AU Base Implementation Guide
6.0.0-draft - Draft

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

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    {
      "resourceType" : "List",
      "id" : "example2",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org.au/fhir/StructureDefinition/au-medlist"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <h1>MEDICINE LIST</h1>\n\n            <h2>PATIENT</h2>\n            <table>\n                <tbody>\n                    <tr>\n                        <th>Name</th>\n                        <td>\n                            <p>David Goodpatient</p>\n                        </td>\n                    </tr>\n                    <tr>\n                        <th>DoB</th>\n                        <td>14 September 1953</td>\n                    </tr>\n                    <tr>\n                        <th>Gender</th>\n                        <td>Male</td>\n                    </tr>\n                    <tr>\n                        <th>Address</th>\n                        <td>2 Round Court, QLD 4113</td>\n                    </tr>\n                </tbody>\n            </table>\n\n            <h2>SOURCE OF MEDICINE LIST</h2>\n            <table>\n                <tbody>\n                    <tr>\n                        <th>Name</th>\n                        <td>\n                            <p>Iam Practitioner</p>\n                        </td>\n                    </tr>\n                    <tr>\n                        <th>HPI-I</th>\n                        <td>8003619900015717</td>\n                    </tr>\n                    <tr>\n                        <th>Phone</th>\n                        <td>0755501234</td>\n                    </tr>\n                    <tr>\n                        <th>Email</th>\n                        <td>iam.practitioner@example.com</td>\n                    </tr>\n                </tbody>\n            </table>\n\n            <h2>CONSULTATION DETAILS</h2>\n            <table>\n                <tbody>\n                    <tr>\n                        <th>Consultation date</th>\n                        <td>15 Mar 2019</td>\n                    </tr>\n                    <tr>\n                        <th>Consultation summary</th>\n                        <td>Patient presented with weakness over the last couple of days. No other\n                            symptoms. Revised patient's medications. Advised patient to see the\n                            usual GPs clinic for further consultation and review. </td>\n                    </tr>\n                </tbody>\n            </table>\n\n            <h3>CURRENT MEDICINES</h3>\n            <table border=\"1\">\n                <thead>\n                    <tr>\n                        <th>Medicine</th>\n                        <th>Direction</th>\n                        <th>Medicine Purpose</th>\n                        <th>Medicine Status</th>\n                        <th>Result of Action</th>\n                        <th>Special Instructions</th>\n                    </tr>\n                </thead>\n                <tbody>\n                    <tr>\n                        <td>Multi-vitamins</td>\n                        <td>1 tablet daily</td>\n                        <td/>\n                        <td>New</td>\n                        <td/>\n                        <td/>\n                    </tr>\n                    <tr>\n                        <td>Spiriva (tiotropium bromide 18mg per inhalation) inhalant</td>\n                        <td>1 inhalation per day</td>\n                        <td>Chronic Obstructive Pulmonary Disease</td>\n                        <td>Amended</td>\n                        <td>Reduced to one inhalation a day</td>\n                        <td/>\n                    </tr>\n                    <tr>\n                        <td>paracetamol 665 mg modified release tablet</td>\n                        <td>Two tablets every 6-8 hours when required.</td>\n                        <td>Osteoarthritis, pain relief</td>\n                        <td>Unchanged</td>\n                        <td/>\n                        <td>No more than 6 tablets in 24hr</td>\n                    </tr>\n                    <tr>\n                        <td>cilostazol 100 mg tablet</td>\n                        <td>One a day at night time</td>\n                        <td>Blood thinning</td>\n                        <td>Amended</td>\n                        <td>Form change</td>\n                        <td/>\n                    </tr>\n                </tbody>\n            </table>\n\n            <h3>CEASED MEDICINES</h3>\n            <table border=\"1\">\n                <thead>\n                    <tr>\n                        <th>Medicine</th>\n                        <th>Reason</th>\n                    </tr>\n                </thead>\n                <tbody>\n                    <tr>\n                        <td>Ibuprofen</td>\n                        <td>Allergic reaction</td>\n                    </tr>\n                </tbody>\n            </table>\n        </div>"
      },
      "contained" : [
        {
          "resourceType" : "MedicationStatement",
          "id" : "medicationstatement-456",
          "status" : "active",
          "medicationCodeableConcept" : {
            "text" : "Multi-vitamins"
          },
          "subject" : {
            "reference" : "#patient-123"
          },
          "dateAsserted" : "2019-03-15",
          "dosage" : [
            {
              "text" : "1 tablet daily"
            }
          ]
        },
        {
          "resourceType" : "MedicationStatement",
          "id" : "medicationstatement-678",
          "status" : "active",
          "medicationCodeableConcept" : {
            "text" : "Spiriva (tiotropium bromide 18mg per inhalation) inhalant"
          },
          "subject" : {
            "reference" : "#patient-123"
          },
          "dateAsserted" : "2019-03-15",
          "reasonCode" : [
            {
              "text" : "COPD"
            }
          ],
          "dosage" : [
            {
              "text" : "1 inhalation per day"
            }
          ]
        },
        {
          "resourceType" : "MedicationStatement",
          "id" : "medicationstatement-234",
          "status" : "active",
          "medicationCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "22075011000036103"
              }
            ],
            "text" : "paracetamol 665 mg modified release tablet"
          },
          "subject" : {
            "reference" : "#patient-123"
          },
          "reasonCode" : [
            {
              "text" : "Osteoarthritis, pain relief"
            }
          ],
          "dosage" : [
            {
              "text" : "Two tablets every 6-8 hours when required.",
              "patientInstruction" : "No more than 6 tablets in 24hr"
            }
          ]
        },
        {
          "resourceType" : "MedicationStatement",
          "id" : "medicationstatement-890",
          "status" : "active",
          "medicationCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "82923011000036103"
              }
            ],
            "text" : "cilostazol 100 mg tablet"
          },
          "subject" : {
            "reference" : "#patient-123"
          },
          "reasonCode" : [
            {
              "text" : "Blood thinning"
            }
          ],
          "dosage" : [
            {
              "text" : "One a day at night time"
            }
          ]
        },
        {
          "resourceType" : "MedicationStatement",
          "id" : "medicationstatement-246",
          "status" : "stopped",
          "medicationCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "38268001"
              }
            ],
            "text" : "Ibuprofen"
          },
          "subject" : {
            "reference" : "#patient-123"
          },
          "reasonCode" : [
            {
              "text" : "Allergic reaction"
            }
          ]
        },
        {
          "resourceType" : "Patient",
          "id" : "patient-123",
          "extension" : [
            {
              "url" : "http://hl7.org.au/fhir/StructureDefinition/indigenous-status",
              "valueCoding" : {
                "system" : "https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1",
                "code" : "9",
                "display" : "Not stated/inadequately described"
              }
            }
          ],
          "identifier" : [
            {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "NI",
                    "display" : "National unique individual identifier"
                  }
                ]
              },
              "system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
              "value" : "8003608666701594"
            }
          ],
          "name" : [
            {
              "text" : "David Goodpatient",
              "family" : "Goodpatient",
              "given" : [
                "David"
              ]
            }
          ],
          "gender" : "male",
          "birthDate" : "1953-09-14",
          "address" : [
            {
              "use" : "home",
              "line" : [
                "2 Round Court"
              ],
              "state" : "QLD",
              "postalCode" : "4113",
              "country" : "Australia"
            }
          ],
          "generalPractitioner" : [
            {
              "reference" : "#gp-13579"
            }
          ],
          "managingOrganization" : {
            "reference" : "#org-24680"
          }
        },
        {
          "resourceType" : "Practitioner",
          "id" : "gp-13579",
          "name" : [
            {
              "family" : "Grey",
              "prefix" : [
                "Dr"
              ]
            }
          ]
        },
        {
          "resourceType" : "Practitioner",
          "id" : "dr-97531",
          "identifier" : [
            {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "NPI",
                    "display" : "National provider identifier"
                  }
                ],
                "text" : "HPI-I"
              },
              "system" : "http://ns.electronichealth.net.au/id/hi/hpii/1.0",
              "value" : "8003619900015717"
            }
          ],
          "name" : [
            {
              "use" : "official",
              "family" : "Practitioner",
              "given" : [
                "Iam"
              ],
              "suffix" : [
                "M.D."
              ]
            }
          ],
          "telecom" : [
            {
              "system" : "phone",
              "value" : "0755501234",
              "use" : "work"
            },
            {
              "system" : "email",
              "value" : "iam.practitioner@example.com",
              "use" : "work"
            }
          ],
          "qualification" : [
            {
              "identifier" : [
                {
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
                        "code" : "AHPRA",
                        "display" : "Australian Health Practitioner Regulation Agency Registration Number"
                      }
                    ],
                    "text" : "Ahpra registration number"
                  },
                  "system" : "http://hl7.org.au/id/ahpra-registration-number",
                  "value" : "MED0000932850"
                }
              ],
              "code" : {
                "coding" : [
                  {
                    "system" : "http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0",
                    "code" : "253111",
                    "display" : "General Medical Practitioner"
                  }
                ],
                "text" : "Ahpra qualification for General Practitioner"
              },
              "issuer" : {
                "display" : "Ahpra"
              }
            }
          ]
        },
        {
          "resourceType" : "Organization",
          "id" : "org-24680",
          "name" : "Grey Medical Practice"
        },
        {
          "resourceType" : "Encounter",
          "id" : "enc-24680",
          "identifier" : [
            {
              "system" : "https://tools.ietf.org/html/rfc4122",
              "value" : "5c48d068-4ffb-11e9-8647-d663bd873d93"
            }
          ],
          "status" : "finished",
          "class" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code" : "AMB",
            "display" : "ambulatory"
          },
          "type" : [
            {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "34764-1"
                }
              ]
            }
          ],
          "priority" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActPriority",
                "code" : "R"
              }
            ]
          },
          "subject" : {
            "reference" : "#patient-123"
          },
          "participant" : [
            {
              "type" : [
                {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "PPRF"
                    }
                  ]
                }
              ],
              "individual" : {
                "reference" : "#dr-97531"
              }
            }
          ],
          "period" : {
            "start" : "2019-03-15",
            "end" : "2019-03-15"
          }
        }
      ],
      "identifier" : [
        {
          "system" : "https://tools.ietf.org/html/rfc4122",
          "value" : "7f8fb180-4ea8-11e9-8647-d663bd873d93"
        }
      ],
      "status" : "current",
      "mode" : "snapshot",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "10160-0"
          }
        ],
        "text" : "Medicine List"
      },
      "subject" : {
        "reference" : "#patient-123"
      },
      "encounter" : {
        "reference" : "#enc-24680"
      },
      "date" : "2019-03-15",
      "source" : {
        "reference" : "#dr-97531"
      },
      "entry" : [
        {
          "flag" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
                "code" : "new",
                "display" : "New"
              }
            ]
          },
          "item" : {
            "reference" : "#medicationstatement-456"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org.au/fhir/StructureDefinition/change-description",
              "valueString" : "Reduced to one inhalation a day"
            }
          ],
          "flag" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
                "code" : "amended",
                "display" : "Amended"
              }
            ]
          },
          "item" : {
            "reference" : "#medicationstatement-678"
          }
        },
        {
          "flag" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
                "code" : "nochange",
                "display" : "Unchanged"
              }
            ]
          },
          "item" : {
            "reference" : "#medicationstatement-234"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org.au/fhir/StructureDefinition/change-description",
              "valueString" : "Form change"
            }
          ],
          "flag" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
                "code" : "amended",
                "display" : "Amended"
              }
            ]
          },
          "item" : {
            "reference" : "#medicationstatement-890"
          }
        },
        {
          "flag" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
                "code" : "ceased",
                "display" : "Ceased"
              }
            ]
          },
          "item" : {
            "reference" : "#medicationstatement-246"
          }
        }
      ]
    }