AU Patient Summary Implementation Guide
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## Resource Profile: AU PS MedicationRequest

Official URL: http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationrequest | Version: 0.1.0-preview
Standards status: Draft | Maturity Level: 0 | Computable Name: AUPSMedicationRequest
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved.

This profile sets minimum expectations for a MedicationRequest resource in the context of a patient summary in an Australian context. It is based on the AU Base MedicationRequest profile, and applies the constraints of AU Core MedicationRequest and MedicationRequest (IPS).

See Comparison with other national and international IGs for a comparison between AU Core profiles and profiles in other implementation guides.

### Profile specific implementation guidance

- See the Medicine Information page in AU Core for guidance on how medicinal product identification can be structured in FHIR conformant to AU Patient Summary.
- 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`.
  - When referencing a Medication resource, it is preferred the resource is contained but it may be an external resource

Usage:

- Use this Resource Profile: AU PS Bundle
- Refer to this Resource Profile: AU PS Composition

### Formal Views of Profile Content

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

- 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 This profile also complies with the profiles Medication Request (IPS) and AU Core MedicationRequest
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
Slices for medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationCodeableConcept |  | 0..1 | CodeableConcept | Coded Prescribed Medication
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:pbs | S | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
coding:amt | S | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
medication[x]:medicationReference |  | 0..1 | Reference(AU PS Medication) | Prescribed Medication
subject | S | 1..1 | Reference(AU PS Patient) | Who or group medication request is for
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
encounter | S | 0..1 | Reference(AU PS Encounter) | Encounter created as part of encounter/admission/stay
authoredOn | S C | 1..1 | dateTime | Created date au-core-medreq-01: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present
requester | S | 1..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) | Who/What requested the Request
reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication
reasonReference | S | 0..* | Reference(AU PS Condition | Observation) | Condition or observation that supports why the prescription is being written
dosageInstruction | S | 0..* | AUBaseDosage | How the medication should be taken
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
timing | S | 0..1 | Timing | When medication should be administered
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
au-core-medreq-01 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : $this.hasValue() implies (extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not() and $this.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 This profile also complies with the profiles Medication Request (IPS) and AU Core MedicationRequest dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension |  |  |  | Content/Rules for all slices
extension: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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status | ?!S Σ | 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. ele-1: All FHIR elements must have a @value or children
intent | ?!S Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action ele-1: All FHIR elements must have a @value or children
Slices for medication[x] | S Σ | 1..1 |  | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. ele-1: All FHIR elements must have a @value or children
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
ele-1: All FHIR elements must have a @value or children
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding:pbs | S Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required) ele-1: All FHIR elements must have a @value or children
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding:amt | S Σ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required) ele-1: All FHIR elements must have a @value or children
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
medication[x]:medicationReference | Σ | 0..1 | Reference(AU PS Medication) | Prescribed Medication ele-1: All FHIR elements must have a @value or children
subject | S Σ | 1..1 | Reference(AU PS Patient) | Who or group medication request is for ele-1: All FHIR elements must have a @value or children
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
encounter | S | 0..1 | Reference(AU PS Encounter) | Encounter created as part of encounter/admission/stay ele-1: All FHIR elements must have a @value or children
Slices for supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
supportingInformation:bodyHeight |  | 0..1 | Reference(Observation Body Height Profile) | Observation of Body Height ele-1: All FHIR elements must have a @value or children
supportingInformation:bodyWeight |  | 0..1 | Reference(Observation Body Weight Profile) | Observation of Body Weight ele-1: All FHIR elements must have a @value or children
authoredOn | S Σ C | 1..1 | dateTime | Created date ele-1: All FHIR elements must have a @value or children au-core-medreq-01: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present
requester | S Σ | 1..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) | Who/What requested the Request ele-1: All FHIR elements must have a @value or children
reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred) ele-1: All FHIR elements must have a @value or children
reasonReference | S | 0..* | Reference(AU PS Condition | Observation) | Condition or observation that supports why the prescription is being written ele-1: All FHIR elements must have a @value or children
dosageInstruction | S | 0..* | AUBaseDosage | How the medication should be taken ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text | S Σ | 0..1 | string | Free text dosage instructions e.g. SIG ele-1: All FHIR elements must have a @value or children
timing | S Σ | 0..1 | Timing | When medication should be administered ele-1: All FHIR elements must have a @value or children
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.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 | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.reasonCode | preferred | ReasonForRequest `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
au-core-medreq-01 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : $this.hasValue() implies (extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not() and $this.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 This profile also complies with the profiles Medication Request (IPS) and AU Core MedicationRequest
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
extension: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 |  | 0..* | Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier | External ids for this request
status | ?!S Σ | 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 | ?!S Σ | 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 |  | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (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: 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] | S Σ | 1..1 |  | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system | Σ | 0..1 | uri | Identity of the terminology system
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:pbs | S Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system | Σ | 0..1 | uri | Identity of the terminology system
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 | S Σ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system | Σ | 0..1 | uri | Identity of the terminology system
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 PS Medication) | Prescribed Medication
subject | S Σ | 1..1 | Reference(AU PS Patient) | Who or group medication request is for
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | S | 0..1 | Reference(AU PS 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 | S Σ C | 1..1 | dateTime | Created date au-core-medreq-01: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present
requester | S Σ | 1..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS 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 | S | 0..* | Reference(AU PS 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 |  | 0..* | Annotation | Information about the prescription
dosageInstruction | S | 0..* | AUBaseDosage | How the medication should be taken
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | S Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | S Σ | 0..1 | Timing | When medication should be administered
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: Clinical Finding (preferred)
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: Body Site (preferred)
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: Route of Administration (preferred)
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient
dispenseRequest |  | 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 |  | 0..1 | Period | Time period supply is authorized for
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Maximum repeats authorised
quantity |  | 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 |  | 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] |  | 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 `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | example | 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 | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.subject.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
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.dosageInstruction.additionalInstruction | preferred | SNOMEDCTAdditionalDosageInstructions `http://hl7.org/fhir/ValueSet/additional-instruction-codes` from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x] | preferred | ClinicalFinding `https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1` from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.dosageInstruction.site | preferred | BodySite `https://healthterminologies.gov.au/fhir/ValueSet/body-site-1` from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.dosageInstruction.route | preferred | RouteOfAdministration `https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1` from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.dosageInstruction.method | preferred | SNOMEDCTAdministrationMethodCodes `http://hl7.org/fhir/ValueSet/administration-method-codes` from the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateType `http://hl7.org/fhir/ValueSet/dose-rate-type` 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-01 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : $this.hasValue() implies (extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not() and $this.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: 3 elements
Must-Support: 15 elements

Structures

This structure refers to these other structures:

- AU PS Medication (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medication)
- AU PS Patient (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient)
- AU PS Encounter (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-encounter)
- AU PS Practitioner (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitioner)
- AU PS PractitionerRole (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitionerrole)
- AU PS Organization (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-organization)
- AU PS RelatedPerson (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-relatedperson)
- AU PS Condition (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-condition)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationRequest.medication[x] (Closed)
- The element 1 is sliced based on the value of MedicationRequest.medication[x].coding

Maturity: 0

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 This profile also complies with the profiles Medication Request (IPS) and AU Core MedicationRequest
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
Slices for medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationCodeableConcept |  | 0..1 | CodeableConcept | Coded Prescribed Medication
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:pbs | S | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
coding:amt | S | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
medication[x]:medicationReference |  | 0..1 | Reference(AU PS Medication) | Prescribed Medication
subject | S | 1..1 | Reference(AU PS Patient) | Who or group medication request is for
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
encounter | S | 0..1 | Reference(AU PS Encounter) | Encounter created as part of encounter/admission/stay
authoredOn | S C | 1..1 | dateTime | Created date au-core-medreq-01: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present
requester | S | 1..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) | Who/What requested the Request
reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication
reasonReference | S | 0..* | Reference(AU PS Condition | Observation) | Condition or observation that supports why the prescription is being written
dosageInstruction | S | 0..* | AUBaseDosage | How the medication should be taken
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
timing | S | 0..1 | Timing | When medication should be administered
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
au-core-medreq-01 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : $this.hasValue() implies (extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not() and $this.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 This profile also complies with the profiles Medication Request (IPS) and AU Core MedicationRequest dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension |  |  |  | Content/Rules for all slices
extension: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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status | ?!S Σ | 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. ele-1: All FHIR elements must have a @value or children
intent | ?!S Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action ele-1: All FHIR elements must have a @value or children
Slices for medication[x] | S Σ | 1..1 |  | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. ele-1: All FHIR elements must have a @value or children
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
ele-1: All FHIR elements must have a @value or children
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding:pbs | S Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required) ele-1: All FHIR elements must have a @value or children
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding:amt | S Σ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required) ele-1: All FHIR elements must have a @value or children
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
medication[x]:medicationReference | Σ | 0..1 | Reference(AU PS Medication) | Prescribed Medication ele-1: All FHIR elements must have a @value or children
subject | S Σ | 1..1 | Reference(AU PS Patient) | Who or group medication request is for ele-1: All FHIR elements must have a @value or children
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
encounter | S | 0..1 | Reference(AU PS Encounter) | Encounter created as part of encounter/admission/stay ele-1: All FHIR elements must have a @value or children
Slices for supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
supportingInformation:bodyHeight |  | 0..1 | Reference(Observation Body Height Profile) | Observation of Body Height ele-1: All FHIR elements must have a @value or children
supportingInformation:bodyWeight |  | 0..1 | Reference(Observation Body Weight Profile) | Observation of Body Weight ele-1: All FHIR elements must have a @value or children
authoredOn | S Σ C | 1..1 | dateTime | Created date ele-1: All FHIR elements must have a @value or children au-core-medreq-01: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present
requester | S Σ | 1..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) | Who/What requested the Request ele-1: All FHIR elements must have a @value or children
reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred) ele-1: All FHIR elements must have a @value or children
reasonReference | S | 0..* | Reference(AU PS Condition | Observation) | Condition or observation that supports why the prescription is being written ele-1: All FHIR elements must have a @value or children
dosageInstruction | S | 0..* | AUBaseDosage | How the medication should be taken ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text | S Σ | 0..1 | string | Free text dosage instructions e.g. SIG ele-1: All FHIR elements must have a @value or children
timing | S Σ | 0..1 | Timing | When medication should be administered ele-1: All FHIR elements must have a @value or children
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.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 | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.reasonCode | preferred | ReasonForRequest `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
au-core-medreq-01 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : $this.hasValue() implies (extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not() and $this.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 This profile also complies with the profiles Medication Request (IPS) and AU Core MedicationRequest
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
extension: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 |  | 0..* | Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier | External ids for this request
status | ?!S Σ | 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 | ?!S Σ | 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 |  | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (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: 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] | S Σ | 1..1 |  | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system | Σ | 0..1 | uri | Identity of the terminology system
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:pbs | S Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system | Σ | 0..1 | uri | Identity of the terminology system
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 | S Σ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system | Σ | 0..1 | uri | Identity of the terminology system
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 PS Medication) | Prescribed Medication
subject | S Σ | 1..1 | Reference(AU PS Patient) | Who or group medication request is for
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | S | 0..1 | Reference(AU PS 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 | S Σ C | 1..1 | dateTime | Created date au-core-medreq-01: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present
requester | S Σ | 1..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS 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 | S | 0..* | Reference(AU PS 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 |  | 0..* | Annotation | Information about the prescription
dosageInstruction | S | 0..* | AUBaseDosage | How the medication should be taken
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | S Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | S Σ | 0..1 | Timing | When medication should be administered
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: Clinical Finding (preferred)
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: Body Site (preferred)
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: Route of Administration (preferred)
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient
dispenseRequest |  | 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 |  | 0..1 | Period | Time period supply is authorized for
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Maximum repeats authorised
quantity |  | 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 |  | 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] |  | 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 `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | example | 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 | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.subject.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
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.dosageInstruction.additionalInstruction | preferred | SNOMEDCTAdditionalDosageInstructions `http://hl7.org/fhir/ValueSet/additional-instruction-codes` from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x] | preferred | ClinicalFinding `https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1` from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.dosageInstruction.site | preferred | BodySite `https://healthterminologies.gov.au/fhir/ValueSet/body-site-1` from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.dosageInstruction.route | preferred | RouteOfAdministration `https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1` from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.dosageInstruction.method | preferred | SNOMEDCTAdministrationMethodCodes `http://hl7.org/fhir/ValueSet/administration-method-codes` from the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateType `http://hl7.org/fhir/ValueSet/dose-rate-type` 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-01 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : $this.hasValue() implies (extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not() and $this.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: 3 elements
Must-Support: 15 elements

Structures

This structure refers to these other structures:

- AU PS Medication (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medication)
- AU PS Patient (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient)
- AU PS Encounter (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-encounter)
- AU PS Practitioner (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitioner)
- AU PS PractitionerRole (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitionerrole)
- AU PS Organization (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-organization)
- AU PS RelatedPerson (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-relatedperson)
- AU PS Condition (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-condition)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationRequest.medication[x] (Closed)
- The element 1 is sliced based on the value of MedicationRequest.medication[x].coding

Maturity: 0

Other representations of profile: CSV, Excel, Schematron