AU Core Implementation Guide
1.0.0-ballot - Ballot
AU Core Implementation Guide
1.0.0-ballot - Ballot
This page is part of the AU Core (v1.0.0-ballot: AU Core R1 Ballot 7) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationrequest | Version: 1.0.0-ballot | |||
| Standards status: Draft | Maturity Level: 1 | Computable Name: AUCoreMedicationRequest | ||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved. |
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This profile sets minimum expectations for a MedicationRequest resource to record, search, and fetch medication orders and requests (i.e. prescriptions) associated with a patient. It is based on the AU Base Medication Request profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets that SHALL be present in the MedicationRequest when conforming to this profile. It provides the floor for standards development for specific uses cases in an Australian context.
See Comparison with other national and international IGs for a comparison between AU Core profiles and profiles in other implementation guides.
The following are supported usage scenarios for this profile:
MedicationRequest.requester references the Patient or RelatedPerson as the prescriber.MedicationRequest.medicationCodeableConcept, or reference a Medication resource with MedicationRequest.medicationReference.
_include parameter for searching this elementMedicationRequest.reasonCode, or a reference with MedicationRequest.reasonReference to a Condition or other resource.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from AUBaseMedicationRequest
| Name | Flags | Card. | Type | Description & Constraints | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
  MedicationRequest |
0..* | AUBaseMedicationRequest | A request for a medication for a patient in an Australian healthcare context | |||||||
  status |
SO | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
| ||||||
| intent |
SO | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
| ||||||
  Slices for medication[x] |
SO | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken Slice: Unordered, Closed by type:$this
| ||||||
   medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | Coded Prescribed Medication | |||||||
  Slices for coding |
0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |||||||
  coding:pbs |
SO | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
| ||||||
 coding:amt |
SO | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication  (required)
| ||||||
| medication[x]:medicationReference |
O | 0..1 | Reference(AU Core Medication) | Prescribed Medication
| ||||||
 subject |
SO | 1..1 | Reference(AU Core Patient) | Who or group medication request is for
| ||||||
| encounter |
SO | 0..1 | Reference(AU Core Encounter) | Encounter created as part of encounter/admission/stay
| ||||||
| authoredOn |
SOC | 1..1 | dateTime | Created date au-core-medreq-03: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present
| ||||||
| requester |
SO | 1..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who/What requested the Request
| ||||||
| reasonCode |
SO | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication
| ||||||
| reasonReference |
SO | 0..* | Reference(AU Core Condition | Observation) | Condition or observation that supports why the prescription is being written
| ||||||
 dosageInstruction |
SO | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context
| ||||||
| Documentation for this format | ||||||||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodeshttp://terminology.hl7.org.au/ValueSet/pbs-item | |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-medreq-03 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : (toString().length() >= 8) xor extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | AUBaseMedicationRequest | A request for a medication for a patient in an Australian healthcare context | |||||||||||
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| subsidisedConcurrentSupply |
0..1 | Coding | Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: Concurrent Supply Grounds (required) | |||||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| status |
?!SOΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
| ||||||||||
| intent |
?!SOΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
| ||||||||||
| doNotPerform |
?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||||||||
| Slices for medication[x] |
SOΣ | 1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
| |||||||||||
 medicationCodeableConcept |
CodeableConcept | |||||||||||||
| medicationReference |
Reference(Medication) | |||||||||||||
| medication[x]:medicationCodeableConcept |
Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
| ||||||||||
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||||||||
| coding:All Slices |
Content/Rules for all slices | |||||||||||||
 Slices for extension |
Content/Rules for all slices | |||||||||||||
| medicationClass |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |||||||||||
| coding:pbs |
SOΣ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| medicationClass |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |||||||||||
| coding:amt |
SOΣ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| medicationClass |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |||||||||||
| medication[x]:medicationReference |
OΣ | 0..1 | Reference(AU Core Medication) | Prescribed Medication
| ||||||||||
| subject |
SOΣ | 1..1 | Reference(AU Core Patient) | Who or group medication request is for
| ||||||||||
| encounter |
SO | 0..1 | Reference(AU Core Encounter) | Encounter created as part of encounter/admission/stay
| ||||||||||
| Slices for supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() | |||||||||||
| supportingInformation:bodyHeight |
0..1 | Reference(Observation Body Height Profile) | Observation of Body Height | |||||||||||
| supportingInformation:bodyWeight |
0..1 | Reference(Observation Body Weight Profile) | Observation of Body Weight | |||||||||||
| authoredOn |
SOΣC | 1..1 | dateTime | Created date au-core-medreq-03: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present
| ||||||||||
| requester |
SOΣ | 1..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who/What requested the Request
| ||||||||||
| reasonCode |
SO | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred)
| ||||||||||
| reasonReference |
SO | 0..* | Reference(AU Core Condition | Observation) | Condition or observation that supports why the prescription is being written
| ||||||||||
| dosageInstruction |
SO | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context
| ||||||||||
| Documentation for this format | ||||||||||||||
| Path | Conformance | ValueSet | URI | ||||||||||||||
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | |||||||||||||||
| MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | |||||||||||||||
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |||||||||||||||
| MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |||||||||||||||
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodeshttp://terminology.hl7.org.au/ValueSet/pbs-item | |||||||||||||||
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 | |||||||||||||||
| MedicationRequest.reasonCode | preferred | ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-medreq-03 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : (toString().length() >= 8) xor extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() | |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationRequest | 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 | MedicationRequest | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationRequest | 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | AUBaseMedicationRequest | A request for a medication for a patient in an Australian healthcare context | |||||||||||
| 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 | ||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| subsidisedConcurrentSupply |
0..1 | Coding | Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: Concurrent Supply Grounds (required) | |||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| identifier |
0..* | Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier | External ids for this request | |||||||||||
| status |
?!SOΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
| ||||||||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||||||||
| intent |
?!SOΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
| ||||||||||
| category |
0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | |||||||||||
| priority |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||||||||
| doNotPerform |
?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||||||||
 reported[x] |
Σ | 0..1 | Reported rather than primary record | |||||||||||
| reportedBoolean |
boolean | |||||||||||||
| reportedReference |
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||||||||
| Slices for medication[x] |
SOΣ | 1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
| |||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||||
| medicationReference |
Reference(Medication) | |||||||||||||
| medication[x]:medicationCodeableConcept |
Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
| ||||||||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
 Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||||||||
 coding:All Slices |
Content/Rules for all slices | |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| 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 | ||||||||||
| coding:pbs |
SOΣ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| 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 | ||||||||||
| coding:amt |
SOΣ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| 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 | ||||||||||
| medication[x]:medicationReference |
OΣ | 0..1 | Reference(AU Core Medication) | Prescribed Medication
| ||||||||||
| subject |
SOΣ | 1..1 | Reference(AU Core Patient) | Who or group medication request is for
| ||||||||||
| encounter |
SO | 0..1 | Reference(AU Core Encounter) | Encounter created as part of encounter/admission/stay
| ||||||||||
| Slices for supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() | |||||||||||
| supportingInformation:bodyHeight |
0..1 | Reference(Observation Body Height Profile) | Observation of Body Height | |||||||||||
| supportingInformation:bodyWeight |
0..1 | Reference(Observation Body Weight Profile) | Observation of Body Weight | |||||||||||
| authoredOn |
SOΣC | 1..1 | dateTime | Created date au-core-medreq-03: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present
| ||||||||||
| requester |
SOΣ | 1..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who/What requested the Request
| ||||||||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||||||||
| performerType |
Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | ||||||||||
| recorder |
0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||||||||
| reasonCode |
SO | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred)
| ||||||||||
| reasonReference |
SO | 0..* | Reference(AU Core Condition | Observation) | Condition or observation that supports why the prescription is being written
| ||||||||||
| instantiatesCanonical |
Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||||||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||||||||
| groupIdentifier |
Σ | 0..1 | Identifier | Composite request this is part of | ||||||||||
| courseOfTherapyType |
0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||||||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||||||||
| note |
0..* | Annotation | Information about the prescription | |||||||||||
| dosageInstruction |
SO | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context
| ||||||||||
| dispenseRequest |
0..1 | BackboneElement | Requested dispensing | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| initialFill |
0..1 | BackboneElement | First fill details | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| quantity |
0..1 | SimpleQuantity | First fill quantity | |||||||||||
| duration |
0..1 | Duration | First fill duration | |||||||||||
| dispenseInterval |
0..1 | Duration | Minimum period of time between dispenses | |||||||||||
| validityPeriod |
0..1 | Period | Time period supply is authorized for | |||||||||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | Maximum repeats authorised | |||||||||||
| quantity |
0..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||||||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||||||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||||||||
| substitution |
0..1 | BackboneElement | Brand substitution details | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| allowed[x] |
1..1 | Brand substitution flag Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||||||||
| allowedBoolean |
boolean | |||||||||||||
| allowedCodeableConcept |
CodeableConcept | |||||||||||||
| reason |
0..1 | CodeableConcept | Why should (not) substitution be made Binding: Medicine Substitution Reason (preferred) | |||||||||||
| priorPrescription |
0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||||||||
| detectedIssue |
0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||||||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||||||||
| Documentation for this format | ||||||||||||||
| Path | Conformance | ValueSet | URI | ||||||||||||||
| MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | |||||||||||||||
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | |||||||||||||||
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonfrom the FHIR Standard | |||||||||||||||
| MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | |||||||||||||||
| MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryfrom the FHIR Standard | |||||||||||||||
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | |||||||||||||||
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |||||||||||||||
| MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |||||||||||||||
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodeshttp://terminology.hl7.org.au/ValueSet/pbs-item | |||||||||||||||
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 | |||||||||||||||
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |||||||||||||||
| MedicationRequest.reasonCode | preferred | ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 | |||||||||||||||
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapyfrom the FHIR Standard | |||||||||||||||
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | |||||||||||||||
| MedicationRequest.substitution.reason | preferred | MedicineSubstitutionReason https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-medreq-03 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : (toString().length() >= 8) xor extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() | |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationRequest | 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 | MedicationRequest | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationRequest | 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 AUBaseMedicationRequest
Summary
Mandatory: 2 elements
Must-Support: 12 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 1
Differential View
This structure is derived from AUBaseMedicationRequest
| Name | Flags | Card. | Type | Description & Constraints | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | AUBaseMedicationRequest | A request for a medication for a patient in an Australian healthcare context | |||||||
| status |
SO | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
| ||||||
| intent |
SO | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
| ||||||
| Slices for medication[x] |
SO | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken Slice: Unordered, Closed by type:$this
| ||||||
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | Coded Prescribed Medication | |||||||
| Slices for coding |
0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |||||||
| coding:pbs |
SO | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
| ||||||
| coding:amt |
SO | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
| ||||||
| medication[x]:medicationReference |
O | 0..1 | Reference(AU Core Medication) | Prescribed Medication
| ||||||
| subject |
SO | 1..1 | Reference(AU Core Patient) | Who or group medication request is for
| ||||||
| encounter |
SO | 0..1 | Reference(AU Core Encounter) | Encounter created as part of encounter/admission/stay
| ||||||
| authoredOn |
SOC | 1..1 | dateTime | Created date au-core-medreq-03: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present
| ||||||
| requester |
SO | 1..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who/What requested the Request
| ||||||
| reasonCode |
SO | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication
| ||||||
| reasonReference |
SO | 0..* | Reference(AU Core Condition | Observation) | Condition or observation that supports why the prescription is being written
| ||||||
| dosageInstruction |
SO | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context
| ||||||
| Documentation for this format | ||||||||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodeshttp://terminology.hl7.org.au/ValueSet/pbs-item | |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-medreq-03 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : (toString().length() >= 8) xor extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | AUBaseMedicationRequest | A request for a medication for a patient in an Australian healthcare context | |||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| subsidisedConcurrentSupply |
0..1 | Coding | Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: Concurrent Supply Grounds (required) | |||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| status |
?!SOΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
| ||||||||||
| intent |
?!SOΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
| ||||||||||
| doNotPerform |
?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||||||||
| Slices for medication[x] |
SOΣ | 1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
| |||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||||
| medicationReference |
Reference(Medication) | |||||||||||||
| medication[x]:medicationCodeableConcept |
Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
| ||||||||||
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||||||||
| coding:All Slices |
Content/Rules for all slices | |||||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| medicationClass |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |||||||||||
| coding:pbs |
SOΣ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| medicationClass |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |||||||||||
| coding:amt |
SOΣ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| medicationClass |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |||||||||||
| medication[x]:medicationReference |
OΣ | 0..1 | Reference(AU Core Medication) | Prescribed Medication
| ||||||||||
| subject |
SOΣ | 1..1 | Reference(AU Core Patient) | Who or group medication request is for
| ||||||||||
| encounter |
SO | 0..1 | Reference(AU Core Encounter) | Encounter created as part of encounter/admission/stay
| ||||||||||
| Slices for supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() | |||||||||||
| supportingInformation:bodyHeight |
0..1 | Reference(Observation Body Height Profile) | Observation of Body Height | |||||||||||
| supportingInformation:bodyWeight |
0..1 | Reference(Observation Body Weight Profile) | Observation of Body Weight | |||||||||||
| authoredOn |
SOΣC | 1..1 | dateTime | Created date au-core-medreq-03: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present
| ||||||||||
| requester |
SOΣ | 1..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who/What requested the Request
| ||||||||||
| reasonCode |
SO | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred)
| ||||||||||
| reasonReference |
SO | 0..* | Reference(AU Core Condition | Observation) | Condition or observation that supports why the prescription is being written
| ||||||||||
| dosageInstruction |
SO | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context
| ||||||||||
| Documentation for this format | ||||||||||||||
| Path | Conformance | ValueSet | URI | ||||||||||||||
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | |||||||||||||||
| MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | |||||||||||||||
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |||||||||||||||
| MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |||||||||||||||
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodeshttp://terminology.hl7.org.au/ValueSet/pbs-item | |||||||||||||||
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 | |||||||||||||||
| MedicationRequest.reasonCode | preferred | ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-medreq-03 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : (toString().length() >= 8) xor extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() | |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationRequest | 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 | MedicationRequest | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationRequest | 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | AUBaseMedicationRequest | A request for a medication for a patient in an Australian healthcare context | |||||||||||
| 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 | ||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| subsidisedConcurrentSupply |
0..1 | Coding | Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: Concurrent Supply Grounds (required) | |||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| identifier |
0..* | Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier | External ids for this request | |||||||||||
| status |
?!SOΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
| ||||||||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||||||||
| intent |
?!SOΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
| ||||||||||
| category |
0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | |||||||||||
| priority |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||||||||
| doNotPerform |
?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||||||||
| reported[x] |
Σ | 0..1 | Reported rather than primary record | |||||||||||
| reportedBoolean |
boolean | |||||||||||||
| reportedReference |
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||||||||
| Slices for medication[x] |
SOΣ | 1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
| |||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||||
| medicationReference |
Reference(Medication) | |||||||||||||
| medication[x]:medicationCodeableConcept |
Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||||||||
| coding:All Slices |
Content/Rules for all slices | |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| 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 | ||||||||||
| coding:pbs |
SOΣ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| 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 | ||||||||||
| coding:amt |
SOΣ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| 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 | ||||||||||
| medication[x]:medicationReference |
OΣ | 0..1 | Reference(AU Core Medication) | Prescribed Medication
| ||||||||||
| subject |
SOΣ | 1..1 | Reference(AU Core Patient) | Who or group medication request is for
| ||||||||||
| encounter |
SO | 0..1 | Reference(AU Core Encounter) | Encounter created as part of encounter/admission/stay
| ||||||||||
| Slices for supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() | |||||||||||
| supportingInformation:bodyHeight |
0..1 | Reference(Observation Body Height Profile) | Observation of Body Height | |||||||||||
| supportingInformation:bodyWeight |
0..1 | Reference(Observation Body Weight Profile) | Observation of Body Weight | |||||||||||
| authoredOn |
SOΣC | 1..1 | dateTime | Created date au-core-medreq-03: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present
| ||||||||||
| requester |
SOΣ | 1..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who/What requested the Request
| ||||||||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||||||||
| performerType |
Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | ||||||||||
| recorder |
0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||||||||
| reasonCode |
SO | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred)
| ||||||||||
| reasonReference |
SO | 0..* | Reference(AU Core Condition | Observation) | Condition or observation that supports why the prescription is being written
| ||||||||||
| instantiatesCanonical |
Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||||||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||||||||
| groupIdentifier |
Σ | 0..1 | Identifier | Composite request this is part of | ||||||||||
| courseOfTherapyType |
0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||||||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||||||||
| note |
0..* | Annotation | Information about the prescription | |||||||||||
| dosageInstruction |
SO | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context
| ||||||||||
| dispenseRequest |
0..1 | BackboneElement | Requested dispensing | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| initialFill |
0..1 | BackboneElement | First fill details | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| quantity |
0..1 | SimpleQuantity | First fill quantity | |||||||||||
| duration |
0..1 | Duration | First fill duration | |||||||||||
| dispenseInterval |
0..1 | Duration | Minimum period of time between dispenses | |||||||||||
| validityPeriod |
0..1 | Period | Time period supply is authorized for | |||||||||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | Maximum repeats authorised | |||||||||||
| quantity |
0..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||||||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||||||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||||||||
| substitution |
0..1 | BackboneElement | Brand substitution details | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| allowed[x] |
1..1 | Brand substitution flag Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||||||||
| allowedBoolean |
boolean | |||||||||||||
| allowedCodeableConcept |
CodeableConcept | |||||||||||||
| reason |
0..1 | CodeableConcept | Why should (not) substitution be made Binding: Medicine Substitution Reason (preferred) | |||||||||||
| priorPrescription |
0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||||||||
| detectedIssue |
0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||||||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||||||||
| Documentation for this format | ||||||||||||||
| Path | Conformance | ValueSet | URI | ||||||||||||||
| MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | |||||||||||||||
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | |||||||||||||||
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonfrom the FHIR Standard | |||||||||||||||
| MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | |||||||||||||||
| MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryfrom the FHIR Standard | |||||||||||||||
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | |||||||||||||||
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |||||||||||||||
| MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |||||||||||||||
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodeshttp://terminology.hl7.org.au/ValueSet/pbs-item | |||||||||||||||
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 | |||||||||||||||
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |||||||||||||||
| MedicationRequest.reasonCode | preferred | ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 | |||||||||||||||
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapyfrom the FHIR Standard | |||||||||||||||
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | |||||||||||||||
| MedicationRequest.substitution.reason | preferred | MedicineSubstitutionReason https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-medreq-03 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : (toString().length() >= 8) xor extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() | |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationRequest | 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 | MedicationRequest | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationRequest | 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 AUBaseMedicationRequest
Summary
Mandatory: 2 elements
Must-Support: 12 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
Below is an overview of the mandatory and optional search parameters and combined search parameters. See the AU Core CapabilityStatements for a complete list of supported RESTful interactions for this IG.
FHIR search operations are described here and the syntax used to describe AU Core interactions is defined here.
Any search parameter defined in FHIR may be ‘allowed’ by the system unless explicitly marked as “SHALL NOT”. A few items are marked as MAY in this implementation guide to highlight their potential relevance.
| Parameter(s) | Conformance | Type(s) | Requirements (when used alone or in combination) |
|---|---|---|---|
| patient | SHALL | reference |
The requester SHALL provide at least an id value and MAY provide both the Type and id values. The responder SHALL support both. |
| patient+intent | SHALL | reference+token |
|
| patient+intent+status | SHALL | reference+token+token |
|
| _id | SHOULD | token |
|
| patient.identifier | SHOULD | reference.token |
The requester SHALL provide both the system and code values. The responder SHALL support both. The requester SHOULD support search using IHI, Medicare Number, and DVA Number identifiers as defined in the AU Core Patient profile. The responder SHOULD support search using the using IHI, Medicare Number, and DVA Number identifiers as defined in the AU Core Patient profile. |
| patient+intent+authoredon | SHOULD | reference+token+date |
|
| authoredon | MAY | date |
A requester SHALL provide a value precise to the second + time offset. A responder SHALL support a value precise to the second + time offset. The requester SHALL support these search comparators gt, lt, ge, le. The responder SHALL support these search comparators gt, lt, ge, le.The requester SHOULD support multipleAnd, and if multipleAnd is supported, SHALL support the search comparators gt, lt, ge, le. The responder SHOULD support multipleAnd, and if multipleAnd is supported, SHALL support the search comparators gt, lt, ge, le. |
| intent | MAY | token |
The requester SHALL provide at least a code value and MAY provide both the system and code values. The responder SHALL support both. |
| status | MAY | token |
The requester SHALL provide at least a code value and MAY provide both the system and code values. The responder SHALL support both. The requester SHALL support multipleOr. The responder SHALL support multipleOr. |
The following search parameters and search parameter combinations SHALL be supported:
patient search parameter:
_include parameters: MedicationRequest:medicationpatient.identifier (e.g. patient.identifier=[system|][code])GET [base]/MedicationRequest?patient={Type/}[id] or optionally GET [base]/MedicationRequest?patient.identifier=[system|][code]
Example:
Implementation Notes: Fetches a bundle of all MedicationRequest resources for the specified patient (how to search by reference and how to search by token)
patient and intent search parameters:
_include parameters: MedicationRequest:medicationpatient.identifier (e.g. patient.identifier=[system|][code])GET [base]/MedicationRequest?patient={Type/}[id]&intent={system|}[code]
Example:
Implementation Notes: Fetches a bundle of all MedicationRequest resources for the specified patient and intent (how to search by reference and how to search by token)
patient and intent and status search parameters:
_include parameters: MedicationRequest:medicationpatient.identifier (e.g. patient.identifier=[system|][code])status (e.g.status={system|}[code],{system|}[code],...)GET [base]/MedicationRequest?patient={Type/}[id]&intent={system|}[code]&status={system|}[code]{,{system|}[code],...}
Example:
Implementation Notes: Fetches a bundle of all MedicationRequest resources for the specified patient and intent and status (how to search by reference and how to search by token)
The following search parameters and search parameter combinations SHOULD be supported:
_id search parameter:
_include parameters: MedicationRequest:medicationGET [base]/MedicationRequest?_id=[id]
Example:
Implementation Notes: Fetches a bundle with the requested MedicationRequest, instead of just the resource itself, and allows for the inclusion of additional search parameters such as _include, _revinclude, or _lastUpdated (how to search by id of the resource)
patient and intent and authoredon search parameters:
_include parameters: MedicationRequest:medicationpatient.identifier (e.g. patient.identifier=[system|][code])authoredon comparators: gt,lt,ge,leauthoredon (e.g.authoredon=[date]&authoredon=[date]]&...), and if multipleAnd is supported, SHALL support the search comparators gt,lt,ge,leGET [base]/MedicationRequest?patient={Type/}[id]&intent={system|}[code]&authoredon={gt|lt|ge|le}[date]{&authoredon={gt|lt|ge|le}[date]&...}
Example:
Implementation Notes: Fetches a bundle of all MedicationRequest resources for the specified patient and intent and date (how to search by reference and how to search by token and how to search by date)
IG © 2022+ HL7 Australia. Package hl7.fhir.au.core#1.0.0-ballot based on FHIR 4.0.1. Generated 2024-08-05
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