Usage scenarios

The following are supported usage scenarios for this profile:

• Query medications associated with a patient referenced by another resource
• Record or update a medication associated with a patient referenced by another resource
• Read medications associated with a patient referenced by another resource

Comparison with other national and international specifications

A resource conforming to this profile is conformant to:

• IPA-Medication
• and MAY be conformant to
  • Medication (IPS) if Data Type Profile: Quantity (IPS) constraints are met
  • US Core Medication noting that US Core extensibly binds to RxNorm which is not an AU medicines terminology

Conformance in reverse is not guaranteed, i.e. a resource conforming to International Patient Access, International Patient Summary, or US Core MAY NOT conform to AU Core.

Profile specific implementation guidance

• See the Medicine information section for guidance on constructing a resource and the use of medicines terminology
• Manufacturer information will commonly be exchanged as a PBS code, this information can be represented as an external resource of by using Medication.manufacturer.identifier to carry the PBS code and Medication.manufacturer.display to carry the name of the manufacturer

Specific feedback is sought on supporting ingredient information in Medication. Identification of a specific ingredient can be support by use of Medication.itemCodeableConcept or Medication.itemReference which refers to an external Medication or Substance resource.

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

This structure is derived from AUBaseMedication

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	AUBaseMedication	A medication in an Australian healthcare context
code	S	1..1	CodeableConcept	Coding for the medicine
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:pbs	S	0..*	Coding	PBS Item Code
coding:amt	S	0..*	Coding	AMT Medicines
manufacturer	SC	0..1	Reference(AU Core Organization)	Physical product manufacturer organisation
form	S	0..1	CodeableConcept	powder | tablets | capsule +
amount	S	0..1	Ratio	Amount of drug in package
ingredient	S	0..*	BackboneElement	Active or inactive ingredient
item[x]	S	1..1		The actual ingredient or content
itemCodeableConcept			CodeableConcept
itemReference			Reference(AU Core Substance | AU Core Medication)
isActive	S	0..1	boolean	Active ingredient indicator
strength	S	0..1	Ratio	Quantity/strength of ingredient present
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	AUBaseMedication	A medication in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	SΣ	1..1	CodeableConcept	Coding for the medicine Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:pbs	SΣ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt	SΣ	0..*	Coding	AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	SΣC	0..1	Reference(AU Core Organization)	Physical product manufacturer organisation
form	S	0..1	CodeableConcept	powder | tablets | capsule + Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1 (preferred)
amount	SΣ	0..1	Ratio	Amount of drug in package
ingredient	S	0..*	BackboneElement	Active or inactive ingredient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]	S	1..1		The actual ingredient or content Binding: AMT Medicinal Product and Substances (preferred)
itemCodeableConcept			CodeableConcept
itemReference			Reference(AU Core Substance | AU Core Medication)
isActive	S	0..1	boolean	Active ingredient indicator
strength	S	0..1	Ratio	Quantity/strength of ingredient present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Medication.code	example	SNOMEDCTMedicationCodes
Medication.code.coding:pbs	preferred	PBSItemCodes
Medication.code.coding:gtin	preferred	GTIN
Medication.code.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
Medication.code.coding:mimsPackage	preferred	MIMS
Medication.status	required	Medication Status Codes
Medication.form	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1
Medication.ingredient.item[x]	preferred	AMTMedicinalProductAndSubstances

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	AUBaseMedication	A medication 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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	SΣ	1..1	CodeableConcept	Coding for the medicine Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:pbs	SΣ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (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
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 (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
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	SΣ	0..*	Coding	AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
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 (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
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	Medication primary text
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	SΣC	0..1	Reference(AU Core Organization)	Physical product manufacturer organisation
form	S	0..1	CodeableConcept	powder | tablets | capsule + Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1 (preferred)
amount	SΣ	0..1	Ratio	Amount of drug in package
ingredient	S	0..*	BackboneElement	Active or inactive ingredient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]	S	1..1		The actual ingredient or content Binding: AMT Medicinal Product and Substances (preferred)
itemCodeableConcept			CodeableConcept
itemReference			Reference(AU Core Substance | AU Core Medication)
isActive	S	0..1	boolean	Active ingredient indicator
strength	S	0..1	Ratio	Quantity/strength of ingredient present
batch		0..1	BackboneElement	Details about packaged medications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
lotNumber		0..1	string	Identifier assigned to batch
expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Medication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Medication.code	example	SNOMEDCTMedicationCodes
Medication.code.coding:pbs	preferred	PBSItemCodes
Medication.code.coding:gtin	preferred	GTIN
Medication.code.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
Medication.code.coding:mimsPackage	preferred	MIMS
Medication.status	required	Medication Status Codes
Medication.form	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1
Medication.ingredient.item[x]	preferred	AMTMedicinalProductAndSubstances

Differential View

This structure is derived from AUBaseMedication

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	AUBaseMedication	A medication in an Australian healthcare context
code	S	1..1	CodeableConcept	Coding for the medicine
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:pbs	S	0..*	Coding	PBS Item Code
coding:amt	S	0..*	Coding	AMT Medicines
manufacturer	SC	0..1	Reference(AU Core Organization)	Physical product manufacturer organisation
form	S	0..1	CodeableConcept	powder | tablets | capsule +
amount	S	0..1	Ratio	Amount of drug in package
ingredient	S	0..*	BackboneElement	Active or inactive ingredient
item[x]	S	1..1		The actual ingredient or content
itemCodeableConcept			CodeableConcept
itemReference			Reference(AU Core Substance | AU Core Medication)
isActive	S	0..1	boolean	Active ingredient indicator
strength	S	0..1	Ratio	Quantity/strength of ingredient present
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	AUBaseMedication	A medication in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	SΣ	1..1	CodeableConcept	Coding for the medicine Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:pbs	SΣ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt	SΣ	0..*	Coding	AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	SΣC	0..1	Reference(AU Core Organization)	Physical product manufacturer organisation
form	S	0..1	CodeableConcept	powder | tablets | capsule + Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1 (preferred)
amount	SΣ	0..1	Ratio	Amount of drug in package
ingredient	S	0..*	BackboneElement	Active or inactive ingredient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]	S	1..1		The actual ingredient or content Binding: AMT Medicinal Product and Substances (preferred)
itemCodeableConcept			CodeableConcept
itemReference			Reference(AU Core Substance | AU Core Medication)
isActive	S	0..1	boolean	Active ingredient indicator
strength	S	0..1	Ratio	Quantity/strength of ingredient present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Medication.code	example	SNOMEDCTMedicationCodes
Medication.code.coding:pbs	preferred	PBSItemCodes
Medication.code.coding:gtin	preferred	GTIN
Medication.code.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
Medication.code.coding:mimsPackage	preferred	MIMS
Medication.status	required	Medication Status Codes
Medication.form	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1
Medication.ingredient.item[x]	preferred	AMTMedicinalProductAndSubstances

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	AUBaseMedication	A medication 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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	SΣ	1..1	CodeableConcept	Coding for the medicine Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:pbs	SΣ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (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
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 (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
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	SΣ	0..*	Coding	AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
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 (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
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	Medication primary text
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	SΣC	0..1	Reference(AU Core Organization)	Physical product manufacturer organisation
form	S	0..1	CodeableConcept	powder | tablets | capsule + Binding: https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1 (preferred)
amount	SΣ	0..1	Ratio	Amount of drug in package
ingredient	S	0..*	BackboneElement	Active or inactive ingredient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]	S	1..1		The actual ingredient or content Binding: AMT Medicinal Product and Substances (preferred)
itemCodeableConcept			CodeableConcept
itemReference			Reference(AU Core Substance | AU Core Medication)
isActive	S	0..1	boolean	Active ingredient indicator
strength	S	0..1	Ratio	Quantity/strength of ingredient present
batch		0..1	BackboneElement	Details about packaged medications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
lotNumber		0..1	string	Identifier assigned to batch
expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Medication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Medication.code	example	SNOMEDCTMedicationCodes
Medication.code.coding:pbs	preferred	PBSItemCodes
Medication.code.coding:gtin	preferred	GTIN
Medication.code.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
Medication.code.coding:mimsPackage	preferred	MIMS
Medication.status	required	Medication Status Codes
Medication.form	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1
Medication.ingredient.item[x]	preferred	AMTMedicinalProductAndSubstances

This structure is derived from AUBaseMedication

Summary

Mandatory: 1 element
Must-Support: 10 elements

Structures

This structure refers to these other structures:

• AU Core Organization (http://hl7.org.au/fhir/core/StructureDefinition/au-core-organization)
• AU Core Substance (http://hl7.org.au/fhir/core/StructureDefinition/au-core-substance)
• AU Core Medication (http://hl7.org.au/fhir/core/StructureDefinition/au-core-medication)

Slices

This structure defines the following Slices:

• The element Medication.code.coding is sliced based on the value of value:system

Maturity: 0

Below is an overview of the mandatory and optional search parameters. FHIR search operations and the syntax used to describe the interactions is described here.

Mandatory Search Parameters

No mandatory search parameters for this profile.

Optional Search Parameters

No optional search parameters for this profile.