AU Base Implementation Guide
7.0.0-ballot1 - Ballot

AU Base Implementation Guide - Downloaded Version 7.0.0-ballot1 See the Directory of published versions

## Resource Profile: AU Base MedicationStatement

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-medicationstatement | Version: 7.0.0-ballot1
Standards status: Trial-use | Maturity Level: 2 | Computable Name: AUBaseMedicationStatement
Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.

This profile defines a medication statement structure that localises core concepts, including terminology, 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 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.medicationCodeableConcept`, 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.medicationCodeableConcept` is still present and may contain only the list of ingredients as text in `MedicationStatement.medicationCodeableConcept.text`.
- Where additional medicinal product information is needed, `MedicationStatement.medicationReference` is preferred to `MedicationStatement.medicationCodeableConcept` and use of extensions, see guidance on AU Base Medication.
- If representing that a patient is not currently taking any medications:
  - `MedicationStatement.medicationCodeableConcept` can use the code SNOMED CT 787481004 |No known medications|
  - `MedicationStatement.status` is active
  - `MedicationStatement.effective[x]` is provided to indicate the date/time or period when the statement is known to be true

Potentially useful extensions:

- MedicationStatement: Medication Brand Name
- MedicationStatement: Medication Generic Name

Usages:

- Examples for this Profile: MedicationStatement/example0, MedicationStatement/example1 and MedicationStatement/example2

You can also check for usages in the FHIR IG Statistics

Changes since version 6.0.0:

- The data elements list has changed

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
extension: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: Australian Medication Use (preferred)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: Australian Medication Use (preferred)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
text | Σ | 0..1 | string | Medication primary text
medication[x]:medicationReference | Σ | 0..1 | Reference(Medication) | 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: Medication Reason Taken (preferred)
dosage |  | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
MedicationStatement.​medication[x] | Base | preferred | Australian Medication Use | ⏿1.0.0 | tx.hl7.org.au
MedicationStatement.​medication[x]:medicationCodeableConcept | Base | preferred | Australian Medication Use | ⏿1.0.0 | tx.hl7.org.au
MedicationStatement.​reasonCode | Base | preferred | Medication Reason Taken | ⏿1.1.0 | tx.hl7.org.au

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`

This structure is derived from MedicationStatement

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
extension: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 Binding: Australian Medication Use (preferred)
medication[x]:medicationCodeableConcept |  | 0..1 | CodeableConcept | Coded Medication Binding: Australian Medication Use (preferred)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
coding |  |  |  |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
text |  | 0..1 | string | Medication primary text
medication[x]:medicationReference |  | 0..1 | Reference(Medication) | Medication Reference
reasonCode |  | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
dosage |  | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​medication[x] | Base | preferred | Australian Medication Use | ⏿1.0.0 | tx.hl7.org.au
MedicationStatement.​medication[x]:medicationCodeableConcept | Base | preferred | Australian Medication Use | ⏿1.0.0 | tx.hl7.org.au
MedicationStatement.​reasonCode | Base | preferred | Medication Reason Taken | ⏿1.1.0 | tx.hl7.org.au

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension: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: Australian Medication Use (preferred)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: Australian Medication Use (preferred)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
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
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system | Σ | 0..1 | uri | Identity of the terminology system
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) | 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: Medication Reason Taken (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 | Details of how medication is/was taken or should be taken
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationStatement.​status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
MedicationStatement.​statusReason | Base | example | SNOMED CT Drug Therapy Status codes | 📍4.0.1 | FHIR Std.
MedicationStatement.​category | Base | preferred | Medication usage category codes | 📍4.0.1 | FHIR Std.
MedicationStatement.​medication[x] | Base | preferred | Australian Medication Use | ⏿1.0.0 | tx.hl7.org.au
MedicationStatement.​medication[x]:medicationCodeableConcept | Base | preferred | Australian Medication Use | ⏿1.0.0 | tx.hl7.org.au
MedicationStatement.​reasonCode | Base | preferred | Medication Reason Taken | ⏿1.1.0 | tx.hl7.org.au

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`

This structure is derived from MedicationStatement

Summary

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 1 is sliced based on the value of MedicationStatement.medication[x] (Closed)

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
extension: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: Australian Medication Use (preferred)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: Australian Medication Use (preferred)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
text | Σ | 0..1 | string | Medication primary text
medication[x]:medicationReference | Σ | 0..1 | Reference(Medication) | 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: Medication Reason Taken (preferred)
dosage |  | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
MedicationStatement.​medication[x] | Base | preferred | Australian Medication Use | ⏿1.0.0 | tx.hl7.org.au
MedicationStatement.​medication[x]:medicationCodeableConcept | Base | preferred | Australian Medication Use | ⏿1.0.0 | tx.hl7.org.au
MedicationStatement.​reasonCode | Base | preferred | Medication Reason Taken | ⏿1.1.0 | tx.hl7.org.au

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`

Differential View

This structure is derived from MedicationStatement

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
extension: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 Binding: Australian Medication Use (preferred)
medication[x]:medicationCodeableConcept |  | 0..1 | CodeableConcept | Coded Medication Binding: Australian Medication Use (preferred)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
coding |  |  |  |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
text |  | 0..1 | string | Medication primary text
medication[x]:medicationReference |  | 0..1 | Reference(Medication) | Medication Reference
reasonCode |  | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
dosage |  | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​medication[x] | Base | preferred | Australian Medication Use | ⏿1.0.0 | tx.hl7.org.au
MedicationStatement.​medication[x]:medicationCodeableConcept | Base | preferred | Australian Medication Use | ⏿1.0.0 | tx.hl7.org.au
MedicationStatement.​reasonCode | Base | preferred | Medication Reason Taken | ⏿1.1.0 | tx.hl7.org.au

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension: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: Australian Medication Use (preferred)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: Australian Medication Use (preferred)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
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
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system | Σ | 0..1 | uri | Identity of the terminology system
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) | 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: Medication Reason Taken (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 | Details of how medication is/was taken or should be taken
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationStatement.​status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
MedicationStatement.​statusReason | Base | example | SNOMED CT Drug Therapy Status codes | 📍4.0.1 | FHIR Std.
MedicationStatement.​category | Base | preferred | Medication usage category codes | 📍4.0.1 | FHIR Std.
MedicationStatement.​medication[x] | Base | preferred | Australian Medication Use | ⏿1.0.0 | tx.hl7.org.au
MedicationStatement.​medication[x]:medicationCodeableConcept | Base | preferred | Australian Medication Use | ⏿1.0.0 | tx.hl7.org.au
MedicationStatement.​reasonCode | Base | preferred | Medication Reason Taken | ⏿1.1.0 | tx.hl7.org.au

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`

This structure is derived from MedicationStatement

Summary

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 1 is sliced based on the value of MedicationStatement.medication[x] (Closed)

Maturity: 2

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