Usage scenarios

The following are supported usage scenarios for this profile:

• Query medication orders or prescriptions for a patient (current and historical)
• Record or update medication orders or prescriptions for a patient

Comparison with other national and international specifications

A resource conforming to this profile:

• MAY be conformant to:
  • IPA-MedicationRequest if requester is supplied as a reference to a Practitioner, PractitionerRole, Patient resource
  • Medication Request (IPS) if patient is supported as MedicationRequest.subject.reference
  • US Core MedicationRequest if core FHIR MedicationRequest Category codes are supplied in MedicationRequest.category

Conformance in reverse is not guaranteed, i.e. a resource conforming to International Patient Access, International Patient Summary, or US Core MAY NOT conform to AU Core.

Profile specific implementation guidance

• See the Medicine information section for guidance
• When recording “self-prescribed” medication, MedicationRequest.requester references the Patient or RelatedPerson as the prescriber.
• MedicationRequest resources can represent a medication using either a code with MedicationRequest.medicationCodeableConcept, or reference a Medication resource with MedicationRequest.medicationReference.
  • Although both are marked as must support, servers are not required to support both a code and a reference, but they SHALL support at least one of these elements
  • A client application SHALL support both elements
  • When referencing a Medication resource, it is preferred the resource is contained but it may be an external resource
• Source system identifiers SHOULD be included as AU Local Prescription Identifier or AU ETP Prescription Identifier to support electronic medication management (EMM) workflow and deduplication across medication resources.
  • See guidance on the construction of an identifier on the relevant Identifier profile page and the section on Business Identifiers in AU Base.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

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
identifier	S	0..*	Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier	External ids for this request
status	S	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
intent	S	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
category	S	0..*	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (extensible)
Slices for medication[x]	S	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 value:system
coding:pbs	S	0..*	Coding	PBS Item Code
coding:amt	S	0..*	Coding	AMT Medicines
medication[x]:medicationReference		0..1	Reference(AU Core Medication)	Prescribed Medication
subject	S	1..1	Reference(AU Core Patient)	Who or group medication request is for
encounter	S	0..1	Reference(AU Core Encounter)	Encounter created as part of encounter/admission/stay
authoredOn	SC	1..1	dateTime	Created date au-core-medreq-03: Date shall be at least to day
requester	S	1..1	Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | RelatedPerson)	Who/What requested the Request
reasonCode	S	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication
note	S	0..*	Annotation	Information about the prescription
dosageInstruction	S	0..*	AUBaseDosage	Dosage information in an Australian healthcare context
dispenseRequest	S	0..1	BackboneElement	Requested dispensing
validityPeriod	S	0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed	S	0..1	unsignedInt	Maximum repeats authorised
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
substitution	S	0..1	BackboneElement	Brand substitution details
allowed[x]	S	1..1	boolean, CodeableConcept	Brand substitution flag
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.category	extensible	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-medreq-03	error	MedicationRequest.authoredOn	Date shall be at least to day : toString().length() >= 10

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
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	S	0..*	Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier	External ids for this request
status	?!SΣ	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	?!SΣ	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	S	0..*	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (extensible)
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
Slices for medication[x]	SΣ	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): A coded concept identifying substance or product that can be ordered.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:pbs	SΣ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt	SΣ	0..*	Coding	AMT Medicines Binding: Australian Medication (preferred)
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
medication[x]:medicationReference	Σ	0..1	Reference(AU Core Medication)	Prescribed Medication
subject	SΣ	1..1	Reference(AU Core Patient)	Who or group medication request is for
encounter	S	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	SΣC	1..1	dateTime	Created date au-core-medreq-03: Date shall be at least to day
requester	SΣ	1..1	Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | RelatedPerson)	Who/What requested the Request
reasonCode	S	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred)
note	S	0..*	Annotation	Information about the prescription
dosageInstruction	S	0..*	AUBaseDosage	Dosage information in an Australian healthcare context
dispenseRequest	S	0..1	BackboneElement	Requested dispensing
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
validityPeriod	S	0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed	S	0..1	unsignedInt	Maximum repeats authorised
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
substitution	S	0..1	BackboneElement	Brand substitution details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]	S	1..1		Brand substitution flag Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	extensible	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes http://terminology.hl7.org.au/ValueSet/pbs-item
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt	preferred	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS http://terminology.hl7.org.au/ValueSet/mims
MedicationRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-medreq-03	error	MedicationRequest.authoredOn	Date shall be at least to day : toString().length() >= 10
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. Additional Bindings Purpose AllLanguages Max Binding
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	S	0..*	Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier	External ids for this request
status	?!SΣ	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	?!SΣ	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	S	0..*	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (extensible)
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]	SΣ	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): A coded concept identifying substance or product that can be ordered.
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 value:system
coding:pbs	SΣ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
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:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
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	SΣ	0..*	Coding	AMT Medicines Binding: Australian Medication (preferred)
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	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
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:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
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	Σ	0..1	Reference(AU Core Medication)	Prescribed Medication
subject	SΣ	1..1	Reference(AU Core Patient)	Who or group medication request is for
encounter	S	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	SΣC	1..1	dateTime	Created date au-core-medreq-03: Date shall be at least to day
requester	SΣ	1..1	Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | RelatedPerson)	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	S	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred)
reasonReference		0..*	Reference(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	S	0..*	Annotation	Information about the prescription
dosageInstruction	S	0..*	AUBaseDosage	Dosage information in an Australian healthcare context
dispenseRequest	S	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	S	0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed	S	0..1	unsignedInt	Maximum repeats authorised
quantity	S	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	S	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]	S	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

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	extensible	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes http://terminology.hl7.org.au/ValueSet/pbs-item
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt	preferred	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS http://terminology.hl7.org.au/ValueSet/mims
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	preferred	MedicineSubstitutionReason https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-medreq-03	error	MedicationRequest.authoredOn	Date shall be at least to day : toString().length() >= 10
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()

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
identifier	S	0..*	Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier	External ids for this request
status	S	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
intent	S	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
category	S	0..*	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (extensible)
Slices for medication[x]	S	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 value:system
coding:pbs	S	0..*	Coding	PBS Item Code
coding:amt	S	0..*	Coding	AMT Medicines
medication[x]:medicationReference		0..1	Reference(AU Core Medication)	Prescribed Medication
subject	S	1..1	Reference(AU Core Patient)	Who or group medication request is for
encounter	S	0..1	Reference(AU Core Encounter)	Encounter created as part of encounter/admission/stay
authoredOn	SC	1..1	dateTime	Created date au-core-medreq-03: Date shall be at least to day
requester	S	1..1	Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | RelatedPerson)	Who/What requested the Request
reasonCode	S	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication
note	S	0..*	Annotation	Information about the prescription
dosageInstruction	S	0..*	AUBaseDosage	Dosage information in an Australian healthcare context
dispenseRequest	S	0..1	BackboneElement	Requested dispensing
validityPeriod	S	0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed	S	0..1	unsignedInt	Maximum repeats authorised
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
substitution	S	0..1	BackboneElement	Brand substitution details
allowed[x]	S	1..1	boolean, CodeableConcept	Brand substitution flag
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.category	extensible	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-medreq-03	error	MedicationRequest.authoredOn	Date shall be at least to day : toString().length() >= 10

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
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	S	0..*	Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier	External ids for this request
status	?!SΣ	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	?!SΣ	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	S	0..*	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (extensible)
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
Slices for medication[x]	SΣ	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): A coded concept identifying substance or product that can be ordered.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:pbs	SΣ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt	SΣ	0..*	Coding	AMT Medicines Binding: Australian Medication (preferred)
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
medication[x]:medicationReference	Σ	0..1	Reference(AU Core Medication)	Prescribed Medication
subject	SΣ	1..1	Reference(AU Core Patient)	Who or group medication request is for
encounter	S	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	SΣC	1..1	dateTime	Created date au-core-medreq-03: Date shall be at least to day
requester	SΣ	1..1	Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | RelatedPerson)	Who/What requested the Request
reasonCode	S	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred)
note	S	0..*	Annotation	Information about the prescription
dosageInstruction	S	0..*	AUBaseDosage	Dosage information in an Australian healthcare context
dispenseRequest	S	0..1	BackboneElement	Requested dispensing
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
validityPeriod	S	0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed	S	0..1	unsignedInt	Maximum repeats authorised
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
substitution	S	0..1	BackboneElement	Brand substitution details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]	S	1..1		Brand substitution flag Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	extensible	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes http://terminology.hl7.org.au/ValueSet/pbs-item
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt	preferred	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS http://terminology.hl7.org.au/ValueSet/mims
MedicationRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-medreq-03	error	MedicationRequest.authoredOn	Date shall be at least to day : toString().length() >= 10
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. Additional Bindings Purpose AllLanguages Max Binding
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	S	0..*	Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier	External ids for this request
status	?!SΣ	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	?!SΣ	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	S	0..*	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (extensible)
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]	SΣ	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): A coded concept identifying substance or product that can be ordered.
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 value:system
coding:pbs	SΣ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
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:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
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	SΣ	0..*	Coding	AMT Medicines Binding: Australian Medication (preferred)
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	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
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:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
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	Σ	0..1	Reference(AU Core Medication)	Prescribed Medication
subject	SΣ	1..1	Reference(AU Core Patient)	Who or group medication request is for
encounter	S	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	SΣC	1..1	dateTime	Created date au-core-medreq-03: Date shall be at least to day
requester	SΣ	1..1	Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | RelatedPerson)	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	S	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred)
reasonReference		0..*	Reference(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	S	0..*	Annotation	Information about the prescription
dosageInstruction	S	0..*	AUBaseDosage	Dosage information in an Australian healthcare context
dispenseRequest	S	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	S	0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed	S	0..1	unsignedInt	Maximum repeats authorised
quantity	S	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	S	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]	S	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

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	extensible	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes http://terminology.hl7.org.au/ValueSet/pbs-item
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt	preferred	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS http://terminology.hl7.org.au/ValueSet/mims
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	preferred	MedicineSubstitutionReason https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-medreq-03	error	MedicationRequest.authoredOn	Date shall be at least to day : toString().length() >= 10
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: 20 elements

Structures

This structure refers to these other structures:

• AU Core Medication (http://hl7.org.au/fhir/core/StructureDefinition/au-core-medication)
• AU Core Patient (http://hl7.org.au/fhir/core/StructureDefinition/au-core-patient)
• AU Core Encounter (http://hl7.org.au/fhir/core/StructureDefinition/au-core-encounter)
• AU Core Practitioner (http://hl7.org.au/fhir/core/StructureDefinition/au-core-practitioner)
• AU Core PractitionerRole (http://hl7.org.au/fhir/core/StructureDefinition/au-core-practitionerrole)
• AU Core Organization (http://hl7.org.au/fhir/core/StructureDefinition/au-core-organization)

Slices

This structure defines the following Slices:

• The element MedicationRequest.medication[x] is sliced based on the value of type:$this (Closed)
• The element MedicationRequest.medication[x].coding is sliced based on the value of value:system

Maturity: 0

Below is an overview of the mandatory and optional search parameters and combined search parameters. FHIR search operations and the syntax used to describe the interactions is described 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.

Mandatory Search Parameters

The following search parameters and search parameter combinations SHALL be supported:

1. SHALL support searching using the patient search parameter:
   • SHOULD support these _include parameters: MedicationRequest:medication
   • SHALL support these _revinclude parameters: Provenance:target
   • SHOULD support chained searching of patient canonical identifier patient.identifier (e.g. patient.identifier=[system|][code])

   GET [base]/MedicationRequest?patient={Type/}[id] or optionally GET [base]/MedicationRequest?patient.identifier=[system|][code]

   Example:

   1. GET [base]/MedicationRequest?patient=5678
   2. GET [base]/MedicationRequest?patient=5678&_revinclude=Provenance:target
   3. GET [base]/MedicationRequest?patient.identifier=http://ns.electronichealth.net.au/id/medicare-number|32788511952
   4. GET [base]/MedicationRequest?patient.identifier=http://ns.electronichealth.net.au/id/medicare-number|32788511952&_include=MedicationRequest:medication
   5. GET [base]/MedicationRequest?patient.identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608833357361

   Implementation Notes: Fetches a bundle of all MedicationRequest resources for the specified patient (how to search by reference and how to search by token)

2. SHALL support searching using the combination of the patient and intent search parameters:
   • SHOULD support these _include parameters: MedicationRequest:medication
   • SHOULD support chained searching of patient canonical identifier patient.identifier (e.g. patient.identifier=[system|][code])

   GET [base]/MedicationRequest?patient={Type/}[id]&intent={system|}[code]

   Example:

   1. GET [base]/MedicationRequest?patient=5678&intent=order

   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)

3. SHALL support searching using the combination of the patient and intent and status search parameters:
   • SHOULD support these _include parameters: MedicationRequest:medication
   • SHOULD support chained searching of patient canonical identifier patient.identifier (e.g. patient.identifier=[system|][code])
   • SHALL support multipleOr search on code (e.g.code={system|}[code],{system|}[code],...)
   • SHALL support multipleOr search on status (e.g.status={system|}[code],{system|}[code],...)

   GET [base]/MedicationRequest?patient={Type/}[id]&intent={system|}[code]&status={system|}[code]{,{system|}[code],...}

   Example:

   1. GET [base]/MedicationRequest?patient=5678&intent=order&status=active
   2. GET [base]/MedicationRequest?patient=5678&intent=order&status=active&_include=MedicationRequest:medication

   Implementation Notes: Fetches a bundle of all MedicationRequest resources for the specified patient and authored on date and intent (how to search by reference and how to search by token)

Optional Search Parameters

The following search parameters and search parameter combinations SHOULD be supported:

1. SHOULD support fetching a MedicationRequest using the _id search parameter:
   • SHOULD support these _include parameters: MedicationRequest:medication

   GET [base]/MedicationRequest/[id] or GET [base]/MedicationRequest?_id=[id]

   Example:

   1. GET [base]/MedicationRequest/2169591
   2. GET [base]/MedicationRequest?_id=2169591
   3. GET [base]/MedicationRequest?_id=2169591&_include=MedicationRequest:medication

   Implementation Notes: Fetches a single MedicationRequest (how to search by the logical id of the resource)

2. SHOULD support searching using the identifier search parameter:

   GET [base]/MedicationRequest?identifier={system|}[code]

   Example:

   1. GET [base]/MedicationRequest?identifier=http://gp.example.org|1032333

   Implementation Notes: Fetches a bundle containing any MedicationRequest resources matching the identifier (how to search by token)

3. SHOULD support searching using the combination of the patient and intent and authoredon search parameters:
   • SHOULD support these _include parameters: MedicationRequest:medication
   • SHOULD support chained searching of patient canonical identifier patient.identifier (e.g. patient.identifier=[system|][code])
   • SHALL support these authoredon comparators: gt,lt,ge,le
   • SHOULD support multipleAnd search on authoredon (e.g.authoredon=[date]&authoredon=[date]]&...)

   GET [base]/MedicationRequest?patient={Type/}[id]&intent={system|}[code]&authoredon={gt|lt|ge|le}[date]{&authoredon={gt|lt|ge|le}[date]&...}

   Example:

   1. GET [base]/MedicationRequest?patient=5678&intent=order&authoredon=ge2020-01-01T00:00:00Z

   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)