AU Core Implementation Guide
3.0.0-ci-build - CI Build Australia flag

AU Core Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-core/ and changes regularly. See the Directory of published versions

Resource Profile: AU Core Medication

Official URL: http://hl7.org.au/fhir/core/StructureDefinition/au-core-medication Version: 3.0.0-ci-build
Standards status: Trial-use Maturity Level: 2 Computable Name: AUCoreMedication

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved.

This profile sets minimum expectations for a Medication resource to record, search, and fetch medications associated with a patient. It is based on the AU Base Medication profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets that SHALL be present in the Medication when conforming to this profile. It provides the floor for standards development for specific uses cases in an Australian context.

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

See Comparison with other national and international IGs for a comparison between AU Core profiles and profiles in other implementation guides.

Usage Scenarios

The following are supported usage scenarios for this profile:

  • Query medications associated with a patient referenced by another resource
  • Record or update a medication associated with a patient referenced by another resource
  • Read medications associated with a patient referenced by another resource

Profile Specific Implementation Guidance

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 2.0.0:

  • One or more text definitions, invariants or bindings have changed (description)
  • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Medication 0..* AUBaseMedication A medication in an Australian healthcare context
    Medication.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    Medication.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    Medication.code This element has obligations and must be supported. This element is included in summaries. 1..1 CodeableConcept Coding for the medicine
    Binding: SNOMEDCTMedicationCodes (example)
    Additional BindingsPurpose
    Australian Medication Preferred
    PBS Item Codes Preferred
    MIMS Preferred
    GTIN Preferred
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester
    Medication.code.Slices for coding This element is included in summaries. 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by pattern:$this

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Medication.code.Slices for coding.coding:All Slices Content/Rules for all slices
    Medication.code.Slices for coding.coding:All Slices.Slices for extension Content/Rules for all slices
    Medication.code.Slices for coding.coding:All Slices.Slices for extension.extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    Medication.code.Slices for coding.coding:pbs This element has obligations and must be supported. This element is included in summaries. 0..* Coding Code defined by a terminology system
    Binding: PBS Item Codes (required)
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester
    Medication.code.Slices for coding.coding:pbs.Slices for extension Content/Rules for all slices
    Medication.code.Slices for coding.coding:pbs.Slices for extension.extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    Medication.code.Slices for coding.coding:amt This element has obligations and must be supported. This element is included in summaries. 0..* Coding Code defined by a terminology system
    Binding: Australian Medication (required)
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester
    Medication.code.Slices for coding.coding:amt.Slices for extension Content/Rules for all slices
    Medication.code.Slices for coding.coding:amt.Slices for extension.extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    Medication.status This element is a modifier element. This element is included in summaries. 0..1 code active | inactive | entered-in-error
    Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Medication.code Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
    Medication.code.coding:pbs Base required PBS Item Codes 📦7.0.0-ci-build AU Base Implementation Guide vnull
    Medication.code.coding:amt Base required Australian Medication ⏿1.0.2 tx.hl7.org.au
    Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    This structure is derived from AUBaseMedication

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Medication 0..* AUBaseMedication A medication in an Australian healthcare context
    Medication.code This element has obligations and must be supported. 1..1 CodeableConcept Coding for the medicine
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester
    Medication.code.Slices for coding 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by pattern:$this
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Medication.code.Slices for coding.coding:pbs This element has obligations and must be supported. 0..* Coding Code defined by a terminology system
    Binding: PBS Item Codes (required)
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester
    Medication.code.Slices for coding.coding:amt This element has obligations and must be supported. 0..* Coding Code defined by a terminology system
    Binding: Australian Medication (required)
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Medication.code.coding:pbs Base required PBS Item Codes 📦7.0.0-ci-build AU Base Implementation Guide vnull
    Medication.code.coding:amt Base required Australian Medication ⏿1.0.2 tx.hl7.org.au
    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Medication 0..* AUBaseMedication A medication in an Australian healthcare context
    Medication.id This element is included in summaries. 0..1 id Logical id of this artifact
    Medication.meta This element is included in summaries. 0..1 Meta Metadata about the resource
    Medication.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    Medication.language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding
    Medication.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
    Medication.contained 0..* Resource Contained, inline Resources
    Medication.extension 0..* Extension Additional content defined by implementations
    Medication.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    Medication.identifier This element is included in summaries. 0..* Identifier Business identifier for this medication
    Medication.code This element has obligations and must be supported. This element is included in summaries. 1..1 CodeableConcept Coding for the medicine
    Binding: SNOMEDCTMedicationCodes (example)
    Additional BindingsPurpose
    Australian Medication Preferred
    PBS Item Codes Preferred
    MIMS Preferred
    GTIN Preferred
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester
    Medication.code.id 0..1 string Unique id for inter-element referencing
    Medication.code.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    Medication.code.Slices for coding This element is included in summaries. 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by pattern:$this

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Medication.code.Slices for coding.coding:All Slices Content/Rules for all slices
    Medication.code.Slices for coding.coding:All Slices.id 0..1 string Unique id for inter-element referencing
    Medication.code.Slices for coding.coding:All Slices.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    Medication.code.Slices for coding.coding:All Slices.Slices for extension.extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    Medication.code.Slices for coding.coding:All Slices.system This element is included in summaries. 0..1 uri Identity of the terminology system
    Medication.code.Slices for coding.coding:All Slices.version This element is included in summaries. 0..1 string Version of the system - if relevant
    Medication.code.Slices for coding.coding:All Slices.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
    Medication.code.Slices for coding.coding:All Slices.display This element is included in summaries. 0..1 string Representation defined by the system
    Medication.code.Slices for coding.coding:All Slices.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
    Medication.code.Slices for coding.coding:pbs This element has obligations and must be supported. This element is included in summaries. 0..* Coding Code defined by a terminology system
    Binding: PBS Item Codes (required)
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester
    Medication.code.Slices for coding.coding:pbs.id 0..1 string Unique id for inter-element referencing
    Medication.code.Slices for coding.coding:pbs.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    Medication.code.Slices for coding.coding:pbs.Slices for extension Content/Rules for all slices
    Medication.code.Slices for coding.coding:pbs.Slices for extension.extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    Medication.code.Slices for coding.coding:pbs.system This element is included in summaries. 0..1 uri Identity of the terminology system
    Medication.code.Slices for coding.coding:pbs.version This element is included in summaries. 0..1 string Version of the system - if relevant
    Medication.code.Slices for coding.coding:pbs.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
    Medication.code.Slices for coding.coding:pbs.display This element is included in summaries. 0..1 string Representation defined by the system
    Medication.code.Slices for coding.coding:pbs.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
    Medication.code.Slices for coding.coding:amt This element has obligations and must be supported. This element is included in summaries. 0..* Coding Code defined by a terminology system
    Binding: Australian Medication (required)
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester
    Medication.code.Slices for coding.coding:amt.id 0..1 string Unique id for inter-element referencing
    Medication.code.Slices for coding.coding:amt.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    Medication.code.Slices for coding.coding:amt.Slices for extension Content/Rules for all slices
    Medication.code.Slices for coding.coding:amt.Slices for extension.extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    Medication.code.Slices for coding.coding:amt.system This element is included in summaries. 0..1 uri Identity of the terminology system
    Medication.code.Slices for coding.coding:amt.version This element is included in summaries. 0..1 string Version of the system - if relevant
    Medication.code.Slices for coding.coding:amt.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
    Medication.code.Slices for coding.coding:amt.display This element is included in summaries. 0..1 string Representation defined by the system
    Medication.code.Slices for coding.coding:amt.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
    Medication.code.text This element is included in summaries. 0..1 string Medication primary text
    Medication.status This element is a modifier element. This element is included in summaries. 0..1 code active | inactive | entered-in-error
    Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
    Medication.manufacturer This element is included in summaries. 0..1 Reference(Organization) Physical product manufacturer organisation
    Medication.form 0..1 CodeableConcept powder | tablets | capsule +
    Binding: Medication Form (preferred)
    Medication.amount This element is included in summaries. 0..1 Ratio Amount of drug in package
    Medication.ingredient 0..* BackboneElement Active or inactive ingredient
    Medication.ingredient.id 0..1 string Unique id for inter-element referencing
    Medication.ingredient.extension 0..* Extension Additional content defined by implementations
    Medication.ingredient.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    Medication.ingredient.item[x] 1..1 The actual ingredient or content
    Binding: Medication Ingredient (preferred)
    Medication.ingredient.item[x].itemCodeableConcept CodeableConcept
    Medication.ingredient.item[x].itemReference Reference(Substance | Medication)
    Medication.ingredient.isActive 0..1 boolean Active ingredient indicator
    Medication.ingredient.strength 0..1 Ratio Quantity/strength of ingredient present
    Medication.batch 0..1 BackboneElement Details about packaged medications
    Medication.batch.id 0..1 string Unique id for inter-element referencing
    Medication.batch.extension 0..* Extension Additional content defined by implementations
    Medication.batch.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    Medication.batch.lotNumber 0..1 string Identifier assigned to batch
    Medication.batch.expirationDate 0..1 dateTime When batch will expire

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Medication.language Base preferred Common Languages 📍4.0.1 FHIR Std.
    Medication.code Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
    Medication.code.coding:pbs Base required PBS Item Codes 📦7.0.0-ci-build AU Base Implementation Guide vnull
    Medication.code.coding:amt Base required Australian Medication ⏿1.0.2 tx.hl7.org.au
    Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
    Medication.form Base preferred Medication Form ⏿1.1.1 tx.hl7.org.au
    Medication.ingredient.​item[x] Base preferred Medication Ingredient ⏿1.0.0 tx.hl7.org.au

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    This structure is derived from AUBaseMedication

    Summary

    Mandatory: 1 element
    Must-Support: 3 elements

    Slices

    This structure defines the following Slices:

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

    Maturity: 2

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Medication 0..* AUBaseMedication A medication in an Australian healthcare context
    Medication.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    Medication.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    Medication.code This element has obligations and must be supported. This element is included in summaries. 1..1 CodeableConcept Coding for the medicine
    Binding: SNOMEDCTMedicationCodes (example)
    Additional BindingsPurpose
    Australian Medication Preferred
    PBS Item Codes Preferred
    MIMS Preferred
    GTIN Preferred
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester
    Medication.code.Slices for coding This element is included in summaries. 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by pattern:$this

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Medication.code.Slices for coding.coding:All Slices Content/Rules for all slices
    Medication.code.Slices for coding.coding:All Slices.Slices for extension Content/Rules for all slices
    Medication.code.Slices for coding.coding:All Slices.Slices for extension.extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    Medication.code.Slices for coding.coding:pbs This element has obligations and must be supported. This element is included in summaries. 0..* Coding Code defined by a terminology system
    Binding: PBS Item Codes (required)
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester
    Medication.code.Slices for coding.coding:pbs.Slices for extension Content/Rules for all slices
    Medication.code.Slices for coding.coding:pbs.Slices for extension.extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    Medication.code.Slices for coding.coding:amt This element has obligations and must be supported. This element is included in summaries. 0..* Coding Code defined by a terminology system
    Binding: Australian Medication (required)
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester
    Medication.code.Slices for coding.coding:amt.Slices for extension Content/Rules for all slices
    Medication.code.Slices for coding.coding:amt.Slices for extension.extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    Medication.status This element is a modifier element. This element is included in summaries. 0..1 code active | inactive | entered-in-error
    Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Medication.code Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
    Medication.code.coding:pbs Base required PBS Item Codes 📦7.0.0-ci-build AU Base Implementation Guide vnull
    Medication.code.coding:amt Base required Australian Medication ⏿1.0.2 tx.hl7.org.au
    Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    Differential View

    This structure is derived from AUBaseMedication

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Medication 0..* AUBaseMedication A medication in an Australian healthcare context
    Medication.code This element has obligations and must be supported. 1..1 CodeableConcept Coding for the medicine
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester
    Medication.code.Slices for coding 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by pattern:$this
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Medication.code.Slices for coding.coding:pbs This element has obligations and must be supported. 0..* Coding Code defined by a terminology system
    Binding: PBS Item Codes (required)
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester
    Medication.code.Slices for coding.coding:amt This element has obligations and must be supported. 0..* Coding Code defined by a terminology system
    Binding: Australian Medication (required)
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Medication.code.coding:pbs Base required PBS Item Codes 📦7.0.0-ci-build AU Base Implementation Guide vnull
    Medication.code.coding:amt Base required Australian Medication ⏿1.0.2 tx.hl7.org.au

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Medication 0..* AUBaseMedication A medication in an Australian healthcare context
    Medication.id This element is included in summaries. 0..1 id Logical id of this artifact
    Medication.meta This element is included in summaries. 0..1 Meta Metadata about the resource
    Medication.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    Medication.language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding
    Medication.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
    Medication.contained 0..* Resource Contained, inline Resources
    Medication.extension 0..* Extension Additional content defined by implementations
    Medication.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    Medication.identifier This element is included in summaries. 0..* Identifier Business identifier for this medication
    Medication.code This element has obligations and must be supported. This element is included in summaries. 1..1 CodeableConcept Coding for the medicine
    Binding: SNOMEDCTMedicationCodes (example)
    Additional BindingsPurpose
    Australian Medication Preferred
    PBS Item Codes Preferred
    MIMS Preferred
    GTIN Preferred
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester
    Medication.code.id 0..1 string Unique id for inter-element referencing
    Medication.code.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    Medication.code.Slices for coding This element is included in summaries. 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by pattern:$this

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Medication.code.Slices for coding.coding:All Slices Content/Rules for all slices
    Medication.code.Slices for coding.coding:All Slices.id 0..1 string Unique id for inter-element referencing
    Medication.code.Slices for coding.coding:All Slices.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    Medication.code.Slices for coding.coding:All Slices.Slices for extension.extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    Medication.code.Slices for coding.coding:All Slices.system This element is included in summaries. 0..1 uri Identity of the terminology system
    Medication.code.Slices for coding.coding:All Slices.version This element is included in summaries. 0..1 string Version of the system - if relevant
    Medication.code.Slices for coding.coding:All Slices.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
    Medication.code.Slices for coding.coding:All Slices.display This element is included in summaries. 0..1 string Representation defined by the system
    Medication.code.Slices for coding.coding:All Slices.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
    Medication.code.Slices for coding.coding:pbs This element has obligations and must be supported. This element is included in summaries. 0..* Coding Code defined by a terminology system
    Binding: PBS Item Codes (required)
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester
    Medication.code.Slices for coding.coding:pbs.id 0..1 string Unique id for inter-element referencing
    Medication.code.Slices for coding.coding:pbs.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    Medication.code.Slices for coding.coding:pbs.Slices for extension Content/Rules for all slices
    Medication.code.Slices for coding.coding:pbs.Slices for extension.extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    Medication.code.Slices for coding.coding:pbs.system This element is included in summaries. 0..1 uri Identity of the terminology system
    Medication.code.Slices for coding.coding:pbs.version This element is included in summaries. 0..1 string Version of the system - if relevant
    Medication.code.Slices for coding.coding:pbs.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
    Medication.code.Slices for coding.coding:pbs.display This element is included in summaries. 0..1 string Representation defined by the system
    Medication.code.Slices for coding.coding:pbs.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
    Medication.code.Slices for coding.coding:amt This element has obligations and must be supported. This element is included in summaries. 0..* Coding Code defined by a terminology system
    Binding: Australian Medication (required)
    ObligationsActor
    SHALL:populate-if-known AU Core Responder
    SHALL:no-error AU Core Requester
    Medication.code.Slices for coding.coding:amt.id 0..1 string Unique id for inter-element referencing
    Medication.code.Slices for coding.coding:amt.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    Medication.code.Slices for coding.coding:amt.Slices for extension Content/Rules for all slices
    Medication.code.Slices for coding.coding:amt.Slices for extension.extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    Medication.code.Slices for coding.coding:amt.system This element is included in summaries. 0..1 uri Identity of the terminology system
    Medication.code.Slices for coding.coding:amt.version This element is included in summaries. 0..1 string Version of the system - if relevant
    Medication.code.Slices for coding.coding:amt.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
    Medication.code.Slices for coding.coding:amt.display This element is included in summaries. 0..1 string Representation defined by the system
    Medication.code.Slices for coding.coding:amt.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
    Medication.code.text This element is included in summaries. 0..1 string Medication primary text
    Medication.status This element is a modifier element. This element is included in summaries. 0..1 code active | inactive | entered-in-error
    Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
    Medication.manufacturer This element is included in summaries. 0..1 Reference(Organization) Physical product manufacturer organisation
    Medication.form 0..1 CodeableConcept powder | tablets | capsule +
    Binding: Medication Form (preferred)
    Medication.amount This element is included in summaries. 0..1 Ratio Amount of drug in package
    Medication.ingredient 0..* BackboneElement Active or inactive ingredient
    Medication.ingredient.id 0..1 string Unique id for inter-element referencing
    Medication.ingredient.extension 0..* Extension Additional content defined by implementations
    Medication.ingredient.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    Medication.ingredient.item[x] 1..1 The actual ingredient or content
    Binding: Medication Ingredient (preferred)
    Medication.ingredient.item[x].itemCodeableConcept CodeableConcept
    Medication.ingredient.item[x].itemReference Reference(Substance | Medication)
    Medication.ingredient.isActive 0..1 boolean Active ingredient indicator
    Medication.ingredient.strength 0..1 Ratio Quantity/strength of ingredient present
    Medication.batch 0..1 BackboneElement Details about packaged medications
    Medication.batch.id 0..1 string Unique id for inter-element referencing
    Medication.batch.extension 0..* Extension Additional content defined by implementations
    Medication.batch.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    Medication.batch.lotNumber 0..1 string Identifier assigned to batch
    Medication.batch.expirationDate 0..1 dateTime When batch will expire

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Medication.language Base preferred Common Languages 📍4.0.1 FHIR Std.
    Medication.code Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
    Medication.code.coding:pbs Base required PBS Item Codes 📦7.0.0-ci-build AU Base Implementation Guide vnull
    Medication.code.coding:amt Base required Australian Medication ⏿1.0.2 tx.hl7.org.au
    Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
    Medication.form Base preferred Medication Form ⏿1.1.1 tx.hl7.org.au
    Medication.ingredient.​item[x] Base preferred Medication Ingredient ⏿1.0.0 tx.hl7.org.au

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    This structure is derived from AUBaseMedication

    Summary

    Mandatory: 1 element
    Must-Support: 3 elements

    Slices

    This structure defines the following Slices:

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

    Maturity: 2

     

    Other representations of profile: CSV, Excel, Schematron

    Notes:

    Below is an overview of the mandatory and optional search parameters. FHIR search operations and the syntax used to describe the interactions is described here.

    Mandatory Search Parameters

    No mandatory search parameters for this profile.

    Optional Search Parameters

    No optional search parameters for this profile.