AU Base Implementation Guide
4.2.2-ballot - Ballot
AU Base Implementation Guide
4.2.2-ballot - Ballot
This page is part of the Australian Base IG (v4.2.2-ballot: AU Base R4.2 Ballot 5) 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
| Page standards status: Informative |
{
"resourceType" : "List",
"id" : "example2",
"meta" : {
"profile" : [
🔗 "http://hl7.org.au/fhir/StructureDefinition/au-medlist"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <h1>MEDICINE LIST</h1>\n\n <h2>PATIENT</h2>\n <table>\n <tbody>\n <tr>\n <th>Name</th>\n <td>\n <p>David Goodpatient</p>\n </td>\n </tr>\n <tr>\n <th>DoB</th>\n <td>14 September 1953</td>\n </tr>\n <tr>\n <th>Gender</th>\n <td>Male</td>\n </tr>\n <tr>\n <th>Address</th>\n <td>2 Round Court, QLD 4113</td>\n </tr>\n </tbody>\n </table>\n\n <h2>SOURCE OF MEDICINE LIST</h2>\n <table>\n <tbody>\n <tr>\n <th>Name</th>\n <td>\n <p>Iam Practitioner</p>\n </td>\n </tr>\n <tr>\n <th>HPI-I</th>\n <td>8003619900015717</td>\n </tr>\n <tr>\n <th>Phone</th>\n <td>0755501234</td>\n </tr>\n <tr>\n <th>Email</th>\n <td>iam.practitioner@example.com</td>\n </tr>\n </tbody>\n </table>\n\n <h2>CONSULTATION DETAILS</h2>\n <table>\n <tbody>\n <tr>\n <th>Consultation date</th>\n <td>15 Mar 2019</td>\n </tr>\n <tr>\n <th>Consultation summary</th>\n <td>Patient presented with weakness over the last couple of days. No other\n symptoms. Revised patient's medications. Advised patient to see the\n usual GPs clinic for further consultation and review. </td>\n </tr>\n </tbody>\n </table>\n\n <h3>CURRENT MEDICINES</h3>\n <table border=\"1\">\n <thead>\n <tr>\n <th>Medicine</th>\n <th>Direction</th>\n <th>Medicine Purpose</th>\n <th>Medicine Status</th>\n <th>Result of Action</th>\n <th>Special Instructions</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <td>Multi-vitamins</td>\n <td>1 tablet daily</td>\n <td/>\n <td>New</td>\n <td/>\n <td/>\n </tr>\n <tr>\n <td>Spiriva (tiotropium bromide 18mg per inhalation) inhalant</td>\n <td>1 inhalation per day</td>\n <td>Chronic Obstructive Pulmonary Disease</td>\n <td>Amended</td>\n <td>Reduced to one inhalation a day</td>\n <td/>\n </tr>\n <tr>\n <td>paracetamol 665 mg modified release tablet</td>\n <td>Two tablets every 6-8 hours when required.</td>\n <td>Osteoarthritis, pain relief</td>\n <td>Unchanged</td>\n <td/>\n <td>No more than 6 tablets in 24hr</td>\n </tr>\n <tr>\n <td>cilostazol 100 mg tablet</td>\n <td>One a day at night time</td>\n <td>Blood thinning</td>\n <td>Amended</td>\n <td>Form change</td>\n <td/>\n </tr>\n </tbody>\n </table>\n\n <h3>CEASED MEDICINES</h3>\n <table border=\"1\">\n <thead>\n <tr>\n <th>Medicine</th>\n <th>Reason</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <td>Ibuprofen</td>\n <td>Allergic reaction</td>\n </tr>\n </tbody>\n </table>\n </div>"
},
"contained" : [
{
"resourceType" : "MedicationStatement",
"id" : "medicationstatement-456",
"status" : "active",
"medicationCodeableConcept" : {
"text" : "Multi-vitamins"
},
"subject" : {
"reference" : "#patient-123"
},
"dateAsserted" : "2019-03-15",
"dosage" : [
{
"text" : "1 tablet daily"
}
]
},
{
"resourceType" : "MedicationStatement",
"id" : "medicationstatement-678",
"status" : "active",
"medicationCodeableConcept" : {
"text" : "Spiriva (tiotropium bromide 18mg per inhalation) inhalant"
},
"subject" : {
"reference" : "#patient-123"
},
"dateAsserted" : "2019-03-15",
"reasonCode" : [
{
"text" : "COPD"
}
],
"dosage" : [
{
"text" : "1 inhalation per day"
}
]
},
{
"resourceType" : "MedicationStatement",
"id" : "medicationstatement-234",
"status" : "active",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "22075011000036103"
}
],
"text" : "paracetamol 665 mg modified release tablet"
},
"subject" : {
"reference" : "#patient-123"
},
"reasonCode" : [
{
"text" : "Osteoarthritis, pain relief"
}
],
"dosage" : [
{
"text" : "Two tablets every 6-8 hours when required.",
"patientInstruction" : "No more than 6 tablets in 24hr"
}
]
},
{
"resourceType" : "MedicationStatement",
"id" : "medicationstatement-890",
"status" : "active",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "82923011000036103"
}
],
"text" : "cilostazol 100 mg tablet"
},
"subject" : {
"reference" : "#patient-123"
},
"reasonCode" : [
{
"text" : "Blood thinning"
}
],
"dosage" : [
{
"text" : "One a day at night time"
}
]
},
{
"resourceType" : "MedicationStatement",
"id" : "medicationstatement-246",
"status" : "stopped",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "38268001"
}
],
"text" : "Ibuprofen"
},
"subject" : {
"reference" : "#patient-123"
},
"reasonCode" : [
{
"text" : "Allergic reaction"
}
]
},
{
"resourceType" : "Patient",
"id" : "patient-123",
"extension" : [
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/indigenous-status",
"valueCoding" : {
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1",
"code" : "9",
"display" : "Not stated/inadequately described"
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NI",
"display" : "National unique individual identifier"
}
]
},
"system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
"value" : "8003608666701594"
}
],
"name" : [
{
"text" : "David Goodpatient",
"family" : "Goodpatient",
"given" : [
"David"
]
}
],
"gender" : "male",
"birthDate" : "1953-09-14",
"address" : [
{
"use" : "home",
"line" : [
"2 Round Court"
],
"state" : "QLD",
"postalCode" : "4113",
"country" : "Australia"
}
],
"generalPractitioner" : [
{
"reference" : "#gp-13579"
}
],
"managingOrganization" : {
"reference" : "#org-24680"
}
},
{
"resourceType" : "Practitioner",
"id" : "gp-13579",
"name" : [
{
"family" : "Grey",
"prefix" : [
"Dr"
]
}
]
},
{
"resourceType" : "Practitioner",
"id" : "dr-97531",
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NPI",
"display" : "National provider identifier"
}
],
"text" : "HPI-I"
},
"system" : "http://ns.electronichealth.net.au/id/hi/hpii/1.0",
"value" : "8003619900015717"
}
],
"name" : [
{
"use" : "official",
"family" : "Practitioner",
"given" : [
"Iam"
],
"suffix" : [
"M.D."
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "0755501234",
"use" : "work"
},
{
"system" : "email",
"value" : "iam.practitioner@example.com",
"use" : "work"
}
],
"qualification" : [
{
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
"code" : "AHPRA",
"display" : "Australian Health Practitioner Regulation Agency Registration Number"
}
],
"text" : "Ahpra registration number"
},
"system" : "http://hl7.org.au/id/ahpra-registration-number",
"value" : "MED0000932850"
}
],
"code" : {
"coding" : [
{
"system" : "http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0",
"code" : "253111",
"display" : "General Medical Practitioner"
}
],
"text" : "Ahpra qualification for General Practitioner"
},
"issuer" : {
"display" : "Ahpra"
}
}
]
},
{
"resourceType" : "Organization",
"id" : "org-24680",
"name" : "Grey Medical Practice"
},
{
"resourceType" : "Encounter",
"id" : "enc-24680",
"extension" : [
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/encounter-description",
"valueString" : "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."
}
],
"identifier" : [
{
"system" : "https://tools.ietf.org/html/rfc4122",
"value" : "5c48d068-4ffb-11e9-8647-d663bd873d93"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "34764-1"
}
]
}
],
"priority" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActPriority",
"code" : "R"
}
]
},
"subject" : {
"reference" : "#patient-123"
},
"participant" : [
{
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "PPRF"
}
]
}
],
"individual" : {
"reference" : "#dr-97531"
}
}
],
"period" : {
"start" : "2019-03-15",
"end" : "2019-03-15"
}
}
],
"identifier" : [
{
"system" : "https://tools.ietf.org/html/rfc4122",
"value" : "7f8fb180-4ea8-11e9-8647-d663bd873d93"
}
],
"status" : "current",
"mode" : "snapshot",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0"
}
],
"text" : "Medicine List"
},
"subject" : {
"reference" : "#patient-123"
},
"encounter" : {
"reference" : "#enc-24680"
},
"date" : "2019-03-15",
"source" : {
"reference" : "#dr-97531"
},
"entry" : [
{
"flag" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
"code" : "new",
"display" : "New"
}
]
},
"item" : {
"reference" : "#medicationstatement-456"
}
},
{
"extension" : [
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/change-description",
"valueString" : "Reduced to one inhalation a day"
}
],
"flag" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
"code" : "amended",
"display" : "Amended"
}
]
},
"item" : {
"reference" : "#medicationstatement-678"
}
},
{
"flag" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
"code" : "nochange",
"display" : "Unchanged"
}
]
},
"item" : {
"reference" : "#medicationstatement-234"
}
},
{
"extension" : [
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/change-description",
"valueString" : "Form change"
}
],
"flag" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
"code" : "amended",
"display" : "Amended"
}
]
},
"item" : {
"reference" : "#medicationstatement-890"
}
},
{
"flag" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
"code" : "ceased",
"display" : "Ceased"
}
]
},
"item" : {
"reference" : "#medicationstatement-246"
}
}
]
}
IG © 2017+ HL7 Australia. Package hl7.fhir.au.base#4.2.2-ballot based on FHIR 4.0.1. Generated 2024-08-04
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