Usage Notes

Profile specific implementation guidance:

• When identifying a medication, this resource can use either a code or refer to a Medication resource.
• If making use of MedicationStatement.code, this profile includes coding as:
  • PBS Item Code - Pharmaceutical Benefits Scheme coding, claiming context is not relevant as medicine coding
  • Medication Package Global Trade Item Number - Global Trade Item Number (GTIN) physical product reference
  • AMT Medicines - Australian Medicines Terminology, national drug terminology
  • MIMS Package - commonly used medicine coding
• If a medication is compounded and is a list of ingredients, MedicationStatement.code is still present and may contain only the list of ingredients as text in MedicationStatement.code.text.
• Where additional medicinal product information is needed, MedicationStatement.medicationReference is preferred to MedicationStatement.code and use of extensions, see guidance on AU Base Medication.

Potentially useful extensions:

• MedicationStatement: Medication Brand Name
• MedicationStatement: Medication Generic Name

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

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	A record of medication being taken by a patient in an Australian healthcare context
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
longTerm		0..1	boolean	Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
Slices for medication[x]		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	Medication Codes Slice: Unordered, Open by value:system
coding:pbs		0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin		0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt		0..*	Coding	AMT Medicines Binding: Australian Medication (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage		0..1	Coding	MIMS Package Binding: MIMS (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
text		0..1	string	Medication primary text
medication[x]:medicationReference		0..1	Reference()	Medication Reference
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
dosage		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes) http://terminology.hl7.org.au/ValueSet/pbs-item from this IG
MedicationStatement.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt	preferred	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS)) http://terminology.hl7.org.au/ValueSet/mims from this IG
MedicationStatement.reasonCode	preferred	MedicationReasonTaken https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1 from https://tx.ontoserver.csiro.au/fhir

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	A record of medication being taken by a patient in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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
status	?!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.
Slices for medication[x]	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): A coded concept identifying the substance or product being taken.
Slices for coding	Σ	0..*	Coding	Medication Codes Slice: Unordered, Open by value:system
coding:pbs	Σ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt	Σ	0..*	Coding	AMT Medicines Binding: Australian Medication (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
text	Σ	0..1	string	Medication primary text
medication[x]:medicationReference	Σ	0..1	Reference()	Medication Reference
subject	Σ	1..1	Reference(Patient | Group)	Who is/was taking the medication
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
dosage		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
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	preferred	PBSItemCodes (a valid code from PBS Item Codes) http://terminology.hl7.org.au/ValueSet/pbs-item from this IG
MedicationStatement.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt	preferred	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS)) http://terminology.hl7.org.au/ValueSet/mims from this IG
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..*	MedicationStatement	A record of medication being taken by a patient in an Australian healthcare context
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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	?!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]	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): A coded concept identifying the substance or product being 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
Slices for coding	Σ	0..*	Coding	Medication Codes Slice: Unordered, Open by value:system
coding:pbs	Σ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:amt	Σ	0..*	Coding	AMT Medicines Binding: Australian Medication (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Medication primary text
medication[x]:medicationReference	Σ	0..1	Reference()	Medication Reference
subject	Σ	1..1	Reference(Patient | Group)	Who is/was taking the medication
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
effective[x]	Σ	0..1		The date/time or interval when the medication is/was/will be taken
effectiveDateTime			dateTime
effectivePeriod			Period
dateAsserted	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		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
dosage		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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	preferred	PBSItemCodes (a valid code from PBS Item Codes) http://terminology.hl7.org.au/ValueSet/pbs-item from this IG
MedicationStatement.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt	preferred	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS)) http://terminology.hl7.org.au/ValueSet/mims from this IG
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()

Differential View

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	A record of medication being taken by a patient in an Australian healthcare context
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
longTerm		0..1	boolean	Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
Slices for medication[x]		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	Medication Codes Slice: Unordered, Open by value:system
coding:pbs		0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin		0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt		0..*	Coding	AMT Medicines Binding: Australian Medication (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage		0..1	Coding	MIMS Package Binding: MIMS (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
text		0..1	string	Medication primary text
medication[x]:medicationReference		0..1	Reference()	Medication Reference
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
dosage		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes) http://terminology.hl7.org.au/ValueSet/pbs-item from this IG
MedicationStatement.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt	preferred	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS)) http://terminology.hl7.org.au/ValueSet/mims from this IG
MedicationStatement.reasonCode	preferred	MedicationReasonTaken https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1 from https://tx.ontoserver.csiro.au/fhir

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	A record of medication being taken by a patient in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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
status	?!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.
Slices for medication[x]	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): A coded concept identifying the substance or product being taken.
Slices for coding	Σ	0..*	Coding	Medication Codes Slice: Unordered, Open by value:system
coding:pbs	Σ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt	Σ	0..*	Coding	AMT Medicines Binding: Australian Medication (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
text	Σ	0..1	string	Medication primary text
medication[x]:medicationReference	Σ	0..1	Reference()	Medication Reference
subject	Σ	1..1	Reference(Patient | Group)	Who is/was taking the medication
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
dosage		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
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	preferred	PBSItemCodes (a valid code from PBS Item Codes) http://terminology.hl7.org.au/ValueSet/pbs-item from this IG
MedicationStatement.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt	preferred	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS)) http://terminology.hl7.org.au/ValueSet/mims from this IG
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..*	MedicationStatement	A record of medication being taken by a patient in an Australian healthcare context
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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	?!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]	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): A coded concept identifying the substance or product being 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
Slices for coding	Σ	0..*	Coding	Medication Codes Slice: Unordered, Open by value:system
coding:pbs	Σ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:amt	Σ	0..*	Coding	AMT Medicines Binding: Australian Medication (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Medication primary text
medication[x]:medicationReference	Σ	0..1	Reference()	Medication Reference
subject	Σ	1..1	Reference(Patient | Group)	Who is/was taking the medication
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
effective[x]	Σ	0..1		The date/time or interval when the medication is/was/will be taken
effectiveDateTime			dateTime
effectivePeriod			Period
dateAsserted	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		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
dosage		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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	preferred	PBSItemCodes (a valid code from PBS Item Codes) http://terminology.hl7.org.au/ValueSet/pbs-item from this IG
MedicationStatement.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt	preferred	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationStatement.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS)) http://terminology.hl7.org.au/ValueSet/mims from this IG
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()

This structure is derived from MedicationStatement

Summary

Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 4 elements

Structures

This structure refers to these other structures:

• AU Base Dosage (http://hl7.org.au/fhir/StructureDefinition/au-dosage)

Extensions

This structure refers to these extensions:

• http://hl7.org.au/fhir/StructureDefinition/medication-long-term
• http://hl7.org.au/fhir/StructureDefinition/medication-type

Slices

This structure defines the following Slices:

• The element MedicationStatement.medication[x] is sliced based on the value of type:$this (Closed)
• The element MedicationStatement.medication[x].coding is sliced based on the value of value:system

Maturity: 2