# AU PS MedicationStatement - AU Patient Summary Implementation Guide v1.0.0-ci-build

* [**Table of Contents**](toc.md)
* [**FHIR artefacts**](artefacts.md)
* [**Artefacts Summary**](artifacts.md)
* **AU PS MedicationStatement**

## Resource Profile: AU PS MedicationStatement 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationstatement | *Version*:1.0.0-ci-build | |
| * Standards status: *[Draft](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](https://build.fhir.org/ig/hl7au/au-fhir-base/generalguidance.html#maturity-levels): 2 | *Computable Name*:AUPSMedicationStatement |
| **Copyright/Legal**: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2024+; Licensed Under Creative Commons No Rights Reserved. | | |

 
This profile sets minimum expectations for a MedicationStatement resource in the context of a patient summary in an Australian context. It is based on the [AU Core MedicationStatement](https://build.fhir.org/ig/hl7au/au-fhir-core/StructureDefinition-au-core-medicationstatement.html) profile, and applies the additional requirements from [MedicationStatement (IPS)](http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips). 

See [Comparison With Other National and International IGs](comparison.md) 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](https://build.fhir.org/ig/hl7au/au-fhir-core/StructureDefinition-au-core-medicationstatement.html#profile-specific-implementation-guidance) in AU Core.
* Implementers populating `MedicationStatement.reasonReference` with [DiagnosticReport (IPS)](https://hl7.org/fhir/uv/ips/STU2/StructureDefinition-DiagnosticReport-uv-ips.html) are recommended to consider the corresponding [AU Base DiagnosticReport](https://build.fhir.org/ig/hl7au/au-fhir-base/StructureDefinition-au-diagnosticreport.html) 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](https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1) or [PBS Item Codes](https://build.fhir.org/ig/hl7au/au-fhir-base//ValueSet-pbs-item.html), 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"](https://hl7.org/fhir/uv/ips/STU1/CodeSystem-absent-unknown-uv-ips.html#absent-unknown-uv-ips-no-known-medications). The IPS concept ["no-known-medications"](https://hl7.org/fhir/uv/ips/STU1/CodeSystem-absent-unknown-uv-ips.html#absent-unknown-uv-ips-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"](https://hl7.org/fhir/uv/ips/STU1/CodeSystem-absent-unknown-uv-ips.html#absent-unknown-uv-ips-no-known-medications) **SHOULD NOT** be used when producing AU PS compliant data, but receiving systems may still encounter it in IPS documents.
 

The additional obligation on `MedicationStatement.effectiveDateTime` for [AU PS Producer](ActorDefinition-au-ps-actor-producer.md) is [SHOULD:able-to-populate](https://hl7.org/fhir/extensions/CodeSystem-obligation.html#obligation-SHOULD.58able-to-populate). This obligation is in addition to the obligation of [SHALL:populate-if-known](https://hl7.org/fhir/extensions/CodeSystem-obligation.html#obligation-SHOULD.58populate-if-known). There is no additional obligation for [AU PS Consumer](ActorDefinition-au-ps-actor-consumer.md), the obligations of [SHALL:handle](https://hl7.org/fhir/extensions/CodeSystem-obligation.html#obligation-SHALL.58handle) and [SHOULD:display](https://hl7.org/fhir/extensions/CodeSystem-obligation.html#obligation-SHOULD.58display) apply.

This additional obligation is present in the underlying structure but due to a tooling limitation is not currently rendered in the Formal Views of Profile Content. See [Zulip discussion](https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/Obligation.20Extension.20on.20ElementDefinition.2Etype.20not.20rendering) for more information.

**Examples for this Profile**: [Bundle/aups-basicsummary](Bundle-aups-basicsummary.md), [Bundle/aups-noknownx](Bundle-aups-noknownx.md), [Bundle/aups-referral-endoconsult-autogen](Bundle-aups-referral-endoconsult-autogen.md) and [Bundle/aups-referral-endoconsult-curated](Bundle-aups-referral-endoconsult-curated.md)

**Usages:**

* Use this Profile: [AU PS Bundle](StructureDefinition-au-ps-bundle.md)
* Refer to this Profile: [AU PS Composition](StructureDefinition-au-ps-composition.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.au.ps|current/StructureDefinition/au-ps-medicationstatement)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-au-ps-medicationstatement.csv), [Excel](StructureDefinition-au-ps-medicationstatement.xlsx), [Schematron](StructureDefinition-au-ps-medicationstatement.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "au-ps-medicationstatement",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-compliesWithProfile",
    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "draft",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org.au/fhir/ps/ImplementationGuide/hl7.fhir.au.ps"
      }]
    }
  }],
  "url" : "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationstatement",
  "version" : "1.0.0-ci-build",
  "name" : "AUPSMedicationStatement",
  "title" : "AU PS MedicationStatement",
  "status" : "active",
  "date" : "2026-05-11T00:17:01+00:00",
  "publisher" : "HL7 Australia",
  "contact" : [{
    "name" : "HL7 Australia FHIR Work Group",
    "telecom" : [{
      "system" : "url",
      "value" : "https://confluence.hl7.org/display/HAFWG",
      "use" : "work"
    }]
  }],
  "description" : "This profile sets minimum expectations for a MedicationStatement resource in the context of a patient summary in an Australian context. It is based on the [AU Core MedicationStatement](https://build.fhir.org/ig/hl7au/au-fhir-core/StructureDefinition-au-core-medicationstatement.html) profile, and applies the additional requirements from [MedicationStatement (IPS)](http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips).",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "AU"
    }]
  }],
  "copyright" : "Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2024+; Licensed Under Creative Commons No Rights Reserved.",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "MedicationStatement",
  "baseDefinition" : "http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationstatement",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "MedicationStatement",
      "path" : "MedicationStatement"
    },
    {
      "id" : "MedicationStatement.status",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:display"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "MedicationStatement.status"
    },
    {
      "id" : "MedicationStatement.medication[x]",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:display"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "MedicationStatement.medication[x]",
      "comment" : "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.\r\n\r\nTo improve global interoperability, IPS strongly encourages the use of a reference to a Medication resource, and medicationCodeableConcept is only recommended for cases where no other information than a simple code is available.\r\n\r\nAU PS does not adopt the IPS guidance that systems should only populate a Medication reference when more information than a simple code is available; either medicationReference or medicationCodeableConcept can be used. Future releases of AU PS, based on implementation experience in Australia may adopt that IPS guidance."
    },
    {
      "id" : "MedicationStatement.medication[x]:medicationCodeableConcept",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:display"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "MedicationStatement.medication[x]",
      "sliceName" : "medicationCodeableConcept",
      "type" : [{
        "code" : "CodeableConcept",
        "profile" : ["http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"]
      }],
      "binding" : {
        "strength" : "preferred",
        "valueSet" : "https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-use-1"
      }
    },
    {
      "id" : "MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "MedicationStatement.medication[x].coding",
      "sliceName" : "pbs"
    },
    {
      "id" : "MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "MedicationStatement.medication[x].coding",
      "sliceName" : "amt"
    },
    {
      "id" : "MedicationStatement.medication[x]:medicationReference",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:display"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "MedicationStatement.medication[x]",
      "sliceName" : "medicationReference",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medication"]
      }]
    },
    {
      "id" : "MedicationStatement.subject",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:display"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "MedicationStatement.subject",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient"]
      }]
    },
    {
      "id" : "MedicationStatement.subject.reference",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "MedicationStatement.subject.reference",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "MedicationStatement.effective[x]",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:display"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "MedicationStatement.effective[x]",
      "min" : 1,
      "type" : [{
        "extension" : [{
          "extension" : [{
            "url" : "code",
            "valueCode" : "SHALL:populate-if-known"
          },
          {
            "url" : "actor",
            "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
        },
        {
          "extension" : [{
            "url" : "code",
            "valueCode" : "SHOULD:able-to-populate"
          },
          {
            "url" : "actor",
            "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
        },
        {
          "extension" : [{
            "url" : "code",
            "valueCode" : "SHALL:handle"
          },
          {
            "url" : "actor",
            "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
        },
        {
          "extension" : [{
            "url" : "code",
            "valueCode" : "SHOULD:display"
          },
          {
            "url" : "actor",
            "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
          "valueBoolean" : true
        }],
        "code" : "dateTime"
      },
      {
        "code" : "Period"
      }]
    },
    {
      "id" : "MedicationStatement.dateAsserted",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:display"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "MedicationStatement.dateAsserted"
    },
    {
      "id" : "MedicationStatement.reasonCode",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:display"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "MedicationStatement.reasonCode",
      "type" : [{
        "code" : "CodeableConcept",
        "profile" : ["http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"]
      }]
    },
    {
      "id" : "MedicationStatement.reasonReference",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:display"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "MedicationStatement.reasonReference",
      "comment" : "Implementers populating `MedicationStatement.reasonReference` with [DiagnosticReport (IPS)](https://hl7.org/fhir/uv/ips/STU2/StructureDefinition-DiagnosticReport-uv-ips.html) are recommended to consider the corresponding [AU Base DiagnosticReport](https://build.fhir.org/ig/hl7au/au-fhir-base/StructureDefinition-au-diagnosticreport.html) profile as guidance for that resource type in an Australian healthcare context.",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-condition",
        "http://hl7.org/fhir/StructureDefinition/Observation",
        "http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips"]
      }]
    },
    {
      "id" : "MedicationStatement.dosage",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:display"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "MedicationStatement.dosage"
    },
    {
      "id" : "MedicationStatement.dosage.text",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:display"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "MedicationStatement.dosage.text"
    },
    {
      "id" : "MedicationStatement.dosage.timing",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:display"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "MedicationStatement.dosage.timing",
      "mustSupport" : true
    }]
  }
}

```
