine Status</th>
                            <th>Result of Action</th>
                            <th>Special Instructions</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td>Multi-vitamins</td>
                            <td>1 tablet daily</td>
                            <td/>
                            <td>New</td>
                            <td/>
                            <td/>
                        </tr>
                        <tr>
                            <td>Spiriva (tiotropium bromide 18mg per inhalation) inhalant</td>
                            <td>1 inhalation per day</td>
                            <td>Chronic Obstructive Pulmonary Disease</td>
                            <td>Amended</td>
                            <td>Reduced to one inhalation a day</td>
                            <td/>
                        </tr>
                        <tr>
                            <td>paracetamol 665 mg modified release tablet</td>
                            <td>Two tablets every 6-8 hours when required.</td>
                            <td>Osteoarthritis, pain relief</td>
                            <td>Unchanged</td>
                            <td/>
                            <td>No more than 6 tablets in 24hr</td>
                        </tr>
                        <tr>
                            <td>cilostazol 100 mg tablet</td>
                            <td>One a day at night time</td>
                            <td>Blood thinning</td>
                            <td>Amended</td>
                            <td>Form change</td>
                            <td/>
                        </tr>
                    </tbody>
                </table>

                <h3>CEASED MEDICINES</h3>
                <table border="1">
                    <thead>
                        <tr>
                            <th>Medicine</th>
                            <th>Reason</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td>Ibuprofen</td>
                            <td>Allergic reaction</td>
                        </tr>
                    </tbody>
                </table>
            </div>
      </text>
      <contained>
        <MedicationStatement>
          <id value="medicationstatement-456"/>
          <status value="active"/>
          <medicationCodeableConcept>
            <text value="Multi-vitamins"/>
          </medicationCodeableConcept>
          <subject>
            <reference value="#patient-123"/>
          </subject>
          <dateAsserted value="2019-03-15"/>
          <dosage>
            <text value="1 tablet daily"/>
          </dosage>
        </MedicationStatement>
      </contained>
      <contained>
        <MedicationStatement>
          <id value="medicationstatement-678"/>
          <status value="active"/>
          <medicationCodeableConcept>
            <text
                  value="Spiriva (tiotropium bromide 18mg per inhalation) inhalant"/>
          </medicationCodeableConcept>
          <subject>
            <reference value="#patient-123"/>
          </subject>
          <dateAsserted value="2019-03-15"/>
          <reasonCode>
            <text value="COPD"/>
          </reasonCode>
          <dosage>
            <text value="1 inhalation per day"/>
          </dosage>
        </MedicationStatement>
      </contained>
      <contained>
        <MedicationStatement>
          <id value="medicationstatement-234"/>
          <status value="active"/>
          <medicationCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="22075011000036103"/>
            </coding>
            <text value="paracetamol 665 mg modified release tablet"/>
          </medicationCodeableConcept>
          <subject>
            <reference value="#patient-123"/>
          </subject>
          <reasonCode>
            <text value="Osteoarthritis, pain relief"/>
          </reasonCode>
          <dosage>
            <text value="Two tablets every 6-8 hours when required."/>
            <patientInstruction value="No more than 6 tablets in 24hr"/>
          </dosage>
        </MedicationStatement>
      </contained>
      <contained>
        <MedicationStatement>
          <id value="medicationstatement-890"/>
          <status value="active"/>
          <medicationCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="82923011000036103"/>
            </coding>
            <text value="cilostazol 100 mg tablet"/>
          </medicationCodeableConcept>
          <subject>
            <reference value="#patient-123"/>
          </subject>
          <reasonCode>
            <text value="Blood thinning"/>
          </reasonCode>
          <dosage>
            <text value="One a day at night time"/>
          </dosage>
        </MedicationStatement>
      </contained>
      <contained>
        <MedicationStatement>
          <id value="medicationstatement-246"/>
          <status value="stopped"/>
          <medicationCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="38268001"/>
            </coding>
            <text value="Ibuprofen"/>
          </medicationCodeableConcept>
          <subject>
            <reference value="#patient-123"/>
          </subject>
          <reasonCode>
            <text value="Allergic reaction"/>
          </reasonCode>
        </MedicationStatement>
      </contained>
      <contained>
        <Patient>
          <id value="patient-123"/>
          <extension
                     url="http://hl7.org.au/fhir/StructureDefinition/indigenous-status">
            <valueCoding>
              <system
                      value="https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1"/>
              <code value="9"/>
              <display value="Not stated/inadequately described"/>
            </valueCoding>
          </extension>
          <identifier>
            <type>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                <code value="NI"/>
                <display value="National unique individual identifier"/>
              </coding>
            </type>
            <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
            <value value="8003608666701594"/>
          </identifier>
          <name>
            <text value="David Goodpatient"/>
            <family value="Goodpatient"/>
            <given value="David"/>
          </name>
          <gender value="male"/>
          <birthDate value="1953-09-14"/>
          <address>
            <use value="home"/>
            <line value="2 Round Court"/>
            <state value="QLD"/>
            <postalCode value="4113"/>
            <country value="Australia"/>
          </address>
          <generalPractitioner>
            <reference value="#gp-13579"/>
          </generalPractitioner>
          <managingOrganization>
            <reference value="#org-24680"/>
          </managingOrganization>
        </Patient>
      </contained>
      <contained>
        <Practitioner>
          <id value="gp-13579"/>
          <name>
            <family value="Grey"/>
            <prefix value="Dr"/>
          </name>
        </Practitioner>
      </contained>
      <contained>
        <Practitioner>
          <id value="dr-97531"/>
          <identifier>
            <type>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                <code value="NPI"/>
                <display value="National provider identifier"/>
              </coding>
              <text value="HPI-I"/>
            </type>
            <system value="http://ns.electronichealth.net.au/id/hi/hpii/1.0"/>
            <value value="8003619900015717"/>
          </identifier>
          <name>
            <use value="official"/>
            <family value="Practitioner"/>
            <given value="Iam"/>
            <suffix value="M.D."/>
          </name>
          <telecom>
            <system value="phone"/>
            <value value="0755501234"/>
            <use value="work"/>
          </telecom>
          <telecom>
            <system value="email"/>
            <value value="iam.practitioner@example.com"/>
            <use value="work"/>
          </telecom>
          <qualification>
            <identifier>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
                  <code value="AHPRA"/>
                  <display
                           value="Australian Health Practitioner Regulation Agency Registration Number"/>
                </coding>
                <text value="Ahpra registration number"/>
              </type>
              <system value="http://hl7.org.au/id/ahpra-registration-number"/>
              <value value="MED0000932850"/>
            </identifier>
            <code>
              <coding>
                <system
                        value="http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0"/>
                <code value="253111"/>
                <display value="General Medical Practitioner"/>
              </coding>
              <text value="Ahpra qualification for General Practitioner"/>
            </code>
            <issuer>
              <display value="Ahpra"/>
            </issuer>
          </qualification>
        </Practitioner>
      </contained>
      <contained>
        <Organization>
          <id value="org-24680"/>
          <name value="Grey Medical Practice"/>
        </Organization>
      </contained>
      <contained>
        <Encounter>
          <id value="enc-24680"/>
          <identifier>
            <system value="https://tools.ietf.org/html/rfc4122"/>
            <value value="5c48d068-4ffb-11e9-8647-d663bd873d93"/>
          </identifier>
          <status value="finished"/>
          <class>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
            <code value="AMB"/>
            <display value="ambulatory"/>
          </class>
          <type>
            <coding>
              <system value="http://loinc.org"/>
              <code value="34764-1"/>
            </coding>
          </type>
          <priority>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-ActPriority"/>
              <code value="R"/>
            </coding>
          </priority>
          <subject>
            <reference value="#patient-123"/>
          </subject>
          <participant>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
                <code value="PPRF"/>
              </coding>
            </type>
            <individual>
              <reference value="#dr-97531"/>
            </individual>
          </participant>
          <period>
            <start value="2019-03-15"/>
            <end value="2019-03-15"/>
          </period>
        </Encounter>
      </contained>
      <identifier>
        <system value="https://tools.ietf.org/html/rfc4122"/>
        <value value="7f8fb180-4ea8-11e9-8647-d663bd873d93"/>
      </identifier>
      <status value="current"/>
      <mode value="snapshot"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="10160-0"/>
        </coding>
        <text value="Medicine List"/>
      </code>
      <subject>
        <reference value="#patient-123"/>
      </subject>
      <encounter>
        <reference value="#enc-24680"/>
      </encounter>
      <date value="2019-03-15"/>
      <source>
        <reference value="#dr-97531"/>
      </source>
      <entry>
        <flag>
          <coding>
            <system
                    value="http://terminology.hl7.org.au/CodeSystem/medicine-item-change"/>
            <code value="new"/>
            <display value="New"/>
          </coding>
        </flag>
        <item>
          <reference value="#medicationstatement-456"/>
        </item>
      </entry>
      <entry>
        <extension
                   url="http://hl7.org.au/fhir/StructureDefinition/change-description">
          <valueString value="Reduced to one inhalation a day"/>
        </extension>
        <flag>
          <coding>
            <system
                    value="http://terminology.hl7.org.au/CodeSystem/medicine-item-change"/>
            <code value="amended"/>
            <display value="Amended"/>
          </coding>
        </flag>
        <item>
          <reference value="#medicationstatement-678"/>
        </item>
      </entry>
      <entry>
        <flag>
          <coding>
            <system
                    value="http://terminology.hl7.org.au/CodeSystem/medicine-item-change"/>
            <code value="nochange"/>
            <display value="Unchanged"/>
          </coding>
        </flag>
        <item>
          <reference value="#medicationstatement-234"/>
        </item>
      </entry>
      <entry>
        <extension
                   url="http://hl7.org.au/fhir/StructureDefinition/change-description">
          <valueString value="Form change"/>
        </extension>
        <flag>
          <coding>
            <system
                    value="http://terminology.hl7.org.au/CodeSystem/medicine-item-change"/>
            <code value="amended"/>
            <display value="Amended"/>
          </coding>
        </flag>
        <item>
          <reference value="#medicationstatement-890"/>
        </item>
      </entry>
      <entry>
        <flag>
          <coding>
            <system
                    value="http://terminology.hl7.org.au/CodeSystem/medicine-item-change"/>
            <code value="ceased"/>
            <display value="Ceased"/>
          </coding>
        </flag>
        <item>
          <reference value="#medicationstatement-246"/>
        </item>
      </entry>
    </List>