AU Base Implementation Guide
4.1.2-preview - Preview Australia flag

This page is part of the Australian Base IG (v4.1.2-preview: AU Base) based on FHIR R4. For a full list of available versions, see the Directory of published versions

Resource Profile: AU Base Medication Request

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-medicationrequest Version: 4.1.2-preview
Standards status: Trial-use Maturity Level: 2 Computable Name: AUBaseMedicationRequest

Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.

This profile defines a medication request structure that localises core concepts, including identifiers and terminology, for use in an Australian context. The purpose of this profile is to provide national level agreement on core localised concepts. This profile does not force conformance to core localised concepts. It enables implementers and modellers to make their own rules, i.e. profiling, about how to support these concepts for specific implementation needs.

Usage Notes

Profile specific implementation guidance:

  • When identifying a medication, this resource can use either a code or refer to a Medication resource.
  • If making use of MedicationRequest.code, this profile includes coding as:
  • If a medication is compounded and is a list of ingredients, MedicationRequest.code is still present and may contain only the list of ingredients as text in MedicationRequest.code.text.
  • Where additional medicinal product information is needed, MedicationRequest.medicationReference is preferred to MedicationRequest.code and use of extensions, see guidance on AU Base Medication.
  • When exchanging concepts of sex or gender, refer to the guidance in the Gender Harmony Implementation Guide.
  • See each Identifier profile page for guidance related to that identifier type.

Potentially useful extensions:

Usage:

Formal Views of Profile Content

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

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequestA request for a medication for a patient in an Australian healthcare context
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... subsidisedConcurrentSupply 0..1CodingGrounds for concurrent supply of medication
URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply
Binding: https://healthterminologies.gov.au/fhir/ValueSet/concurrent-supply-grounds-1 (required)
... identifier 0..*Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifierExternal ids for this request
.... medication[x]:medicationCodeableConcept 0..1CodeableConceptCoded Prescribed Medication
..... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:pbs 0..*CodingPBS Item Code
Binding: PBS Item Codes (preferred)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
...... coding:gtin 0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN (preferred)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://www.gs1.org/gtin
...... coding:amt 0..*CodingAMT Medicines
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
....... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... medicationClass 0..1CodingMedication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... coding:mimsPackage 0..1CodingMIMS Package
Binding: MIMS (preferred)
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://www.mims.com.au/codes
..... text 0..1stringMedication primary text
.... medication[x]:medicationReference 0..1Reference(Medication)Prescribed Medication
... Slices for supportingInformation 0..*Reference(Resource)Information to support ordering of the medication
Slice: Unordered, Open by profile:resolve()
.... supportingInformation:bodyHeight 0..1Reference(Observation Body Height Profile)Observation of Body Height
.... supportingInformation:bodyWeight 0..1Reference(Observation Body Weight Profile)Observation of Body Weight
... authoredOn 0..1dateTimeCreated date
... reasonCode 0..*CodeableConceptReason or indication for ordering or not ordering the medication
Binding: https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 (preferred)
... dosageInstruction 0..*AUBaseDosageDosage information in an Australian healthcare context
... dispenseRequest 0..1BackboneElementRequested dispensing
.... numberOfRepeatsAllowed 0..1unsignedIntMaximum repeats authorised
... substitution 0..1BackboneElementBrand substitution details
.... allowed[x] 1..1boolean, CodeableConceptBrand substitution flag
.... reason 0..1CodeableConceptWhy should (not) substitution be made
Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbspreferredPBSItemCodes (a valid code from PBS Item Codes)
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gtinpreferredGTIN
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amtpreferredhttps://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationRequest.medication[x]:medicationCodeableConcept.coding:mimsPackagepreferredMIMS (a valid code from Monthly Index of Medical Specialties (MIMS))
MedicationRequest.reasonCodepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1
MedicationRequest.substitution.reasonpreferredhttps://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

 

Other representations of profile: CSV, Excel, Schematron