## Profile Comparison between http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationrequest vs http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationrequest

Left: | AU Core MedicationRequest (http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationrequest)
Right: | AU Core MedicationRequest (http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationrequest)

### Messages

Information | MedicationRequest.language | Example/preferred bindings differ at MedicationRequest.language using binding from AUCoreMedicationRequest
Error | MedicationRequest.identifier | Type Mismatch: Identifier([CanonicalType[http://hl7.org/fhir/StructureDefinition/Identifier], CanonicalType[http://hl7.org.au/fhir/StructureDefinition/au-etpprescriptionidentifier], CanonicalType[http://hl7.org.au/fhir/StructureDefinition/au-localprescriptionidentifier]]) vs Identifier([CanonicalType[http://hl7.org/fhir/StructureDefinition/Identifier], CanonicalType[http://hl7.org.au/fhir/StructureDefinition/au-etpprescriptionidentifier], CanonicalType[http://hl7.org.au/fhir/StructureDefinition/au-localprescriptionidentifier]])

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org.au/fhir/StructureDefinition/au-medicationrequest |
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved. |
description | This profile sets minimum expectations for a MedicationRequest resource to record, search, and fetch medication orders and requests (i.e. prescriptions) associated with a patient. It is based on the [AU Base Medication Request](https://hl7.org.au/fhir/5.0.0/StructureDefinition-au-medicationrequest.html) profile and identifies the *additional* mandatory core elements, extensions, vocabularies and value sets that **SHALL** be present in the MedicationRequest when conforming to this profile. It provides the floor for standards development for specific uses cases in an Australian context. | This profile sets minimum expectations for a MedicationRequest resource to record, search, and fetch medication orders and requests (i.e. prescriptions) associated with a patient. It is based on the [AU Base MedicationRequest](https://hl7.org.au/fhir/6.0.0/StructureDefinition-au-medicationrequest.html) profile and identifies the *additional* mandatory core elements, extensions, vocabularies and value sets that **SHALL** be present in the MedicationRequest when conforming to this profile. It provides the floor for standards development for specific uses cases in an Australian context. | Values Differ
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#AU |
kind | resource |
name | AUCoreMedicationRequest |
publisher | HL7 Australia |
purpose |  |
status | active |
title | AU Core MedicationRequest |
type | MedicationRequest |
url | http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationrequest |

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUBaseMedicationRequest | A request for a medication for a patient in an Australian healthcare context |  | 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 | 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
| Example/preferred bindings differ at MedicationRequest.language using binding from AUCoreMedicationRequest
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 |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |  | 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..* | ??, ??, ?? | External ids for this request |  | 0..* | ??, ??, ?? | External ids for this request | Type Mismatch: Identifier([CanonicalType[http://hl7.org/fhir/StructureDefinition/Identifier], CanonicalType[http://hl7.org.au/fhir/StructureDefinition/au-etpprescriptionidentifier], CanonicalType[http://hl7.org.au/fhir/StructureDefinition/au-localprescriptionidentifier]]) vs Identifier([CanonicalType[http://hl7.org/fhir/StructureDefinition/Identifier], CanonicalType[http://hl7.org.au/fhir/StructureDefinition/au-etpprescriptionidentifier], CanonicalType[http://hl7.org.au/fhir/StructureDefinition/au-localprescriptionidentifier]])
status | ?!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
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
| ?!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
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
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 | ?!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
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
| ?!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
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
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 | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
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 |
Slices for medication[x] | SO Σ | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken Slice: Unordered, Closed by type:$this Binding: ?? (example): A coded concept identifying substance or product that can be ordered.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
| SO Σ | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken Slice: Unordered, Closed by type:$this Binding: ?? (example): A coded concept identifying substance or product that can be ordered.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
subject | SO Σ | 1..1 | Reference(AU Core Patient) | Who or group medication request is for
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
| SO Σ | 1..1 | Reference(AU Core Patient) | Who or group medication request is for
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
encounter | SO | 0..1 | Reference(AU Core Encounter) | Encounter created as part of encounter/admission/stay
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
| SO | 0..1 | Reference(AU Core Encounter) | Encounter created as part of encounter/admission/stay
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
Slices for supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() |  | 0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() |
authoredOn | SO Σ C | 1..1 | dateTime | Created date Constraints: au-core-medreq-01
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
| SO Σ C | 1..1 | dateTime | Created date Constraints: au-core-medreq-01
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
requester | SO Σ | 1..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who/What requested the Request
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
| SO Σ | 1..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Core RelatedPerson) | Who/What requested the Request
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
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 | SO | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: ?? (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
| SO | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: ?? (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
reasonReference | SO | 0..* | Reference(AU Core Condition | Observation) | Condition or observation that supports why the prescription is being written
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
| SO | 0..* | Reference(AU Core Condition | Observation) | Condition or observation that supports why the prescription is being written
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
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..* | ?? | How the medication should be taken
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
| SO | 0..* | ?? | How the medication should be taken
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
id |  |  |  |  |  | 0..1 | string | Unique id for inter-element referencing | Added this element
Slices for extension |  |  |  |  |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | Added this element
modifierExtension |  |  |  |  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | Added this element
sequence |  |  |  |  | Σ | 0..1 | integer | The order of the dosage instructions | Added this element
text |  |  |  |  | SO Σ | 0..1 | string | Free text dosage instructions e.g. SIG
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
| Added this element
additionalInstruction |  |  |  |  | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (preferred) | Added this element
patientInstruction |  |  |  |  | Σ | 0..1 | string | Patient or consumer oriented instructions | Added this element
timing |  |  |  |  | Σ | 0..1 | Timing | When medication should be administered | Added this element
asNeeded[x] |  |  |  |  | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: ?? (preferred) | Added this element
site |  |  |  |  | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (preferred) | Added this element
route |  |  |  |  | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (preferred) | Added this element
method |  |  |  |  | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (preferred) | Added this element
doseAndRate |  |  |  |  | Σ | 0..* | Element | Amount of medication administered | Added this element
maxDosePerPeriod |  |  |  |  | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | Added this element
maxDosePerAdministration |  |  |  |  | Σ | 0..1 | ?? | Upper limit on medication per administration | Added this element
maxDosePerLifetime |  |  |  |  | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient | Added this element
dispenseRequest |  | 0..1 | BackboneElement | Requested dispensing |  | 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 | Maximum repeats authorised |  | 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 | Brand substitution details |  | 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 | Brand substitution flag 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: ?? (preferred) |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (preferred) |
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