## Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips vs http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationrequest

Left: | MedicationRequest (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips)
Right: | AU PS MedicationRequest (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationrequest)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips' vs 'http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationrequest'
Error | StructureDefinition.version | Values for version differ: '2.0.0' vs '0.5.0-preview'
Information | StructureDefinition.name | Values for name differ: 'MedicationRequestIPS' vs 'AUPSMedicationRequest'
Information | StructureDefinition.title | Values for title differ: 'MedicationRequest (IPS)' vs 'AU PS MedicationRequest'
Information | StructureDefinition.date | Values for date differ: '2021-05-14T21:56:28-05:00' vs '2025-12-03T03:25:00+00:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Australia'
Information | StructureDefinition.jurisdiction | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
Information | StructureDefinition.jurisdiction | Added the item 'urn:iso:std:iso:3166#AU'
Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/MedicationRequest' vs 'http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationrequest'
Information | StructureDefinition.short | Values for short differ: 'Ordering of medication for patient or group' vs 'A request for a medication for a patient in an Australian healthcare context'
Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
Information | StructureDefinition.comment | Values for comment differ: 'In the scope of the IPS the entered-in-error concept is not allowed.' vs 'This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.'
Warning | MedicationRequest.status | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | MedicationRequest.intent | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.comment | Values for comment differ: 'In the scope of the IPS MedicationRequest, the doNotPerform concept is not allowed to be set to true. Other sections may be used to convey medications that a patient should or will not take.' vs 'If do not perform is not specified, the request is a positive request e.g. 'do perform'.'
Information | StructureDefinition.definition | Values for definition differ: 'Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code. To improve global interoperability is strongly encouraged that the reference to a medication resource is used, limiting the usage of the medicationCodeableConcept only to the cases in which no other information than a simple code is available.' vs 'Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.'
Information | StructureDefinition.comment | Values for comment differ: 'If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.' vs 'If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. To improve global interoperability, IPS strongly encourages the use of a reference to a Medication resource, and medicationCodeableConcept is only recommended for cases where no other information than a simple code is available. AU PS does not adopt the IPS guidance that systems should only populate a Medication reference when more information than a simple code is available; either medicationReference or medicationCodeableConcept can be used. Future releases of AU PS, based on implementation experience in Australia may adopt that IPS guidance.'
Information | MedicationRequest.medication[x] | Example/preferred bindings differ at MedicationRequest.medication[x] using binding from MedicationRequestIPS
Warning | MedicationRequest.encounter | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: 'When request was initially authored' vs 'Created date'
Warning | MedicationRequest.authoredOn | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | MedicationRequest.authoredOn | Element minimum cardinalities differ: '0' vs '1'
Warning | MedicationRequest.requester | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | MedicationRequest.requester | Element minimum cardinalities differ: '0' vs '1'
Warning | MedicationRequest.reasonCode | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | MedicationRequest.reasonCode | Example/preferred bindings differ at MedicationRequest.reasonCode using binding from AUPSMedicationRequest
Warning | MedicationRequest.reasonReference | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | MedicationRequest.dosageInstruction.additionalInstruction | Example/preferred bindings differ at MedicationRequest.dosageInstruction.additionalInstruction using binding from AUPSMedicationRequest
Information | MedicationRequest.dosageInstruction.asNeeded[x] | Example/preferred bindings differ at MedicationRequest.dosageInstruction.asNeeded[x] using binding from AUPSMedicationRequest
Information | MedicationRequest.dosageInstruction.site | Example/preferred bindings differ at MedicationRequest.dosageInstruction.site using binding from AUPSMedicationRequest
Information | MedicationRequest.dosageInstruction.route | Example/preferred bindings differ at MedicationRequest.dosageInstruction.route using binding from MedicationRequestIPS
Information | MedicationRequest.dosageInstruction.method | Example/preferred bindings differ at MedicationRequest.dosageInstruction.method using binding from AUPSMedicationRequest
Information | StructureDefinition.short | Values for short differ: 'Medication supply authorization' vs 'Requested dispensing'
Information | StructureDefinition.short | Values for short differ: 'Number of refills authorized' vs 'Maximum repeats authorised'
Information | StructureDefinition.short | Values for short differ: 'Any restrictions on medication substitution' vs 'Brand substitution details'
Information | StructureDefinition.short | Values for short differ: 'Whether substitution is allowed or not' vs 'Brand substitution flag'
Information | MedicationRequest.substitution.reason | Example/preferred bindings differ at MedicationRequest.substitution.reason using binding from AUPSMedicationRequest

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/MedicationRequest | http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationrequest | Values Differ
copyright |  | Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved. | Added the item 'Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved.'
date | 2021-05-14T21:56:28-05:00 | 2025-12-03T03:25:00+00:00 | Values Differ
description | This profile represents the constraints applied to the MedicationRequest resource by the International Patient Summary (IPS) FHIR Implementation Guide, based on FHIR R4. A record of a medication request is represented in the patient summary as an instance of a MedicationRequest resource constrained by this profile. | This profile sets minimum expectations for a MedicationRequest resource in the context of a patient summary in an Australian context. It is based on the [AU Core MedicationRequest](http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationrequest), and applies the additional requirements from [MedicationRequest (IPS)](http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips). | Values Differ
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |  | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction[1] |  | urn:iso:std:iso:3166#AU | Added the item 'urn:iso:std:iso:3166#AU'
kind | resource |
name | MedicationRequestIPS | AUPSMedicationRequest | Values Differ
publisher | HL7 International / Patient Care | HL7 Australia | Values Differ
purpose | This profile constrains the representation of a medication request related to the patient, in the context of the international patient summary as specified by the IPS project of HL7 International. |  | Removed the item 'This profile constrains the representation of a medication request related to the patient, in the context of the international patient summary as specified by the IPS project of HL7 International.'
status | active |
title | MedicationRequest (IPS) | AU PS MedicationRequest | Values Differ
type | MedicationRequest |
url | http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips | http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationrequest | Values Differ
version | 2.0.0 | 0.5.0-preview | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group |  | 0..* | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context This profile also complies with the profile MedicationRequest (IPS) |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
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 |  | 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 |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier |  | 0..* | Identifier | External ids for this request |  | 0..* | ??, ??, ?? | External ids for this request |
status | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ?!SO Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
| Elements differ in definition for mustSupport: 'false' vs 'true'
statusReason |  | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status. |  | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status. |
intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. | ?!SO Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
| Elements differ in definition for mustSupport: 'false' vs 'true'
category |  | 0..* | CodeableConcept | Type of medication usage Binding: ?? (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. |  | 0..* | CodeableConcept | Type of medication usage Binding: ?? (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: ?? (required): Identifies the level of importance to be assigned to actioning the request. | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. |
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action Required Pattern: false | ?!Σ | 0..1 | boolean | True if request is prohibiting action Required Pattern: false |
reported[x] | Σ | 0..1 | boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Reported rather than primary record | Σ | 0..1 | boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Reported rather than primary record |
medication[x] | SO Σ | 1..1 | ??, Reference(Medication (IPS)) | Medication to be taken Binding: ?? (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| SO Σ | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken Slice: Unordered, Closed by type:$this Binding: ?? (example): A coded concept identifying substance or product that can be ordered.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
| Example/preferred bindings differ at MedicationRequest.medication[x] using binding from MedicationRequestIPS
subject | SO Σ | 1..1 | Reference(Patient (IPS)) | Who or group medication request is for
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| SO Σ | 1..1 | Reference(AU PS Patient) | Who or group medication request is for
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
reference | SO Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
| SO Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..1 | string | Text alternative for the resource | Σ | 0..1 | string | Text alternative for the resource |
encounter |  | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | SO | 0..1 | Reference(AU PS Encounter) | Encounter created as part of encounter/admission/stay
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
| Elements differ in definition for mustSupport: 'false' vs 'true'
supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication |  | 0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() |
authoredOn | Σ | 0..1 | dateTime | When request was initially authored | SO Σ C | 1..1 | dateTime | Created date
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
| Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1'
requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | SO Σ | 1..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) | Who/What requested the Request
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
| Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1'
performer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration |  | 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: ?? (example): Identifies the type of individual that is desired to administer the medication. | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication. |
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request |
reasonCode |  | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered. | SO | 0..* | ?? | Reason or indication for ordering or not ordering the medication Binding: ?? (preferred)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
| Elements differ in definition for mustSupport: 'false' vs 'true' Example/preferred bindings differ at MedicationRequest.reasonCode using binding from AUPSMedicationRequest
reasonReference |  | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | SO | 0..* | Reference(AU PS Condition | Observation) | Condition or observation that supports why the prescription is being written
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
| Elements differ in definition for mustSupport: 'false' vs 'true'
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition |
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition |
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills |
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of | Σ | 0..1 | Identifier | Composite request this is part of |
courseOfTherapyType |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. |
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage |
note |  | 0..* | Annotation | Information about the prescription |  | 0..* | Annotation | Information about the prescription |
dosageInstruction | SO | 0..* | Dosage | How the medication should be taken
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| SO | 0..* | ?? | How the medication should be taken
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
sequence | Σ | 0..1 | integer | The order of the dosage instructions | Σ | 0..1 | integer | The order of the dosage instructions |
text | SO Σ | 0..1 | string | Free text dosage instructions e.g. SIG
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| SO Σ | 0..1 | string | Free text dosage instructions e.g. SIG
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (preferred) | Example/preferred bindings differ at MedicationRequest.dosageInstruction.additionalInstruction using binding from AUPSMedicationRequest
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | Σ | 0..1 | string | Patient or consumer oriented instructions |
timing | SO Σ | 0..1 | Timing | When medication should be administered
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| SO Σ | 0..1 | Timing | When medication should be administered
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
asNeeded[x] | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: ?? (preferred) | Example/preferred bindings differ at MedicationRequest.dosageInstruction.asNeeded[x] using binding from AUPSMedicationRequest
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body. | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (preferred) | Example/preferred bindings differ at MedicationRequest.dosageInstruction.site using binding from AUPSMedicationRequest
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (preferred): SNOMED Route Terms
Additional Bindings | Purpose
?? | candidate
| Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (preferred) | Example/preferred bindings differ at MedicationRequest.dosageInstruction.route using binding from MedicationRequestIPS
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (preferred) | Example/preferred bindings differ at MedicationRequest.dosageInstruction.method using binding from AUPSMedicationRequest
doseAndRate | Σ | 0..* | Element | Amount of medication administered | Σ | 0..* | Element | Amount of medication administered |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. |
dose[x] | Σ | 0..1 | Range, ?? | Amount of medication per dose | Σ | 0..1 | Range, ?? | Amount of medication per dose |
rate[x] | Σ | 0..1 | Ratio, Range, ?? | Amount of medication per unit of time | Σ | 0..1 | Ratio, Range, ?? | Amount of medication per unit of time |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | Σ | 0..1 | Ratio | Upper limit on medication per unit of time |
maxDosePerAdministration | Σ | 0..1 | ?? | Upper limit on medication per administration | Σ | 0..1 | ?? | Upper limit on medication per administration |
maxDosePerLifetime | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient |
dispenseRequest |  | 0..1 | BackboneElement | Medication supply authorization |  | 0..1 | BackboneElement | Requested dispensing |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
initialFill |  | 0..1 | BackboneElement | First fill details |  | 0..1 | BackboneElement | First fill details |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
quantity |  | 0..1 | ?? | First fill quantity |  | 0..1 | ?? | First fill quantity |
duration |  | 0..1 | Duration | First fill duration |  | 0..1 | Duration | First fill duration |
dispenseInterval |  | 0..1 | Duration | Minimum period of time between dispenses |  | 0..1 | Duration | Minimum period of time between dispenses |
validityPeriod |  | 0..1 | Period | Time period supply is authorized for |  | 0..1 | Period | Time period supply is authorized for |
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Number of refills authorized |  | 0..1 | unsignedInt | Maximum repeats authorised |
quantity |  | 0..1 | ?? | Amount of medication to supply per dispense |  | 0..1 | ?? | Amount of medication to supply per dispense |
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense |  | 0..1 | Duration | Number of days supply per dispense |
performer |  | 0..1 | Reference(Organization) | Intended dispenser |  | 0..1 | Reference(Organization) | Intended dispenser |
substitution |  | 0..1 | BackboneElement | Any restrictions on medication substitution |  | 0..1 | BackboneElement | Brand substitution details |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
allowed[x] |  | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed. |  | 1..1 | boolean, CodeableConcept | Brand substitution flag Binding: ?? (example): Identifies the type of substitution allowed. |
reason |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (preferred) | Example/preferred bindings differ at MedicationRequest.substitution.reason using binding from AUPSMedicationRequest
priorPrescription |  | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced |  | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced |
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical Issue with action |  | 0..* | Reference(DetectedIssue) | Clinical Issue with action |
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle |
Documentation for this format