Australian Digital Health Agency FHIR Implementation Guide 1.0.0

Australian Digital Health Agency FHIR Implementation Guide. This is the current published version. It is based on FHIR® version 4.0.1. See the Directory of published versions for a list of available versions.

StructureDefinition: ADHA Core MedicationRequest [Active]

The purpose of this profile is to provide a core representation of a request for the supply of a medication and the instructions for administration of that medication to a patient for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia.

This profile identifies the additional constraints, extensions, and value sets that build on and extend MedicationRequest that are supported.

Where a more specific MedicationRequest profile is applicable, e.g. prescription, an implementation SHALL ensure the resource conforms to that specific profile.

This profile is designed to set a core MedicationRequest standard for:

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

Profile specific guidance

  • See the Medicine information section for guidance.
  • MedicationRequest resources can represent a medication using either a code, or reference a Medication resource.
    • When referencing a Medication resource, it is preferred the resource is contained but it may be an external resource.

Boundaries and relationships

This profile is not referenced by another profile in this implementation guide.

Formal Views of Profile Content

The official URL for this profile is: 

http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-medicationrequest-core-1

The purpose of this profile is to provide a core representation of a request for the supply of a medication and the instructions for administration of that medication to a patient for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia.

This profile builds on AUBaseMedicationRequest.

This profile was published on 2023-04-14 04:02:01+0000 as a active by Australian Digital Health Agency.

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*AUBaseMedicationRequestA request for a medication for a patient in an Australian healthcare context
... identifier S0..*Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifierExternal ids for this request
... status S1..1codeactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
... intent S1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
... category S0..*CodeableConceptType of medication usage
Binding: medicationRequest Category Codes (extensible)
... Slices for medication[x] S1..1CodeableConcept, Reference(Medication)Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationCodeableConcept 0..1CodeableConceptCoded Prescribed Medication
..... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:pbs S0..*CodingPBS Item Code
...... coding:amt S0..*CodingAMT Medicines
.... medication[x]:medicationReference 0..1Reference(ADHA Core Medication)Prescribed Medication
... subject SC1..1Reference(ADHA Core Patient)Who or group medication request is for
inv-dh-medreq-01: At least reference or a valid identifier shall be present
... encounter S0..1Reference(ADHA Core Encounter)Encounter created as part of encounter/admission/stay
... authoredOn SC1..1dateTimeCreated date
inv-dh-medreq-03: Date shall be at least to day
... requester SC1..1Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson)Who/What requested the Request
inv-dh-medreq-02: At least reference or display or a valid identifier shall be present
... reasonCode S0..*CodeableConceptReason or indication for ordering or not ordering the medication
... note S0..*AnnotationInformation about the prescription
... dosageInstruction S0..*AUBaseDosageDosage information in an Australian healthcare context
... dispenseRequest S0..1BackboneElementRequested dispensing
.... validityPeriod S0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed S0..1unsignedIntMaximum repeats authorised
.... quantity S0..1SimpleQuantityAmount of medication to supply per dispense
... substitution S0..1BackboneElementBrand substitution details
.... allowed[x] S1..1boolean, CodeableConceptBrand substitution flag

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*AUBaseMedicationRequestA request for a medication for a patient in an Australian healthcare context
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... subsidisedConcurrentSupply 0..1CodingGrounds for concurrent supply of medication
URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply
Binding: https://healthterminologies.gov.au/fhir/ValueSet/concurrent-supply-grounds-1 (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier S0..*Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifierExternal ids for this request
... status ?!SΣ1..1codeactive | 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..1CodeableConceptReason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!SΣ1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... category S0..*CodeableConceptType of medication usage
Binding: medicationRequest Category Codes (extensible)
... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action
... reported[x] Σ0..1Reported rather than primary record
.... reportedBooleanboolean
.... reportedReferenceReference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... Slices for medication[x] SΣ1..1Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationCodeableConcept Σ0..1CodeableConceptCoded Prescribed Medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:pbs SΣ0..*CodingPBS Item Code
Binding: PBS Item Codes (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:gtin Σ0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://www.gs1.org/gtin
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:amt SΣ0..*CodingAMT Medicines
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... medicationClass 0..1CodingMedication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:mimsPackage Σ0..1CodingMIMS Package
Binding: MIMS (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://www.mims.com.au/codes
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringMedication primary text
.... medication[x]:medicationReference Σ0..1Reference(ADHA Core Medication)Prescribed Medication
... subject SΣC1..1Reference(ADHA Core Patient)Who or group medication request is for
inv-dh-medreq-01: At least reference or a valid identifier shall be present
... encounter S0..1Reference(ADHA 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..1Reference(Observation Body Height Profile)Observation of Body Height
.... supportingInformation:bodyWeight 0..1Reference(Observation Body Weight Profile)Observation of Body Weight
... authoredOn SΣC1..1dateTimeCreated date
inv-dh-medreq-03: Date shall be at least to day
... requester SΣC1..1Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson)Who/What requested the Request
inv-dh-medreq-02: At least reference or display or a valid identifier shall be present
... performer 0..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)Intended performer of administration
... performerType Σ0..1CodeableConceptDesired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... recorder 0..1Reference(Practitioner | PractitionerRole)Person who entered the request
... reasonCode S0..*CodeableConceptReason or indication for ordering or not ordering the medication
Binding: https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 (preferred)
... reasonReference 0..*Reference(Condition | Observation)Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ0..*canonical()Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... courseOfTherapyType 0..1CodeableConceptOverall 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 S0..*AnnotationInformation about the prescription
... dosageInstruction S0..*AUBaseDosageDosage information in an Australian healthcare context
... dispenseRequest S0..1BackboneElementRequested dispensing
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... initialFill 0..1BackboneElementFirst fill details
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... quantity 0..1SimpleQuantityFirst fill quantity
..... duration 0..1DurationFirst fill duration
.... dispenseInterval 0..1DurationMinimum period of time between dispenses
.... validityPeriod S0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed S0..1unsignedIntMaximum repeats authorised
.... quantity S0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration 0..1DurationNumber of days supply per dispense
.... performer 0..1Reference(Organization)Intended dispenser
... substitution S0..1BackboneElementBrand substitution details
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... allowed[x] S1..1Brand substitution flag
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBooleanboolean
..... allowedCodeableConceptCodeableConcept
.... reason 0..1CodeableConceptWhy should (not) substitution be made
Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)
... priorPrescription 0..1Reference(MedicationRequest)An order/prescription that is being replaced
... detectedIssue 0..*Reference(DetectedIssue)Clinical Issue with action
... eventHistory 0..*Reference(Provenance)A list of events of interest in the lifecycle

doco Documentation for this format

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*AUBaseMedicationRequestA request for a medication for a patient in an Australian healthcare context
... identifier S0..*Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifierExternal ids for this request
... status S1..1codeactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
... intent S1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
... category S0..*CodeableConceptType of medication usage
Binding: medicationRequest Category Codes (extensible)
... Slices for medication[x] S1..1CodeableConcept, Reference(Medication)Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationCodeableConcept 0..1CodeableConceptCoded Prescribed Medication
..... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:pbs S0..*CodingPBS Item Code
...... coding:amt S0..*CodingAMT Medicines
.... medication[x]:medicationReference 0..1Reference(ADHA Core Medication)Prescribed Medication
... subject SC1..1Reference(ADHA Core Patient)Who or group medication request is for
inv-dh-medreq-01: At least reference or a valid identifier shall be present
... encounter S0..1Reference(ADHA Core Encounter)Encounter created as part of encounter/admission/stay
... authoredOn SC1..1dateTimeCreated date
inv-dh-medreq-03: Date shall be at least to day
... requester SC1..1Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson)Who/What requested the Request
inv-dh-medreq-02: At least reference or display or a valid identifier shall be present
... reasonCode S0..*CodeableConceptReason or indication for ordering or not ordering the medication
... note S0..*AnnotationInformation about the prescription
... dosageInstruction S0..*AUBaseDosageDosage information in an Australian healthcare context
... dispenseRequest S0..1BackboneElementRequested dispensing
.... validityPeriod S0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed S0..1unsignedIntMaximum repeats authorised
.... quantity S0..1SimpleQuantityAmount of medication to supply per dispense
... substitution S0..1BackboneElementBrand substitution details
.... allowed[x] S1..1boolean, CodeableConceptBrand substitution flag

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*AUBaseMedicationRequestA request for a medication for a patient in an Australian healthcare context
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... subsidisedConcurrentSupply 0..1CodingGrounds for concurrent supply of medication
URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply
Binding: https://healthterminologies.gov.au/fhir/ValueSet/concurrent-supply-grounds-1 (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier S0..*Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifierExternal ids for this request
... status ?!SΣ1..1codeactive | 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..1CodeableConceptReason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!SΣ1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... category S0..*CodeableConceptType of medication usage
Binding: medicationRequest Category Codes (extensible)
... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action
... reported[x] Σ0..1Reported rather than primary record
.... reportedBooleanboolean
.... reportedReferenceReference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... Slices for medication[x] SΣ1..1Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationCodeableConcept Σ0..1CodeableConceptCoded Prescribed Medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:pbs SΣ0..*CodingPBS Item Code
Binding: PBS Item Codes (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:gtin Σ0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://www.gs1.org/gtin
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:amt SΣ0..*CodingAMT Medicines
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... medicationClass 0..1CodingMedication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:mimsPackage Σ0..1CodingMIMS Package
Binding: MIMS (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://www.mims.com.au/codes
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringMedication primary text
.... medication[x]:medicationReference Σ0..1Reference(ADHA Core Medication)Prescribed Medication
... subject SΣC1..1Reference(ADHA Core Patient)Who or group medication request is for
inv-dh-medreq-01: At least reference or a valid identifier shall be present
... encounter S0..1Reference(ADHA 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..1Reference(Observation Body Height Profile)Observation of Body Height
.... supportingInformation:bodyWeight 0..1Reference(Observation Body Weight Profile)Observation of Body Weight
... authoredOn SΣC1..1dateTimeCreated date
inv-dh-medreq-03: Date shall be at least to day
... requester SΣC1..1Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson)Who/What requested the Request
inv-dh-medreq-02: At least reference or display or a valid identifier shall be present
... performer 0..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)Intended performer of administration
... performerType Σ0..1CodeableConceptDesired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... recorder 0..1Reference(Practitioner | PractitionerRole)Person who entered the request
... reasonCode S0..*CodeableConceptReason or indication for ordering or not ordering the medication
Binding: https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 (preferred)
... reasonReference 0..*Reference(Condition | Observation)Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ0..*canonical()Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... courseOfTherapyType 0..1CodeableConceptOverall 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 S0..*AnnotationInformation about the prescription
... dosageInstruction S0..*AUBaseDosageDosage information in an Australian healthcare context
... dispenseRequest S0..1BackboneElementRequested dispensing
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... initialFill 0..1BackboneElementFirst fill details
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... quantity 0..1SimpleQuantityFirst fill quantity
..... duration 0..1DurationFirst fill duration
.... dispenseInterval 0..1DurationMinimum period of time between dispenses
.... validityPeriod S0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed S0..1unsignedIntMaximum repeats authorised
.... quantity S0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration 0..1DurationNumber of days supply per dispense
.... performer 0..1Reference(Organization)Intended dispenser
... substitution S0..1BackboneElementBrand substitution details
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... allowed[x] S1..1Brand substitution flag
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBooleanboolean
..... allowedCodeableConceptCodeableConcept
.... reason 0..1CodeableConceptWhy should (not) substitution be made
Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)
... priorPrescription 0..1Reference(MedicationRequest)An order/prescription that is being replaced
... detectedIssue 0..*Reference(DetectedIssue)Clinical Issue with action
... eventHistory 0..*Reference(Provenance)A list of events of interest in the lifecycle

doco Documentation for this format

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

 

Terminology Bindings

PathConformanceValueSet
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.categoryextensiblemedicationRequest Category Codes
MedicationRequest.priorityrequiredRequestPriority
MedicationRequest.medication[x]exampleSNOMEDCTMedicationCodes
MedicationRequest.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbspreferredPBSItemCodes
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gtinpreferredGTIN
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amtpreferredhttps://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationRequest.medication[x]:medicationCodeableConcept.coding:mimsPackagepreferredMIMS
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
MedicationRequest.reasonCodepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonpreferredhttps://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

Search Parameters

None defined.