Australian Digital Health Agency Medicare Records FHIR Implementation Guide 2.2.0

Australian Digital Health Agency Medicare Records FHIR Implementation Guide. This is the current published version. It is based on FHIR® version 3.0.2. See the Directory of published versions for a list of available versions.

StructureDefinition: ADHA PBS Medication [Active]

The purpose of this profile is to define a representation of medicinal product information for a prescription item claimed in a claim against the Pharmaceutical Benefits Schedule (PBS) or Repatriation Pharmaceutical Benefits Scheme (RPBS) for the electronic exchange of health information between Medicare repositories and the My Health Record system infrastructure in Australia.

Usage scenarios

The following are the usage scenarios expected:

  • An individual’s PBS claim item records are uploaded to the My Health Record system from a Medicare repository
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

No specific guidance.

Formal Views of Profile Content

The official URL for this profile is:

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

The purpose of this profile is to define a representation of medicinal product information for a prescription item claimed in a claim against the Pharmaceutical Benefits Schedule (PBS) or Repatriation Pharmaceutical Benefits Scheme (RPBS) for the electronic exchange of health information between Medicare repositories and the My Health Record system infrastructure in Australia.

This profile builds on Medication.

This profile was published on 2023-04-14 04:08:50+0000 as a active by Australian Digital Health Agency.

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..*MedicationDefinition 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): A human language.

Additional BindingsPurpose
All LanguagesMax Binding
... text 0..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): A coded concept defining if the medication is in active use

... isBrand Σ0..1booleanTrue if a brand
... isOverTheCounter Σ0..1booleanTrue if medication does not require a prescription
... manufacturer SΣ0..1Reference(AU Base Organisation)Manufacturer of the item
... form 0..1CodeableConceptpowder | tablets | capsule +
Binding: SNOMED CT Form Codes (example): A coded concept defining the form of a medication

... ingredient 0..*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..1The product contained
..... itemCodeableConceptCodeableConcept
..... itemReferenceReference(Substance | Medication)
.... isActive 0..1booleanActive ingredient indicator
.... amount 0..1RatioQuantity of ingredient present
... package 0..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): A coded concept defining the kind of container a medication package is packaged in

.... content 0..*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..1The item in the package
...... itemCodeableConceptCodeableConcept
...... itemReferenceReference(Medication)
..... amount 0..1SimpleQuantityQuantity present in the package
.... batch 0..*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

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..*MedicationDefinition 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): A human language.

Additional BindingsPurpose
All LanguagesMax Binding
... text 0..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): A coded concept defining if the medication is in active use

... isBrand Σ0..1booleanTrue if a brand
... isOverTheCounter Σ0..1booleanTrue if medication does not require a prescription
... manufacturer SΣ0..1Reference(AU Base Organisation)Manufacturer of the item
... form 0..1CodeableConceptpowder | tablets | capsule +
Binding: SNOMED CT Form Codes (example): A coded concept defining the form of a medication

... ingredient 0..*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..1The product contained
..... itemCodeableConceptCodeableConcept
..... itemReferenceReference(Substance | Medication)
.... isActive 0..1booleanActive ingredient indicator
.... amount 0..1RatioQuantity of ingredient present
... package 0..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): A coded concept defining the kind of container a medication package is packaged in

.... content 0..*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..1The item in the package
...... itemCodeableConceptCodeableConcept
...... itemReferenceReference(Medication)
..... amount 0..1SimpleQuantityQuantity present in the package
.... batch 0..*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