AU Base Implementation Guide
5.0.1-ci-build - CI Build Australia flag

AU Base Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 5.0.1-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-base/ and changes regularly. See the Directory of published versions

Resource Profile: AU Base Medication Request

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-medicationrequest Version: 5.0.1-ci-build
Standards status: Trial-use Maturity Level: 2 Computable Name: AUBaseMedicationRequest

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

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

Usage Notes

Profile specific implementation guidance:

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

Potentially useful extensions:

Usage:

Changes since version 5.0.0:

  • No changes
  • Formal Views of Profile Content

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

    This structure is derived from MedicationRequest

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. MedicationRequest 0..* MedicationRequest A request for a medication for a patient in an Australian healthcare context
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... 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)
    ... identifier 0..* Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier External ids for this request
    ... Slices for medication[x] 1..1 CodeableConcept, Reference(Medication) Medication to be taken
    Slice: Unordered, Closed by type:$this
    .... medication[x]:medicationCodeableConcept 0..1 CodeableConcept Coded Prescribed Medication
    Binding: SNOMEDCTMedicationCodes (example)
    Additional BindingsPurpose
    Australian Medication . Preferred
    PBS Item Codes Preferred
    MIMS Preferred
    GTIN Preferred
    ..... coding
    ...... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ....... extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    ..... text 0..1 string Medication primary text
    .... medication[x]:medicationReference 0..1 Reference(Medication) Prescribed Medication
    .... supportingInformation:bodyHeight 0..1 Reference(Observation Body Height Profile) Observation of Body Height
    .... supportingInformation:bodyWeight 0..1 Reference(Observation Body Weight Profile) Observation of Body Weight
    ... authoredOn 0..1 dateTime Created date
    ... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
    Binding: Reason for Request . (preferred)
    ... dosageInstruction 0..* AUBaseDosage How the medication should be taken
    ... dispenseRequest 0..1 BackboneElement Requested dispensing
    .... numberOfRepeatsAllowed 0..1 unsignedInt Maximum repeats authorised
    ... substitution 0..1 BackboneElement Brand substitution details
    .... allowed[x] 1..1 boolean, CodeableConcept Brand substitution flag
    .... reason 0..1 CodeableConcept Why should (not) substitution be made
    Binding: Medicine Substitution Reason . (preferred)

    doco Documentation for this format

    Terminology Bindings (Differential)

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

     

    Other representations of profile: CSV, Excel, Schematron