Usage Notes

Profile specific implementation guidance:

• Medication definition 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
• When a code for medication definition is unavailable, just text is allowed in Medication.code.text.
• When a medication is compounded and is a list of ingredients, Medication.codemay contain only the list of ingredients as text in Medication.code.text.
• Non-coded support for other medicinal product information can be supported as follows:
  • ​brand name in Medication Brand Name extension
  • ​generic name in Medication Generic Name extension
  • item form and strength as part of medication definition in Medication.code.text
  • manufacturer in Medication.manufacturer.display

Potentially useful extensions:

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

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

This structure is derived from Medication

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	A medication in an Australian healthcare context
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
code		0..1	CodeableConcept	Coding for the medicine
Slices for coding		0..*	Coding	Code defined by a terminology system 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
manufacturer		0..1	Reference(Organization)	Physical product manufacturer organisation
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1 (preferred)
ingredient		0..*	BackboneElement	Active or inactive ingredient
item[x]		1..1	CodeableConcept, Reference(Substance | Medication)	The actual ingredient or content Binding: AMT Medicinal Product and Substances (preferred)
strength		0..1	Ratio	Quantity/strength of ingredient present
Documentation for this format

Terminology Bindings (Differential)

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

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	A medication in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	Σ	0..1	CodeableConcept	Coding for the medicine Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system 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
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Physical product manufacturer organisation
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1 (preferred)
ingredient		0..*	BackboneElement	Active or inactive ingredient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1		The actual ingredient or content Binding: AMT Medicinal Product and Substances (preferred)
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
strength		0..1	Ratio	Quantity/strength of ingredient present
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	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	Medication	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	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	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
Medication		0..*	Medication	A medication 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
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	Σ	0..1	CodeableConcept	Coding for the medicine Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
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	Code defined by a terminology system 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
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Physical product manufacturer organisation
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1 (preferred)
amount	Σ	0..1	Ratio	Amount of drug in package
ingredient		0..*	BackboneElement	Active or inactive ingredient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1		The actual ingredient or content Binding: AMT Medicinal Product and Substances (preferred)
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
isActive		0..1	boolean	Active ingredient indicator
strength		0..1	Ratio	Quantity/strength of ingredient present
batch		0..1	BackboneElement	Details about packaged medications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
lotNumber		0..1	string	Identifier assigned to batch
expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Medication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Medication.code	example	SNOMEDCTMedicationCodes
Medication.code.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes)
Medication.code.coding:gtin	preferred	GTIN
Medication.code.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
Medication.code.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))
Medication.status	required	Medication Status Codes
Medication.form	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1
Medication.ingredient.item[x]	preferred	AMTMedicinalProductAndSubstances

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	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	Medication	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	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	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()

Differential View

This structure is derived from Medication

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	A medication in an Australian healthcare context
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
code		0..1	CodeableConcept	Coding for the medicine
Slices for coding		0..*	Coding	Code defined by a terminology system 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
manufacturer		0..1	Reference(Organization)	Physical product manufacturer organisation
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1 (preferred)
ingredient		0..*	BackboneElement	Active or inactive ingredient
item[x]		1..1	CodeableConcept, Reference(Substance | Medication)	The actual ingredient or content Binding: AMT Medicinal Product and Substances (preferred)
strength		0..1	Ratio	Quantity/strength of ingredient present
Documentation for this format

Terminology Bindings (Differential)

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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	A medication in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	Σ	0..1	CodeableConcept	Coding for the medicine Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system 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
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Physical product manufacturer organisation
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1 (preferred)
ingredient		0..*	BackboneElement	Active or inactive ingredient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1		The actual ingredient or content Binding: AMT Medicinal Product and Substances (preferred)
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
strength		0..1	Ratio	Quantity/strength of ingredient present
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	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	Medication	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	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	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
Medication		0..*	Medication	A medication 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
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	Σ	0..1	CodeableConcept	Coding for the medicine Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
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	Code defined by a terminology system 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
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Physical product manufacturer organisation
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1 (preferred)
amount	Σ	0..1	Ratio	Amount of drug in package
ingredient		0..*	BackboneElement	Active or inactive ingredient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1		The actual ingredient or content Binding: AMT Medicinal Product and Substances (preferred)
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
isActive		0..1	boolean	Active ingredient indicator
strength		0..1	Ratio	Quantity/strength of ingredient present
batch		0..1	BackboneElement	Details about packaged medications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
lotNumber		0..1	string	Identifier assigned to batch
expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Medication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Medication.code	example	SNOMEDCTMedicationCodes
Medication.code.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes)
Medication.code.coding:gtin	preferred	GTIN
Medication.code.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
Medication.code.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))
Medication.status	required	Medication Status Codes
Medication.form	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1
Medication.ingredient.item[x]	preferred	AMTMedicinalProductAndSubstances

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	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	Medication	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	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	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()

This structure is derived from Medication

Summary

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

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

• The element Medication.code.coding is sliced based on the value of value:system

Maturity: 2