This page is part of the AU Base Implementation Guide 4.1.1-preview based on FHIR R4. For a full list of available versions, see the Directory of published versions

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Data Type Profile: AU Base Dosage

This profile defines a dosage structure that localises core concepts 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.

Usage:

• Use this DataType Constraint: AU Base Medication Dispense, AU Base Medication Request and AU Base Medication Statement

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Dosage

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	Dosage	Dosage information in an Australian healthcare context
additionalInstruction		0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
asNeeded[x]		0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred)
site		0..1	CodeableConcept	Body site to administer to Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred)
route		0..1	CodeableConcept	How drug should enter body Binding: https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 (preferred)
method		0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Dosage.additionalInstruction	preferred	SNOMEDCTAdditionalDosageInstructions
Dosage.asNeeded[x]	preferred	https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
Dosage.site	preferred	https://healthterminologies.gov.au/fhir/ValueSet/body-site-1
Dosage.route	preferred	https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1
Dosage.method	preferred	SNOMEDCTAdministrationMethodCodes

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	Dosage	Dosage information in an Australian healthcare context
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred)
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred)
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 (preferred)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Dosage.additionalInstruction	preferred	SNOMEDCTAdditionalDosageInstructions
Dosage.asNeeded[x]	preferred	https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
Dosage.site	preferred	https://healthterminologies.gov.au/fhir/ValueSet/body-site-1
Dosage.route	preferred	https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1
Dosage.method	preferred	SNOMEDCTAdministrationMethodCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	Dosage	Dosage information in an Australian healthcare context
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred)
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred)
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 (preferred)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Dosage.additionalInstruction	preferred	SNOMEDCTAdditionalDosageInstructions
Dosage.asNeeded[x]	preferred	https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
Dosage.site	preferred	https://healthterminologies.gov.au/fhir/ValueSet/body-site-1
Dosage.route	preferred	https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1
Dosage.method	preferred	SNOMEDCTAdministrationMethodCodes
Dosage.doseAndRate.type	example	DoseAndRateType

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Dosage

Summary

Maturity: 2

Differential View

This structure is derived from Dosage

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	Dosage	Dosage information in an Australian healthcare context
additionalInstruction		0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
asNeeded[x]		0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred)
site		0..1	CodeableConcept	Body site to administer to Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred)
route		0..1	CodeableConcept	How drug should enter body Binding: https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 (preferred)
method		0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Dosage.additionalInstruction	preferred	SNOMEDCTAdditionalDosageInstructions
Dosage.asNeeded[x]	preferred	https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
Dosage.site	preferred	https://healthterminologies.gov.au/fhir/ValueSet/body-site-1
Dosage.route	preferred	https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1
Dosage.method	preferred	SNOMEDCTAdministrationMethodCodes

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	Dosage	Dosage information in an Australian healthcare context
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred)
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred)
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 (preferred)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Dosage.additionalInstruction	preferred	SNOMEDCTAdditionalDosageInstructions
Dosage.asNeeded[x]	preferred	https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
Dosage.site	preferred	https://healthterminologies.gov.au/fhir/ValueSet/body-site-1
Dosage.route	preferred	https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1
Dosage.method	preferred	SNOMEDCTAdministrationMethodCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	Dosage	Dosage information in an Australian healthcare context
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred)
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred)
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 (preferred)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Dosage.additionalInstruction	preferred	SNOMEDCTAdditionalDosageInstructions
Dosage.asNeeded[x]	preferred	https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
Dosage.site	preferred	https://healthterminologies.gov.au/fhir/ValueSet/body-site-1
Dosage.route	preferred	https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1
Dosage.method	preferred	SNOMEDCTAdministrationMethodCodes
Dosage.doseAndRate.type	example	DoseAndRateType

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Dosage

Summary

Maturity: 2

Other representations of profile: CSV, Excel, Schematron