{
  "resourceType": "StructureDefinition",
  "url": "http://hl7.org.au/fhir/StructureDefinition/au-medicationadministration",
  "version": "1.1.0",
  "name": "AUBaseMedicationAdministration",
  "title": "AUBaseMedicationAdministration",
  "status": "draft",
  "date": "2018-11-19",
  "publisher": "Health Level Seven Australia (Medications WG)",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org.au/fhir",
          "use": "work"
        }
      ]
    }
  ],
  "description": "This profile defines a medication administration structure including core localisation concepts for use in an Australian context.",
  "fhirVersion": "3.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "MedicationAdministration",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationAdministration",
        "path": "MedicationAdministration",
        "short": "A record of medication administered to a patient in an Australian healthcare context"
      },
      {
        "id": "MedicationAdministration.medication[x]",
        "path": "MedicationAdministration.medication[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "closed"
        },
        "short": "Medication Detail"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept",
        "path": "MedicationAdministration.medication[x]",
        "sliceName": "medicationCodeableConcept",
        "short": "Coded Medication",
        "min": 0,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding",
        "path": "MedicationAdministration.medication[x].coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "short": "Medication Codes"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:pbs",
        "path": "MedicationAdministration.medication[x].coding",
        "sliceName": "pbs",
        "short": "PBS Item Code",
        "definition": "PBS code from http://pbs.gov.au/code/item. Use of PBS as a code to refer to a type of medication, this excludes implication of context based on the PBS code. Where context is to be implied or stated PBS code needs to be associated with recording a prescription (MedicationRequest) or dispense record(MedicationDispense)",
        "binding": {
          "strength": "preferred",
          "valueSetReference": {
            "reference": "http://hl7.org.au/fhir/ValueSet/pbs-item"
          }
        }
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:pbs.system",
        "path": "MedicationAdministration.medication[x].coding.system",
        "min": 1,
        "fixedUri": "http://pbs.gov.au/code/item"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gtin",
        "path": "MedicationAdministration.medication[x].coding",
        "sliceName": "gtin",
        "short": "Medication Package Global Trade Item Number (GTIN)",
        "definition": "GTIN value from http://www.gs1.org/gtin.",
        "binding": {
          "strength": "preferred",
          "valueSetReference": {
            "reference": "http://hl7.org.au/fhir/ValueSet/gtin"
          }
        }
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gtin.system",
        "path": "MedicationAdministration.medication[x].coding.system",
        "min": 1,
        "fixedUri": "http://www.gs1.org/gtin"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:amt",
        "path": "MedicationAdministration.medication[x].coding",
        "sliceName": "amt",
        "short": "AMT Medicines",
        "binding": {
          "strength": "preferred",
          "valueSetUri": "https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1"
        }
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:amt.extension",
        "path": "MedicationAdministration.medication[x].coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:amt.extension:medicationClass",
        "path": "MedicationAdministration.medication[x].coding.extension",
        "sliceName": "medicationClass",
        "short": "Class of Medication Coding",
        "definition": "General category of coding to allow usage of codes to be distinguished from the same CodeSystem",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org.au/fhir/StructureDefinition/medication-type"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:amt.system",
        "path": "MedicationAdministration.medication[x].coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:mimsPackage",
        "path": "MedicationAdministration.medication[x].coding",
        "sliceName": "mimsPackage",
        "short": "MIMS Package",
        "max": "1",
        "binding": {
          "strength": "preferred",
          "valueSetReference": {
            "reference": "http://hl7.org.au/fhir/ValueSet/mims"
          }
        }
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:mimsPackage.system",
        "path": "MedicationAdministration.medication[x].coding.system",
        "min": 1,
        "fixedUri": "http://www.mims.com.au/codes"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationReference",
        "path": "MedicationAdministration.medication[x]",
        "sliceName": "medicationReference",
        "short": "Medication Reference",
        "min": 0,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org.au/fhir/StructureDefinition/au-medication"
          }
        ]
      },
      {
        "id": "MedicationAdministration.performer",
        "path": "MedicationAdministration.performer",
        "short": "Medication adminstration participants"
      },
      {
        "id": "MedicationAdministration.performer.extension",
        "path": "MedicationAdministration.performer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationAdministration.performer.extension:medicationAdministrationWitness",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "draft"
          }
        ],
        "path": "MedicationAdministration.performer.extension",
        "sliceName": "medicationAdministrationWitness",
        "short": "Witness to administration",
        "definition": "Witness is considered a participant in performing of medication administration.",
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org.au/fhir/StructureDefinition/medication-administration-witness"
          }
        ]
      }
    ]
  }
}