AU Patient Summary Implementation Guide
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## Resource Profile: AU PS MedicationStatement

Official URL: http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationstatement | Version: 0.1.0-preview
Standards status: Draft | Maturity Level: 0 | Computable Name: AUPSMedicationStatement
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved.

This profile sets minimum expectations for a MedicationStatement resource in the context of a patient summary in an Australian context. It is based on the AU Base MedicationStatement profile, and applies the constraints of AU Core MedicationStatement and MedicationStatement (IPS).

See Comparison with other national and international IGs for a comparison between AU Core profiles and profiles in other implementation guides.

### Profile specific implementation guidance

- See the Medicine Information page in AU Core for guidance on how medicinal product identification can be structured in FHIR conformant to AU Patient Summary.
- MedicationStatement resources can represent a medication using either a code with `MedicationStatement.medicationCodeableConcept`, or reference a Medication resource with `MedicationStatement.medicationReference`.
  - When referencing a Medication resource, it is preferred the resource is contained but it may be an external resource

Usage:

- Use this Resource Profile: AU PS Bundle
- Refer to this Resource Profile: AU PS Composition

### Formal Views of Profile Content

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

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

This structure is derived from AUBaseMedicationStatement

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | AUBaseMedicationStatement | A record of medication being taken by a patient in an Australian healthcare context This profile also complies with the profiles Medication Statement (IPS) and AU Core MedicationStatement
status | S | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Slices for medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | Medication Detail Slice: Unordered, Closed by type:$this
medication[x]:medicationCodeableConcept |  | 0..1 | CodeableConcept | Coded Medication
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:pbs | S | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
coding:amt | S | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
medication[x]:medicationReference |  | 0..1 | Reference(AU Core Medication) | Medication Reference
subject | S | 1..1 | Reference(AU PS Patient) | Who is/was taking the medication
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
effective[x] | S | 1..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken
dateAsserted | S | 0..1 | dateTime | When the statement was asserted?
reasonCode | S | 0..* | CodeableConcept | Reason for why the medication is being/was taken
reasonReference | S | 0..* | Reference(AU PS Condition | Observation | AU Base Diagnostic Report) | Condition or observation that supports why the medication is being/was taken
dosage | S | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
timing | S | 0..1 | Timing | When medication should be administered
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | AUBaseMedicationStatement | A record of medication being taken by a patient in an Australian healthcare context This profile also complies with the profiles Medication Statement (IPS) and AU Core MedicationStatement dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension |  |  |  | Content/Rules for all slices
extension:longTerm |  | 0..1 | boolean | Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status | ?!S 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. ele-1: All FHIR elements must have a @value or children
Slices for medication[x] | S Σ | 1..1 |  | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. ele-1: All FHIR elements must have a @value or children
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
ele-1: All FHIR elements must have a @value or children
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:All Slices |  |  |  | Content/Rules for all slices
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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding:pbs | S Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required) ele-1: All FHIR elements must have a @value or children
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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding:amt | S Σ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required) ele-1: All FHIR elements must have a @value or children
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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
medication[x]:medicationReference | Σ | 0..1 | Reference(AU Core Medication) | Medication Reference ele-1: All FHIR elements must have a @value or children
subject | S Σ | 1..1 | Reference(AU PS Patient) | Who is/was taking the medication ele-1: All FHIR elements must have a @value or children
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
effective[x] | S Σ | 1..1 |  | The date/time or interval when the medication is/was/will be taken ele-1: All FHIR elements must have a @value or children
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dateAsserted | S Σ | 0..1 | dateTime | When the statement was asserted? ele-1: All FHIR elements must have a @value or children
reasonCode | S | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred) ele-1: All FHIR elements must have a @value or children
reasonReference | S | 0..* | Reference(AU PS Condition | Observation | AU Base Diagnostic Report) | Condition or observation that supports why the medication is being/was taken ele-1: All FHIR elements must have a @value or children
dosage | S | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text | S Σ | 0..1 | string | Free text dosage instructions e.g. SIG ele-1: All FHIR elements must have a @value or children
timing | S Σ | 0..1 | Timing | When medication should be administered ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationStatement.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1` from the FHIR Standard
MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationStatement.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.reasonCode | preferred | MedicationReasonTaken `https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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() |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | AUBaseMedicationStatement | A record of medication being taken by a patient in an Australian healthcare context This profile also complies with the profiles Medication Statement (IPS) and AU Core MedicationStatement
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
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 | ?!S 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] | S Σ | 1..1 |  | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
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
coding:pbs | S Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
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
coding:amt | S Σ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
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(AU Core Medication) | Medication Reference
subject | S Σ | 1..1 | Reference(AU PS Patient) | Who is/was taking the 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
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
effective[x] | S Σ | 1..1 |  | The date/time or interval when the medication is/was/will be taken
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dateAsserted | S 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 | S | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
reasonReference | S | 0..* | Reference(AU PS Condition | Observation | AU Base Diagnostic Report) | Condition or observation that supports why the medication is being/was taken
note |  | 0..* | Annotation | Further information about the statement
dosage | S | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | S Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | S Σ | 0..1 | Timing | When medication should be administered
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: Clinical Finding (preferred)
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: Body Site (preferred)
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: Route of Administration (preferred)
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationStatement.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
MedicationStatement.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1` from the FHIR Standard
MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodes `http://hl7.org/fhir/ValueSet/reason-medication-status-codes` from the FHIR Standard
MedicationStatement.category | preferred | Medication usage category codes `http://hl7.org/fhir/ValueSet/medication-statement-category` from the FHIR Standard
MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationStatement.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.subject.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
MedicationStatement.reasonCode | preferred | MedicationReasonTaken `https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1` from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.dosage.additionalInstruction | preferred | SNOMEDCTAdditionalDosageInstructions `http://hl7.org/fhir/ValueSet/additional-instruction-codes` from the FHIR Standard
MedicationStatement.dosage.asNeeded[x] | preferred | ClinicalFinding `https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1` from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.dosage.site | preferred | BodySite `https://healthterminologies.gov.au/fhir/ValueSet/body-site-1` from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.dosage.route | preferred | RouteOfAdministration `https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1` from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.dosage.method | preferred | SNOMEDCTAdministrationMethodCodes `http://hl7.org/fhir/ValueSet/administration-method-codes` from the FHIR Standard
MedicationStatement.dosage.doseAndRate.type | example | DoseAndRateType `http://hl7.org/fhir/ValueSet/dose-rate-type` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 AUBaseMedicationStatement

Summary

Mandatory: 2 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

- AU Core Medication (http://hl7.org.au/fhir/core/StructureDefinition/au-core-medication)
- AU PS Patient (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient)
- AU PS Condition (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-condition)
- AU Base Diagnostic Report (http://hl7.org.au/fhir/StructureDefinition/au-diagnosticreport)

Slices

This structure defines the following Slices:

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

Maturity: 0

Differential View

This structure is derived from AUBaseMedicationStatement

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | AUBaseMedicationStatement | A record of medication being taken by a patient in an Australian healthcare context This profile also complies with the profiles Medication Statement (IPS) and AU Core MedicationStatement
status | S | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Slices for medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | Medication Detail Slice: Unordered, Closed by type:$this
medication[x]:medicationCodeableConcept |  | 0..1 | CodeableConcept | Coded Medication
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:pbs | S | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
coding:amt | S | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
medication[x]:medicationReference |  | 0..1 | Reference(AU Core Medication) | Medication Reference
subject | S | 1..1 | Reference(AU PS Patient) | Who is/was taking the medication
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
effective[x] | S | 1..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken
dateAsserted | S | 0..1 | dateTime | When the statement was asserted?
reasonCode | S | 0..* | CodeableConcept | Reason for why the medication is being/was taken
reasonReference | S | 0..* | Reference(AU PS Condition | Observation | AU Base Diagnostic Report) | Condition or observation that supports why the medication is being/was taken
dosage | S | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
timing | S | 0..1 | Timing | When medication should be administered
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | AUBaseMedicationStatement | A record of medication being taken by a patient in an Australian healthcare context This profile also complies with the profiles Medication Statement (IPS) and AU Core MedicationStatement dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension |  |  |  | Content/Rules for all slices
extension:longTerm |  | 0..1 | boolean | Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status | ?!S 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. ele-1: All FHIR elements must have a @value or children
Slices for medication[x] | S Σ | 1..1 |  | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. ele-1: All FHIR elements must have a @value or children
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
ele-1: All FHIR elements must have a @value or children
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:All Slices |  |  |  | Content/Rules for all slices
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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding:pbs | S Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required) ele-1: All FHIR elements must have a @value or children
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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding:amt | S Σ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required) ele-1: All FHIR elements must have a @value or children
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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
medication[x]:medicationReference | Σ | 0..1 | Reference(AU Core Medication) | Medication Reference ele-1: All FHIR elements must have a @value or children
subject | S Σ | 1..1 | Reference(AU PS Patient) | Who is/was taking the medication ele-1: All FHIR elements must have a @value or children
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
effective[x] | S Σ | 1..1 |  | The date/time or interval when the medication is/was/will be taken ele-1: All FHIR elements must have a @value or children
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dateAsserted | S Σ | 0..1 | dateTime | When the statement was asserted? ele-1: All FHIR elements must have a @value or children
reasonCode | S | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred) ele-1: All FHIR elements must have a @value or children
reasonReference | S | 0..* | Reference(AU PS Condition | Observation | AU Base Diagnostic Report) | Condition or observation that supports why the medication is being/was taken ele-1: All FHIR elements must have a @value or children
dosage | S | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text | S Σ | 0..1 | string | Free text dosage instructions e.g. SIG ele-1: All FHIR elements must have a @value or children
timing | S Σ | 0..1 | Timing | When medication should be administered ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationStatement.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1` from the FHIR Standard
MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationStatement.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.reasonCode | preferred | MedicationReasonTaken `https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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() |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | AUBaseMedicationStatement | A record of medication being taken by a patient in an Australian healthcare context This profile also complies with the profiles Medication Statement (IPS) and AU Core MedicationStatement
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
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 | ?!S 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] | S Σ | 1..1 |  | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
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
coding:pbs | S Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
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
coding:amt | S Σ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
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(AU Core Medication) | Medication Reference
subject | S Σ | 1..1 | Reference(AU PS Patient) | Who is/was taking the 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
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
effective[x] | S Σ | 1..1 |  | The date/time or interval when the medication is/was/will be taken
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dateAsserted | S 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 | S | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
reasonReference | S | 0..* | Reference(AU PS Condition | Observation | AU Base Diagnostic Report) | Condition or observation that supports why the medication is being/was taken
note |  | 0..* | Annotation | Further information about the statement
dosage | S | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | S Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | S Σ | 0..1 | Timing | When medication should be administered
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: Clinical Finding (preferred)
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: Body Site (preferred)
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: Route of Administration (preferred)
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationStatement.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
MedicationStatement.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1` from the FHIR Standard
MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodes `http://hl7.org/fhir/ValueSet/reason-medication-status-codes` from the FHIR Standard
MedicationStatement.category | preferred | Medication usage category codes `http://hl7.org/fhir/ValueSet/medication-statement-category` from the FHIR Standard
MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationStatement.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.subject.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
MedicationStatement.reasonCode | preferred | MedicationReasonTaken `https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1` from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.dosage.additionalInstruction | preferred | SNOMEDCTAdditionalDosageInstructions `http://hl7.org/fhir/ValueSet/additional-instruction-codes` from the FHIR Standard
MedicationStatement.dosage.asNeeded[x] | preferred | ClinicalFinding `https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1` from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.dosage.site | preferred | BodySite `https://healthterminologies.gov.au/fhir/ValueSet/body-site-1` from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.dosage.route | preferred | RouteOfAdministration `https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1` from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.dosage.method | preferred | SNOMEDCTAdministrationMethodCodes `http://hl7.org/fhir/ValueSet/administration-method-codes` from the FHIR Standard
MedicationStatement.dosage.doseAndRate.type | example | DoseAndRateType `http://hl7.org/fhir/ValueSet/dose-rate-type` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 AUBaseMedicationStatement

Summary

Mandatory: 2 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

- AU Core Medication (http://hl7.org.au/fhir/core/StructureDefinition/au-core-medication)
- AU PS Patient (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient)
- AU PS Condition (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-condition)
- AU Base Diagnostic Report (http://hl7.org.au/fhir/StructureDefinition/au-diagnosticreport)

Slices

This structure defines the following Slices:

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

Maturity: 0

Other representations of profile: CSV, Excel, Schematron