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

Official URL: http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medication | Version: 0.1.0-preview
Standards status: Draft | Maturity Level: 0 | Computable Name: AUPSMedication
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 Medication resource in the context of a patient summary in an Australian context. It is based on the AU Base Medication profile, and applies the constraints of AU Core Medication and Medication (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.

Usage:

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

### 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 AUBaseMedication

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Medication |  | 0..* | AUBaseMedication | A medication in an Australian healthcare context This profile also complies with the profiles Medication (IPS) and AU Core Medication
code | S | 1..1 | CodeableConceptIPS | Coding for the medicine
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)
form | S | 0..1 | CodeableConceptIPS | powder | tablets | capsule +
ingredient | S | 0..* | BackboneElement | Active or inactive ingredient
item[x] | S | 1..1 |  | The actual ingredient or content
itemCodeableConcept |  |  | CodeableConcept(CodeableConceptIPS) |
itemReference |  |  | Reference(Substance | Medication) |
strength | S | 0..1 | Ratio | Quantity/strength of ingredient present
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Medication.code.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
Medication.code.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
--- | --- | --- | --- | ---
Medication |  | 0..* | AUBaseMedication | A medication in an Australian healthcare context This profile also complies with the profiles Medication (IPS) and AU Core Medication 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
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
code | S Σ | 1..1 | CodeableConceptIPS | Coding for the medicine 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
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. ele-1: All FHIR elements must have a @value or children
form | S | 0..1 | CodeableConceptIPS | powder | tablets | capsule + Binding: Medication Form (preferred) ele-1: All FHIR elements must have a @value or children
ingredient | S | 0..* | BackboneElement | Active or inactive ingredient 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
item[x] | S | 1..1 |  | The actual ingredient or content Binding: AMT Medicinal Product and Substances (preferred) ele-1: All FHIR elements must have a @value or children
itemCodeableConcept |  |  | CodeableConcept(CodeableConceptIPS) |
itemReference |  |  | Reference(Substance | Medication) |
strength | S | 0..1 | Ratio | Quantity/strength of ingredient present ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Medication.code | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
Medication.code.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
Medication.code.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir
Medication.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-status|4.0.1` from the FHIR Standard
Medication.form | preferred | MedicationForm `https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1` from https://tx.ontoserver.csiro.au/fhir
Medication.ingredient.item[x] | preferred | AMTMedicinalProductAndSubstances `http://terminology.hl7.org.au/ValueSet/amt-mp-codes`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Medication | 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 | Medication | 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 | Medication | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Medication | 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
--- | --- | --- | --- | ---
Medication |  | 0..* | AUBaseMedication | A medication in an Australian healthcare context This profile also complies with the profiles Medication (IPS) and AU Core Medication
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 | S Σ | 1..1 | CodeableConceptIPS | Coding for the medicine 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
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 | Σ | 0..1 | Reference(Organization) | Physical product manufacturer organisation
form | S | 0..1 | CodeableConceptIPS | powder | tablets | capsule + Binding: Medication Form (preferred)
amount | Σ | 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(CodeableConceptIPS) |
itemReference |  |  | Reference(Substance | Medication) |
isActive |  | 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 | URI
Medication.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Medication.code | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
Medication.code.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
Medication.code.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir
Medication.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-status|4.0.1` from the FHIR Standard
Medication.form | preferred | MedicationForm `https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1` from https://tx.ontoserver.csiro.au/fhir
Medication.ingredient.item[x] | preferred | AMTMedicinalProductAndSubstances `http://terminology.hl7.org.au/ValueSet/amt-mp-codes`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Medication | 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 | Medication | 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 | Medication | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Medication | 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 AUBaseMedication

Summary

Mandatory: 1 element
Must-Support: 7 elements

Structures

This structure refers to these other structures:

- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Medication.code.coding

Maturity: 0

Differential View

This structure is derived from AUBaseMedication

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Medication |  | 0..* | AUBaseMedication | A medication in an Australian healthcare context This profile also complies with the profiles Medication (IPS) and AU Core Medication
code | S | 1..1 | CodeableConceptIPS | Coding for the medicine
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)
form | S | 0..1 | CodeableConceptIPS | powder | tablets | capsule +
ingredient | S | 0..* | BackboneElement | Active or inactive ingredient
item[x] | S | 1..1 |  | The actual ingredient or content
itemCodeableConcept |  |  | CodeableConcept(CodeableConceptIPS) |
itemReference |  |  | Reference(Substance | Medication) |
strength | S | 0..1 | Ratio | Quantity/strength of ingredient present
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Medication.code.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
Medication.code.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
--- | --- | --- | --- | ---
Medication |  | 0..* | AUBaseMedication | A medication in an Australian healthcare context This profile also complies with the profiles Medication (IPS) and AU Core Medication 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
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
code | S Σ | 1..1 | CodeableConceptIPS | Coding for the medicine 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
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. ele-1: All FHIR elements must have a @value or children
form | S | 0..1 | CodeableConceptIPS | powder | tablets | capsule + Binding: Medication Form (preferred) ele-1: All FHIR elements must have a @value or children
ingredient | S | 0..* | BackboneElement | Active or inactive ingredient 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
item[x] | S | 1..1 |  | The actual ingredient or content Binding: AMT Medicinal Product and Substances (preferred) ele-1: All FHIR elements must have a @value or children
itemCodeableConcept |  |  | CodeableConcept(CodeableConceptIPS) |
itemReference |  |  | Reference(Substance | Medication) |
strength | S | 0..1 | Ratio | Quantity/strength of ingredient present ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Medication.code | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
Medication.code.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
Medication.code.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir
Medication.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-status|4.0.1` from the FHIR Standard
Medication.form | preferred | MedicationForm `https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1` from https://tx.ontoserver.csiro.au/fhir
Medication.ingredient.item[x] | preferred | AMTMedicinalProductAndSubstances `http://terminology.hl7.org.au/ValueSet/amt-mp-codes`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Medication | 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 | Medication | 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 | Medication | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Medication | 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
--- | --- | --- | --- | ---
Medication |  | 0..* | AUBaseMedication | A medication in an Australian healthcare context This profile also complies with the profiles Medication (IPS) and AU Core Medication
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 | S Σ | 1..1 | CodeableConceptIPS | Coding for the medicine 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
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 | Σ | 0..1 | Reference(Organization) | Physical product manufacturer organisation
form | S | 0..1 | CodeableConceptIPS | powder | tablets | capsule + Binding: Medication Form (preferred)
amount | Σ | 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(CodeableConceptIPS) |
itemReference |  |  | Reference(Substance | Medication) |
isActive |  | 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 | URI
Medication.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Medication.code | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
Medication.code.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
Medication.code.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir
Medication.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-status|4.0.1` from the FHIR Standard
Medication.form | preferred | MedicationForm `https://healthterminologies.gov.au/fhir/ValueSet/medication-form-1` from https://tx.ontoserver.csiro.au/fhir
Medication.ingredient.item[x] | preferred | AMTMedicinalProductAndSubstances `http://terminology.hl7.org.au/ValueSet/amt-mp-codes`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Medication | 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 | Medication | 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 | Medication | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Medication | 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 AUBaseMedication

Summary

Mandatory: 1 element
Must-Support: 7 elements

Structures

This structure refers to these other structures:

- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Medication.code.coding

Maturity: 0

Other representations of profile: CSV, Excel, Schematron