Australian Base Implementation Guide (AU Base 1.1.1)

This page is part of the Australian Base IG (v1.1.1: AU Base 1.1 on STU3 Draft) based on FHIR R3. The current version which supercedes this version is 1.0.2. For a full list of available versions, see the Directory of published versions

1.0 StructureDefinition-au-medicationrequest

AU Base Medication Request [FMM Level 2]

This profile defines a medication request structure including core localisation concepts for use as a medication prescription or order in an Australian context.

Medication Reference/Coding

Full medication definitions as a Medication resource can be referenced or codings are use be used to define relevant drug/medication concepts. This includes coding as:

  • PBS Item Code - Pharmaceutical Benefits Scheme coding, claiming context is not relevant as medicine coding.
  • GTIN - Global Trade Item Number, physical product reference.
  • AMT Code - Australian Medicines Terminology, national drug terminology.
  • MIMS Package - commonly used medicine coding.

Identifiers

These definitions represent common data held in the MedicationRequest.identifier element:

  • Electronic Transfer of Prescription Supplier Identifier - ETP vendor system identifier
  • Local Prescription Number - prescription system identifier for this record [1]

Extensions

Extensions used in this profile:

  • Grounds for Concurrent Supply of Medication [1]
  • Minimum Interval Between Repeats [1]
  • MedicationRequest.medication.coding: Medication Type [1] - used to distinguish a level classification when the same coding system is used.
  • Medication Brand Name [1] - Not to be used if medicationReference is used. This text-only extension is supplied to support a brand name where no brand concept coding is available. Use medicationCodeableConcept if a brand concept coding is available.
  • Medication Generic Drug Name [1] - Not to be used if medicationReference is used. This text-only extension is supplied to support a generic name where no generic concept coding is available. Use medicationCodeableConcept if a generic concept coding is available.
  • NOTE: if extensions Medication Brand Name or Medication Generic Drug Name are used then medicationCodeableConcept must also be used.

Examples

Prescription for Stribild with concurrent supply

Prescription for paracetamol + codeine

1.0.1 Formal Views of Profile Content

The official URL for this profile is:

http://hl7.org.au/fhir/StructureDefinition/au-medicationrequest

This profile defines a medication request structure including core localisation concepts for use as a prescription in an Australian context.

This profile builds on MedicationRequest.

This profile was published on Thu May 11 09:51:36 AEST 2017 as a draft by Health Level Seven Australia (Medications WG).

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequestA prescription for a medication for a patient in an Australian healthcare context
... extension 0..*ExtensionSlice: Unordered, Open by value:url
... grounds-for-concurrent-supply 0..1CodingGrounds for Concurrent Supply of Medication
URL: http://hl7.org.au/fhir/StructureDefinition/grounds-for-concurrent-supply
... minimum-interval-between-repeats 0..1DurationMinimum Interval Between Repeats
URL: http://hl7.org.au/fhir/StructureDefinition/minimum-interval-between-repeats
... medication-brand-name 0..1stringMedication Brand Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-brand-name
... medication-generic-name 0..1stringMedication Generic Drug Name
URL: http://hl7.org.au/fhir/StructureDefinition/medication-generic-name
... identifier 0..*(Slice Definition)Slice: Unordered, Open by value:system, value:type
.... identifier:etpVendorIdentifier 0..*IdentifierElectronic Transfer of Prescription Supplier Identifier
..... type 1..1CodeableConceptBinding: v2 Identifier Type - AU Extended (required)
...... coding 1..1Coding
....... system 1..1uriFixed Value: http://hl7.org.au/fhir/v2/0203
....... code 1..1codeFixed Value: ETP
...... text 1..1stringFixed Value: ETP Identifier
..... system 1..1uriETP vendor identifier system URL
..... value 1..1stringETP vendor identifier
..... assigner 1..1Reference(Organization)ETP vendor
...... display 1..1stringETP vendor name
.... identifier:localScriptNumber 0..*IdentifierLocal Prescription Number
..... type 1..1CodeableConceptCoded identifier type for local prescription number
Binding: v2 Identifier Type - AU Extended (required)
...... coding 1..1Coding
....... system 1..1uriFixed Value: http://hl7.org.au/fhir/v2/0203
....... code 1..1codeFixed Value: LPN
...... text 1..1stringFixed Value: Local Prescription Number
..... system 1..1uriNamespace for local prescription number
..... value 1..1stringPrescription number
..... assigner 1..1Reference(Organization)
...... display 1..1string
... medication[x] 1..1(Slice Definition)Slice: Unordered, Closed by type:$this
.... medication[x]:medicationCodeableConcept 0..1CodeableConceptCoded Prescribed Medication
..... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
...... coding:pbs 0..*CodingPBS Item Code
Binding: PBS Medicines Item Codes (preferred)
....... system 1..1uriFixed Value: http://pbs.gov.au/code/item
...... coding:gtin 0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN for Medicines (preferred)
....... system 1..1uriFixed Value: http://www.gs1.org/gtin
...... coding:amt 0..*CodingAMT Medicines
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
....... extension 0..*ExtensionSlice: Unordered, Open by value:url
....... medication-type 0..1CodingClass of Medication Coding
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
....... system 1..1uriFixed Value: http://snomed.info/sct
...... coding:mimsPackage 0..1CodingMIMS Package
Binding: MIMS Terminology (preferred)
....... system 1..1uriFixed Value: http://www.mims.com.au/codes
..... text 0..1stringMedication primary text
.... medication[x]:medicationReference 0..1Reference(AU Base Medication)Prescribed Medication
... supportingInformation 0..*(Slice Definition)Slice: Unordered, Open by profile:resolve()
.... supportingInformation:bodyHeight 0..1Reference(AU Body Height)Observation of Body Height
.... supportingInformation:bodyWeight 0..1Reference(AU Body Weight)Observation of Body Weight
... authoredOn 0..1dateTimeCreated date
... reasonCode 0..*CodeableConceptBinding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (preferred)
... dosageInstruction 0..*AUBaseDosage
... dispenseRequest 0..1BackboneElementRequested dispensing
.... numberOfRepeatsAllowed 0..1positiveIntMaximum repeats authorised
... substitution 0..1BackboneElementBrand substitution details
.... allowed 1..1booleanBrand substitution flag
.... reason 0..1CodeableConceptBinding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)

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-au-medicationrequest

none defined