Australian Base Implementation Guide (AU Base 1.1.1)
This page is part of the Australian Base IG (v1.1.1: AU Base 1.1 on STU3 Draft) based on FHIR R3. The current version which supercedes this version is 1.0.2. For a full list of available versions, see the Directory of published versions 
AU Base Medication Administration [FMM Level 2]
This profile defines a medication administration structure including core localisation concepts for use in an Australian context.
Full medication definitions as a Medication resource can be referenced or codings are use be used to define relevant drug/medication concepts. This includes coding as:
Extensions used in this profile:
The official URL for this profile is:
http://hl7.org.au/fhir/StructureDefinition/au-medicationadministration
This profile defines a medication administration structure including core localisation concepts for use in an Australian context.
This profile builds on MedicationAdministration.
This profile was published on Mon Nov 19 00:00:00 AEDT 2018 as a draft by Health Level Seven Australia (Medications WG).
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationAdministration | I | 0..* | MedicationAdministration | A record of medication administered to 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: Common Languages (extensible) Max Binding: All Languages | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Additional Content defined by implementations | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | 0..* | Identifier | External identifier | |
 definition | Σ | 0..* | Reference(PlanDefinition | ActivityDefinition) | Instantiates protocol or definition |
| partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event |
| status | ?!Σ | 1..1 | code | in-progress | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministrationStatus (required) |
| category | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministrationCategory (preferred) | |
 medication[x] | Σ | 1..1 | (Slice Definition) | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMED CT Medication Codes (example) |
  medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(Medication) | |||
 medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMED CT Medication Codes (example) |
  id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| coding | Σ | 0..* | (Slice Definition) | Medication Codes Slice: Unordered, Open by value:system |
 coding:pbs | Σ | 0..* | Coding | PBS Item Code Binding: PBS Medicines Item Codes (preferred) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| 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 for Medicines (preferred) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| 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 | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| medication-type | 0..1 | Coding | Class of Medication Coding URL: http://hl7.org.au/fhir/StructureDefinition/medication-type | |
| 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 Terminology (preferred) |
 id | 0..1 | string | xml:id (or equivalent in JSON) | |
| 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 | Plain text representation of the concept |
| medication[x]:medicationReference | Σ | 0..1 | Reference(AU Base Medication) | Medication Reference |
| subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication |
| context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |
| supportingInformation | 0..* | Reference(Resource) | Additional information to support administration | |
 effective[x] | Σ | 1..1 | Start and end time of administration | |
| effectiveDateTime | dateTime | |||
 effectivePeriod | Period | |||
| performer | ΣI | 0..* | BackboneElement | Medication adminstration participants |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| medication-administration-witness | I | 0..* | Reference(PractitionerRole | Practitioner) | Witness to administration URL: http://hl7.org.au/fhir/StructureDefinition/medication-administration-witness |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| actor | Σ | 1..1 | Reference(Practitioner | Patient | RelatedPerson | Device) | Individual who was performing |
| onBehalfOf | 0..1 | Reference(Organization) | Organization organization was acting for | |
| notGiven | ?!Σ | 0..1 | boolean | True if medication not administered |
| reasonNotGiven | I | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMED CT Reason Medication Not Given Codes (example) |
| reasonCode | I | 0..* | CodeableConcept | Reason administration performed Binding: Reason Medication Given Codes (example) |
| reasonReference | 0..* | Reference(Condition | Observation) | Condition or Observation that supports why the medication was administered | |
| prescription | 0..1 | Reference(MedicationRequest) | Request administration performed against | |
| device | 0..* | Reference(Device) | Device used to administer | |
| note | 0..* | Annotation | Information about the administration | |
| dosage | I | 0..1 | BackboneElement | Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x] |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| text | 0..1 | string | Free text dosage instructions e.g. SIG | |
| site | 0..1 | CodeableConcept | Body site administered to Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example) | |
| route | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMED CT Route Codes (example) | |
| method | 0..1 | CodeableConcept | How drug was administered Binding: SNOMED CT Administration Method Codes (example) | |
| dose | 0..1 | SimpleQuantity | Amount of medication per dose | |
| rate[x] | 0..1 | Dose quantity per unit of time | ||
| rateRatio | Ratio | |||
| rateQuantity | Quantity(SimpleQuantity) | |||
| eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |
| Documentation for this format | ||||
Differential View
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationAdministration | I | 0..* | MedicationAdministration | A record of medication administered to 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: Common Languages (extensible) Max Binding: All Languages | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | 0..* | Identifier | External identifier | |
| definition | Σ | 0..* | Reference(PlanDefinition | ActivityDefinition) | Instantiates protocol or definition |
| partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event |
| status | ?!Σ | 1..1 | code | in-progress | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministrationStatus (required) |
| category | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministrationCategory (preferred) | |
| medication[x] | Σ | 1..1 | (Slice Definition) | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMED CT Medication Codes (example) |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(Medication) | |||
| medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMED CT Medication Codes (example) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| coding | Σ | 0..* | (Slice Definition) | Medication Codes Slice: Unordered, Open by value:system |
| coding:pbs | Σ | 0..* | Coding | PBS Item Code Binding: PBS Medicines Item Codes (preferred) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| 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 for Medicines (preferred) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| 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 | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| medication-type | 0..1 | Coding | Class of Medication Coding URL: http://hl7.org.au/fhir/StructureDefinition/medication-type | |
| 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 Terminology (preferred) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| 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 | Plain text representation of the concept |
| medication[x]:medicationReference | Σ | 0..1 | Reference(AU Base Medication) | Medication Reference |
| subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication |
| context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |
| supportingInformation | 0..* | Reference(Resource) | Additional information to support administration | |
| effective[x] | Σ | 1..1 | Start and end time of administration | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| performer | ΣI | 0..* | BackboneElement | Medication adminstration participants |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| medication-administration-witness | I | 0..* | Reference(PractitionerRole | Practitioner) | Witness to administration URL: http://hl7.org.au/fhir/StructureDefinition/medication-administration-witness |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| actor | Σ | 1..1 | Reference(Practitioner | Patient | RelatedPerson | Device) | Individual who was performing |
| onBehalfOf | 0..1 | Reference(Organization) | Organization organization was acting for | |
| notGiven | ?!Σ | 0..1 | boolean | True if medication not administered |
| reasonNotGiven | I | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMED CT Reason Medication Not Given Codes (example) |
| reasonCode | I | 0..* | CodeableConcept | Reason administration performed Binding: Reason Medication Given Codes (example) |
| reasonReference | 0..* | Reference(Condition | Observation) | Condition or Observation that supports why the medication was administered | |
| prescription | 0..1 | Reference(MedicationRequest) | Request administration performed against | |
| device | 0..* | Reference(Device) | Device used to administer | |
| note | 0..* | Annotation | Information about the administration | |
| dosage | I | 0..1 | BackboneElement | Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x] |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| text | 0..1 | string | Free text dosage instructions e.g. SIG | |
| site | 0..1 | CodeableConcept | Body site administered to Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example) | |
| route | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMED CT Route Codes (example) | |
| method | 0..1 | CodeableConcept | How drug was administered Binding: SNOMED CT Administration Method Codes (example) | |
| dose | 0..1 | SimpleQuantity | Amount of medication per dose | |
| rate[x] | 0..1 | Dose quantity per unit of time | ||
| rateRatio | Ratio | |||
| rateQuantity | Quantity(SimpleQuantity) | |||
| eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron
Below is an overview of the required search and read operations.
Summary of Search Criteria for StructureDefinition-au-medicationadministration
none defined
© AU Base 1.1.1 on FHIR STU3 (IG Publisher v3.0.2-11200) generated on Wed, Jan 22, 2020 10:17+1100. |
