AU Patient Summary Implementation Guide
0.5.0-cibuild - CI Build Australia flag

AU Patient Summary Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 0.5.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-ps/ and changes regularly. See the Directory of published versions

Resource Profile: AUPSMedicationStatement - Detailed Descriptions

Page standards status: Draft Maturity Level: 0

Definitions for the au-ps-medicationstatement resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. MedicationStatement
Complies with ProfileThis profile complies with the profile
2. MedicationStatement.status
Obligations
    ObligationsActor
    SHALL:populate-if-knownAU PS Producer
    SHALL:handleAU PS Consumer
    SHOULD:displayAU PS Consumer
    4. MedicationStatement.medication[x]
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Obligations
      ObligationsActor
      SHALL:populate-if-knownAU PS Producer
      SHALL:handleAU PS Consumer
      SHOULD:displayAU PS Consumer
      6. MedicationStatement.medication[x]:medicationCodeableConcept
      Slice NamemedicationCodeableConcept
      TypeCodeableConcept(Codeable Concept (IPS))
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Obligations
        ObligationsActor
        SHALL:populate-if-knownAU PS Producer
        SHALL:handleAU PS Consumer
        SHOULD:displayAU PS Consumer
        8. MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs
        Slice Namepbs
        Obligations
          ObligationsActor
          SHALL:populate-if-knownAU PS Producer
          SHALL:handleAU PS Consumer
          SHOULD:displayAU PS Consumer
          10. MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt
          Slice Nameamt
          Obligations
            ObligationsActor
            SHALL:populate-if-knownAU PS Producer
            SHALL:handleAU PS Consumer
            SHOULD:displayAU PS Consumer
            12. MedicationStatement.medication[x]:medicationReference
            Slice NamemedicationReference
            TypeReference(AU PS Medication)
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Obligations
              ObligationsActor
              SHALL:populate-if-knownAU PS Producer
              SHALL:handleAU PS Consumer
              SHOULD:displayAU PS Consumer
              14. MedicationStatement.subject
              TypeReference(AU PS Patient)
              Obligations
                ObligationsActor
                SHALL:populate-if-knownAU PS Producer
                SHALL:handleAU PS Consumer
                SHOULD:displayAU PS Consumer
                16. MedicationStatement.subject.reference
                Control1..?
                Must Supporttrue
                Obligations
                  ObligationsActor
                  SHALL:populate-if-knownAU PS Producer
                  SHALL:handleAU PS Consumer
                  18. MedicationStatement.effective[x]
                  Control1..?
                  TypeChoice of: dateTime, Period
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Obligations
                    ObligationsActor
                    SHALL:populate-if-knownAU PS Producer
                    SHALL:handleAU PS Consumer
                    SHOULD:displayAU PS Consumer
                    20. MedicationStatement.dateAsserted
                    Obligations
                      ObligationsActor
                      SHALL:populate-if-knownAU PS Producer
                      SHALL:handleAU PS Consumer
                      SHOULD:displayAU PS Consumer
                      22. MedicationStatement.reasonCode
                      Obligations
                        ObligationsActor
                        SHALL:populate-if-knownAU PS Producer
                        SHALL:handleAU PS Consumer
                        SHOULD:displayAU PS Consumer
                        24. MedicationStatement.reasonReference
                        TypeReference(AU PS Condition, Observation, DiagnosticReport (IPS))
                        Obligations
                          ObligationsActor
                          SHALL:populate-if-knownAU PS Producer
                          SHALL:handleAU PS Consumer
                          SHOULD:displayAU PS Consumer
                          26. MedicationStatement.dosage
                          Obligations
                            ObligationsActor
                            SHALL:populate-if-knownAU PS Producer
                            SHALL:handleAU PS Consumer
                            SHOULD:displayAU PS Consumer
                            28. MedicationStatement.dosage.text
                            Obligations
                              ObligationsActor
                              SHALL:populate-if-knownAU PS Producer
                              SHALL:handleAU PS Consumer
                              SHOULD:displayAU PS Consumer
                              30. MedicationStatement.dosage.timing
                              Must Supporttrue
                              Obligations
                                ObligationsActor
                                SHALL:populate-if-knownAU PS Producer
                                SHALL:handleAU PS Consumer
                                SHOULD:displayAU PS Consumer

                                Guidance on how to interpret the contents of this table can be foundhere

                                0. MedicationStatement
                                Definition

                                A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains.

                                The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information.

                                ShortA record of medication being taken by a patient in an Australian healthcare contextRecord of medication being taken by a patient
                                Comments

                                When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error.

                                Control0..*
                                Is Modifierfalse
                                Complies with ProfileThis profile complies with the profile
                                Summaryfalse
                                Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                2. MedicationStatement.implicitRules
                                Definition

                                A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                ShortA set of rules under which this content was created
                                Comments

                                Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                Control0..1
                                Typeuri
                                Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                4. MedicationStatement.extension:longTerm
                                Slice NamelongTerm
                                Definition

                                Indicator of long term use of a medication.

                                ShortMedication Long Term Indicator
                                Control0..1
                                This element is affected by the following invariants: ele-1
                                TypeExtension(Long Term) (Extension Type: boolean)
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                6. MedicationStatement.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                Summaryfalse
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                8. MedicationStatement.status
                                Definition

                                A code representing the patient or other source's judgment about the state of the medication used that this statement is about. Generally, this will be active or completed.

                                Shortactive | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
                                Comments

                                MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error).

                                This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

                                Control1..1
                                BindingThe codes SHALL be taken from Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
                                (required to http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1)

                                A coded concept indicating the current status of a MedicationStatement.

                                Typecode
                                Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Obligations
                                  ObligationsActor
                                  SHALL:populate-if-knownAU PS Producer
                                  SHALL:handleAU PS Consumer
                                  SHOULD:displayAU PS Consumer
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  10. MedicationStatement.medication[x]
                                  Definition

                                  Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.

                                  ShortMedication DetailWhat medication was taken
                                  Comments

                                  If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.

                                  Control1..1
                                  BindingFor example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes
                                  (example to http://hl7.org/fhir/ValueSet/medication-codes)

                                  A coded concept identifying the substance or product being taken.

                                  TypeChoice of: CodeableConcept, Reference(Medication)
                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Must Support TypesNo must-support rules about the choice of types/profiles
                                  Obligations
                                    ObligationsActor
                                    SHALL:populate-if-knownAU PS Producer
                                    SHALL:handleAU PS Consumer
                                    SHOULD:displayAU PS Consumer
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    SlicingThis element introduces a set of slices on MedicationStatement.medication[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                    • type @ $this
                                    • 12. MedicationStatement.medication[x]:medicationCodeableConcept
                                      Slice NamemedicationCodeableConcept
                                      Definition

                                      Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.

                                      ShortCoded MedicationWhat medication was taken
                                      Comments

                                      If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.

                                      Control01..1
                                      BindingFor example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes
                                      (example to http://hl7.org/fhir/ValueSet/medication-codes)
                                      TypeCodeableConcept(Codeable Concept (IPS)), Reference(Medication)
                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                      Is Modifierfalse
                                      Must Supporttrue
                                      Obligations
                                        ObligationsActor
                                        SHALL:populate-if-knownAU PS Producer
                                        SHALL:handleAU PS Consumer
                                        SHOULD:displayAU PS Consumer
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        14. MedicationStatement.medication[x]:medicationCodeableConcept.coding
                                        Definition

                                        A reference to a code defined by a terminology system.

                                        ShortCode defined by a terminology system
                                        Comments

                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                        Control0..*
                                        TypeCoding
                                        Is Modifierfalse
                                        Summarytrue
                                        Requirements

                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        SlicingThis element introduces a set of slices on MedicationStatement.medication[x].coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • pattern @ $this
                                        • 16. MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs
                                          Slice Namepbs
                                          Definition

                                          A reference to a code defined by a terminology system.

                                          ShortCode defined by a terminology system
                                          Comments

                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                          Control0..*
                                          BindingThe codes SHALL be taken from For codes, see PBS Item Codes
                                          (required to http://terminology.hl7.org.au/ValueSet/pbs-item)
                                          TypeCoding
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Obligations
                                            ObligationsActor
                                            SHALL:populate-if-knownAU PS Producer
                                            SHALL:handleAU PS Consumer
                                            SHOULD:displayAU PS Consumer
                                            Summarytrue
                                            Requirements

                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            18. MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs.extension:medicationClass
                                            Slice NamemedicationClass
                                            Definition

                                            The type of information covered by the medication coding, e.g. branded product with no strength or form.

                                            ShortMedication type
                                            Control0..1
                                            TypeExtension(Medication Type) (Extension Type: Coding)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            20. MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt
                                            Slice Nameamt
                                            Definition

                                            A reference to a code defined by a terminology system.

                                            ShortCode defined by a terminology system
                                            Comments

                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                            Control0..*
                                            BindingThe codes SHALL be taken from For codes, see Australian Medication .
                                            (required to https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1)
                                            TypeCoding
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Obligations
                                              ObligationsActor
                                              SHALL:populate-if-knownAU PS Producer
                                              SHALL:handleAU PS Consumer
                                              SHOULD:displayAU PS Consumer
                                              Summarytrue
                                              Requirements

                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              22. MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt.extension:medicationClass
                                              Slice NamemedicationClass
                                              Definition

                                              The type of information covered by the medication coding, e.g. branded product with no strength or form.

                                              ShortMedication type
                                              Control0..1
                                              TypeExtension(Medication Type) (Extension Type: Coding)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              24. MedicationStatement.medication[x]:medicationReference
                                              Slice NamemedicationReference
                                              Definition

                                              Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.

                                              ShortMedication ReferenceWhat medication was taken
                                              Comments

                                              If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.

                                              Control01..1
                                              TypeReference(AU PS Medication, Medication), CodeableConcept
                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Obligations
                                                ObligationsActor
                                                SHALL:populate-if-knownAU PS Producer
                                                SHALL:handleAU PS Consumer
                                                SHOULD:displayAU PS Consumer
                                                Summarytrue
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                26. MedicationStatement.subject
                                                Definition

                                                The person, animal or group who is/was taking the medication.

                                                ShortWho is/was taking the medication
                                                Control1..1
                                                TypeReference(AU PS Patient, Patient, Group)
                                                Is Modifierfalse
                                                Must Supporttrue
                                                Obligations
                                                  ObligationsActor
                                                  SHALL:populate-if-knownAU PS Producer
                                                  SHALL:handleAU PS Consumer
                                                  SHOULD:displayAU PS Consumer
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  28. MedicationStatement.subject.reference
                                                  Definition

                                                  A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                                  ShortLiteral reference, Relative, internal or absolute URL
                                                  Comments

                                                  Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                                  Control10..1
                                                  This element is affected by the following invariants: ref-1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supporttrue
                                                  Obligations
                                                    ObligationsActor
                                                    SHALL:populate-if-knownAU PS Producer
                                                    SHALL:handleAU PS Consumer
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    30. MedicationStatement.effective[x]
                                                    Definition

                                                    The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No).

                                                    ShortThe date/time or interval when the medication is/was/will be taken
                                                    Comments

                                                    This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the "end" date will be omitted. The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text.

                                                    Control10..1
                                                    TypeChoice of: dateTime, Period
                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supporttrue
                                                    Must Support TypesdateTime
                                                    Obligations
                                                      ObligationsActor
                                                      SHALL:populate-if-knownAU PS Producer
                                                      SHALL:handleAU PS Consumer
                                                      SHOULD:displayAU PS Consumer
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      32. MedicationStatement.dateAsserted
                                                      Definition

                                                      The date when the medication statement was asserted by the information source.

                                                      ShortWhen the statement was asserted?
                                                      Control0..1
                                                      TypedateTime
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Must Supporttrue
                                                      Obligations
                                                        ObligationsActor
                                                        SHALL:populate-if-knownAU PS Producer
                                                        SHALL:handleAU PS Consumer
                                                        SHOULD:displayAU PS Consumer
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        34. MedicationStatement.reasonCode
                                                        Definition

                                                        A reason for why the medication is being/was taken.

                                                        ShortReason for why the medication is being/was taken
                                                        Comments

                                                        This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference.

                                                        Control0..*
                                                        BindingThe codes SHOULD be taken from For example codes, see Medication Reason Taken .http://hl7.org/fhir/ValueSet/condition-code
                                                        (preferred to https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1)
                                                        TypeCodeableConcept
                                                        Is Modifierfalse
                                                        Must Supporttrue
                                                        Obligations
                                                          ObligationsActor
                                                          SHALL:populate-if-knownAU PS Producer
                                                          SHALL:handleAU PS Consumer
                                                          SHOULD:displayAU PS Consumer
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          36. MedicationStatement.reasonReference
                                                          Definition

                                                          Condition or observation that supports why the medication is being/was taken.

                                                          ShortCondition or observation that supports why the medication is being/was taken
                                                          Comments

                                                          This is a reference to a condition that is the reason why the medication is being/was taken. If only a code exists, use reasonForUseCode.

                                                          Control0..*
                                                          TypeReference(AU PS Condition, Observation, DiagnosticReport (IPS), Condition, DiagnosticReport)
                                                          Is Modifierfalse
                                                          Must Supporttrue
                                                          Must Support TypesNo must-support rules about the choice of types/profiles
                                                          Obligations
                                                            ObligationsActor
                                                            SHALL:populate-if-knownAU PS Producer
                                                            SHALL:handleAU PS Consumer
                                                            SHOULD:displayAU PS Consumer
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            38. MedicationStatement.dosage
                                                            Definition

                                                            Indicates how the medication is/was or should be taken by the patient.

                                                            ShortDetails of how medication is/was taken or should be taken
                                                            Comments

                                                            The dates included in the dosage on a Medication Statement reflect the dates for a given dose. For example, "from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily." It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest.

                                                            Control0..*
                                                            TypeDosage(AU Base Dosage)
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Obligations
                                                              ObligationsActor
                                                              SHALL:populate-if-knownAU PS Producer
                                                              SHALL:handleAU PS Consumer
                                                              SHOULD:displayAU PS Consumer
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              40. MedicationStatement.dosage.modifierExtension
                                                              Definition

                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                              Comments

                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                              Summarytrue
                                                              Requirements

                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                              Alternate Namesextensions, user content, modifiers
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              42. MedicationStatement.dosage.text
                                                              Definition

                                                              Free text dosage instructions e.g. SIG.

                                                              ShortFree text dosage instructions e.g. SIG
                                                              Control0..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Must Supporttrue
                                                              Obligations
                                                                ObligationsActor
                                                                SHALL:populate-if-knownAU PS Producer
                                                                SHALL:handleAU PS Consumer
                                                                SHOULD:displayAU PS Consumer
                                                                Summarytrue
                                                                Requirements

                                                                Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                44. MedicationStatement.dosage.timing
                                                                Definition

                                                                When medication should be administered.

                                                                ShortWhen medication should be administered
                                                                Comments

                                                                This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.

                                                                Control0..1
                                                                TypeTiming
                                                                Is Modifierfalse
                                                                Must Supporttrue
                                                                Obligations
                                                                  ObligationsActor
                                                                  SHALL:populate-if-knownAU PS Producer
                                                                  SHALL:handleAU PS Consumer
                                                                  SHOULD:displayAU PS Consumer
                                                                  Summarytrue
                                                                  Requirements

                                                                  The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                                                                  Guidance on how to interpret the contents of this table can be foundhere

                                                                  0. MedicationStatement
                                                                  Definition

                                                                  A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains.

                                                                  The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information.

                                                                  ShortA record of medication being taken by a patient in an Australian healthcare context
                                                                  Comments

                                                                  When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error.

                                                                  Control0..*
                                                                  Is Modifierfalse
                                                                  Complies with ProfileThis profile complies with the profile
                                                                  Summaryfalse
                                                                  Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                                                  dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                                                  dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                                                  2. MedicationStatement.id
                                                                  Definition

                                                                  The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                                                  ShortLogical id of this artifact
                                                                  Comments

                                                                  The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                                                  Control0..1
                                                                  Typeid
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  4. MedicationStatement.meta
                                                                  Definition

                                                                  The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                                                  ShortMetadata about the resource
                                                                  Control0..1
                                                                  TypeMeta
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  6. MedicationStatement.implicitRules
                                                                  Definition

                                                                  A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                                                  ShortA set of rules under which this content was created
                                                                  Comments

                                                                  Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                                                  Control0..1
                                                                  Typeuri
                                                                  Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  8. MedicationStatement.language
                                                                  Definition

                                                                  The base language in which the resource is written.

                                                                  ShortLanguage of the resource content
                                                                  Comments

                                                                  Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                                                  Control0..1
                                                                  BindingThe codes SHOULD be taken from CommonLanguages
                                                                  (preferred to http://hl7.org/fhir/ValueSet/languages)

                                                                  A human language.

                                                                  Additional BindingsPurpose
                                                                  AllLanguagesMax Binding
                                                                  Typecode
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summaryfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  10. MedicationStatement.text
                                                                  Definition

                                                                  A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                                                  ShortText summary of the resource, for human interpretation
                                                                  Comments

                                                                  Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                                                  Control0..1
                                                                  TypeNarrative
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Alternate Namesnarrative, html, xhtml, display
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  12. MedicationStatement.contained
                                                                  Definition

                                                                  These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                                                                  ShortContained, inline Resources
                                                                  Comments

                                                                  This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                                                  Control0..*
                                                                  TypeResource
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Alternate Namesinline resources, anonymous resources, contained resources
                                                                  14. MedicationStatement.extension
                                                                  Definition

                                                                  An Extension

                                                                  ShortExtension
                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  SlicingThis element introduces a set of slices on MedicationStatement.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                  • value @ url
                                                                  • 16. MedicationStatement.extension:longTerm
                                                                    Slice NamelongTerm
                                                                    Definition

                                                                    Indicator of long term use of a medication.

                                                                    ShortMedication Long Term Indicator
                                                                    Control0..1
                                                                    This element is affected by the following invariants: ele-1
                                                                    TypeExtension(Long Term) (Extension Type: boolean)
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    18. MedicationStatement.modifierExtension
                                                                    Definition

                                                                    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                    ShortExtensions that cannot be ignored
                                                                    Comments

                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                    Control0..*
                                                                    TypeExtension
                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                                    Summaryfalse
                                                                    Requirements

                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                    Alternate Namesextensions, user content
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    20. MedicationStatement.identifier
                                                                    Definition

                                                                    Identifiers associated with this Medication Statement that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.

                                                                    ShortExternal identifier
                                                                    Comments

                                                                    This is a business identifier, not a resource identifier.

                                                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                    Control0..*
                                                                    TypeIdentifier
                                                                    Is Modifierfalse
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    22. MedicationStatement.basedOn
                                                                    Definition

                                                                    A plan, proposal or order that is fulfilled in whole or in part by this event.

                                                                    ShortFulfils plan, proposal or order
                                                                    Control0..*
                                                                    TypeReference(MedicationRequest, CarePlan, ServiceRequest)
                                                                    Is Modifierfalse
                                                                    Summarytrue
                                                                    Requirements

                                                                    Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    24. MedicationStatement.partOf
                                                                    Definition

                                                                    A larger event of which this particular event is a component or step.

                                                                    ShortPart of referenced event
                                                                    Control0..*
                                                                    TypeReference(MedicationAdministration, MedicationDispense, MedicationStatement, Procedure, Observation)
                                                                    Is Modifierfalse
                                                                    Summarytrue
                                                                    Requirements

                                                                    This should not be used when indicating which resource a MedicationStatement has been derived from. If that is the use case, then MedicationStatement.derivedFrom should be used.

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    26. MedicationStatement.status
                                                                    Definition

                                                                    A code representing the patient or other source's judgment about the state of the medication used that this statement is about. Generally, this will be active or completed.

                                                                    Shortactive | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
                                                                    Comments

                                                                    MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error).

                                                                    This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

                                                                    Control1..1
                                                                    BindingThe codes SHALL be taken from Medication Status Codes
                                                                    (required to http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1)

                                                                    A coded concept indicating the current status of a MedicationStatement.

                                                                    Typecode
                                                                    Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Must Supporttrue
                                                                    Obligations
                                                                      ObligationsActor
                                                                      SHALL:populate-if-knownAU PS Producer
                                                                      SHALL:handleAU PS Consumer
                                                                      SHOULD:displayAU PS Consumer
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      28. MedicationStatement.statusReason
                                                                      Definition

                                                                      Captures the reason for the current state of the MedicationStatement.

                                                                      ShortReason for current status
                                                                      Comments

                                                                      This is generally only used for "exception" statuses such as "not-taken", "on-hold", "cancelled" or "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here.

                                                                      Control0..*
                                                                      BindingFor example codes, see SNOMEDCTDrugTherapyStatusCodes
                                                                      (example to http://hl7.org/fhir/ValueSet/reason-medication-status-codes)

                                                                      A coded concept indicating the reason for the status of the statement.

                                                                      TypeCodeableConcept
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      30. MedicationStatement.category
                                                                      Definition

                                                                      Indicates where the medication is expected to be consumed or administered.

                                                                      ShortType of medication usage
                                                                      Control0..1
                                                                      BindingThe codes SHOULD be taken from Medication usage category codes
                                                                      (preferred to http://hl7.org/fhir/ValueSet/medication-statement-category)

                                                                      A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.

                                                                      TypeCodeableConcept
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      32. MedicationStatement.medication[x]
                                                                      Definition

                                                                      Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.

                                                                      ShortMedication Detail
                                                                      Comments

                                                                      If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.

                                                                      Control1..1
                                                                      BindingFor example codes, see SNOMEDCTMedicationCodes
                                                                      (example to http://hl7.org/fhir/ValueSet/medication-codes)

                                                                      A coded concept identifying the substance or product being taken.

                                                                      TypeChoice of: CodeableConcept, Reference(Medication)
                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                      Is Modifierfalse
                                                                      Must Supporttrue
                                                                      Must Support TypesNo must-support rules about the choice of types/profiles
                                                                      Obligations
                                                                        ObligationsActor
                                                                        SHALL:populate-if-knownAU PS Producer
                                                                        SHALL:handleAU PS Consumer
                                                                        SHOULD:displayAU PS Consumer
                                                                        Summarytrue
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        SlicingThis element introduces a set of slices on MedicationStatement.medication[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                        • type @ $this
                                                                        • 34. MedicationStatement.medication[x]:medicationCodeableConcept
                                                                          Slice NamemedicationCodeableConcept
                                                                          Definition

                                                                          Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.

                                                                          ShortCoded Medication
                                                                          Comments

                                                                          If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.

                                                                          Control0..1
                                                                          BindingFor example codes, see SNOMEDCTMedicationCodes
                                                                          (example to http://hl7.org/fhir/ValueSet/medication-codes)
                                                                          TypeCodeableConcept(Codeable Concept (IPS))
                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                          Is Modifierfalse
                                                                          Must Supporttrue
                                                                          Obligations
                                                                            ObligationsActor
                                                                            SHALL:populate-if-knownAU PS Producer
                                                                            SHALL:handleAU PS Consumer
                                                                            SHOULD:displayAU PS Consumer
                                                                            Summarytrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            36. MedicationStatement.medication[x]:medicationCodeableConcept.id
                                                                            Definition

                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            38. MedicationStatement.medication[x]:medicationCodeableConcept.extension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                            ShortAdditional content defined by implementations
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Alternate Namesextensions, user content
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            SlicingThis element introduces a set of slices on MedicationStatement.medication[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 40. MedicationStatement.medication[x]:medicationCodeableConcept.coding
                                                                              Definition

                                                                              A reference to a code defined by a terminology system.

                                                                              ShortCode defined by a terminology system
                                                                              Comments

                                                                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                              Control0..*
                                                                              TypeCoding
                                                                              Is Modifierfalse
                                                                              Summarytrue
                                                                              Requirements

                                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              SlicingThis element introduces a set of slices on MedicationStatement.medication[x].coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                              • pattern @ $this
                                                                              • 42. MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs
                                                                                Slice Namepbs
                                                                                Definition

                                                                                A reference to a code defined by a terminology system.

                                                                                ShortCode defined by a terminology system
                                                                                Comments

                                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                Control0..*
                                                                                BindingThe codes SHALL be taken from PBS Item Codes
                                                                                (required to http://terminology.hl7.org.au/ValueSet/pbs-item)
                                                                                TypeCoding
                                                                                Is Modifierfalse
                                                                                Must Supporttrue
                                                                                Obligations
                                                                                  ObligationsActor
                                                                                  SHALL:populate-if-knownAU PS Producer
                                                                                  SHALL:handleAU PS Consumer
                                                                                  SHOULD:displayAU PS Consumer
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  44. MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs.id
                                                                                  Definition

                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                  ShortUnique id for inter-element referencing
                                                                                  Control0..1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                  Summaryfalse
                                                                                  46. MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs.extension
                                                                                  Definition

                                                                                  An Extension

                                                                                  ShortExtension
                                                                                  Control0..*
                                                                                  TypeExtension
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                  SlicingThis element introduces a set of slices on MedicationStatement.medication[x].coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                  • value @ url
                                                                                  • 48. MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs.extension:medicationClass
                                                                                    Slice NamemedicationClass
                                                                                    Definition

                                                                                    The type of information covered by the medication coding, e.g. branded product with no strength or form.

                                                                                    ShortMedication type
                                                                                    Control0..1
                                                                                    TypeExtension(Medication Type) (Extension Type: Coding)
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                    50. MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs.system
                                                                                    Definition

                                                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                                                    ShortIdentity of the terminology system
                                                                                    Comments

                                                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                    Control0..1
                                                                                    Typeuri
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    52. MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs.version
                                                                                    Definition

                                                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                    ShortVersion of the system - if relevant
                                                                                    Comments

                                                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                    Control0..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    54. MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs.code
                                                                                    Definition

                                                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                    ShortSymbol in syntax defined by the system
                                                                                    Control0..1
                                                                                    Typecode
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    Need to refer to a particular code in the system.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    56. MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs.display
                                                                                    Definition

                                                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                                                    ShortRepresentation defined by the system
                                                                                    Control0..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    58. MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs.userSelected
                                                                                    Definition

                                                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                    ShortIf this coding was chosen directly by the user
                                                                                    Comments

                                                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                    Control0..1
                                                                                    Typeboolean
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    60. MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt
                                                                                    Slice Nameamt
                                                                                    Definition

                                                                                    A reference to a code defined by a terminology system.

                                                                                    ShortCode defined by a terminology system
                                                                                    Comments

                                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                    Control0..*
                                                                                    BindingThe codes SHALL be taken from Australian Medication .
                                                                                    (required to https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1)
                                                                                    TypeCoding
                                                                                    Is Modifierfalse
                                                                                    Must Supporttrue
                                                                                    Obligations
                                                                                      ObligationsActor
                                                                                      SHALL:populate-if-knownAU PS Producer
                                                                                      SHALL:handleAU PS Consumer
                                                                                      SHOULD:displayAU PS Consumer
                                                                                      Summarytrue
                                                                                      Requirements

                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      62. MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt.id
                                                                                      Definition

                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control0..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Summaryfalse
                                                                                      64. MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt.extension
                                                                                      Definition

                                                                                      An Extension

                                                                                      ShortExtension
                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      SlicingThis element introduces a set of slices on MedicationStatement.medication[x].coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                      • value @ url
                                                                                      • 66. MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt.extension:medicationClass
                                                                                        Slice NamemedicationClass
                                                                                        Definition

                                                                                        The type of information covered by the medication coding, e.g. branded product with no strength or form.

                                                                                        ShortMedication type
                                                                                        Control0..1
                                                                                        TypeExtension(Medication Type) (Extension Type: Coding)
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                        68. MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt.system
                                                                                        Definition

                                                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                                                        ShortIdentity of the terminology system
                                                                                        Comments

                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                        Control0..1
                                                                                        Typeuri
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        70. MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt.version
                                                                                        Definition

                                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                        ShortVersion of the system - if relevant
                                                                                        Comments

                                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                        Control0..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        72. MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt.code
                                                                                        Definition

                                                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                        ShortSymbol in syntax defined by the system
                                                                                        Control0..1
                                                                                        Typecode
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Need to refer to a particular code in the system.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        74. MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt.display
                                                                                        Definition

                                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                                        ShortRepresentation defined by the system
                                                                                        Control0..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        76. MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt.userSelected
                                                                                        Definition

                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                        ShortIf this coding was chosen directly by the user
                                                                                        Comments

                                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                        Control0..1
                                                                                        Typeboolean
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        78. MedicationStatement.medication[x]:medicationCodeableConcept.text
                                                                                        Definition

                                                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                        This may be a brand or generic name as suitable for the intent of the entry.

                                                                                        ShortMedication primary text
                                                                                        Comments

                                                                                        Very often the text is the same as a displayName of one of the codings.

                                                                                        Control0..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        80. MedicationStatement.medication[x]:medicationReference
                                                                                        Slice NamemedicationReference
                                                                                        Definition

                                                                                        Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.

                                                                                        ShortMedication Reference
                                                                                        Comments

                                                                                        If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.

                                                                                        Control0..1
                                                                                        TypeReference(AU PS Medication)
                                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                        Is Modifierfalse
                                                                                        Must Supporttrue
                                                                                        Obligations
                                                                                          ObligationsActor
                                                                                          SHALL:populate-if-knownAU PS Producer
                                                                                          SHALL:handleAU PS Consumer
                                                                                          SHOULD:displayAU PS Consumer
                                                                                          Summarytrue
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          82. MedicationStatement.subject
                                                                                          Definition

                                                                                          The person, animal or group who is/was taking the medication.

                                                                                          ShortWho is/was taking the medication
                                                                                          Control1..1
                                                                                          TypeReference(AU PS Patient)
                                                                                          Is Modifierfalse
                                                                                          Must Supporttrue
                                                                                          Obligations
                                                                                            ObligationsActor
                                                                                            SHALL:populate-if-knownAU PS Producer
                                                                                            SHALL:handleAU PS Consumer
                                                                                            SHOULD:displayAU PS Consumer
                                                                                            Summarytrue
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            84. MedicationStatement.subject.id
                                                                                            Definition

                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                            ShortUnique id for inter-element referencing
                                                                                            Control0..1
                                                                                            Typestring
                                                                                            Is Modifierfalse
                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                            Summaryfalse
                                                                                            86. MedicationStatement.subject.extension
                                                                                            Definition

                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                            ShortAdditional content defined by implementations
                                                                                            Comments

                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                            Control0..*
                                                                                            TypeExtension
                                                                                            Is Modifierfalse
                                                                                            Summaryfalse
                                                                                            Alternate Namesextensions, user content
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                            SlicingThis element introduces a set of slices on MedicationStatement.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                            • value @ url
                                                                                            • 88. MedicationStatement.subject.reference
                                                                                              Definition

                                                                                              A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                                                                              ShortLiteral reference, Relative, internal or absolute URL
                                                                                              Comments

                                                                                              Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                                                                              Control1..1
                                                                                              This element is affected by the following invariants: ref-1
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Must Supporttrue
                                                                                              Obligations
                                                                                                ObligationsActor
                                                                                                SHALL:populate-if-knownAU PS Producer
                                                                                                SHALL:handleAU PS Consumer
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                90. MedicationStatement.subject.type
                                                                                                Definition

                                                                                                The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                                                                The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                                                                ShortType the reference refers to (e.g. "Patient")
                                                                                                Comments

                                                                                                This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                                                                Control0..1
                                                                                                BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                                                (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                                                                Aa resource (or, for logical models, the URI of the logical model).

                                                                                                Typeuri
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                92. MedicationStatement.subject.identifier
                                                                                                Definition

                                                                                                An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                                                                                ShortLogical reference, when literal reference is not known
                                                                                                Comments

                                                                                                When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                                                                When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                                                                Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                                                                Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                                                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                Control0..1
                                                                                                TypeIdentifier
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                94. MedicationStatement.subject.display
                                                                                                Definition

                                                                                                Plain text narrative that identifies the resource in addition to the resource reference.

                                                                                                ShortText alternative for the resource
                                                                                                Comments

                                                                                                This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                                                                                Control0..1
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                96. MedicationStatement.context
                                                                                                Definition

                                                                                                The encounter or episode of care that establishes the context for this MedicationStatement.

                                                                                                ShortEncounter / Episode associated with MedicationStatement
                                                                                                Control0..1
                                                                                                TypeReference(Encounter, EpisodeOfCare)
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                98. MedicationStatement.effective[x]
                                                                                                Definition

                                                                                                The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No).

                                                                                                ShortThe date/time or interval when the medication is/was/will be taken
                                                                                                Comments

                                                                                                This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the "end" date will be omitted. The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text.

                                                                                                Control1..1
                                                                                                TypeChoice of: dateTime, Period
                                                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Must Supporttrue
                                                                                                Must Support TypesdateTime
                                                                                                Obligations
                                                                                                  ObligationsActor
                                                                                                  SHALL:populate-if-knownAU PS Producer
                                                                                                  SHALL:handleAU PS Consumer
                                                                                                  SHOULD:displayAU PS Consumer
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  100. MedicationStatement.dateAsserted
                                                                                                  Definition

                                                                                                  The date when the medication statement was asserted by the information source.

                                                                                                  ShortWhen the statement was asserted?
                                                                                                  Control0..1
                                                                                                  TypedateTime
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Must Supporttrue
                                                                                                  Obligations
                                                                                                    ObligationsActor
                                                                                                    SHALL:populate-if-knownAU PS Producer
                                                                                                    SHALL:handleAU PS Consumer
                                                                                                    SHOULD:displayAU PS Consumer
                                                                                                    Summarytrue
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    102. MedicationStatement.informationSource
                                                                                                    Definition

                                                                                                    The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest.

                                                                                                    ShortPerson or organization that provided the information about the taking of this medication
                                                                                                    Control0..1
                                                                                                    TypeReference(Patient, Practitioner, PractitionerRole, RelatedPerson, Organization)
                                                                                                    Is Modifierfalse
                                                                                                    Summaryfalse
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    104. MedicationStatement.derivedFrom
                                                                                                    Definition

                                                                                                    Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement.

                                                                                                    ShortAdditional supporting information
                                                                                                    Comments

                                                                                                    Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers. The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from.

                                                                                                    Control0..*
                                                                                                    TypeReference(Resource)
                                                                                                    Is Modifierfalse
                                                                                                    Summaryfalse
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    106. MedicationStatement.reasonCode
                                                                                                    Definition

                                                                                                    A reason for why the medication is being/was taken.

                                                                                                    ShortReason for why the medication is being/was taken
                                                                                                    Comments

                                                                                                    This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference.

                                                                                                    Control0..*
                                                                                                    BindingThe codes SHOULD be taken from Medication Reason Taken .
                                                                                                    (preferred to https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1)
                                                                                                    TypeCodeableConcept
                                                                                                    Is Modifierfalse
                                                                                                    Must Supporttrue
                                                                                                    Obligations
                                                                                                      ObligationsActor
                                                                                                      SHALL:populate-if-knownAU PS Producer
                                                                                                      SHALL:handleAU PS Consumer
                                                                                                      SHOULD:displayAU PS Consumer
                                                                                                      Summaryfalse
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      108. MedicationStatement.reasonReference
                                                                                                      Definition

                                                                                                      Condition or observation that supports why the medication is being/was taken.

                                                                                                      ShortCondition or observation that supports why the medication is being/was taken
                                                                                                      Comments

                                                                                                      This is a reference to a condition that is the reason why the medication is being/was taken. If only a code exists, use reasonForUseCode.

                                                                                                      Control0..*
                                                                                                      TypeReference(AU PS Condition, Observation, DiagnosticReport (IPS))
                                                                                                      Is Modifierfalse
                                                                                                      Must Supporttrue
                                                                                                      Must Support TypesNo must-support rules about the choice of types/profiles
                                                                                                      Obligations
                                                                                                        ObligationsActor
                                                                                                        SHALL:populate-if-knownAU PS Producer
                                                                                                        SHALL:handleAU PS Consumer
                                                                                                        SHOULD:displayAU PS Consumer
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        110. MedicationStatement.note
                                                                                                        Definition

                                                                                                        Provides extra information about the medication statement that is not conveyed by the other attributes.

                                                                                                        ShortFurther information about the statement
                                                                                                        Control0..*
                                                                                                        TypeAnnotation
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        112. MedicationStatement.dosage
                                                                                                        Definition

                                                                                                        Indicates how the medication is/was or should be taken by the patient.

                                                                                                        ShortDetails of how medication is/was taken or should be taken
                                                                                                        Comments

                                                                                                        The dates included in the dosage on a Medication Statement reflect the dates for a given dose. For example, "from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily." It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest.

                                                                                                        Control0..*
                                                                                                        TypeDosage(AU Base Dosage)
                                                                                                        Is Modifierfalse
                                                                                                        Must Supporttrue
                                                                                                        Obligations
                                                                                                          ObligationsActor
                                                                                                          SHALL:populate-if-knownAU PS Producer
                                                                                                          SHALL:handleAU PS Consumer
                                                                                                          SHOULD:displayAU PS Consumer
                                                                                                          Summaryfalse
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          114. MedicationStatement.dosage.id
                                                                                                          Definition

                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                          ShortUnique id for inter-element referencing
                                                                                                          Control0..1
                                                                                                          Typestring
                                                                                                          Is Modifierfalse
                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                          Summaryfalse
                                                                                                          116. MedicationStatement.dosage.extension
                                                                                                          Definition

                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                          ShortAdditional content defined by implementations
                                                                                                          Comments

                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                          Control0..*
                                                                                                          TypeExtension
                                                                                                          Is Modifierfalse
                                                                                                          Summaryfalse
                                                                                                          Alternate Namesextensions, user content
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                          SlicingThis element introduces a set of slices on MedicationStatement.dosage.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                          • value @ url
                                                                                                          • 118. MedicationStatement.dosage.modifierExtension
                                                                                                            Definition

                                                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                                                            Comments

                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                            Control0..*
                                                                                                            TypeExtension
                                                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                            Alternate Namesextensions, user content, modifiers
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                            120. MedicationStatement.dosage.sequence
                                                                                                            Definition

                                                                                                            Indicates the order in which the dosage instructions should be applied or interpreted.

                                                                                                            ShortThe order of the dosage instructions
                                                                                                            Control0..1
                                                                                                            Typeinteger
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential.

                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            122. MedicationStatement.dosage.text
                                                                                                            Definition

                                                                                                            Free text dosage instructions e.g. SIG.

                                                                                                            ShortFree text dosage instructions e.g. SIG
                                                                                                            Control0..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Must Supporttrue
                                                                                                            Obligations
                                                                                                              ObligationsActor
                                                                                                              SHALL:populate-if-knownAU PS Producer
                                                                                                              SHALL:handleAU PS Consumer
                                                                                                              SHOULD:displayAU PS Consumer
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text.

                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              124. MedicationStatement.dosage.additionalInstruction
                                                                                                              Definition

                                                                                                              Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps").

                                                                                                              ShortSupplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
                                                                                                              Comments

                                                                                                              Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text.

                                                                                                              Control0..*
                                                                                                              BindingThe codes SHOULD be taken from SNOMEDCTAdditionalDosageInstructions
                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/additional-instruction-codes)
                                                                                                              TypeCodeableConcept
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded.

                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              126. MedicationStatement.dosage.patientInstruction
                                                                                                              Definition

                                                                                                              Instructions in terms that are understood by the patient or consumer.

                                                                                                              ShortPatient or consumer oriented instructions
                                                                                                              Control0..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              128. MedicationStatement.dosage.timing
                                                                                                              Definition

                                                                                                              When medication should be administered.

                                                                                                              ShortWhen medication should be administered
                                                                                                              Comments

                                                                                                              This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.

                                                                                                              Control0..1
                                                                                                              TypeTiming
                                                                                                              Is Modifierfalse
                                                                                                              Must Supporttrue
                                                                                                              Obligations
                                                                                                                ObligationsActor
                                                                                                                SHALL:populate-if-knownAU PS Producer
                                                                                                                SHALL:handleAU PS Consumer
                                                                                                                SHOULD:displayAU PS Consumer
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.

                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                130. MedicationStatement.dosage.asNeeded[x]
                                                                                                                Definition

                                                                                                                Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).

                                                                                                                ShortTake "as needed" (for x)
                                                                                                                Comments

                                                                                                                Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed".

                                                                                                                Control0..1
                                                                                                                BindingThe codes SHOULD be taken from Clinical Finding .
                                                                                                                (preferred to https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1)
                                                                                                                TypeChoice of: boolean, CodeableConcept
                                                                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                Is Modifierfalse
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Summarytrue
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                132. MedicationStatement.dosage.site
                                                                                                                Definition

                                                                                                                Body site to administer to.

                                                                                                                ShortBody site to administer to
                                                                                                                Comments

                                                                                                                If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.

                                                                                                                Control0..1
                                                                                                                BindingThe codes SHOULD be taken from Body Site .
                                                                                                                (preferred to https://healthterminologies.gov.au/fhir/ValueSet/body-site-1)
                                                                                                                TypeCodeableConcept
                                                                                                                Is Modifierfalse
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                A coded specification of the anatomic site where the medication first enters the body.

                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                134. MedicationStatement.dosage.route
                                                                                                                Definition

                                                                                                                How drug should enter body.

                                                                                                                ShortHow drug should enter body
                                                                                                                Control0..1
                                                                                                                BindingThe codes SHOULD be taken from Route of Administration .
                                                                                                                (preferred to https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1)
                                                                                                                TypeCodeableConcept
                                                                                                                Is Modifierfalse
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.

                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                136. MedicationStatement.dosage.method
                                                                                                                Definition

                                                                                                                Technique for administering medication.

                                                                                                                ShortTechnique for administering medication
                                                                                                                Comments

                                                                                                                Terminologies used often pre-coordinate this term with the route and or form of administration.

                                                                                                                Control0..1
                                                                                                                BindingThe codes SHOULD be taken from SNOMEDCTAdministrationMethodCodes
                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/administration-method-codes)
                                                                                                                TypeCodeableConcept
                                                                                                                Is Modifierfalse
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV.

                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                138. MedicationStatement.dosage.doseAndRate
                                                                                                                Definition

                                                                                                                The amount of medication administered.

                                                                                                                ShortAmount of medication administered
                                                                                                                Control0..*
                                                                                                                TypeElement
                                                                                                                Is Modifierfalse
                                                                                                                Summarytrue
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                140. MedicationStatement.dosage.doseAndRate.id
                                                                                                                Definition

                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                Control0..1
                                                                                                                Typestring
                                                                                                                Is Modifierfalse
                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                Summaryfalse
                                                                                                                142. MedicationStatement.dosage.doseAndRate.extension
                                                                                                                Definition

                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                ShortAdditional content defined by implementations
                                                                                                                Comments

                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                Control0..*
                                                                                                                TypeExtension
                                                                                                                Is Modifierfalse
                                                                                                                Summaryfalse
                                                                                                                Alternate Namesextensions, user content
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                SlicingThis element introduces a set of slices on MedicationStatement.dosage.doseAndRate.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                • value @ url
                                                                                                                • 144. MedicationStatement.dosage.doseAndRate.type
                                                                                                                  Definition

                                                                                                                  The kind of dose or rate specified, for example, ordered or calculated.

                                                                                                                  ShortThe kind of dose or rate specified
                                                                                                                  Control0..1
                                                                                                                  BindingFor example codes, see DoseAndRateType
                                                                                                                  (example to http://hl7.org/fhir/ValueSet/dose-rate-type)

                                                                                                                  The kind of dose or rate specified.

                                                                                                                  TypeCodeableConcept
                                                                                                                  Is Modifierfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  If the type is not populated, assume to be "ordered".

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  146. MedicationStatement.dosage.doseAndRate.dose[x]
                                                                                                                  Definition

                                                                                                                  Amount of medication per dose.

                                                                                                                  ShortAmount of medication per dose
                                                                                                                  Comments

                                                                                                                  Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.

                                                                                                                  Control0..1
                                                                                                                  TypeChoice of: Range, Quantity(SimpleQuantity)
                                                                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                  Is Modifierfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  The amount of therapeutic or other substance given at one administration event.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  148. MedicationStatement.dosage.doseAndRate.rate[x]
                                                                                                                  Definition

                                                                                                                  Amount of medication per unit of time.

                                                                                                                  ShortAmount of medication per unit of time
                                                                                                                  Comments

                                                                                                                  It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate.

                                                                                                                  It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.

                                                                                                                  Control0..1
                                                                                                                  TypeChoice of: Ratio, Range, Quantity(SimpleQuantity)
                                                                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                  Is Modifierfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  150. MedicationStatement.dosage.maxDosePerPeriod
                                                                                                                  Definition

                                                                                                                  Upper limit on medication per unit of time.

                                                                                                                  ShortUpper limit on medication per unit of time
                                                                                                                  Comments

                                                                                                                  This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day".

                                                                                                                  Control0..1
                                                                                                                  TypeRatio
                                                                                                                  Is Modifierfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  152. MedicationStatement.dosage.maxDosePerAdministration
                                                                                                                  Definition

                                                                                                                  Upper limit on medication per administration.

                                                                                                                  ShortUpper limit on medication per administration
                                                                                                                  Comments

                                                                                                                  This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.

                                                                                                                  Control0..1
                                                                                                                  TypeQuantity(SimpleQuantity)
                                                                                                                  Is Modifierfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  154. MedicationStatement.dosage.maxDosePerLifetime
                                                                                                                  Definition

                                                                                                                  Upper limit on medication per lifetime of the patient.

                                                                                                                  ShortUpper limit on medication per lifetime of the patient
                                                                                                                  Control0..1
                                                                                                                  TypeQuantity(SimpleQuantity)
                                                                                                                  Is Modifierfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))