Australian Digital Health Agency FHIR Implementation Guide

This profile identifies the additional constraints, extensions, and value sets that build on and extend Medication that are supported.

A Medication resource is used within the context of a referencing resource: MedicationAdministration, MedicationDispense, MedicationRequest, or MedicationStatement resource.

This profile is designed to set a core Medication standard in the context of:

• Querying medications referenced by another resource
• Recording or updating a medication referenced by another resource
• Reading medications referenced by another resource

Operations on Medication resources are expected to be within the context of an ExplanationOfBenefit, Flag, MedicationAdministration, MedicationDipsense, MedicationRequest or MedicationStatement resource query.

This profile may be referred to by APIs, which will be listed here when available.

Profile specific guidance

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

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

This structure is derived from AUCoreMedication

Name	Flags	Card.	Type	Description & Constraints
Medication	C	0..*	AUCoreMedication	A medication in an Australian healthcare context inv-dh-med-01: If present, a manufacturer shall at least have a reference, an identifier or a display
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
brandName	S	0..1	string	Medication brand name URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
genericName	S	0..1	string	Medication generic drug name URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
manufacturer	SC	0..1	Reference(ADHA Core Organization)	Physical product manufacturer organisation
ingredient	SC	0..*	BackboneElement	Active or inactive ingredient inv-dh-med-02: If present, an item reference shall at least have a reference or a display
item[x]	SC	1..1		The actual ingredient or content
itemCodeableConcept			CodeableConcept
itemReference			Reference(ADHA Core Substance | ADHA Core Medication)
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-med-01	error	Medication	If present, a manufacturer shall at least have a reference, an identifier or a display : manufacturer.exists() implies manufacturer.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-med-02	error	Medication.ingredient	If present, an item reference shall at least have a reference or a display : itemReference.exists() implies itemReference.all($this.reference.exists() or $this.display.exists())

Name	Flags	Card.	Type	Description & Constraints
Medication	C	0..*	AUCoreMedication	A medication in an Australian healthcare context 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 inv-dh-med-01: If present, a manufacturer shall at least have a reference, an identifier or a display
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
brandName	S	0..1	string	Medication brand name URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
genericName	S	0..1	string	Medication generic drug name URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SOΣ	1..1	CodeableConcept	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 Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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
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	SOΣ	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Slices for extension				Content/Rules for all slices
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	SOΣ	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Slices for extension				Content/Rules for all slices
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
manufacturer	SΣC	0..1	Reference(ADHA Core Organization)	Physical product manufacturer organisation ele-1: All FHIR elements must have a @value or children
ingredient	SC	0..*	BackboneElement	Active or inactive ingredient ele-1: All FHIR elements must have a @value or children inv-dh-med-02: If present, an item reference shall at least have a reference or a display
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]	SC	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
itemReference			Reference(ADHA Core Substance | ADHA Core Medication)
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.ingredient.item[x]	preferred	AMTMedicinalProductAndSubstances http://terminology.hl7.org.au/ValueSet/amt-mp-codes

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-med-01	error	Medication	If present, a manufacturer shall at least have a reference, an identifier or a display : manufacturer.exists() implies manufacturer.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-med-02	error	Medication.ingredient	If present, an item reference shall at least have a reference or a display : itemReference.exists() implies itemReference.all($this.reference.exists() or $this.display.exists())

Name	Flags	Card.	Type	Description & Constraints
Medication	C	0..*	AUCoreMedication	A medication in an Australian healthcare context inv-dh-med-01: If present, a manufacturer shall at least have a reference, an identifier or a display
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
brandName	S	0..1	string	Medication brand name URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
genericName	S	0..1	string	Medication generic drug name URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	SOΣ	1..1	CodeableConcept	Coding for the medicine Binding: SNOMEDCTMedicationCodes (example) Additional Bindings Purpose Australian Medication Preferred PBS Item Codes Preferred MIMS Preferred GTIN Preferred Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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
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	SOΣ	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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	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	SOΣ	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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	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	SΣC	0..1	Reference(ADHA Core Organization)	Physical product manufacturer organisation
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: Medication Form (preferred)
amount	Σ	0..1	Ratio	Amount of drug in package
ingredient	SC	0..*	BackboneElement	Active or inactive ingredient inv-dh-med-02: If present, an item reference shall at least have a reference or a display
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]	SC	1..1		The actual ingredient or content Binding: AMT Medicinal Product and Substances (preferred)
itemCodeableConcept			CodeableConcept
itemReference			Reference(ADHA Core Substance | ADHA Core Medication)
isActive		0..1	boolean	Active ingredient indicator
strength		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
inv-dh-med-01	error	Medication	If present, a manufacturer shall at least have a reference, an identifier or a display : manufacturer.exists() implies manufacturer.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-med-02	error	Medication.ingredient	If present, an item reference shall at least have a reference or a display : itemReference.exists() implies itemReference.all($this.reference.exists() or $this.display.exists())

Differential View

This structure is derived from AUCoreMedication

Name	Flags	Card.	Type	Description & Constraints
Medication	C	0..*	AUCoreMedication	A medication in an Australian healthcare context inv-dh-med-01: If present, a manufacturer shall at least have a reference, an identifier or a display
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
brandName	S	0..1	string	Medication brand name URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
genericName	S	0..1	string	Medication generic drug name URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
manufacturer	SC	0..1	Reference(ADHA Core Organization)	Physical product manufacturer organisation
ingredient	SC	0..*	BackboneElement	Active or inactive ingredient inv-dh-med-02: If present, an item reference shall at least have a reference or a display
item[x]	SC	1..1		The actual ingredient or content
itemCodeableConcept			CodeableConcept
itemReference			Reference(ADHA Core Substance | ADHA Core Medication)
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-med-01	error	Medication	If present, a manufacturer shall at least have a reference, an identifier or a display : manufacturer.exists() implies manufacturer.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-med-02	error	Medication.ingredient	If present, an item reference shall at least have a reference or a display : itemReference.exists() implies itemReference.all($this.reference.exists() or $this.display.exists())

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Medication	C	0..*	AUCoreMedication	A medication in an Australian healthcare context 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 inv-dh-med-01: If present, a manufacturer shall at least have a reference, an identifier or a display
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
brandName	S	0..1	string	Medication brand name URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
genericName	S	0..1	string	Medication generic drug name URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SOΣ	1..1	CodeableConcept	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 Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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
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	SOΣ	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Slices for extension				Content/Rules for all slices
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	SOΣ	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Slices for extension				Content/Rules for all slices
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
manufacturer	SΣC	0..1	Reference(ADHA Core Organization)	Physical product manufacturer organisation ele-1: All FHIR elements must have a @value or children
ingredient	SC	0..*	BackboneElement	Active or inactive ingredient ele-1: All FHIR elements must have a @value or children inv-dh-med-02: If present, an item reference shall at least have a reference or a display
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]	SC	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
itemReference			Reference(ADHA Core Substance | ADHA Core Medication)
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.ingredient.item[x]	preferred	AMTMedicinalProductAndSubstances http://terminology.hl7.org.au/ValueSet/amt-mp-codes

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-med-01	error	Medication	If present, a manufacturer shall at least have a reference, an identifier or a display : manufacturer.exists() implies manufacturer.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-med-02	error	Medication.ingredient	If present, an item reference shall at least have a reference or a display : itemReference.exists() implies itemReference.all($this.reference.exists() or $this.display.exists())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Medication	C	0..*	AUCoreMedication	A medication in an Australian healthcare context inv-dh-med-01: If present, a manufacturer shall at least have a reference, an identifier or a display
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
brandName	S	0..1	string	Medication brand name URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
genericName	S	0..1	string	Medication generic drug name URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	SOΣ	1..1	CodeableConcept	Coding for the medicine Binding: SNOMEDCTMedicationCodes (example) Additional Bindings Purpose Australian Medication Preferred PBS Item Codes Preferred MIMS Preferred GTIN Preferred Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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
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	SOΣ	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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	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	SOΣ	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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	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	SΣC	0..1	Reference(ADHA Core Organization)	Physical product manufacturer organisation
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: Medication Form (preferred)
amount	Σ	0..1	Ratio	Amount of drug in package
ingredient	SC	0..*	BackboneElement	Active or inactive ingredient inv-dh-med-02: If present, an item reference shall at least have a reference or a display
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]	SC	1..1		The actual ingredient or content Binding: AMT Medicinal Product and Substances (preferred)
itemCodeableConcept			CodeableConcept
itemReference			Reference(ADHA Core Substance | ADHA Core Medication)
isActive		0..1	boolean	Active ingredient indicator
strength		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
inv-dh-med-01	error	Medication	If present, a manufacturer shall at least have a reference, an identifier or a display : manufacturer.exists() implies manufacturer.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-med-02	error	Medication.ingredient	If present, an item reference shall at least have a reference or a display : itemReference.exists() implies itemReference.all($this.reference.exists() or $this.display.exists())

This structure is derived from AUCoreMedication

Summary

Must-Support: 5 elements

Structures

This structure refers to these other structures:

• ADHA Core Organization (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-organization-core-1)
• ADHA Core Substance (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-substance-core-1)
• ADHA Core Medication (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-medication-core-1)

Extensions

This structure refers to these extensions:

• http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
• http://hl7.org.au/fhir/StructureDefinition/medication-generic-name

No mandatory or optional search parameters for ADHA Core Medication profile.