Aged Care Clinical Note - Local Development build (v0.1.0-preview) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: AU Aged Care Clinical Note - MedicationStatement

Official URL: http://ns.electronichealth.net.au/fhir/cn/StructureDefinition/au-aged-care-clin-note-medicationstatement Version: 0.1.0-preview
Standards status: Draft Maturity Level: 0 Computable Name: AUAgedCareClinNoteMedicationStatement

Usage:Jurisdiction: Australia

Copyright/Legal: Copyright © 2025 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.

This profile defines a medication statement structure that localises core concepts, including terminology, for use in an Aged Care Clinical Note 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.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* AUBaseMedicationStatement Australian Aged Care Clinical Note MedicationStatement
... 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
... status ?!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.
... Slices for medication[x] Σ 1..1 Reference() Medication Detail
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference SΣ 0..1 Reference(AU Aged Care Clinical Note - Medication) Medication Reference
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Coded Medication
Binding: SNOMEDCTMedicationCodes (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN (3.0.0) Preferred
... subject Σ 1..1 Reference(AU Aged Care Clinical Note - Patient) Who is/was taking the medication
... reasonCode S 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: Medication Reason Taken . (preferred)
... dosage S 0..* AUBaseDosage Details of how medication is/was taken or should be taken

doco 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.​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 AUBaseMedicationStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* AUBaseMedicationStatement Australian Aged Care Clinical Note MedicationStatement
... basedOn S 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... Slices for medication[x] Content/Rules for all slices
.... medication[x]:medicationReference S 0..1 Reference(AU Aged Care Clinical Note - Medication) Medication Reference
... subject 1..1 Reference(AU Aged Care Clinical Note - Patient) Who is/was taking the medication
... dosage S 0..* AUBaseDosage Details of how medication is/was taken or should be taken

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* AUBaseMedicationStatement Australian Aged Care Clinical Note MedicationStatement
... 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
... 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 ?!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.
... 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] Σ 1..1 Reference() Medication Detail
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference SΣ 0..1 Reference(AU Aged Care Clinical Note - Medication) Medication Reference
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Coded Medication
Binding: SNOMEDCTMedicationCodes (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN (3.0.0) Preferred
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... 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 Σ 1..1 Reference(AU Aged Care Clinical Note - Patient) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] Σ 0..1 The date/time or interval when the medication is/was/will be taken
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted Σ 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 S 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: Medication Reason Taken . (preferred)
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note 0..* Annotation Further information about the statement
... dosage S 0..* AUBaseDosage Details of how medication is/was taken or should be taken

doco 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.​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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* AUBaseMedicationStatement Australian Aged Care Clinical Note MedicationStatement
... 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
... status ?!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.
... Slices for medication[x] Σ 1..1 Reference() Medication Detail
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference SΣ 0..1 Reference(AU Aged Care Clinical Note - Medication) Medication Reference
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Coded Medication
Binding: SNOMEDCTMedicationCodes (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN (3.0.0) Preferred
... subject Σ 1..1 Reference(AU Aged Care Clinical Note - Patient) Who is/was taking the medication
... reasonCode S 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: Medication Reason Taken . (preferred)
... dosage S 0..* AUBaseDosage Details of how medication is/was taken or should be taken

doco 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.​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 AUBaseMedicationStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* AUBaseMedicationStatement Australian Aged Care Clinical Note MedicationStatement
... basedOn S 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... Slices for medication[x] Content/Rules for all slices
.... medication[x]:medicationReference S 0..1 Reference(AU Aged Care Clinical Note - Medication) Medication Reference
... subject 1..1 Reference(AU Aged Care Clinical Note - Patient) Who is/was taking the medication
... dosage S 0..* AUBaseDosage Details of how medication is/was taken or should be taken

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* AUBaseMedicationStatement Australian Aged Care Clinical Note MedicationStatement
... 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
... 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 ?!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.
... 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] Σ 1..1 Reference() Medication Detail
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference SΣ 0..1 Reference(AU Aged Care Clinical Note - Medication) Medication Reference
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Coded Medication
Binding: SNOMEDCTMedicationCodes (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN (3.0.0) Preferred
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... 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 Σ 1..1 Reference(AU Aged Care Clinical Note - Patient) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] Σ 0..1 The date/time or interval when the medication is/was/will be taken
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted Σ 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 S 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: Medication Reason Taken . (preferred)
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note 0..* Annotation Further information about the statement
... dosage S 0..* AUBaseDosage Details of how medication is/was taken or should be taken

doco 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.​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()

 

Other representations of profile: CSV, Excel, Schematron