Smart Health Checks
0.4.0 - ci-build

Smart Health Checks, published by AEHRC CSIRO. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/aehrc/smart-forms-ig/ and changes regularly. See the Directory of published versions

## Resource Profile: Smart Health Checks MedicationStatement

Official URL: https://smartforms.csiro.au/ig/StructureDefinition/SHCMedicationStatement | Version: 0.4.0
Draft as of 2025-12-18 | Computable Name: SmartHealthChecksMedicationStatement
Copyright/Legal: Copyright © 2022+ Australian Government Department of Health and Aged Care - All rights reserved. This content is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. See https://creativecommons.org/licenses/by-sa/4.0/.

This profile sets the minimum expectations for a MedicationStatement resource to record, search and save medication information when used within Smart Health Checks.

Usages:

- Use this Profile: Smart Health Checks Extract Bundle
- Examples for this Profile: MedicationStatement/active-bisoprolol-pat-sf and MedicationStatement/chloramphenicol-pat-sf
- CapabilityStatements using this Profile: SHC App and SHC Host FHIR Server

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | AUCoreMedicationStatement | A record of medication being taken by a patient in an Australian healthcare context
id | SO Σ | 0..1 | id | Logical id of this artifact
Obligations | Actor
SHALL:populate | SHC Host FHIR Server
SHALL:process | SHC App
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:longTerm |  | 0..1 | boolean | Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!SO Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Statement Status Limited (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate & SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
Slices for medication[x] | SO Σ | 1..1 |  | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Any) |
medication[x]:medicationCodeableConcept | SO Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
coding:pbs | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
coding:amt | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
text | SO Σ | 0..1 | string | Medication primary text
Obligations | Actor
SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
medication[x]:medicationReference | SO Σ | 0..1 | Reference(Smart Health Checks Medication) | Medication Reference
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | SHC Host FHIR Server |
SHALL:process | SHC App |
subject | SO Σ | 1..1 | Reference(AU Core Patient) | Who is/was taking the medication
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate & SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
effective[x] | SO Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dateAsserted | SO Σ | 0..1 | dateTime | When the statement was asserted?
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
reasonCode | SO | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
reasonReference | SO | 0..* | Reference(AU Core Condition | Observation | AU Base DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
note |  | 0..1 | Annotation | Further information about the statement
text | SO Σ | 1..1 | markdown | The annotation - text content (as markdown)
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
dosage | SO | 0..1 | AUBaseDosage | Details of how medication is/was taken or should be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | SO Σ | 0..1 | string | Free text dosage instructions e.g. SIG
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​status | Base | required | Medication Statement Status Limited | 📦0.4.0 | This IG
MedicationStatement.​medication[x] | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:pbs | Base | required | PBS Item Codes | 📦6.0.0-ballot | AU Base Implementation Guide v6.0
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:amt | Base | required | Australian Medication | ⏿1.0.2 | tx.hl7.org.au
MedicationStatement.​reasonCode | Base | preferred | Medication Reason Taken | 📦1.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 AUCoreMedicationStatement

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  |  | AUCoreMedicationStatement |
id | SO | 0..1 | id | Logical id of this artifact
Obligations | Actor
SHALL:populate | SHC Host FHIR Server
SHALL:process | SHC App
status | O | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Statement Status Limited (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate & SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
Slices for medication[x] |  |  |  | Content/Rules for all slices
medication[x]:medicationCodeableConcept | O | 0..1 | CodeableConcept | Coded Medication
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
text | SO | 0..1 | string | Medication primary text
Obligations | Actor
SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
medication[x]:medicationReference | O | 0..1 | Reference(Smart Health Checks Medication) | Medication Reference
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | SHC Host FHIR Server |
SHALL:process | SHC App |
subject | O | 1..1 | Reference(AU Core Patient) | Who is/was taking the medication
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate & SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
dateAsserted | O | 0..1 | dateTime | When the statement was asserted?
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
reasonCode | O | 0..* | CodeableConcept | Reason for why the medication is being/was taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
note |  | 0..1 | Annotation | Further information about the statement
text | SO | 1..1 | markdown | The annotation - text content (as markdown)
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
dosage |  | 0..1 | AUBaseDosage | Details of how medication is/was taken or should be taken
text | O | 0..1 | string | Free text dosage instructions e.g. SIG
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​status | Base | required | Medication Statement Status Limited | 📦0.4.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | AUCoreMedicationStatement | A record of medication being taken by a patient in an Australian healthcare context
id | SO Σ | 0..1 | id | Logical id of this artifact
Obligations | Actor
SHALL:populate | SHC Host FHIR Server
SHALL:process | SHC App
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:longTerm |  | 0..1 | boolean | Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External identifier
basedOn | Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event
status | ?!SO Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Statement Status Limited (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate & SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
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] | SO Σ | 1..1 |  | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Any) |
medication[x]:medicationCodeableConcept | SO Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:pbs | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:amt | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | SO Σ | 0..1 | string | Medication primary text
Obligations | Actor
SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
medication[x]:medicationReference | SO Σ | 0..1 | Reference(Smart Health Checks Medication) | Medication Reference
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | SHC Host FHIR Server |
SHALL:process | SHC App |
subject | SO Σ | 1..1 | Reference(AU Core Patient) | Who is/was taking the medication
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate & SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
effective[x] | SO Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dateAsserted | SO Σ | 0..1 | dateTime | When the statement was asserted?
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
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 | SO | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
reasonReference | SO | 0..* | Reference(AU Core Condition | Observation | AU Base DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
note |  | 0..1 | Annotation | Further information about the statement
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
author[x] | Σ | 0..1 |  | Individual responsible for the annotation
authorReference |  |  | Reference(Practitioner | Patient | RelatedPerson | Organization) |
authorString |  |  | string |
time | Σ | 0..1 | dateTime | When the annotation was made
text | SO Σ | 1..1 | markdown | The annotation - text content (as markdown)
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
dosage | SO | 0..1 | AUBaseDosage | Details of how medication is/was taken or should be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | SO Σ | 0..1 | string | Free text dosage instructions e.g. SIG
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | Σ | 0..1 | Timing | When medication should be administered
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: Clinical Finding (preferred)
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: Body Site (preferred)
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: Route of Administration (preferred)
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
MedicationStatement.​status | Base | required | Medication Statement Status Limited | 📦0.4.0 | This IG
MedicationStatement.​statusReason | Base | example | SNOMED CT Drug Therapy Status codes | 📦4.0.1 | FHIR Std.
MedicationStatement.​category | Base | preferred | Medication usage category codes | 📦4.0.1 | FHIR Std.
MedicationStatement.​medication[x] | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:pbs | Base | required | PBS Item Codes | 📦6.0.0-ballot | AU Base Implementation Guide v6.0
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:amt | Base | required | Australian Medication | ⏿1.0.2 | tx.hl7.org.au
MedicationStatement.​reasonCode | Base | preferred | Medication Reason Taken | 📦1.1.0 | This IG
MedicationStatement.​dosage.additionalInstruction | Base | preferred | SNOMED CT Additional Dosage Instructions | 📦4.0.1 | FHIR Std.
MedicationStatement.​dosage.asNeeded[x] | Base | preferred | Clinical Finding | ⏿1.0.2 | tx.hl7.org.au
MedicationStatement.​dosage.site | Base | preferred | Body Site | ⏿1.0.2 | tx.hl7.org.au
MedicationStatement.​dosage.route | Base | preferred | Route of Administration | ⏿1.0.2 | tx.hl7.org.au
MedicationStatement.​dosage.method | Base | preferred | SNOMED CT Administration Method Codes | 📦4.0.1 | FHIR Std.
MedicationStatement.​dosage.doseAndRate.type | Base | example | DoseAndRateType | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 AUCoreMedicationStatement

Summary

Must-Support: 3 elements

Structures

This structure refers to these other structures:

- Smart Health Checks Medication (https://smartforms.csiro.au/ig/StructureDefinition/SHCMedication)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | AUCoreMedicationStatement | A record of medication being taken by a patient in an Australian healthcare context
id | SO Σ | 0..1 | id | Logical id of this artifact
Obligations | Actor
SHALL:populate | SHC Host FHIR Server
SHALL:process | SHC App
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:longTerm |  | 0..1 | boolean | Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!SO Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Statement Status Limited (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate & SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
Slices for medication[x] | SO Σ | 1..1 |  | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Any) |
medication[x]:medicationCodeableConcept | SO Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
coding:pbs | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
coding:amt | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
text | SO Σ | 0..1 | string | Medication primary text
Obligations | Actor
SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
medication[x]:medicationReference | SO Σ | 0..1 | Reference(Smart Health Checks Medication) | Medication Reference
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | SHC Host FHIR Server |
SHALL:process | SHC App |
subject | SO Σ | 1..1 | Reference(AU Core Patient) | Who is/was taking the medication
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate & SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
effective[x] | SO Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dateAsserted | SO Σ | 0..1 | dateTime | When the statement was asserted?
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
reasonCode | SO | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
reasonReference | SO | 0..* | Reference(AU Core Condition | Observation | AU Base DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
note |  | 0..1 | Annotation | Further information about the statement
text | SO Σ | 1..1 | markdown | The annotation - text content (as markdown)
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
dosage | SO | 0..1 | AUBaseDosage | Details of how medication is/was taken or should be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | SO Σ | 0..1 | string | Free text dosage instructions e.g. SIG
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​status | Base | required | Medication Statement Status Limited | 📦0.4.0 | This IG
MedicationStatement.​medication[x] | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:pbs | Base | required | PBS Item Codes | 📦6.0.0-ballot | AU Base Implementation Guide v6.0
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:amt | Base | required | Australian Medication | ⏿1.0.2 | tx.hl7.org.au
MedicationStatement.​reasonCode | Base | preferred | Medication Reason Taken | 📦1.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 AUCoreMedicationStatement

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  |  | AUCoreMedicationStatement |
id | SO | 0..1 | id | Logical id of this artifact
Obligations | Actor
SHALL:populate | SHC Host FHIR Server
SHALL:process | SHC App
status | O | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Statement Status Limited (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate & SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
Slices for medication[x] |  |  |  | Content/Rules for all slices
medication[x]:medicationCodeableConcept | O | 0..1 | CodeableConcept | Coded Medication
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
text | SO | 0..1 | string | Medication primary text
Obligations | Actor
SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
medication[x]:medicationReference | O | 0..1 | Reference(Smart Health Checks Medication) | Medication Reference
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | SHC Host FHIR Server |
SHALL:process | SHC App |
subject | O | 1..1 | Reference(AU Core Patient) | Who is/was taking the medication
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate & SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
dateAsserted | O | 0..1 | dateTime | When the statement was asserted?
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
reasonCode | O | 0..* | CodeableConcept | Reason for why the medication is being/was taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
note |  | 0..1 | Annotation | Further information about the statement
text | SO | 1..1 | markdown | The annotation - text content (as markdown)
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
dosage |  | 0..1 | AUBaseDosage | Details of how medication is/was taken or should be taken
text | O | 0..1 | string | Free text dosage instructions e.g. SIG
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​status | Base | required | Medication Statement Status Limited | 📦0.4.0 | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | AUCoreMedicationStatement | A record of medication being taken by a patient in an Australian healthcare context
id | SO Σ | 0..1 | id | Logical id of this artifact
Obligations | Actor
SHALL:populate | SHC Host FHIR Server
SHALL:process | SHC App
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:longTerm |  | 0..1 | boolean | Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External identifier
basedOn | Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event
status | ?!SO Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Statement Status Limited (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate & SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
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] | SO Σ | 1..1 |  | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Any) |
medication[x]:medicationCodeableConcept | SO Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:pbs | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:amt | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | SO Σ | 0..1 | string | Medication primary text
Obligations | Actor
SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
medication[x]:medicationReference | SO Σ | 0..1 | Reference(Smart Health Checks Medication) | Medication Reference
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | SHC Host FHIR Server |
SHALL:process | SHC App |
subject | SO Σ | 1..1 | Reference(AU Core Patient) | Who is/was taking the medication
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate & SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
effective[x] | SO Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dateAsserted | SO Σ | 0..1 | dateTime | When the statement was asserted?
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:persist | SHC Host FHIR Server |
SHALL:populate | SHC App |
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 | SO | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
reasonReference | SO | 0..* | Reference(AU Core Condition | Observation | AU Base DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
note |  | 0..1 | Annotation | Further information about the statement
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
author[x] | Σ | 0..1 |  | Individual responsible for the annotation
authorReference |  |  | Reference(Practitioner | Patient | RelatedPerson | Organization) |
authorString |  |  | string |
time | Σ | 0..1 | dateTime | When the annotation was made
text | SO Σ | 1..1 | markdown | The annotation - text content (as markdown)
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
dosage | SO | 0..1 | AUBaseDosage | Details of how medication is/was taken or should be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | SO Σ | 0..1 | string | Free text dosage instructions e.g. SIG
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server |
SHALL:populate-if-known & SHALL:process | SHC App |
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | Σ | 0..1 | Timing | When medication should be administered
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: Clinical Finding (preferred)
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: Body Site (preferred)
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: Route of Administration (preferred)
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
MedicationStatement.​status | Base | required | Medication Statement Status Limited | 📦0.4.0 | This IG
MedicationStatement.​statusReason | Base | example | SNOMED CT Drug Therapy Status codes | 📦4.0.1 | FHIR Std.
MedicationStatement.​category | Base | preferred | Medication usage category codes | 📦4.0.1 | FHIR Std.
MedicationStatement.​medication[x] | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:pbs | Base | required | PBS Item Codes | 📦6.0.0-ballot | AU Base Implementation Guide v6.0
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:amt | Base | required | Australian Medication | ⏿1.0.2 | tx.hl7.org.au
MedicationStatement.​reasonCode | Base | preferred | Medication Reason Taken | 📦1.1.0 | This IG
MedicationStatement.​dosage.additionalInstruction | Base | preferred | SNOMED CT Additional Dosage Instructions | 📦4.0.1 | FHIR Std.
MedicationStatement.​dosage.asNeeded[x] | Base | preferred | Clinical Finding | ⏿1.0.2 | tx.hl7.org.au
MedicationStatement.​dosage.site | Base | preferred | Body Site | ⏿1.0.2 | tx.hl7.org.au
MedicationStatement.​dosage.route | Base | preferred | Route of Administration | ⏿1.0.2 | tx.hl7.org.au
MedicationStatement.​dosage.method | Base | preferred | SNOMED CT Administration Method Codes | 📦4.0.1 | FHIR Std.
MedicationStatement.​dosage.doseAndRate.type | Base | example | DoseAndRateType | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 AUCoreMedicationStatement

Summary

Must-Support: 3 elements

Structures

This structure refers to these other structures:

- Smart Health Checks Medication (https://smartforms.csiro.au/ig/StructureDefinition/SHCMedication)

Other representations of profile: CSV, Excel, Schematron