See Comparison With Other National and International IGs for a comparison between AU Patient Summary (AU PS) profiles and profiles in other implementation guides.

Profile Specific Implementation Guidance

• See the guidance on implementing the MedicationStatement resource in AU Core.
• Implementers populating MedicationStatement.reasonReference with DiagnosticReport (IPS) are recommended to consider the corresponding AU Base DiagnosticReport profile as guidance for that resource type in an Australian healthcare context.
• When populating MedicationStatement.medicationCodeableConcept producers SHALL correctly populate MedicationStatement.medicationCodeableConcept.coding with either a code from Australian Medication or PBS Item Codes, or both, if a coded value is known and MAY populate with a code from another code system.
  • Producers MAY populate with only text if no coded value is known.
• The MedicationStatement resource can represent the clinical indication as a code with MedicationStatement.reasonCode, or a reference with MedicationStatement.reasonReference to a Condition or other resource.
  • Although both are marked as Must Support, producers are not required to support both a code and a reference, but they SHALL support at least one of these elements
  • A consumer SHALL support both elements
• To represent that a patient is not currently taking any medications, the code SNOMED CT 787481004 |No known medications| is used in MedicationStatement.medicationCodeableConcept:
  • MedicationStatement.status is set to "active"
  • MedicationStatement.effectiveDateTime is the period the statement was true or date/time the statement was current
  • A Medication resource referenced in MedicationStatement.medicationReference SHALL NOT be used
  • Implementers need to be aware than an IPS document conforming to 1.0.0 or 1.1.0 may provide instead the IPS preferred concept "no-known-medications". The IPS concept "no-known-medications" has been removed from later versions of IPS and replaced with SNOMED CT 787481004 |No known medications|. The concept "no-known-medications" SHOULD NOT be used when producing AU PS compliant data, but receiving systems may still encounter it in IPS documents.

Examples for this Profile: Bundle/aups-basicsummary, Bundle/aups-noknownx, Bundle/aups-referral-endoconsult-autogen and Bundle/aups-referral-endoconsult-curated

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	AUCoreMedicationStatement	A record of medication being taken by a patient in an Australian healthcare context This profile also complies with the profile MedicationStatement (IPS)
MedicationStatement.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationStatement.Slices for extension				Content/Rules for all slices
MedicationStatement.Slices for extension.extension:longTerm		0..1	boolean	Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
MedicationStatement.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationStatement.status	?! This element is a modifier element. SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.Slices for medication[x]	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1		Medication Detail Slice: Unordered, Closed by type:$this Binding: Australian Medication Use (preferred) Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for medication[x].medicationCodeableConcept			CodeableConcept
MedicationStatement.Slices for medication[x].medicationReference			Reference(Medication)
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	CodeableConceptIPS	Coded Medication Binding: Australian Medication Use (preferred) Additional Bindings Purpose Australian Medication Preferred PBS Item Codes Preferred MIMS Preferred GTIN Preferred Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding				Content/Rules for all slices
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.Slices for extension				Content/Rules for all slices
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.Slices for extension.extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.Slices for extension				Content/Rules for all slices
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.Slices for extension.extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
MedicationStatement.Slices for medication[x].medication[x]:medicationReference	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	Reference(AU PS Medication)	Medication Reference Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.subject	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1	Reference(AU PS Patient)	Who is/was taking the medication Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.subject.reference	SO This element has obligations and must be supported. Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.effective[x]	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1		The date/time or interval when the medication is/was/will be taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.effective[x].effectiveDateTime			dateTime S This target must be supported.
MedicationStatement.effective[x].effectivePeriod			Period
MedicationStatement.dateAsserted	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	dateTime	When the statement was asserted? Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.reasonCode	SO This element has obligations and must be supported.	0..*	CodeableConceptIPS	Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred) Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.reasonReference	SO This element has obligations and must be supported.	0..*	Reference(AU PS Condition | Observation | DiagnosticReport (IPS))	Condition or observation that supports why the medication is being/was taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage	SO This element has obligations and must be supported.	0..*	AUBaseDosage	Details of how medication is/was taken or should be taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationStatement.dosage.text	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage.timing	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	Timing	When medication should be administered Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	preferred	Australian Medication Use	⏿1.0.0	tx.hl7.org.au
MedicationStatement.​medication[x]:medicationCodeableConcept	Base	preferred	Australian Medication Use	⏿1.0.0	tx.hl7.org.au
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:pbs	Base	required	PBS Item Codes	📦7.0.0-ci-build	AU Base Implementation Guide vnull
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:amt	Base	required	Australian Medication	⏿1.0.2	tx.hl7.org.au
MedicationStatement.​reasonCode	Base	preferred	Medication Reason Taken	⏿1.1.0	tx.hl7.org.au

Constraints

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

This structure is derived from AUCoreMedicationStatement

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	AUCoreMedicationStatement	A record of medication being taken by a patient in an Australian healthcare context This profile also complies with the profile MedicationStatement (IPS)
MedicationStatement.status	O This element has obligations.	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.medication[x]	O This element has obligations.	1..1	CodeableConcept, Reference(Medication)	Medication Detail Binding: Australian Medication Use (preferred) Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.Slices for medication[x]				Content/Rules for all slices
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept	O This element has obligations.	0..1	CodeableConceptIPS	Coded Medication Binding: Australian Medication Use (preferred) Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding				Content/Rules for all slices
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs	O This element has obligations.	0..*	Coding	Code defined by a terminology system Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt	O This element has obligations.	0..*	Coding	Code defined by a terminology system Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationReference	O This element has obligations.	0..1	Reference(AU PS Medication)	Medication Reference Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.subject	O This element has obligations.	1..1	Reference(AU PS Patient)	Who is/was taking the medication Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.subject.reference	SO This element has obligations and must be supported.	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.effective[x]	O This element has obligations.	1..1		The date/time or interval when the medication is/was/will be taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.effective[x].effectiveDateTime			dateTime
MedicationStatement.effective[x].effectivePeriod			Period
MedicationStatement.dateAsserted	O This element has obligations.	0..1	dateTime	When the statement was asserted? Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.reasonCode	O This element has obligations.	0..*	CodeableConceptIPS	Reason for why the medication is being/was taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.reasonReference	O This element has obligations.	0..*	Reference(AU PS Condition | Observation | DiagnosticReport (IPS))	Condition or observation that supports why the medication is being/was taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage	O This element has obligations.	0..*	AUBaseDosage	Details of how medication is/was taken or should be taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage.text	O This element has obligations.	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage.timing	SO This element has obligations and must be supported.	0..1	Timing	When medication should be administered Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​medication[x]	Base	preferred	Australian Medication Use	⏿1.0.0	tx.hl7.org.au
MedicationStatement.​medication[x]:medicationCodeableConcept	Base	preferred	Australian Medication Use	⏿1.0.0	tx.hl7.org.au

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	AUCoreMedicationStatement	A record of medication being taken by a patient in an Australian healthcare context This profile also complies with the profile MedicationStatement (IPS)
MedicationStatement.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MedicationStatement.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationStatement.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationStatement.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
MedicationStatement.contained		0..*	Resource	Contained, inline Resources
MedicationStatement.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MedicationStatement.Slices for extension.extension:longTerm		0..1	boolean	Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
MedicationStatement.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationStatement.identifier	Σ This element is included in summaries.	0..*	Identifier	External identifier
MedicationStatement.basedOn	Σ This element is included in summaries.	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
MedicationStatement.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
MedicationStatement.status	?! This element is a modifier element. SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
MedicationStatement.category	Σ This element is included in summaries.	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
MedicationStatement.Slices for medication[x]	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1		Medication Detail Slice: Unordered, Closed by type:$this Binding: Australian Medication Use (preferred) Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for medication[x].medicationCodeableConcept			CodeableConcept
MedicationStatement.Slices for medication[x].medicationReference			Reference(Medication)
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	CodeableConceptIPS	Coded Medication Binding: Australian Medication Use (preferred) Additional Bindings Purpose Australian Medication Preferred PBS Item Codes Preferred MIMS Preferred GTIN Preferred Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.id		0..1	string	Unique id for inter-element referencing
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding				Content/Rules for all slices
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.id		0..1	string	Unique id for inter-element referencing
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.Slices for extension				Content/Rules for all slices
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.Slices for extension.extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.id		0..1	string	Unique id for inter-element referencing
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.Slices for extension				Content/Rules for all slices
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.Slices for extension.extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.text	Σ This element is included in summaries.	0..1	string	Medication primary text
MedicationStatement.Slices for medication[x].medication[x]:medicationReference	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	Reference(AU PS Medication)	Medication Reference Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.subject	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1	Reference(AU PS Patient)	Who is/was taking the medication Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.subject.id		0..1	string	Unique id for inter-element referencing
MedicationStatement.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationStatement.subject.reference	SO This element has obligations and must be supported. Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.subject.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
MedicationStatement.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationStatement.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationStatement.context	Σ This element is included in summaries.	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
MedicationStatement.effective[x]	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1		The date/time or interval when the medication is/was/will be taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.effective[x].effectiveDateTime			dateTime S This target must be supported.
MedicationStatement.effective[x].effectivePeriod			Period
MedicationStatement.dateAsserted	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	dateTime	When the statement was asserted? Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.informationSource		0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
MedicationStatement.derivedFrom		0..*	Reference(Resource)	Additional supporting information
MedicationStatement.reasonCode	SO This element has obligations and must be supported.	0..*	CodeableConceptIPS	Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred) Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.reasonReference	SO This element has obligations and must be supported.	0..*	Reference(AU PS Condition | Observation | DiagnosticReport (IPS))	Condition or observation that supports why the medication is being/was taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.note		0..*	Annotation	Further information about the statement
MedicationStatement.dosage	SO This element has obligations and must be supported.	0..*	AUBaseDosage	Details of how medication is/was taken or should be taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage.id		0..1	string	Unique id for inter-element referencing
MedicationStatement.dosage.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationStatement.dosage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationStatement.dosage.sequence	Σ This element is included in summaries.	0..1	integer	The order of the dosage instructions
MedicationStatement.dosage.text	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage.additionalInstruction	Σ This element is included in summaries.	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
MedicationStatement.dosage.patientInstruction	Σ This element is included in summaries.	0..1	string	Patient or consumer oriented instructions
MedicationStatement.dosage.timing	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	Timing	When medication should be administered Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage.asNeeded[x]	Σ This element is included in summaries.	0..1		Take "as needed" (for x) Binding: Clinical Finding (preferred)
MedicationStatement.dosage.asNeeded[x].asNeededBoolean			boolean
MedicationStatement.dosage.asNeeded[x].asNeededCodeableConcept			CodeableConcept
MedicationStatement.dosage.site	Σ This element is included in summaries.	0..1	CodeableConcept	Body site to administer to Binding: Body Site (preferred)
MedicationStatement.dosage.route	Σ This element is included in summaries.	0..1	CodeableConcept	How drug should enter body Binding: Route of Administration (preferred)
MedicationStatement.dosage.method	Σ This element is included in summaries.	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
MedicationStatement.dosage.doseAndRate	Σ This element is included in summaries.	0..*	Element	Amount of medication administered
MedicationStatement.dosage.doseAndRate.id		0..1	string	Unique id for inter-element referencing
MedicationStatement.dosage.doseAndRate.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationStatement.dosage.doseAndRate.type	Σ This element is included in summaries.	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
MedicationStatement.dosage.doseAndRate.dose[x]	Σ This element is included in summaries.	0..1		Amount of medication per dose
MedicationStatement.dosage.doseAndRate.dose[x].doseRange			Range
MedicationStatement.dosage.doseAndRate.dose[x].doseQuantity			Quantity(SimpleQuantity)
MedicationStatement.dosage.doseAndRate.rate[x]	Σ This element is included in summaries.	0..1		Amount of medication per unit of time
MedicationStatement.dosage.doseAndRate.rate[x].rateRatio			Ratio
MedicationStatement.dosage.doseAndRate.rate[x].rateRange			Range
MedicationStatement.dosage.doseAndRate.rate[x].rateQuantity			Quantity(SimpleQuantity)
MedicationStatement.dosage.maxDosePerPeriod	Σ This element is included in summaries.	0..1	Ratio	Upper limit on medication per unit of time
MedicationStatement.dosage.maxDosePerAdministration	Σ This element is included in summaries. C	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per administration Constraints: sqty-1
MedicationStatement.dosage.maxDosePerLifetime	Σ This element is included in summaries. C	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per lifetime of the patient Constraints: sqty-1
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​statusReason	Base	example	SNOMED CT Drug Therapy Status codes	📍4.0.1	FHIR Std.
MedicationStatement.​category	Base	preferred	Medication usage category codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	preferred	Australian Medication Use	⏿1.0.0	tx.hl7.org.au
MedicationStatement.​medication[x]:medicationCodeableConcept	Base	preferred	Australian Medication Use	⏿1.0.0	tx.hl7.org.au
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:pbs	Base	required	PBS Item Codes	📦7.0.0-ci-build	AU Base Implementation Guide vnull
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:amt	Base	required	Australian Medication	⏿1.0.2	tx.hl7.org.au
MedicationStatement.​subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​reasonCode	Base	preferred	Medication Reason Taken	⏿1.1.0	tx.hl7.org.au
MedicationStatement.​dosage.additionalInstruction	Base	preferred	SNOMED CT Additional Dosage Instructions	📦4.0.1	FHIR Std.
MedicationStatement.​dosage.asNeeded[x]	Base	preferred	Clinical Finding	⏿1.0.2	tx.hl7.org.au
MedicationStatement.​dosage.site	Base	preferred	Body Site	⏿1.0.2	tx.hl7.org.au
MedicationStatement.​dosage.route	Base	preferred	Route of Administration	⏿1.0.2	tx.hl7.org.au
MedicationStatement.​dosage.method	Base	preferred	SNOMED CT Administration Method Codes	📦4.0.1	FHIR Std.
MedicationStatement.​dosage.doseAndRate.type	Base	example	DoseAndRateType	📍4.0.1	FHIR Std.

Constraints

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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	AUCoreMedicationStatement	A record of medication being taken by a patient in an Australian healthcare context This profile also complies with the profile MedicationStatement (IPS)
MedicationStatement.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationStatement.Slices for extension				Content/Rules for all slices
MedicationStatement.Slices for extension.extension:longTerm		0..1	boolean	Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
MedicationStatement.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationStatement.status	?! This element is a modifier element. SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.Slices for medication[x]	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1		Medication Detail Slice: Unordered, Closed by type:$this Binding: Australian Medication Use (preferred) Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for medication[x].medicationCodeableConcept			CodeableConcept
MedicationStatement.Slices for medication[x].medicationReference			Reference(Medication)
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	CodeableConceptIPS	Coded Medication Binding: Australian Medication Use (preferred) Additional Bindings Purpose Australian Medication Preferred PBS Item Codes Preferred MIMS Preferred GTIN Preferred Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding				Content/Rules for all slices
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.Slices for extension				Content/Rules for all slices
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.Slices for extension.extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.Slices for extension				Content/Rules for all slices
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.Slices for extension.extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
MedicationStatement.Slices for medication[x].medication[x]:medicationReference	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	Reference(AU PS Medication)	Medication Reference Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.subject	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1	Reference(AU PS Patient)	Who is/was taking the medication Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.subject.reference	SO This element has obligations and must be supported. Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.effective[x]	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1		The date/time or interval when the medication is/was/will be taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.effective[x].effectiveDateTime			dateTime S This target must be supported.
MedicationStatement.effective[x].effectivePeriod			Period
MedicationStatement.dateAsserted	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	dateTime	When the statement was asserted? Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.reasonCode	SO This element has obligations and must be supported.	0..*	CodeableConceptIPS	Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred) Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.reasonReference	SO This element has obligations and must be supported.	0..*	Reference(AU PS Condition | Observation | DiagnosticReport (IPS))	Condition or observation that supports why the medication is being/was taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage	SO This element has obligations and must be supported.	0..*	AUBaseDosage	Details of how medication is/was taken or should be taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationStatement.dosage.text	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage.timing	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	Timing	When medication should be administered Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	preferred	Australian Medication Use	⏿1.0.0	tx.hl7.org.au
MedicationStatement.​medication[x]:medicationCodeableConcept	Base	preferred	Australian Medication Use	⏿1.0.0	tx.hl7.org.au
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:pbs	Base	required	PBS Item Codes	📦7.0.0-ci-build	AU Base Implementation Guide vnull
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:amt	Base	required	Australian Medication	⏿1.0.2	tx.hl7.org.au
MedicationStatement.​reasonCode	Base	preferred	Medication Reason Taken	⏿1.1.0	tx.hl7.org.au

Constraints

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

Differential View

This structure is derived from AUCoreMedicationStatement

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	AUCoreMedicationStatement	A record of medication being taken by a patient in an Australian healthcare context This profile also complies with the profile MedicationStatement (IPS)
MedicationStatement.status	O This element has obligations.	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.medication[x]	O This element has obligations.	1..1	CodeableConcept, Reference(Medication)	Medication Detail Binding: Australian Medication Use (preferred) Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.Slices for medication[x]				Content/Rules for all slices
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept	O This element has obligations.	0..1	CodeableConceptIPS	Coded Medication Binding: Australian Medication Use (preferred) Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding				Content/Rules for all slices
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs	O This element has obligations.	0..*	Coding	Code defined by a terminology system Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt	O This element has obligations.	0..*	Coding	Code defined by a terminology system Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationReference	O This element has obligations.	0..1	Reference(AU PS Medication)	Medication Reference Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.subject	O This element has obligations.	1..1	Reference(AU PS Patient)	Who is/was taking the medication Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.subject.reference	SO This element has obligations and must be supported.	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.effective[x]	O This element has obligations.	1..1		The date/time or interval when the medication is/was/will be taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.effective[x].effectiveDateTime			dateTime
MedicationStatement.effective[x].effectivePeriod			Period
MedicationStatement.dateAsserted	O This element has obligations.	0..1	dateTime	When the statement was asserted? Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.reasonCode	O This element has obligations.	0..*	CodeableConceptIPS	Reason for why the medication is being/was taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.reasonReference	O This element has obligations.	0..*	Reference(AU PS Condition | Observation | DiagnosticReport (IPS))	Condition or observation that supports why the medication is being/was taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage	O This element has obligations.	0..*	AUBaseDosage	Details of how medication is/was taken or should be taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage.text	O This element has obligations.	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage.timing	SO This element has obligations and must be supported.	0..1	Timing	When medication should be administered Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​medication[x]	Base	preferred	Australian Medication Use	⏿1.0.0	tx.hl7.org.au
MedicationStatement.​medication[x]:medicationCodeableConcept	Base	preferred	Australian Medication Use	⏿1.0.0	tx.hl7.org.au

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	AUCoreMedicationStatement	A record of medication being taken by a patient in an Australian healthcare context This profile also complies with the profile MedicationStatement (IPS)
MedicationStatement.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MedicationStatement.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationStatement.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationStatement.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
MedicationStatement.contained		0..*	Resource	Contained, inline Resources
MedicationStatement.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MedicationStatement.Slices for extension.extension:longTerm		0..1	boolean	Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term
MedicationStatement.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationStatement.identifier	Σ This element is included in summaries.	0..*	Identifier	External identifier
MedicationStatement.basedOn	Σ This element is included in summaries.	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
MedicationStatement.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
MedicationStatement.status	?! This element is a modifier element. SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
MedicationStatement.category	Σ This element is included in summaries.	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
MedicationStatement.Slices for medication[x]	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1		Medication Detail Slice: Unordered, Closed by type:$this Binding: Australian Medication Use (preferred) Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for medication[x].medicationCodeableConcept			CodeableConcept
MedicationStatement.Slices for medication[x].medicationReference			Reference(Medication)
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	CodeableConceptIPS	Coded Medication Binding: Australian Medication Use (preferred) Additional Bindings Purpose Australian Medication Preferred PBS Item Codes Preferred MIMS Preferred GTIN Preferred Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.id		0..1	string	Unique id for inter-element referencing
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding				Content/Rules for all slices
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.id		0..1	string	Unique id for inter-element referencing
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.Slices for extension				Content/Rules for all slices
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.Slices for extension.extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:pbs.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.id		0..1	string	Unique id for inter-element referencing
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.Slices for extension				Content/Rules for all slices
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.Slices for extension.extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:amt.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
MedicationStatement.Slices for medication[x].medication[x]:medicationCodeableConcept.text	Σ This element is included in summaries.	0..1	string	Medication primary text
MedicationStatement.Slices for medication[x].medication[x]:medicationReference	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	Reference(AU PS Medication)	Medication Reference Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.subject	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1	Reference(AU PS Patient)	Who is/was taking the medication Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.subject.id		0..1	string	Unique id for inter-element referencing
MedicationStatement.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationStatement.subject.reference	SO This element has obligations and must be supported. Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate AU PS Producer SHALL:handle AU PS Consumer
MedicationStatement.subject.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
MedicationStatement.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationStatement.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationStatement.context	Σ This element is included in summaries.	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
MedicationStatement.effective[x]	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1		The date/time or interval when the medication is/was/will be taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.effective[x].effectiveDateTime			dateTime S This target must be supported.
MedicationStatement.effective[x].effectivePeriod			Period
MedicationStatement.dateAsserted	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	dateTime	When the statement was asserted? Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.informationSource		0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
MedicationStatement.derivedFrom		0..*	Reference(Resource)	Additional supporting information
MedicationStatement.reasonCode	SO This element has obligations and must be supported.	0..*	CodeableConceptIPS	Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred) Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.reasonReference	SO This element has obligations and must be supported.	0..*	Reference(AU PS Condition | Observation | DiagnosticReport (IPS))	Condition or observation that supports why the medication is being/was taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.note		0..*	Annotation	Further information about the statement
MedicationStatement.dosage	SO This element has obligations and must be supported.	0..*	AUBaseDosage	Details of how medication is/was taken or should be taken Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage.id		0..1	string	Unique id for inter-element referencing
MedicationStatement.dosage.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationStatement.dosage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationStatement.dosage.sequence	Σ This element is included in summaries.	0..1	integer	The order of the dosage instructions
MedicationStatement.dosage.text	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage.additionalInstruction	Σ This element is included in summaries.	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
MedicationStatement.dosage.patientInstruction	Σ This element is included in summaries.	0..1	string	Patient or consumer oriented instructions
MedicationStatement.dosage.timing	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	Timing	When medication should be administered Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
MedicationStatement.dosage.asNeeded[x]	Σ This element is included in summaries.	0..1		Take "as needed" (for x) Binding: Clinical Finding (preferred)
MedicationStatement.dosage.asNeeded[x].asNeededBoolean			boolean
MedicationStatement.dosage.asNeeded[x].asNeededCodeableConcept			CodeableConcept
MedicationStatement.dosage.site	Σ This element is included in summaries.	0..1	CodeableConcept	Body site to administer to Binding: Body Site (preferred)
MedicationStatement.dosage.route	Σ This element is included in summaries.	0..1	CodeableConcept	How drug should enter body Binding: Route of Administration (preferred)
MedicationStatement.dosage.method	Σ This element is included in summaries.	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
MedicationStatement.dosage.doseAndRate	Σ This element is included in summaries.	0..*	Element	Amount of medication administered
MedicationStatement.dosage.doseAndRate.id		0..1	string	Unique id for inter-element referencing
MedicationStatement.dosage.doseAndRate.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationStatement.dosage.doseAndRate.type	Σ This element is included in summaries.	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
MedicationStatement.dosage.doseAndRate.dose[x]	Σ This element is included in summaries.	0..1		Amount of medication per dose
MedicationStatement.dosage.doseAndRate.dose[x].doseRange			Range
MedicationStatement.dosage.doseAndRate.dose[x].doseQuantity			Quantity(SimpleQuantity)
MedicationStatement.dosage.doseAndRate.rate[x]	Σ This element is included in summaries.	0..1		Amount of medication per unit of time
MedicationStatement.dosage.doseAndRate.rate[x].rateRatio			Ratio
MedicationStatement.dosage.doseAndRate.rate[x].rateRange			Range
MedicationStatement.dosage.doseAndRate.rate[x].rateQuantity			Quantity(SimpleQuantity)
MedicationStatement.dosage.maxDosePerPeriod	Σ This element is included in summaries.	0..1	Ratio	Upper limit on medication per unit of time
MedicationStatement.dosage.maxDosePerAdministration	Σ This element is included in summaries. C	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per administration Constraints: sqty-1
MedicationStatement.dosage.maxDosePerLifetime	Σ This element is included in summaries. C	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per lifetime of the patient Constraints: sqty-1
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​statusReason	Base	example	SNOMED CT Drug Therapy Status codes	📍4.0.1	FHIR Std.
MedicationStatement.​category	Base	preferred	Medication usage category codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	preferred	Australian Medication Use	⏿1.0.0	tx.hl7.org.au
MedicationStatement.​medication[x]:medicationCodeableConcept	Base	preferred	Australian Medication Use	⏿1.0.0	tx.hl7.org.au
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:pbs	Base	required	PBS Item Codes	📦7.0.0-ci-build	AU Base Implementation Guide vnull
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:amt	Base	required	Australian Medication	⏿1.0.2	tx.hl7.org.au
MedicationStatement.​subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​reasonCode	Base	preferred	Medication Reason Taken	⏿1.1.0	tx.hl7.org.au
MedicationStatement.​dosage.additionalInstruction	Base	preferred	SNOMED CT Additional Dosage Instructions	📦4.0.1	FHIR Std.
MedicationStatement.​dosage.asNeeded[x]	Base	preferred	Clinical Finding	⏿1.0.2	tx.hl7.org.au
MedicationStatement.​dosage.site	Base	preferred	Body Site	⏿1.0.2	tx.hl7.org.au
MedicationStatement.​dosage.route	Base	preferred	Route of Administration	⏿1.0.2	tx.hl7.org.au
MedicationStatement.​dosage.method	Base	preferred	SNOMED CT Administration Method Codes	📦4.0.1	FHIR Std.
MedicationStatement.​dosage.doseAndRate.type	Base	example	DoseAndRateType	📍4.0.1	FHIR Std.

Constraints

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

This structure is derived from AUCoreMedicationStatement

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• AU PS Medication (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medication)
• AU PS Patient (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient)
• AU PS Condition (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-condition)
• DiagnosticReport (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips)

Maturity: 2