AU Base Implementation Guide
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## : Medicine Item Change - XML Representation

Page standards status: Trial-use | Maturity Level: 1

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    <CodeSystem xmlns="http://hl7.org/fhir">
      <id value="medicine-item-change"/>
      <meta>
        <profile
                 value="https://healthterminologies.gov.au/fhir/StructureDefinition/complete-code-system-4"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem medicine-item-change</b></p><a name="medicine-item-change"> </a><a name="hcmedicine-item-change"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>https://healthterminologies.gov.au/fhir/StructureDefinition/complete-code-system-4</code></p></div><p>This case-sensitive code system <code>http://terminology.hl7.org.au/CodeSystem/medicine-item-change</code> defines the following codes in a Is-A hierarchy:</p><table class="codes"><tr><td><b>Lvl</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>1</td><td style="white-space:nowrap">nochange<a name="medicine-item-change-nochange"> </a></td><td>Unchanged</td><td>No change has been made to this medicine.</td></tr><tr><td>1</td><td style="white-space:nowrap">changed<a name="medicine-item-change-changed"> </a></td><td>Change occurred</td><td>A change has been made to this medicine; for example, new medicine prescribed or dosage change.</td></tr><tr><td>2</td><td style="white-space:nowrap">  new<a name="medicine-item-change-new"> </a></td><td>New</td><td>A new medicine item is introduced.</td></tr><tr><td>3</td><td style="white-space:nowrap">    prescribed<a name="medicine-item-change-prescribed"> </a></td><td>New prescription</td><td>A new medicine item has been prescribed.</td></tr><tr><td>2</td><td style="white-space:nowrap">  ceased<a name="medicine-item-change-ceased"> </a></td><td>Ceased</td><td>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.</td></tr><tr><td>2</td><td style="white-space:nowrap">  suspended<a name="medicine-item-change-suspended"> </a></td><td>Suspended</td><td>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.</td></tr><tr><td>2</td><td style="white-space:nowrap">  cancelled<a name="medicine-item-change-cancelled"> </a></td><td>Cancelled</td><td>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.</td></tr><tr><td>2</td><td style="white-space:nowrap">  amended<a name="medicine-item-change-amended"> </a></td><td>Amended</td><td>The current medicine item has been changed in some way, e.g. dose, form, route, frequency change.</td></tr><tr><td>1</td><td style="white-space:nowrap">recommended<a name="medicine-item-change-recommended"> </a></td><td>Change was recommended</td><td>A change has been recommended to this medicine but may not have occurred yet, e.g. medicine recommended to be stopped.</td></tr><tr><td>2</td><td style="white-space:nowrap">  new-recommended<a name="medicine-item-change-new-recommended"> </a></td><td>New recommended medicine</td><td>A new medicine item is recommended.</td></tr><tr><td>3</td><td style="white-space:nowrap">    prescription-recommended<a name="medicine-item-change-prescription-recommended"> </a></td><td>Prescription recommended</td><td>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.</td></tr><tr><td>2</td><td style="white-space:nowrap">  review-recommended<a name="medicine-item-change-review-recommended"> </a></td><td>Review recommended</td><td>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.</td></tr><tr><td>2</td><td style="white-space:nowrap">  cessation-recommended<a name="medicine-item-change-cessation-recommended"> </a></td><td>Cessation recommended</td><td>It may be recommended to the usual GP that a medicine that was previously taken by the individual be ceased.</td></tr><tr><td>2</td><td style="white-space:nowrap">  suspension-recommended<a name="medicine-item-change-suspension-recommended"> </a></td><td>Suspension recommended</td><td>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.</td></tr><tr><td>2</td><td style="white-space:nowrap">  cancellation-recommended<a name="medicine-item-change-cancellation-recommended"> </a></td><td>Cancellation recommended</td><td>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.</td></tr></table></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="1"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org.au/fhir/ImplementationGuide/hl7.fhir.au.base"/>
          </extension>
        </valueCode>
      </extension>
      <url value="http://terminology.hl7.org.au/CodeSystem/medicine-item-change"/>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:oid:2.16.840.1.113883.2.3.4.1.4.6"/>
      </identifier>
      <version value="6.0.0-preview"/>
      <name value="MedicineItemChange"/>
      <title value="Medicine Item Change"/>
      <status value="active"/>
      <experimental value="false"/>
      <date value="2025-11-26T07:22:59+00:00"/>
      <publisher value="HL7 Australia"/>
      <contact>
        <name value="HL7 Australia FHIR Working Group"/>
        <telecom>
          <system value="url"/>
          <value value="https://confluence.hl7.org/display/HAFWG"/>
          <use value="work"/>
        </telecom>
      </contact>
      <description
                   value="The Medicine Item Change code system defines concepts that identify a change that has been made, or is recommended to be made, to a medicine item."/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="AU"/>
        </coding>
      </jurisdiction>
      <copyright
                 value="HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved."/>
      <caseSensitive value="true"/>
      <valueSet
                value="http://terminology.hl7.org.au/ValueSet/medicine-item-change"/>
      <hierarchyMeaning value="is-a"/>
      <compositional value="false"/>
      <versionNeeded value="true"/>
      <content value="complete"/>
      <count value="15"/>
      <concept>
        <code value="nochange"/>
        <display value="Unchanged"/>
        <definition value="No change has been made to this medicine."/>
      </concept>
      <concept>
        <code value="changed"/>
        <display value="Change occurred"/>
        <definition
                    value="A change has been made to this medicine; for example, new medicine prescribed or dosage change."/>
        <concept>
          <code value="new"/>
          <display value="New"/>
          <definition value="A new medicine item is introduced."/>
          <concept>
            <code value="prescribed"/>
            <display value="New prescription"/>
            <definition value="A new medicine item has been prescribed."/>
          </concept>
        </concept>
        <concept>
          <code value="ceased"/>
          <display value="Ceased"/>
          <definition
                      value="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."/>
        </concept>
        <concept>
          <code value="suspended"/>
          <display value="Suspended"/>
          <definition
                      value="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."/>
        </concept>
        <concept>
          <code value="cancelled"/>
          <display value="Cancelled"/>
          <definition
                      value="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."/>
        </concept>
        <concept>
          <code value="amended"/>
          <display value="Amended"/>
          <definition
                      value="The current medicine item has been changed in some way, e.g. dose, form, route, frequency change."/>
        </concept>
      </concept>
      <concept>
        <code value="recommended"/>
        <display value="Change was recommended"/>
        <definition
                    value="A change has been recommended to this medicine but may not have occurred yet, e.g. medicine recommended to be stopped."/>
        <concept>
          <code value="new-recommended"/>
          <display value="New recommended medicine"/>
          <definition value="A new medicine item is recommended."/>
          <concept>
            <code value="prescription-recommended"/>
            <display value="Prescription recommended"/>
            <definition
                        value="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."/>
          </concept>
        </concept>
        <concept>
          <code value="review-recommended"/>
          <display value="Review recommended"/>
          <definition
                      value="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."/>
        </concept>
        <concept>
          <code value="cessation-recommended"/>
          <display value="Cessation recommended"/>
          <definition
                      value="It may be recommended to the usual GP that a medicine that was previously taken by the individual be ceased."/>
        </concept>
        <concept>
          <code value="suspension-recommended"/>
          <display value="Suspension recommended"/>
          <definition
                      value="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."/>
        </concept>
        <concept>
          <code value="cancellation-recommended"/>
          <display value="Cancellation recommended"/>
          <definition
                      value="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."/>
        </concept>
      </concept>
    </CodeSystem>