# 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

## Resource Profile: CND MedicationStatement

Official URL: http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-medicationstatement | Version: 26.0.0
Active as of 2026-06-19 | 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/

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:

- Use this Profile: CND Bundle
- Refer to this Profile: CND Composition
- Examples for this Profile: MedicationStatement/ex-medicationstatement-rosuvastatin-anne

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- 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
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 | S Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order
status | ?!SO Σ | 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 | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
Slices for medication[x] | SO Σ | 1..1 | Reference() | Medication Detail Slice: Unordered, Closed by type:$this
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
medication[x]:medicationReference | SO Σ | 0..1 | Reference(CND Medication) | Medication Reference
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
medication[x]:medicationCodeableConcept | SO Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$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 | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
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 | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
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 | SO Σ | 1..1 | Reference(CND Patient) | Who is/was taking the medication
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
effective[x] | SO Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dateAsserted | SO Σ | 0..1 | dateTime | When the statement was asserted?
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
reasonCode | SO | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
reasonReference | SO | 0..* | Reference(AU Core Condition | Observation | AU Base DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
dosage | SO | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | SO Σ | 0..1 | string | Free text dosage instructions e.g. SIG
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
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]: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

#### 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 |  |  | 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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | S Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event
status | ?!SO Σ | 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 | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core 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] | SO Σ | 1..1 | Reference() | Medication Detail Slice: Unordered, Closed by type:$this
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
medication[x]:medicationReference | SO Σ | 0..1 | Reference(CND Medication) | Medication Reference
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
medication[x]:medicationCodeableConcept | SO Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$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 | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
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 | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
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 | SO Σ | 1..1 | Reference(CND Patient) | Who is/was taking the medication
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
effective[x] | SO Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dateAsserted | SO Σ | 0..1 | dateTime | When the statement was asserted?
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
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)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
reasonReference | SO | 0..* | Reference(AU Core Condition | Observation | AU Base DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
note |  | 0..* | Annotation | Further information about the statement
dosage | SO | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
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 | SO Σ | 0..1 | string | Free text dosage instructions e.g. SIG
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
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

#### 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]: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.

#### 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

Summary

Must-Support: 1 element

Structures

This structure refers to these other structures:

- CND Medication (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-medication)
- CND Patient (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-patient)

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
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 | S Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order
status | ?!SO Σ | 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 | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
Slices for medication[x] | SO Σ | 1..1 | Reference() | Medication Detail Slice: Unordered, Closed by type:$this
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
medication[x]:medicationReference | SO Σ | 0..1 | Reference(CND Medication) | Medication Reference
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
medication[x]:medicationCodeableConcept | SO Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$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 | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
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 | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
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 | SO Σ | 1..1 | Reference(CND Patient) | Who is/was taking the medication
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
effective[x] | SO Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dateAsserted | SO Σ | 0..1 | dateTime | When the statement was asserted?
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
reasonCode | SO | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Medication Reason Taken (preferred)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
reasonReference | SO | 0..* | Reference(AU Core Condition | Observation | AU Base DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
dosage | SO | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | SO Σ | 0..1 | string | Free text dosage instructions e.g. SIG
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
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]: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

#### 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 |  |  | 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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | S Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event
status | ?!SO Σ | 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 | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core 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] | SO Σ | 1..1 | Reference() | Medication Detail Slice: Unordered, Closed by type:$this
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
medication[x]:medicationReference | SO Σ | 0..1 | Reference(CND Medication) | Medication Reference
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
medication[x]:medicationCodeableConcept | SO Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$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 | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
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 | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
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 | SO Σ | 1..1 | Reference(CND Patient) | Who is/was taking the medication
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
effective[x] | SO Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dateAsserted | SO Σ | 0..1 | dateTime | When the statement was asserted?
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
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)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
reasonReference | SO | 0..* | Reference(AU Core Condition | Observation | AU Base DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
note |  | 0..* | Annotation | Further information about the statement
dosage | SO | 0..* | AUBaseDosage | Details of how medication is/was taken or should be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
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 | SO Σ | 0..1 | string | Free text dosage instructions e.g. SIG
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationStatement
SHALL:no-error | AU Core Requester | from AU Core MedicationStatement
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

#### 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]: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.

#### 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

Summary

Must-Support: 1 element

Structures

This structure refers to these other structures:

- CND Medication (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-medication)
- CND Patient (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-patient)

Other representations of profile: CSV, Excel, Schematron