AU Base Implementation Guide
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This page is part of the Australian Base IG (v4.2.1-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.1.0. For a full list of available versions, see the Directory of published versions

: List - Medicine list with changes - XML Representation

Page standards status: Informative

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<List xmlns="http://hl7.org/fhir">
  <id value="example2"/>
  <meta>
    <profile value="http://hl7.org.au/fhir/StructureDefinition/au-medlist"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
            <h1>MEDICINE LIST</h1>

            <h2>PATIENT</h2>
            <table>
                <tbody>
                    <tr>
                        <th>Name</th>
                        <td>
                            <p>David Goodpatient</p>
                        </td>
                    </tr>
                    <tr>
                        <th>DoB</th>
                        <td>14 September 1953</td>
                    </tr>
                    <tr>
                        <th>Gender</th>
                        <td>Male</td>
                    </tr>
                    <tr>
                        <th>Address</th>
                        <td>2 Round Court, QLD 4113</td>
                    </tr>
                </tbody>
            </table>

            <h2>SOURCE OF MEDICINE LIST</h2>
            <table>
                <tbody>
                    <tr>
                        <th>Name</th>
                        <td>
                            <p>Iam Practitioner</p>
                        </td>
                    </tr>
                    <tr>
                        <th>HPI-I</th>
                        <td>8003619900015717</td>
                    </tr>
                    <tr>
                        <th>Phone</th>
                        <td>0755501234</td>
                    </tr>
                    <tr>
                        <th>Email</th>
                        <td>iam.practitioner@example.com</td>
                    </tr>
                </tbody>
            </table>

            <h2>CONSULTATION DETAILS</h2>
            <table>
                <tbody>
                    <tr>
                        <th>Consultation date</th>
                        <td>15 Mar 2019</td>
                    </tr>
                    <tr>
                        <th>Consultation summary</th>
                        <td>Patient presented with weakness over the last couple of days. No other
                            symptoms. Revised patient's medications. Advised patient to see the
                            usual GPs clinic for further consultation and review. </td>
                    </tr>
                </tbody>
            </table>

            <h3>CURRENT MEDICINES</h3>
            <table border="1">
                <thead>
                    <tr>
                        <th>Medicine</th>
                        <th>Direction</th>
                        <th>Medicine Purpose</th>
                        <th>Medicine Status</th>
                        <th>Result of Action</th>
                        <th>Special Instructions</th>
                    </tr>
                </thead>
                <tbody>
                    <tr>
                        <td>Multi-vitamins</td>
                        <td>1 tablet daily</td>
                        <td/>
                        <td>New</td>
                        <td/>
                        <td/>
                    </tr>
                    <tr>
                        <td>Spiriva (tiotropium bromide 18mg per inhalation) inhalant</td>
                        <td>1 inhalation per day</td>
                        <td>Chronic Obstructive Pulmonary Disease</td>
                        <td>Amended</td>
                        <td>Reduced to one inhalation a day</td>
                        <td/>
                    </tr>
                    <tr>
                        <td>paracetamol 665 mg modified release tablet</td>
                        <td>Two tablets every 6-8 hours when required.</td>
                        <td>Osteoarthritis, pain relief</td>
                        <td>Unchanged</td>
                        <td/>
                        <td>No more than 6 tablets in 24hr</td>
                    </tr>
                    <tr>
                        <td>cilostazol 100 mg tablet</td>
                        <td>One a day at night time</td>
                        <td>Blood thinning</td>
                        <td>Amended</td>
                        <td>Form change</td>
                        <td/>
                    </tr>
                </tbody>
            </table>

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