Australian Base Profiles Implementation Guide

This page is part of the Australian Base IG (v0.2.0: R1 Draft) based on FHIR (HL7® FHIR® Standard) R3. The current version which supersedes this version is 6.0.0. For a full list of available versions, see the Directory of published versions

1.0 StructureDefinition-au-prescription

Australian Prescription

1.0.1 Formal Views of Profile Content

The official URL for this profile is: 

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

Description of Australian prescription record

This profile builds on MedicationRequest.

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

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

Australian Prescription

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest I0..*Ordering of medication for patient or group
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... grounds-for-concurrent-supply 0..1CodingOptional Extensions Element
URL: http://hl7.org.au/fhir/StructureDefinition/grounds-for-concurrent-supply
Binding: Grounds for concurrent supply (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal ids for this request
... definition Σ0..*Reference(ActivityDefinition), Reference(PlanDefinition)Protocol or definition
... basedOn Σ0..*Reference(CarePlan), Reference(MedicationRequest), Reference(ProcedureRequest), Reference(ReferralRequest)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... status ?!Σ0..1codeactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: MedicationRequestStatus (required)
... intent ?!Σ1..1codeproposal | plan | order | instance-order
Binding: MedicationRequestIntent (required)
... category 0..1CodeableConceptType of medication usage
Binding: MedicationRequestCategory (preferred)
... priority Σ0..1coderoutine | urgent | stat | asap
Binding: MedicationRequestPriority (required)
... medication[x] Σ1..1CodeableConcept, Reference(Medication)Medication to be taken
Binding: SNOMED CT Medication Codes (example)
... subject Σ1..1Reference(Patient), Reference(Group)Who or group medication request is for
... context 0..1Reference(Encounter), Reference(EpisodeOfCare)Created during encounter/admission/stay
... supportingInformation 0..*Reference(Resource)Information to support ordering of the medication
... authoredOn Σ0..1dateTimeWhen request was initially authored
... requester ΣI0..1BackboneElementWho/What requested the Request
mps-1: onBehalfOf can only be specified if agent is practitioner or device
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... agent Σ1..1Reference(Practitioner), Reference(Organization), Reference(Patient), Reference(RelatedPerson), Reference(Device)Who ordered the initial medication(s)
.... onBehalfOf ΣI0..1Reference(Organization)Organization agent is acting for
... recorder 0..1Reference(Practitioner)Person who entered the request
... reasonCode 0..*CodeableConceptReason or indication for writing the prescription
Binding: Condition/Problem/Diagnosis Codes (example)
... reasonReference 0..*Reference(Condition), Reference(Observation)Condition or Observation that supports why the prescription is being written
... note 0..*AnnotationInformation about the prescription
... dosageInstruction 0..*DosageHow the medication should be taken
... dispenseRequest I0..1BackboneElementMedication supply authorization
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed 0..1positiveIntNumber of refills authorized
.... quantity 0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration 0..1DurationNumber of days supply per dispense
.... performer 0..1Reference(Organization)Intended dispenser
... substitution I0..1BackboneElementAny restrictions on medication substitution
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... allowed ?!1..1booleanWhether substitution is allowed or not
.... reason 0..1CodeableConceptWhy should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example)
... priorPrescription 0..1Reference(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

doco Documentation for this format

Australian Prescription

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest I0..*Ordering of medication for patient or group
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... grounds-for-concurrent-supply 0..1CodingOptional Extensions Element
URL: http://hl7.org.au/fhir/StructureDefinition/grounds-for-concurrent-supply
Binding: Grounds for concurrent supply (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal ids for this request
... definition Σ0..*Reference(ActivityDefinition), Reference(PlanDefinition)Protocol or definition
... basedOn Σ0..*Reference(CarePlan), Reference(MedicationRequest), Reference(ProcedureRequest), Reference(ReferralRequest)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... status ?!Σ0..1codeactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: MedicationRequestStatus (required)
... intent ?!Σ1..1codeproposal | plan | order | instance-order
Binding: MedicationRequestIntent (required)
... category 0..1CodeableConceptType of medication usage
Binding: MedicationRequestCategory (preferred)
... priority Σ0..1coderoutine | urgent | stat | asap
Binding: MedicationRequestPriority (required)
... medication[x] Σ1..1CodeableConcept, Reference(Medication)Medication to be taken
Binding: SNOMED CT Medication Codes (example)
... subject Σ1..1Reference(Patient), Reference(Group)Who or group medication request is for
... context 0..1Reference(Encounter), Reference(EpisodeOfCare)Created during encounter/admission/stay
... supportingInformation 0..*Reference(Resource)Information to support ordering of the medication
... authoredOn Σ0..1dateTimeWhen request was initially authored
... requester ΣI0..1BackboneElementWho/What requested the Request
mps-1: onBehalfOf can only be specified if agent is practitioner or device
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... agent Σ1..1Reference(Practitioner), Reference(Organization), Reference(Patient), Reference(RelatedPerson), Reference(Device)Who ordered the initial medication(s)
.... onBehalfOf ΣI0..1Reference(Organization)Organization agent is acting for
... recorder 0..1Reference(Practitioner)Person who entered the request
... reasonCode 0..*CodeableConceptReason or indication for writing the prescription
Binding: Condition/Problem/Diagnosis Codes (example)
... reasonReference 0..*Reference(Condition), Reference(Observation)Condition or Observation that supports why the prescription is being written
... note 0..*AnnotationInformation about the prescription
... dosageInstruction 0..*DosageHow the medication should be taken
... dispenseRequest I0..1BackboneElementMedication supply authorization
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed 0..1positiveIntNumber of refills authorized
.... quantity 0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration 0..1DurationNumber of days supply per dispense
.... performer 0..1Reference(Organization)Intended dispenser
... substitution I0..1BackboneElementAny restrictions on medication substitution
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... allowed ?!1..1booleanWhether substitution is allowed or not
.... reason 0..1CodeableConceptWhy should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example)
... priorPrescription 0..1Reference(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

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron

 

1.0.2 Quick Start

Below is an overview of the required search and read operations.

Summary of Search Criteria for StructureDefinition-au-prescription

none defined