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

1.0 StructureDefinition-au-medicationdispense

AU Base Medication Dispense [FMM Level 2]

This profile defines a medication dispense structure including core localisation concepts for use as a dispense record in an Australian context.

Medication Reference/Coding

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:

  • PBS Item Code - Pharmaceutical Benefits Scheme coding, claiming context is not relevant as medicine coding.
  • GTIN - Global Trade Item Number, physical product reference.
  • AMT Code - Australian Medicines Terminology, national drug terminology.
  • MIMS Package - commonly used medicine coding.

Identifiers

These definitions represent common data held in the MedicationDispense.identifier element:

  • Local Dispense Identifier - dispenser system identifier for this record [1]

Extensions

Extensions used in this profile:

  • Grounds for Concurrent Supply [1]
  • Dispense Number [1]
  • MedicationDispense.medication.coding: Medication Type [1] - used to distinguish a level classification when the same coding system is used.
  • Medication Brand Name [1] - Not to be used if medicationReference is used. This text-only extension is supplied to support a brand name where no brand concept coding is available. Use medicationCodeableConcept if a brand concept coding is available.
  • Medication Generic Drug Name [1] - Not to be used if medicationReference is used. This text-only extension is supplied to support a generic name where no generic concept coding is available. Use medicationCodeableConcept if a generic concept coding is available.
  • NOTE: if extensions Medication Brand Name or Medication Generic Drug Name are used then medicationCodeableConcept must also be used.

1.0.1 Formal Views of Profile Content

The official URL for this profile is: 

http://hl7.org.au/fhir/StructureDefinition/au-medicationdispense

This profile defines a medication dispense structure including core localisation concepts for use as a dispense record in an Australian context.

This profile builds on MedicationDispense.

This profile was published on Fri Apr 26 09:07:00 AEST 2019 as a draft by Health Level Seven Australia (Medications WG).

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense 0..*MedicationDispenseA dispense record for a medication for a patient in an Australian healthcare context
... extension 0..*ExtensionSlice: Unordered, Open by value:url
... grounds-for-concurrent-supply 0..1CodingGrounds for Concurrent Supply of Medication
URL: http://hl7.org.au/fhir/StructureDefinition/grounds-for-concurrent-supply
... dispense-number 0..1integerNumber of this Dispense
URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
... medication-brand-name 0..1stringMedication Brand Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
... medication-generic-name 0..1stringMedication Generic Drug Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
... identifier 0..*(Slice Definition)Slice: Unordered, Open by value:system, value:type
.... identifier:localDispenseIdentifier 0..*IdentifierLocal Dispense Identifier
..... type 1..1CodeableConceptCoded identifier type for local dispense identifier
Binding: v2 Identifier Type - AU Extended (required)
...... coding 1..1Coding
....... system 1..1uriFixed Value: http://hl7.org.au/fhir/v2/0203
....... code 1..1codeFixed Value: LDI
...... text 1..1stringFixed Value: Local Dispense Identifier
..... system 1..1uriNamespace for local dispense record identifier
..... value 1..1stringDispense record identifier
..... assigner 1..1Reference(Organization)
...... display 1..1string
... medication[x] 1..1(Slice Definition)Slice: Unordered, Closed by type:$this
.... medication[x]:medicationCodeableConcept 0..1CodeableConceptCoded Dispensed Medication
..... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
...... coding:pbs 0..*CodingPBS Item Code
Binding: PBS Medicines Item Codes (preferred)
....... system 1..1uriFixed Value: http://pbs.gov.au/code/item
...... coding:gtin 0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN for Medicines (preferred)
....... system 1..1uriFixed Value: http://www.gs1.org/gtin
...... coding:amt 0..*CodingAMT Medicines
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
....... extension 0..*ExtensionSlice: Unordered, Open by value:url
....... medication-type 0..1CodingClass of Medication Coding
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
....... system 1..1uriFixed Value: http://snomed.info/sct
...... coding:mimsPackage 0..1CodingMIMS Package
Binding: MIMS Terminology (preferred)
....... system 1..1uriFixed Value: http://www.mims.com.au/codes
..... text 0..1stringMedication primary text
.... medication[x]:medicationReference 0..1Reference(AU Base Medication)Dispensed Medication
... authorizingPrescription 0..*Reference(AU Base Medication Request)
... dosageInstruction 0..*AUBaseDosage
.... method
..... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
... substitution 0..1BackboneElement
.... reason 0..*CodeableConceptBinding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense I0..*MedicationDispenseA dispense record for a medication for a patient in an Australian healthcare context
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... grounds-for-concurrent-supply I0..1CodingGrounds for Concurrent Supply of Medication
URL: http://hl7.org.au/fhir/StructureDefinition/grounds-for-concurrent-supply
... dispense-number I0..1integerNumber of this Dispense
URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
... medication-brand-name I0..1stringMedication Brand Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
... medication-generic-name I0..1stringMedication Generic Drug Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*(Slice Definition)External identifier
Slice: Unordered, Open by value:system, value:type
.... identifier:localDispenseIdentifier 0..*IdentifierLocal Dispense Identifier
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
..... type Σ1..1CodeableConceptCoded identifier type for local dispense identifier
Binding: v2 Identifier Type - AU Extended (required)
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ1..1CodingCode defined by a terminology system
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.au/fhir/v2/0203
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: LDI
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ1..1stringPlain text representation of the concept
Fixed Value: Local Dispense Identifier
..... system Σ1..1uriNamespace for local dispense record identifier
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringDispense record identifier
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ1..1Reference(Organization)Organization that issued id (may be just text)
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ1..1stringText alternative for the resource
... partOf 0..*Reference(Procedure)Event that dispense is part of
... status ?!Σ0..1codepreparation | in-progress | on-hold | completed | entered-in-error | stopped
Binding: MedicationDispenseStatus (required)
... category 0..1CodeableConceptType of medication dispense
Binding: MedicationDispenseCategory (preferred)
... medication[x] Σ1..1(Slice Definition)What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMED CT Medication Codes (example)
.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationCodeableConcept Σ0..1CodeableConceptCoded Dispensed Medication
Binding: SNOMED CT Medication Codes (example)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:pbs Σ0..*CodingPBS Item Code
Binding: PBS Medicines Item Codes (preferred)
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:gtin Σ0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN for Medicines (preferred)
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://www.gs1.org/gtin
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:amt Σ0..*CodingAMT Medicines
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... medication-type 0..1CodingClass of Medication Coding
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:mimsPackage Σ0..1CodingMIMS Package
Binding: MIMS Terminology (preferred)
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://www.mims.com.au/codes
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringMedication primary text
.... medication[x]:medicationReference Σ0..1Reference(AU Base Medication)Dispensed Medication
... subject Σ0..1Reference(Patient | Group)Who the dispense is for
... context 0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with event
... supportingInformation 0..*Reference(Resource)Information that supports the dispensing of the medication
... performer I0..*BackboneElementWho performed event
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... actor 1..1Reference(Practitioner | Organization | Patient | Device | RelatedPerson)Individual who was performing
.... onBehalfOf 0..1Reference(Organization)Organization organization was acting for
... authorizingPrescription 0..*Reference(AU Base Medication Request)Medication order that authorizes the dispense
... type 0..1CodeableConceptTrial fill, partial fill, emergency fill, etc.
Binding: ActPharmacySupplyType (example)
... quantity 0..1SimpleQuantityAmount dispensed
... daysSupply 0..1SimpleQuantityAmount of medication expressed as a timing amount
... whenPrepared Σ0..1dateTimeWhen product was packaged and reviewed
... whenHandedOver 0..1dateTimeWhen product was given out
... destination 0..1Reference(Location)Where the medication was sent
... receiver 0..*Reference(Patient | Practitioner)Who collected the medication
... note 0..*AnnotationInformation about the dispense
... dosageInstruction I0..*AUBaseDosageDosage information in an Australian healthcare context
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... sequence Σ0..1integerThe order of the dosage instructions
.... text Σ0..1stringFree text dosage instructions e.g. SIG
.... additionalInstruction Σ0..*CodeableConceptSupplemental instruction - e.g. "with meals"
Binding: SNOMED CT Additional Dosage Instructions (preferred)
.... patientInstruction Σ0..1stringPatient or consumer oriented instructions
.... timing Σ0..1TimingWhen medication should be administered
.... asNeeded[x] Σ0..1Take "as needed" (for x)
Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred)
..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site Σ0..1CodeableConceptBody site to administer to
Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred)
.... route Σ0..1CodeableConceptHow drug should enter body
Binding: https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 (preferred)
.... method Σ0..1CodeableConceptTechnique for administering medication
Binding: SNOMED CT Administration Method Codes (preferred)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
..... text Σ0..1stringPlain text representation of the concept
.... dose[x] Σ0..1Amount of medication per dose
..... doseRangeRange
..... doseQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of time
.... maxDosePerAdministration Σ0..1SimpleQuantityUpper limit on medication per administration
.... maxDosePerLifetime Σ0..1SimpleQuantityUpper limit on medication per lifetime of the patient
.... rate[x] Σ0..1Amount of medication per unit of time
..... rateRatioRatio
..... rateRangeRange
..... rateQuantityQuantity(SimpleQuantity)
... substitution I0..1BackboneElementWhether a substitution was performed on the dispense
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... wasSubstituted 1..1booleanWhether a substitution was or was not performed on the dispense
.... type 0..1CodeableConceptCode signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (example)
.... reason 0..*CodeableConceptWhy was substitution made
Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)
.... responsibleParty 0..*Reference(Practitioner)Who is responsible for the substitution
... detectedIssue 0..*Reference(DetectedIssue)Clinical issue with action
... notDone 0..1booleanWhether the dispense was or was not performed
... notDoneReason[x] 0..1Why a dispense was not performed
.... notDoneReasonCodeableConceptCodeableConcept
.... notDoneReasonReferenceReference(DetectedIssue)
... eventHistory 0..*Reference(Provenance)A list of releveant lifecycle events

doco Documentation for this format

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense 0..*MedicationDispenseA dispense record for a medication for a patient in an Australian healthcare context
... extension 0..*ExtensionSlice: Unordered, Open by value:url
... grounds-for-concurrent-supply 0..1CodingGrounds for Concurrent Supply of Medication
URL: http://hl7.org.au/fhir/StructureDefinition/grounds-for-concurrent-supply
... dispense-number 0..1integerNumber of this Dispense
URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
... medication-brand-name 0..1stringMedication Brand Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
... medication-generic-name 0..1stringMedication Generic Drug Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
... identifier 0..*(Slice Definition)Slice: Unordered, Open by value:system, value:type
.... identifier:localDispenseIdentifier 0..*IdentifierLocal Dispense Identifier
..... type 1..1CodeableConceptCoded identifier type for local dispense identifier
Binding: v2 Identifier Type - AU Extended (required)
...... coding 1..1Coding
....... system 1..1uriFixed Value: http://hl7.org.au/fhir/v2/0203
....... code 1..1codeFixed Value: LDI
...... text 1..1stringFixed Value: Local Dispense Identifier
..... system 1..1uriNamespace for local dispense record identifier
..... value 1..1stringDispense record identifier
..... assigner 1..1Reference(Organization)
...... display 1..1string
... medication[x] 1..1(Slice Definition)Slice: Unordered, Closed by type:$this
.... medication[x]:medicationCodeableConcept 0..1CodeableConceptCoded Dispensed Medication
..... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
...... coding:pbs 0..*CodingPBS Item Code
Binding: PBS Medicines Item Codes (preferred)
....... system 1..1uriFixed Value: http://pbs.gov.au/code/item
...... coding:gtin 0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN for Medicines (preferred)
....... system 1..1uriFixed Value: http://www.gs1.org/gtin
...... coding:amt 0..*CodingAMT Medicines
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
....... extension 0..*ExtensionSlice: Unordered, Open by value:url
....... medication-type 0..1CodingClass of Medication Coding
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
....... system 1..1uriFixed Value: http://snomed.info/sct
...... coding:mimsPackage 0..1CodingMIMS Package
Binding: MIMS Terminology (preferred)
....... system 1..1uriFixed Value: http://www.mims.com.au/codes
..... text 0..1stringMedication primary text
.... medication[x]:medicationReference 0..1Reference(AU Base Medication)Dispensed Medication
... authorizingPrescription 0..*Reference(AU Base Medication Request)
... dosageInstruction 0..*AUBaseDosage
.... method
..... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
... substitution 0..1BackboneElement
.... reason 0..*CodeableConceptBinding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense I0..*MedicationDispenseA dispense record for a medication for a patient in an Australian healthcare context
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... grounds-for-concurrent-supply I0..1CodingGrounds for Concurrent Supply of Medication
URL: http://hl7.org.au/fhir/StructureDefinition/grounds-for-concurrent-supply
... dispense-number I0..1integerNumber of this Dispense
URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
... medication-brand-name I0..1stringMedication Brand Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
... medication-generic-name I0..1stringMedication Generic Drug Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*(Slice Definition)External identifier
Slice: Unordered, Open by value:system, value:type
.... identifier:localDispenseIdentifier 0..*IdentifierLocal Dispense Identifier
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
..... type Σ1..1CodeableConceptCoded identifier type for local dispense identifier
Binding: v2 Identifier Type - AU Extended (required)
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ1..1CodingCode defined by a terminology system
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.au/fhir/v2/0203
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: LDI
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ1..1stringPlain text representation of the concept
Fixed Value: Local Dispense Identifier
..... system Σ1..1uriNamespace for local dispense record identifier
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringDispense record identifier
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ1..1Reference(Organization)Organization that issued id (may be just text)
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ1..1stringText alternative for the resource
... partOf 0..*Reference(Procedure)Event that dispense is part of
... status ?!Σ0..1codepreparation | in-progress | on-hold | completed | entered-in-error | stopped
Binding: MedicationDispenseStatus (required)
... category 0..1CodeableConceptType of medication dispense
Binding: MedicationDispenseCategory (preferred)
... medication[x] Σ1..1(Slice Definition)What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMED CT Medication Codes (example)
.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationCodeableConcept Σ0..1CodeableConceptCoded Dispensed Medication
Binding: SNOMED CT Medication Codes (example)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:pbs Σ0..*CodingPBS Item Code
Binding: PBS Medicines Item Codes (preferred)
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:gtin Σ0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN for Medicines (preferred)
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://www.gs1.org/gtin
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:amt Σ0..*CodingAMT Medicines
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... medication-type 0..1CodingClass of Medication Coding
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:mimsPackage Σ0..1CodingMIMS Package
Binding: MIMS Terminology (preferred)
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://www.mims.com.au/codes
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringMedication primary text
.... medication[x]:medicationReference Σ0..1Reference(AU Base Medication)Dispensed Medication
... subject Σ0..1Reference(Patient | Group)Who the dispense is for
... context 0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with event
... supportingInformation 0..*Reference(Resource)Information that supports the dispensing of the medication
... performer I0..*BackboneElementWho performed event
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... actor 1..1Reference(Practitioner | Organization | Patient | Device | RelatedPerson)Individual who was performing
.... onBehalfOf 0..1Reference(Organization)Organization organization was acting for
... authorizingPrescription 0..*Reference(AU Base Medication Request)Medication order that authorizes the dispense
... type 0..1CodeableConceptTrial fill, partial fill, emergency fill, etc.
Binding: ActPharmacySupplyType (example)
... quantity 0..1SimpleQuantityAmount dispensed
... daysSupply 0..1SimpleQuantityAmount of medication expressed as a timing amount
... whenPrepared Σ0..1dateTimeWhen product was packaged and reviewed
... whenHandedOver 0..1dateTimeWhen product was given out
... destination 0..1Reference(Location)Where the medication was sent
... receiver 0..*Reference(Patient | Practitioner)Who collected the medication
... note 0..*AnnotationInformation about the dispense
... dosageInstruction I0..*AUBaseDosageDosage information in an Australian healthcare context
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... sequence Σ0..1integerThe order of the dosage instructions
.... text Σ0..1stringFree text dosage instructions e.g. SIG
.... additionalInstruction Σ0..*CodeableConceptSupplemental instruction - e.g. "with meals"
Binding: SNOMED CT Additional Dosage Instructions (preferred)
.... patientInstruction Σ0..1stringPatient or consumer oriented instructions
.... timing Σ0..1TimingWhen medication should be administered
.... asNeeded[x] Σ0..1Take "as needed" (for x)
Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred)
..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site Σ0..1CodeableConceptBody site to administer to
Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred)
.... route Σ0..1CodeableConceptHow drug should enter body
Binding: https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 (preferred)
.... method Σ0..1CodeableConceptTechnique for administering medication
Binding: SNOMED CT Administration Method Codes (preferred)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
..... text Σ0..1stringPlain text representation of the concept
.... dose[x] Σ0..1Amount of medication per dose
..... doseRangeRange
..... doseQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of time
.... maxDosePerAdministration Σ0..1SimpleQuantityUpper limit on medication per administration
.... maxDosePerLifetime Σ0..1SimpleQuantityUpper limit on medication per lifetime of the patient
.... rate[x] Σ0..1Amount of medication per unit of time
..... rateRatioRatio
..... rateRangeRange
..... rateQuantityQuantity(SimpleQuantity)
... substitution I0..1BackboneElementWhether a substitution was performed on the dispense
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... wasSubstituted 1..1booleanWhether a substitution was or was not performed on the dispense
.... type 0..1CodeableConceptCode signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (example)
.... reason 0..*CodeableConceptWhy was substitution made
Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)
.... responsibleParty 0..*Reference(Practitioner)Who is responsible for the substitution
... detectedIssue 0..*Reference(DetectedIssue)Clinical issue with action
... notDone 0..1booleanWhether the dispense was or was not performed
... notDoneReason[x] 0..1Why a dispense was not performed
.... notDoneReasonCodeableConceptCodeableConcept
.... notDoneReasonReferenceReference(DetectedIssue)
... eventHistory 0..*Reference(Provenance)A list of releveant lifecycle events

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron

 

1.0.2 Quick Start

Below is an overview of the required search and read operations.

Summary of Search Criteria for StructureDefinition-au-medicationdispense

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