AU Base Implementation Guide
5.0.0 - Working Standard Australia flag

This page is part of the Australian Base IG (v5.0.0: R4) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: AU Base Medication Request

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-medicationrequest Version: 5.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: AUBaseMedicationRequest

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

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

Usage Notes

Profile specific implementation guidance:

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

Potentially useful extensions:

Usage:

Formal Views of Profile Content

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

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest A request for a medication for a patient in an Australian healthcare context
... 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)
... identifier 0..* Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier External ids for this request
... Slices for medication[x] 1..1 CodeableConcept, Reference(Medication) Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept Coded Prescribed Medication
Binding: SNOMEDCTMedicationCodes (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN Preferred
..... coding
...... 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)
..... text 0..1 string Medication primary text
.... medication[x]:medicationReference 0..1 Reference(Medication) Prescribed Medication
.... 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 0..1 dateTime Created date
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Reason for Request . (preferred)
... dosageInstruction 0..* AUBaseDosage How the medication should be taken
... dispenseRequest 0..1 BackboneElement Requested dispensing
.... numberOfRepeatsAllowed 0..1 unsignedInt Maximum repeats authorised
... substitution 0..1 BackboneElement Brand substitution details
.... allowed[x] 1..1 boolean, CodeableConcept Brand substitution flag
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: Medicine Substitution Reason . (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
MedicationRequest.reasonCodepreferredReasonForRequest .
https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1
MedicationRequest.substitution.reasonpreferredMedicineSubstitutionReason .
https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

 

Other representations of profile: CSV, Excel, Schematron