Clinical Note Document
26.0.0
AU
Clinical Note Document - Local Development build (v26.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-medicationstatement | Version: 26.0.0 | |||
| Active as of 2026-06-16 | Computable Name: CND_MedicationStatement | |||
Copyright/Legal: This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/ |
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This profile constrains AU Core MedicationStatementto meet the requirements of this Implementation Guide for medication statements. Implementers are highly encouraged to review AU Core MedicationStatement profile before using this profile. This profile defines a medication statement structure that localises core concepts, including terminology, for use in a Clinical Note Document context. A medication statement is a statement of current and/or past medications taken by the patient. This is not a prescription or a legally recognised medicine chart.
This profile defines medication statement requirements for a Clinical Note Document in Australia, ensuring consistent capture of current and past medication information including dosage details for inclusion in clinical notes exchanged between healthcare providers.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs | Base | required | PBS Item Codes | 📦6.0.0 | AU Base Implementation Guide v6.0 |
| MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt | Base | required |
Australian Medication
|
⏿1.0.2 | tx.ontoserver.csiro.au |
| MedicationStatement.reasonCode | Base | preferred |
Medication Reason Taken
|
⏿1.1.0 | tx.ontoserver.csiro.au |
| 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:   |
|---|---|---|---|---|
  MedicationStatement |
AUCoreMedicationStatement | |||
  basedOn |
S | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order |
  Slices for medication[x] |
Content/Rules for all slices | |||
   medication[x]:medicationReference |
0..1 | Reference(CND Medication) | Medication Reference | |
  subject |
1..1 | Reference(CND Patient) | Who is/was taking the medication | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | AUCoreMedicationStatement | A record of medication being taken by a patient in an Australian healthcare context | ||||||||||||||||||||
 id |
Σ | 0..1 | id | Logical id of this artifact | |||||||||||||||||||
 meta |
Σ | 0..1 | Meta | Metadata about the resource | |||||||||||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||||||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | ||||||||||||||||||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||||||||||||||||||
| extension:longTerm |
0..1 | boolean | Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term | ||||||||||||||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||||||||||||
| identifier |
Σ | 0..* | Identifier | External identifier | |||||||||||||||||||
| basedOn |
SΣ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | |||||||||||||||||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | |||||||||||||||||||
| status |
?!SOΣ | 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.
| |||||||||||||||||||
| statusReason |
0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. | ||||||||||||||||||||
| category |
Σ | 0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | |||||||||||||||||||
| Slices for medication[x] |
SOΣ | 1..1 | Reference() | Medication Detail Slice: Unordered, Closed by type:$this
| |||||||||||||||||||
 medication[x]:medicationReference |
SOΣ | 0..1 | Reference(CND Medication) | Medication Reference
| |||||||||||||||||||
 medication[x]:medicationCodeableConcept |
SOΣ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example)
| |||||||||||||||||||
  id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||||||||||||||||
 Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |||||||||||||||||||
 coding:All Slices |
Content/Rules for all slices | ||||||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||||||||||||||||||
 Slices for extension |
Content/Rules for all slices | ||||||||||||||||||||||
 extension:medicationClass |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | ||||||||||||||||||||
| system |
Σ | 0..1 | uri | Identity of the terminology system | |||||||||||||||||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | |||||||||||||||||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | |||||||||||||||||||
| display |
Σ | 0..1 | string | Representation defined by the system | |||||||||||||||||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||||||
| Slices for coding |
Content/Rules for all slices | ||||||||||||||||||||||
| coding:pbs |
SOΣ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
| |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||||||||||||||||||
| Slices for extension |
Content/Rules for all slices | ||||||||||||||||||||||
| extension:medicationClass |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | ||||||||||||||||||||
| system |
Σ | 0..1 | uri | Identity of the terminology system | |||||||||||||||||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | |||||||||||||||||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | |||||||||||||||||||
| display |
Σ | 0..1 | string | Representation defined by the system | |||||||||||||||||||
 userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||||||
| coding:amt |
SOΣ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
| |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||||||||||||||||||
| Slices for extension |
Content/Rules for all slices | ||||||||||||||||||||||
| extension:medicationClass |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | ||||||||||||||||||||
| system |
Σ | 0..1 | uri | Identity of the terminology system | |||||||||||||||||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | |||||||||||||||||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | |||||||||||||||||||
| display |
Σ | 0..1 | string | Representation defined by the system | |||||||||||||||||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||||||
| text |
Σ | 0..1 | string | Medication primary text | |||||||||||||||||||
| subject |
SOΣ | 1..1 | Reference(CND Patient) | Who is/was taking the medication
| |||||||||||||||||||
| context |
Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | |||||||||||||||||||
 effective[x] |
SOΣ | 0..1 | The date/time or interval when the medication is/was/will be taken
| ||||||||||||||||||||
| effectiveDateTime |
dateTime | ||||||||||||||||||||||
| effectivePeriod |
Period | ||||||||||||||||||||||
| dateAsserted |
SOΣ | 0..1 | dateTime | When the statement was asserted?
| |||||||||||||||||||
| informationSource |
0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication | ||||||||||||||||||||
| derivedFrom |
0..* | Reference(Resource) | Additional supporting information | ||||||||||||||||||||
| reasonCode |
SO | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
| |||||||||||||||||||
| reasonReference |
SO | 0..* | Reference(AU Core Condition | Observation | AU Base DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
| |||||||||||||||||||
| note |
0..* | Annotation | Further information about the statement | ||||||||||||||||||||
 dosage |
SO | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken
| |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||||||||
| sequence |
Σ | 0..1 | integer | The order of the dosage instructions | |||||||||||||||||||
| text |
SOΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| |||||||||||||||||||
| additionalInstruction |
Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred) | |||||||||||||||||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer oriented instructions | |||||||||||||||||||
| timing |
Σ | 0..1 | Timing | When medication should be administered | |||||||||||||||||||
| asNeeded[x] |
Σ | 0..1 | Take "as needed" (for x) Binding: Clinical Finding (preferred) | ||||||||||||||||||||
| asNeededBoolean |
boolean | ||||||||||||||||||||||
| asNeededCodeableConcept |
CodeableConcept | ||||||||||||||||||||||
| site |
Σ | 0..1 | CodeableConcept | Body site to administer to Binding: Body Site (preferred) | |||||||||||||||||||
| route |
Σ | 0..1 | CodeableConcept | How drug should enter body Binding: Route of Administration (preferred) | |||||||||||||||||||
| method |
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred) | |||||||||||||||||||
| doseAndRate |
Σ | 0..* | Element | Amount of medication administered | |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||||||||||||||||
| type |
Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | |||||||||||||||||||
| dose[x] |
Σ | 0..1 | Amount of medication per dose | ||||||||||||||||||||
| doseRange |
Range | ||||||||||||||||||||||
| doseQuantity |
Quantity(SimpleQuantity) | ||||||||||||||||||||||
| rate[x] |
Σ | 0..1 | Amount of medication per unit of time | ||||||||||||||||||||
| rateRatio |
Ratio | ||||||||||||||||||||||
| rateRange |
Range | ||||||||||||||||||||||
| rateQuantity |
Quantity(SimpleQuantity) | ||||||||||||||||||||||
| maxDosePerPeriod |
Σ | 0..1 | Ratio | Upper limit on medication per unit of time | |||||||||||||||||||
| maxDosePerAdministration |
Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration | |||||||||||||||||||
| maxDosePerLifetime |
Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient | |||||||||||||||||||
| Documentation for this format | |||||||||||||||||||||||
| 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]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs | Base | required | PBS Item Codes | 📦6.0.0 | AU Base Implementation Guide v6.0 |
| MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt | Base | required |
Australian Medication
|
⏿1.0.2 | tx.ontoserver.csiro.au |
| MedicationStatement.reasonCode | Base | preferred |
Medication Reason Taken
|
⏿1.1.0 | tx.ontoserver.csiro.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.ontoserver.csiro.au |
| MedicationStatement.dosage.site | Base | preferred |
Body Site
|
⏿1.0.2 | tx.ontoserver.csiro.au |
| MedicationStatement.dosage.route | Base | preferred |
Route of Administration
|
⏿1.0.2 | tx.ontoserver.csiro.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. |
| 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
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | AUCoreMedicationStatement | A record of medication being taken by a patient in an Australian healthcare context | ||||||||||||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||||||||||||
| Slices for extension |
Content/Rules for all slices | ||||||||||||||||||||||
| extension:longTerm |
0..1 | boolean | Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term | ||||||||||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||||||||||||
| basedOn |
SΣ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | |||||||||||||||||||
| status |
?!SOΣ | 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.
| |||||||||||||||||||
| Slices for medication[x] |
SOΣ | 1..1 | Reference() | Medication Detail Slice: Unordered, Closed by type:$this
| |||||||||||||||||||
| medication[x]:medicationReference |
SOΣ | 0..1 | Reference(CND Medication) | Medication Reference
| |||||||||||||||||||
| medication[x]:medicationCodeableConcept |
SOΣ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example)
| |||||||||||||||||||
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |||||||||||||||||||
| coding:All Slices |
Content/Rules for all slices | ||||||||||||||||||||||
| Slices for extension |
Content/Rules for all slices | ||||||||||||||||||||||
| extension:medicationClass |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | ||||||||||||||||||||
 Slices for coding |
Content/Rules for all slices | ||||||||||||||||||||||
| coding:pbs |
SOΣ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
| |||||||||||||||||||
| Slices for extension |
Content/Rules for all slices | ||||||||||||||||||||||
| extension:medicationClass |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | ||||||||||||||||||||
| coding:amt |
SOΣ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
| |||||||||||||||||||
| Slices for extension |
Content/Rules for all slices | ||||||||||||||||||||||
| extension:medicationClass |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | ||||||||||||||||||||
| subject |
SOΣ | 1..1 | Reference(CND Patient) | Who is/was taking the medication
| |||||||||||||||||||
| effective[x] |
SOΣ | 0..1 | The date/time or interval when the medication is/was/will be taken
| ||||||||||||||||||||
| effectiveDateTime |
dateTime | ||||||||||||||||||||||
| effectivePeriod |
Period | ||||||||||||||||||||||
| dateAsserted |
SOΣ | 0..1 | dateTime | When the statement was asserted?
| |||||||||||||||||||
| reasonCode |
SO | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
| |||||||||||||||||||
| reasonReference |
SO | 0..* | Reference(AU Core Condition | Observation | AU Base DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
| |||||||||||||||||||
| dosage |
SO | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken
| |||||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||||||||
| text |
SOΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| |||||||||||||||||||
| Documentation for this format | |||||||||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs | Base | required | PBS Item Codes | 📦6.0.0 | AU Base Implementation Guide v6.0 |
| MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt | Base | required |
Australian Medication
|
⏿1.0.2 | tx.ontoserver.csiro.au |
| MedicationStatement.reasonCode | Base | preferred |
Medication Reason Taken
|
⏿1.1.0 | tx.ontoserver.csiro.au |
| 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: |
|---|---|---|---|---|
| MedicationStatement |
AUCoreMedicationStatement | |||
| basedOn |
S | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order |
| Slices for medication[x] |
Content/Rules for all slices | |||
| medication[x]:medicationReference |
0..1 | Reference(CND Medication) | Medication Reference | |
| subject |
1..1 | Reference(CND Patient) | Who is/was taking the medication | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | AUCoreMedicationStatement | A record of medication being taken by a patient in an Australian healthcare context | ||||||||||||||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | |||||||||||||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | |||||||||||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||||||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | ||||||||||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||||||||||||||||||
| extension:longTerm |
0..1 | boolean | Medication Long Term Indicator URL: http://hl7.org.au/fhir/StructureDefinition/medication-long-term | ||||||||||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||||||||||||
| identifier |
Σ | 0..* | Identifier | External identifier | |||||||||||||||||||
| basedOn |
SΣ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | |||||||||||||||||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | |||||||||||||||||||
| status |
?!SOΣ | 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.
| |||||||||||||||||||
| statusReason |
0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. | ||||||||||||||||||||
| category |
Σ | 0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | |||||||||||||||||||
| Slices for medication[x] |
SOΣ | 1..1 | Reference() | Medication Detail Slice: Unordered, Closed by type:$this
| |||||||||||||||||||
| medication[x]:medicationReference |
SOΣ | 0..1 | Reference(CND Medication) | Medication Reference
| |||||||||||||||||||
| medication[x]:medicationCodeableConcept |
SOΣ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example)
| |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||||||||||||||||
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |||||||||||||||||||
| coding:All Slices |
Content/Rules for all slices | ||||||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||||||||||||||||||
| Slices for extension |
Content/Rules for all slices | ||||||||||||||||||||||
| extension:medicationClass |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | ||||||||||||||||||||
| system |
Σ | 0..1 | uri | Identity of the terminology system | |||||||||||||||||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | |||||||||||||||||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | |||||||||||||||||||
| display |
Σ | 0..1 | string | Representation defined by the system | |||||||||||||||||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||||||
| Slices for coding |
Content/Rules for all slices | ||||||||||||||||||||||
| coding:pbs |
SOΣ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
| |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||||||||||||||||||
| Slices for extension |
Content/Rules for all slices | ||||||||||||||||||||||
| extension:medicationClass |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | ||||||||||||||||||||
| system |
Σ | 0..1 | uri | Identity of the terminology system | |||||||||||||||||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | |||||||||||||||||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | |||||||||||||||||||
| display |
Σ | 0..1 | string | Representation defined by the system | |||||||||||||||||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||||||
| coding:amt |
SOΣ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
| |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||||||||||||||||||
| Slices for extension |
Content/Rules for all slices | ||||||||||||||||||||||
| extension:medicationClass |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | ||||||||||||||||||||
| system |
Σ | 0..1 | uri | Identity of the terminology system | |||||||||||||||||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | |||||||||||||||||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | |||||||||||||||||||
| display |
Σ | 0..1 | string | Representation defined by the system | |||||||||||||||||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||||||
| text |
Σ | 0..1 | string | Medication primary text | |||||||||||||||||||
| subject |
SOΣ | 1..1 | Reference(CND Patient) | Who is/was taking the medication
| |||||||||||||||||||
| context |
Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | |||||||||||||||||||
| effective[x] |
SOΣ | 0..1 | The date/time or interval when the medication is/was/will be taken
| ||||||||||||||||||||
| effectiveDateTime |
dateTime | ||||||||||||||||||||||
| effectivePeriod |
Period | ||||||||||||||||||||||
| dateAsserted |
SOΣ | 0..1 | dateTime | When the statement was asserted?
| |||||||||||||||||||
| informationSource |
0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication | ||||||||||||||||||||
| derivedFrom |
0..* | Reference(Resource) | Additional supporting information | ||||||||||||||||||||
| reasonCode |
SO | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
| |||||||||||||||||||
| reasonReference |
SO | 0..* | Reference(AU Core Condition | Observation | AU Base DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
| |||||||||||||||||||
| note |
0..* | Annotation | Further information about the statement | ||||||||||||||||||||
| dosage |
SO | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken
| |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||||||||
| sequence |
Σ | 0..1 | integer | The order of the dosage instructions | |||||||||||||||||||
| text |
SOΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| |||||||||||||||||||
| additionalInstruction |
Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred) | |||||||||||||||||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer oriented instructions | |||||||||||||||||||
| timing |
Σ | 0..1 | Timing | When medication should be administered | |||||||||||||||||||
| asNeeded[x] |
Σ | 0..1 | Take "as needed" (for x) Binding: Clinical Finding (preferred) | ||||||||||||||||||||
| asNeededBoolean |
boolean | ||||||||||||||||||||||
| asNeededCodeableConcept |
CodeableConcept | ||||||||||||||||||||||
| site |
Σ | 0..1 | CodeableConcept | Body site to administer to Binding: Body Site (preferred) | |||||||||||||||||||
| route |
Σ | 0..1 | CodeableConcept | How drug should enter body Binding: Route of Administration (preferred) | |||||||||||||||||||
| method |
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred) | |||||||||||||||||||
| doseAndRate |
Σ | 0..* | Element | Amount of medication administered | |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||||||||||||||||
| type |
Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | |||||||||||||||||||
| dose[x] |
Σ | 0..1 | Amount of medication per dose | ||||||||||||||||||||
| doseRange |
Range | ||||||||||||||||||||||
| doseQuantity |
Quantity(SimpleQuantity) | ||||||||||||||||||||||
| rate[x] |
Σ | 0..1 | Amount of medication per unit of time | ||||||||||||||||||||
| rateRatio |
Ratio | ||||||||||||||||||||||
| rateRange |
Range | ||||||||||||||||||||||
| rateQuantity |
Quantity(SimpleQuantity) | ||||||||||||||||||||||
| maxDosePerPeriod |
Σ | 0..1 | Ratio | Upper limit on medication per unit of time | |||||||||||||||||||
| maxDosePerAdministration |
Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration | |||||||||||||||||||
| maxDosePerLifetime |
Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient | |||||||||||||||||||
| Documentation for this format | |||||||||||||||||||||||
| 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]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x]:medicationCodeableConcept.coding:pbs | Base | required | PBS Item Codes | 📦6.0.0 | AU Base Implementation Guide v6.0 |
| MedicationStatement.medication[x]:medicationCodeableConcept.coding:amt | Base | required |
Australian Medication
|
⏿1.0.2 | tx.ontoserver.csiro.au |
| MedicationStatement.reasonCode | Base | preferred |
Medication Reason Taken
|
⏿1.1.0 | tx.ontoserver.csiro.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.ontoserver.csiro.au |
| MedicationStatement.dosage.site | Base | preferred |
Body Site
|
⏿1.0.2 | tx.ontoserver.csiro.au |
| MedicationStatement.dosage.route | Base | preferred |
Route of Administration
|
⏿1.0.2 | tx.ontoserver.csiro.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. |
| 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
Other representations of profile: CSV, Excel, Schematron
IG © 2026+ Australian Digital Health Agency. Package au.gov.digitalhealth.cnd#26.0.0 based on FHIR 4.0.1. Generated 2026-06-16
Links: Table of Contents | QA Report | Version History | Report an issue or propose a change
