Usage Notes

Profile specific implementation guidance:

• When identifying a medication, this resource can use either a code or refer to a Medication resource.
• If making use of MedicationStatement.code, this profile includes coding as:
  • PBS Item Code - Pharmaceutical Benefits Scheme coding, claiming context is not relevant as medicine coding
  • Medication Package Global Trade Item Number - Global Trade Item Number (GTIN) physical product reference
  • AMT Medicines - Australian Medicines Terminology, national drug terminology
  • MIMS Package - commonly used medicine coding
• If a medication is compounded and is a list of ingredients, MedicationStatement.code is still present and may contain only the list of ingredients as text in MedicationStatement.code.text.
• Where additional medicinal product information is needed, MedicationStatement.medicationReference is preferred to MedicationStatement.code and use of extensions, see guidance on AU Base Medication.

Potentially useful extensions:

• MedicationStatement: Medication Brand Name
• MedicationStatement: Medication Generic Name

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

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	A record of medication being taken by a patient in an Australian healthcare context
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
longTerm		0..1	boolean	Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	Medication Detail Slice: Unordered, Closed by type:$this
medication[x]:medicationCodeableConcept		0..1	CodeableConcept	Coded Medication
Slices for coding		0..*	Coding	Medication Codes Slice: Unordered, Open by value:system
coding:pbs		0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin		0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt		0..*	Coding	AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage		0..1	Coding	MIMS Package Binding: MIMS (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
text		0..1	string	Medication primary text
medication[x]:medicationReference		0..1	Reference()	Medication Reference
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1 (preferred)
dosage		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes)
MedicationStatement.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationStatement.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))
MedicationStatement.reasonCode	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	A record of medication being taken by a patient in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
longTerm		0..1	boolean	Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Slices for medication[x]	Σ	1..1		Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Coded Medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
Slices for coding	Σ	0..*	Coding	Medication Codes Slice: Unordered, Open by value:system
coding:pbs	Σ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt	Σ	0..*	Coding	AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
text	Σ	0..1	string	Medication primary text
medication[x]:medicationReference	Σ	0..1	Reference()	Medication Reference
subject	Σ	1..1	Reference(Patient | Group)	Who is/was taking the medication
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1 (preferred)
dosage		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationStatement.status	required	Medication Status Codes
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes
MedicationStatement.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes
MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes)
MedicationStatement.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationStatement.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))
MedicationStatement.reasonCode	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management : text.`div`.exists()
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
MedicationStatement		0..*	MedicationStatement	A record of medication being taken by a patient in an Australian healthcare context
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
longTerm		0..1	boolean	Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifier
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
status	?!Σ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
Slices for medication[x]	Σ	1..1		Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Coded Medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Medication Codes Slice: Unordered, Open by value:system
coding:pbs	Σ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:amt	Σ	0..*	Coding	AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Medication primary text
medication[x]:medicationReference	Σ	0..1	Reference()	Medication Reference
subject	Σ	1..1	Reference(Patient | Group)	Who is/was taking the medication
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
effective[x]	Σ	0..1		The date/time or interval when the medication is/was/will be taken
effectiveDateTime			dateTime
effectivePeriod			Period
dateAsserted	Σ	0..1	dateTime	When the statement was asserted?
informationSource		0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
derivedFrom		0..*	Reference(Resource)	Additional supporting information
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1 (preferred)
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
dosage		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationStatement.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.status	required	Medication Status Codes
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes
MedicationStatement.category	preferred	Medication usage category codes
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes
MedicationStatement.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes
MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes)
MedicationStatement.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationStatement.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))
MedicationStatement.reasonCode	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1

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()

Differential View

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	A record of medication being taken by a patient in an Australian healthcare context
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
longTerm		0..1	boolean	Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	Medication Detail Slice: Unordered, Closed by type:$this
medication[x]:medicationCodeableConcept		0..1	CodeableConcept	Coded Medication
Slices for coding		0..*	Coding	Medication Codes Slice: Unordered, Open by value:system
coding:pbs		0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin		0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt		0..*	Coding	AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage		0..1	Coding	MIMS Package Binding: MIMS (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
text		0..1	string	Medication primary text
medication[x]:medicationReference		0..1	Reference()	Medication Reference
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1 (preferred)
dosage		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes)
MedicationStatement.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationStatement.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))
MedicationStatement.reasonCode	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	A record of medication being taken by a patient in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
longTerm		0..1	boolean	Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Slices for medication[x]	Σ	1..1		Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Coded Medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
Slices for coding	Σ	0..*	Coding	Medication Codes Slice: Unordered, Open by value:system
coding:pbs	Σ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt	Σ	0..*	Coding	AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
text	Σ	0..1	string	Medication primary text
medication[x]:medicationReference	Σ	0..1	Reference()	Medication Reference
subject	Σ	1..1	Reference(Patient | Group)	Who is/was taking the medication
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1 (preferred)
dosage		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationStatement.status	required	Medication Status Codes
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes
MedicationStatement.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes
MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes)
MedicationStatement.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationStatement.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))
MedicationStatement.reasonCode	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management : text.`div`.exists()
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
MedicationStatement		0..*	MedicationStatement	A record of medication being taken by a patient in an Australian healthcare context
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
longTerm		0..1	boolean	Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifier
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
status	?!Σ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
Slices for medication[x]	Σ	1..1		Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Coded Medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Medication Codes Slice: Unordered, Open by value:system
coding:pbs	Σ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:amt	Σ	0..*	Coding	AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Medication primary text
medication[x]:medicationReference	Σ	0..1	Reference()	Medication Reference
subject	Σ	1..1	Reference(Patient | Group)	Who is/was taking the medication
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
effective[x]	Σ	0..1		The date/time or interval when the medication is/was/will be taken
effectiveDateTime			dateTime
effectivePeriod			Period
dateAsserted	Σ	0..1	dateTime	When the statement was asserted?
informationSource		0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
derivedFrom		0..*	Reference(Resource)	Additional supporting information
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1 (preferred)
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
dosage		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationStatement.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.status	required	Medication Status Codes
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes
MedicationStatement.category	preferred	Medication usage category codes
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes
MedicationStatement.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes
MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes)
MedicationStatement.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationStatement.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))
MedicationStatement.reasonCode	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1

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 MedicationStatement

Summary

Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 4 elements

Structures

This structure refers to these other structures:

• AU Base Dosage (http://hl7.org.au/fhir/StructureDefinition/au-dosage)

Extensions

This structure refers to these extensions:

• http://hl7.org.au/fhir/StructureDefinition/medication-long-term
• http://hl7.org.au/fhir/StructureDefinition/medication-type

Slices

This structure defines the following Slices:

• The element MedicationStatement.medication[x] is sliced based on the value of type:$this (Closed)
• The element MedicationStatement.medication[x].coding is sliced based on the value of value:system

Maturity: 2