Australian Base Implementation Guide (AU Base 2)

AU Base Implementation Guide, published by HL7 Australia. This is not an authorized publication; it is the continuous build for version 2.1.0). This version is based on the current content of https://github.com/hl7au/au-fhir-base/ and changes regularly. See the Directory of published versions

1.0 StructureDefinition-au-medicationdispense

AU Base Medication Dispense [FMM Level 2]

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

Medication Reference/Coding

Full medication definitions as a Medication resource can be referenced or codings are use be used to define relevant drug/medication concepts. This includes coding as:

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

Identifiers

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

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

Extensions

Extensions used in this profile:

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

1.0.1 Formal Views of Profile Content

The official URL for this profile is:

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

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

This profile builds on MedicationDispense.

This profile was published on Wed Jan 22 00:00:00 UTC 2020 as a draft by Health Level Seven Australia (Medications WG).

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense 0..*MedicationDispenseA dispense record for a medication for a patient in an Australian healthcare context
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... subsidised-concurrent-supply 0..1CodingSubsidised Concurrent Supply of Medication
URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply
Binding: Grounds for Concurrent Supply (required)
... dispense-number 0..1integerNumber of this Dispense
URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
... medication-brand-name 0..1stringMedication Brand Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
... medication-generic-name 0..1stringMedication Generic Drug Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
... identifier 0..*(Slice Definition)External identifier
Slice: Unordered, Open by value:system, value:type
.... identifier:localDispenseIdentifier 0..*IdentifierLocal Dispense Identifier
..... type 1..1CodeableConceptCoded identifier type for local dispense identifier
Binding: V2 Identifier Type - AU Extended (required)
...... coding 1..1CodingCode defined by a terminology system
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.au/fhir/v2/0203
....... code 1..1codeSymbol in syntax defined by the system
Fixed Value: LDI
...... text 1..1stringPlain text representation of the concept
Fixed Value: Local Dispense Identifier
..... system 1..1uriNamespace for local dispense record identifier
..... value 1..1stringDispense record identifier
..... assigner 1..1Reference(Organization)Organization that issued id (may be just text)
...... display 1..1stringText alternative for the resource
... medication[x] 1..1(Slice Definition)What medication was supplied
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationCodeableConcept 0..1CodeableConceptCoded Dispensed Medication
..... coding 0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:pbs 0..*CodingPBS Item Code
Binding: PBS Medicines Item Codes (preferred)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
...... coding:gtin 0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN for Medicines (preferred)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://www.gs1.org/gtin
...... coding:amt 0..*CodingAMT Medicines
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
....... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... medication-type 0..1CodingClass of Medication Coding
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... coding:mimsPackage 0..1CodingMIMS Package
Binding: MIMS Terminology (preferred)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://www.mims.com.au/codes
..... text 0..1stringMedication primary text
.... medication[x]:medicationReference 0..1Reference(AU Base Medication)Dispensed Medication
... authorizingPrescription 0..*Reference(AU Base Medication Request)Medication order that authorizes the dispense
... dosageInstruction 0..*AUBaseDosageDosage information in an Australian healthcare context
... substitution 0..1BackboneElementWhether a substitution was performed on the dispense
.... reason 0..1CodeableConceptWhy was substitution made
Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense I0..*MedicationDispenseA dispense record for a medication for a patient in an Australian healthcare context
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... subsidised-concurrent-supply 0..1CodingSubsidised Concurrent Supply of Medication
URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply
Binding: Grounds for Concurrent Supply (required)
... dispense-number 0..1integerNumber of this Dispense
URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
... medication-brand-name 0..1stringMedication Brand Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
... medication-generic-name 0..1stringMedication Generic Drug Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*(Slice Definition)External identifier
Slice: Unordered, Open by value:system, value:type
.... identifier:localDispenseIdentifier 0..*IdentifierLocal Dispense Identifier
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ1..1CodeableConceptCoded identifier type for local dispense identifier
Binding: V2 Identifier Type - AU Extended (required)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ1..1CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.au/fhir/v2/0203
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: LDI
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ1..1stringPlain text representation of the concept
Fixed Value: Local Dispense Identifier
..... system Σ1..1uriNamespace for local dispense record identifier
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringDispense record identifier
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ1..1Reference(Organization)Organization that issued id (may be just text)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ1..1stringText alternative for the resource
... partOf 0..*Reference(Procedure)Event that dispense is part of
... status ?!Σ1..1codepreparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispense Status Codes (required)
... statusReason[x] 0..1Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example)
.... statusReasonCodeableConceptCodeableConcept
.... statusReasonReferenceReference(DetectedIssue)
... category 0..1CodeableConceptType of medication dispense
Binding: MedicationDispense Category Codes (preferred)
... medication[x] Σ1..1(Slice Definition)What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example)
.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationCodeableConcept Σ0..1CodeableConceptCoded Dispensed Medication
Binding: SNOMEDCTMedicationCodes (example)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:pbs Σ0..*CodingPBS Item Code
Binding: PBS Medicines Item Codes (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:gtin Σ0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN for Medicines (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://www.gs1.org/gtin
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:amt Σ0..*CodingAMT Medicines
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... medication-type 0..1CodingClass of Medication Coding
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:mimsPackage Σ0..1CodingMIMS Package
Binding: MIMS Terminology (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://www.mims.com.au/codes
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringMedication primary text
.... medication[x]:medicationReference Σ0..1Reference(AU Base Medication)Dispensed Medication
... subject Σ0..1Reference(Patient | Group)Who the dispense is for
... context 0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with event
... supportingInformation 0..*Reference(Resource)Information that supports the dispensing of the medication
... performer 0..*BackboneElementWho performed event
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function 0..1CodeableConceptWho performed the dispense and what they did
Binding: MedicationDispense Performer Function Codes (example)
.... actor 1..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)Individual who was performing
... location 0..1Reference(Location)Where the dispense occurred
... authorizingPrescription 0..*Reference(AU Base Medication Request)Medication order that authorizes the dispense
... type 0..1CodeableConceptTrial fill, partial fill, emergency fill, etc.
Binding: ActPharmacySupplyType (example)
... quantity 0..1SimpleQuantityAmount dispensed
... daysSupply 0..1SimpleQuantityAmount of medication expressed as a timing amount
... whenPrepared Σ0..1dateTimeWhen product was packaged and reviewed
... whenHandedOver 0..1dateTimeWhen product was given out
... destination 0..1Reference(Location)Where the medication was sent
... receiver 0..*Reference(Patient | Practitioner)Who collected the medication
... note 0..*AnnotationInformation about the dispense
... dosageInstruction 0..*AUBaseDosageDosage information in an Australian healthcare context
... substitution 0..1BackboneElementWhether a substitution was performed on the dispense
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... wasSubstituted 1..1booleanWhether a substitution was or was not performed on the dispense
.... type 0..1CodeableConceptCode signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (example)
.... reason 0..1CodeableConceptWhy was substitution made
Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)
.... responsibleParty 0..*Reference(Practitioner | PractitionerRole)Who is responsible for the substitution
... detectedIssue 0..*Reference(DetectedIssue)Clinical issue with action
... eventHistory 0..*Reference(Provenance)A list of relevant lifecycle events

doco Documentation for this format

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense 0..*MedicationDispenseA dispense record for a medication for a patient in an Australian healthcare context
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... subsidised-concurrent-supply 0..1CodingSubsidised Concurrent Supply of Medication
URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply
Binding: Grounds for Concurrent Supply (required)
... dispense-number 0..1integerNumber of this Dispense
URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
... medication-brand-name 0..1stringMedication Brand Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
... medication-generic-name 0..1stringMedication Generic Drug Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
... identifier 0..*(Slice Definition)External identifier
Slice: Unordered, Open by value:system, value:type
.... identifier:localDispenseIdentifier 0..*IdentifierLocal Dispense Identifier
..... type 1..1CodeableConceptCoded identifier type for local dispense identifier
Binding: V2 Identifier Type - AU Extended (required)
...... coding 1..1CodingCode defined by a terminology system
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.au/fhir/v2/0203
....... code 1..1codeSymbol in syntax defined by the system
Fixed Value: LDI
...... text 1..1stringPlain text representation of the concept
Fixed Value: Local Dispense Identifier
..... system 1..1uriNamespace for local dispense record identifier
..... value 1..1stringDispense record identifier
..... assigner 1..1Reference(Organization)Organization that issued id (may be just text)
...... display 1..1stringText alternative for the resource
... medication[x] 1..1(Slice Definition)What medication was supplied
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationCodeableConcept 0..1CodeableConceptCoded Dispensed Medication
..... coding 0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:pbs 0..*CodingPBS Item Code
Binding: PBS Medicines Item Codes (preferred)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
...... coding:gtin 0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN for Medicines (preferred)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://www.gs1.org/gtin
...... coding:amt 0..*CodingAMT Medicines
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
....... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... medication-type 0..1CodingClass of Medication Coding
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... coding:mimsPackage 0..1CodingMIMS Package
Binding: MIMS Terminology (preferred)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://www.mims.com.au/codes
..... text 0..1stringMedication primary text
.... medication[x]:medicationReference 0..1Reference(AU Base Medication)Dispensed Medication
... authorizingPrescription 0..*Reference(AU Base Medication Request)Medication order that authorizes the dispense
... dosageInstruction 0..*AUBaseDosageDosage information in an Australian healthcare context
... substitution 0..1BackboneElementWhether a substitution was performed on the dispense
.... reason 0..1CodeableConceptWhy was substitution made
Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense I0..*MedicationDispenseA dispense record for a medication for a patient in an Australian healthcare context
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... subsidised-concurrent-supply 0..1CodingSubsidised Concurrent Supply of Medication
URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply
Binding: Grounds for Concurrent Supply (required)
... dispense-number 0..1integerNumber of this Dispense
URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
... medication-brand-name 0..1stringMedication Brand Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
... medication-generic-name 0..1stringMedication Generic Drug Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*(Slice Definition)External identifier
Slice: Unordered, Open by value:system, value:type
.... identifier:localDispenseIdentifier 0..*IdentifierLocal Dispense Identifier
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ1..1CodeableConceptCoded identifier type for local dispense identifier
Binding: V2 Identifier Type - AU Extended (required)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ1..1CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.au/fhir/v2/0203
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: LDI
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ1..1stringPlain text representation of the concept
Fixed Value: Local Dispense Identifier
..... system Σ1..1uriNamespace for local dispense record identifier
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringDispense record identifier
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ1..1Reference(Organization)Organization that issued id (may be just text)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ1..1stringText alternative for the resource
... partOf 0..*Reference(Procedure)Event that dispense is part of
... status ?!Σ1..1codepreparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispense Status Codes (required)
... statusReason[x] 0..1Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example)
.... statusReasonCodeableConceptCodeableConcept
.... statusReasonReferenceReference(DetectedIssue)
... category 0..1CodeableConceptType of medication dispense
Binding: MedicationDispense Category Codes (preferred)
... medication[x] Σ1..1(Slice Definition)What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example)
.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationCodeableConcept Σ0..1CodeableConceptCoded Dispensed Medication
Binding: SNOMEDCTMedicationCodes (example)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:pbs Σ0..*CodingPBS Item Code
Binding: PBS Medicines Item Codes (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:gtin Σ0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN for Medicines (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://www.gs1.org/gtin
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:amt Σ0..*CodingAMT Medicines
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... medication-type 0..1CodingClass of Medication Coding
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:mimsPackage Σ0..1CodingMIMS Package
Binding: MIMS Terminology (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://www.mims.com.au/codes
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringMedication primary text
.... medication[x]:medicationReference Σ0..1Reference(AU Base Medication)Dispensed Medication
... subject Σ0..1Reference(Patient | Group)Who the dispense is for
... context 0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with event
... supportingInformation 0..*Reference(Resource)Information that supports the dispensing of the medication
... performer 0..*BackboneElementWho performed event
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function 0..1CodeableConceptWho performed the dispense and what they did
Binding: MedicationDispense Performer Function Codes (example)
.... actor 1..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)Individual who was performing
... location 0..1Reference(Location)Where the dispense occurred
... authorizingPrescription 0..*Reference(AU Base Medication Request)Medication order that authorizes the dispense
... type 0..1CodeableConceptTrial fill, partial fill, emergency fill, etc.
Binding: ActPharmacySupplyType (example)
... quantity 0..1SimpleQuantityAmount dispensed
... daysSupply 0..1SimpleQuantityAmount of medication expressed as a timing amount
... whenPrepared Σ0..1dateTimeWhen product was packaged and reviewed
... whenHandedOver 0..1dateTimeWhen product was given out
... destination 0..1Reference(Location)Where the medication was sent
... receiver 0..*Reference(Patient | Practitioner)Who collected the medication
... note 0..*AnnotationInformation about the dispense
... dosageInstruction 0..*AUBaseDosageDosage information in an Australian healthcare context
... substitution 0..1BackboneElementWhether a substitution was performed on the dispense
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... wasSubstituted 1..1booleanWhether a substitution was or was not performed on the dispense
.... type 0..1CodeableConceptCode signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (example)
.... reason 0..1CodeableConceptWhy was substitution made
Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)
.... responsibleParty 0..*Reference(Practitioner | PractitionerRole)Who is responsible for the substitution
... detectedIssue 0..*Reference(DetectedIssue)Clinical issue with action
... eventHistory 0..*Reference(Provenance)A list of relevant lifecycle events

doco Documentation for this format

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

 

1.0.2 Quick Start

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

Summary of Search Criteria for StructureDefinition-au-medicationdispense

none defined