Medicare Records FHIR Implementation Guide version 1.0.0

1.0 StructureDefinition-medication-pbs

This profile defines a representation of medication data to support representation of PBS claim items.

Usage Scenarios

The following are the usage scenarios expected:

  • DHS Medicare sends PBS records to the My Health Record system
Each Medication SHALL have
  1. a code identifying the medication
Must Support

In the context of this profile Must Support SHALL be interpreted as follows.

  • The system SHALL be able to store and retrieve the following elements:
    • code
  • The system SHALL be able to take the following elements into account when performing processing:
    • manufacturer
Profile-specific implementation guidance
  • If a resource is referenced rather than identified in the applicable element, the referenced resource should be contained
Examples

Sample instances are included within Explanation of Benefit Medicare example instances.

1.0.1 Formal Views of Profile Content

The official URL for this profile is: 

http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/medication-pbs

This profile defines a representation of pharmaceutical item data to support representation of PBS claim items.

This profile builds on Medication.

This profile was published on Tue Aug 28 00:00:00 AEST 2018 as a active by Australian Digital Health Agency.

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

This structure is derived from the STU3 FHIR® resource Medication.

This profile introduces the following variations from the above core resource:

  1. Exactly one code
  2. code required binding to Australian Department of Human Services Modified Pharmaceutical Benefits Scheme Schedule Item value set
  3. manufacturer as AU Base Organisation
NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication I0..*Definition of a Medication
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... code SΣ1..1CodeableConceptCodes that identify this medication
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-dhs-modified-pbs-item-1 (required)
... status Σ0..1codeactive | inactive | entered-in-error
Binding: MedicationStatus (required)
... isBrand Σ0..1booleanTrue if a brand
... isOverTheCounter Σ0..1booleanTrue if medication does not require a prescription
... manufacturer SΣ0..1​Reference(AU Base Organisation)Manufacturer of the item
... form 0..1CodeableConceptpowder | tablets | capsule +
Binding: SNOMED CT Form Codes (example)
... ingredient I0..*BackboneElementActive or inactive ingredient
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... item[x] 1..1CodeableConcept, Reference(Substance | Medication)The product contained
.... isActive 0..1booleanActive ingredient indicator
.... amount 0..1RatioQuantity of ingredient present
... package I0..1BackboneElementDetails about packaged medications
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... container 0..1CodeableConceptE.g. box, vial, blister-pack
Binding: MedicationContainer (example)
.... content I0..*BackboneElementWhat is in the package
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... item[x] 1..1CodeableConcept, Reference(Medication)The item in the package
..... amount 0..1SimpleQuantityQuantity present in the package
.... batch I0..*BackboneElementIdentifies a single production run
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... lotNumber 0..1stringIdentifier assigned to batch
..... expirationDate 0..1dateTimeWhen batch will expire
... image 0..*AttachmentPicture of the medication

doco Documentation for this format

This structure is derived from the STU3 FHIR® resource Medication.

This profile introduces the following variations from the above core resource:

  1. Exactly one code
  2. code required binding to Australian Department of Human Services Modified Pharmaceutical Benefits Scheme Schedule Item value set
  3. manufacturer as AU Base Organisation

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication I0..*Definition of a Medication
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... code SΣ1..1CodeableConceptCodes that identify this medication
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-dhs-modified-pbs-item-1 (required)
... status Σ0..1codeactive | inactive | entered-in-error
Binding: MedicationStatus (required)
... isBrand Σ0..1booleanTrue if a brand
... isOverTheCounter Σ0..1booleanTrue if medication does not require a prescription
... manufacturer SΣ0..1​Reference(AU Base Organisation)Manufacturer of the item
... form 0..1CodeableConceptpowder | tablets | capsule +
Binding: SNOMED CT Form Codes (example)
... ingredient I0..*BackboneElementActive or inactive ingredient
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... item[x] 1..1CodeableConcept, Reference(Substance | Medication)The product contained
.... isActive 0..1booleanActive ingredient indicator
.... amount 0..1RatioQuantity of ingredient present
... package I0..1BackboneElementDetails about packaged medications
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... container 0..1CodeableConceptE.g. box, vial, blister-pack
Binding: MedicationContainer (example)
.... content I0..*BackboneElementWhat is in the package
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... item[x] 1..1CodeableConcept, Reference(Medication)The item in the package
..... amount 0..1SimpleQuantityQuantity present in the package
.... batch I0..*BackboneElementIdentifies a single production run
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... lotNumber 0..1stringIdentifier assigned to batch
..... expirationDate 0..1dateTimeWhen batch will expire
... image 0..*AttachmentPicture of the medication

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron

 

1.0.2 Quick Start

Below is an overview of the required search and read operations.

Summary of Search Criteria for StructureDefinition-medication-pbs

none defined