AU Base Implementation Guide
7.0.0-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 7.0.0-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 MedicationRequest

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-medicationrequest Version: 7.0.0-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.medicationCodeableConcept, this profile includes coding as:
  • If a medication is compounded and is a list of ingredients, MedicationRequest.medicationCodeableConcept is still present and may contain only the list of ingredients as text in MedicationRequest.medicationCodeableConcept.text.
  • Where additional medicinal product information is needed, MedicationRequest.medicationReference is preferred to MedicationRequest.medicationCodeableConcept and use of extensions, see guidance on AU Base Medication.
  • See each Identifier profile page for guidance related to that identifier type.
  • This profile supports the sex, gender, and related concept of Sex Parameter for Clinical Use:

Potentially useful extensions:

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 6.0.0:

  • No changes

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    MedicationRequest 0..* MedicationRequest A request for a medication for a patient in an Australian healthcare context
    MedicationRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    MedicationRequest.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for extension.extension:sexParameterForClinicalUse 0..* (Complex) A context-specific sex parameter for clinical use
    URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
    MedicationRequest.Slices for extension.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)
    MedicationRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    MedicationRequest.identifier 0..* Identifier The constraints on the root of this type profile have not been applied to this element in the snapshot. Check the type profile directly as well, AUETPPrescriptionIdentifier The constraints on the root of this type profile have not been applied to this element in the snapshot. Check the type profile directly as well, AULocalPrescriptionIdentifier The constraints on the root of this type profile have not been applied to this element in the snapshot. Check the type profile directly as well External ids for this request
    MedicationRequest.status This element is a modifier element. This element is included in summaries. 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.
    MedicationRequest.intent This element is a modifier element. This element is included in summaries. 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: medicationRequest Intent (required): The kind of medication order.
    MedicationRequest.doNotPerform This element is a modifier element. This element is included in summaries. 0..1 boolean True if request is prohibiting action
    MedicationRequest.Slices for medication[x] This element is included in summaries. 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.
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for medication[x].medicationCodeableConcept CodeableConcept
    MedicationRequest.Slices for medication[x].medicationReference Reference(Medication)
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept This element is included in summaries. 0..1 CodeableConcept Coded Prescribed Medication
    Binding: SNOMEDCTMedicationCodes (example)
    Additional BindingsPurpose
    Australian Medication Preferred
    PBS Item Codes Preferred
    MIMS Preferred
    GTIN Preferred
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.text This element is included in summaries. 0..1 string Medication primary text
    MedicationRequest.Slices for medication[x].medication[x]:medicationReference This element is included in summaries. 0..1 Reference(Medication) Prescribed Medication
    MedicationRequest.subject This element is included in summaries. 1..1 Reference(Patient | Group) Who or group medication request is for
    MedicationRequest.Slices for supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
    Slice: Unordered, Open by profile:resolve()

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for supportingInformation.supportingInformation:bodyHeight 0..1 Reference(Observation Body Height Profile) Observation of Body Height
    MedicationRequest.Slices for supportingInformation.supportingInformation:bodyWeight 0..1 Reference(Observation Body Weight Profile) Observation of Body Weight
    MedicationRequest.authoredOn This element is included in summaries. 0..1 dateTime Created date
    MedicationRequest.reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
    Binding: Reason for Request (preferred)
    MedicationRequest.dosageInstruction 0..* AUBaseDosage How the medication should be taken
    MedicationRequest.dispenseRequest 0..1 BackboneElement Requested dispensing
    MedicationRequest.dispenseRequest.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    MedicationRequest.dispenseRequest.numberOfRepeatsAllowed 0..1 unsignedInt Maximum repeats authorised
    MedicationRequest.substitution 0..1 BackboneElement Brand substitution details
    MedicationRequest.substitution.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    MedicationRequest.substitution.allowed[x] 1..1 Brand substitution flag
    Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
    MedicationRequest.substitution.allowed[x].allowedBoolean boolean
    MedicationRequest.substitution.allowed[x].allowedCodeableConcept CodeableConcept
    MedicationRequest.substitution.reason 0..1 CodeableConcept Why should (not) substitution be made
    Binding: Medicine Substitution Reason (preferred)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
    MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
    MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
    MedicationRequest.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
    MedicationRequest.reasonCode Base preferred Reason for Request ⏿1.0.1 tx.hl7.org.au
    MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.4
    MedicationRequest.substitution.​reason Base preferred Medicine Substitution Reason ⏿1.0.1 tx.hl7.org.au

    Constraints

    Id Grade Path(s) Description Expression
    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 MedicationRequest

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    MedicationRequest 0..* MedicationRequest A request for a medication for a patient in an Australian healthcare context
    MedicationRequest.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for extension.extension:sexParameterForClinicalUse 0..* (Complex) A context-specific sex parameter for clinical use
    URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
    MedicationRequest.Slices for extension.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)
    MedicationRequest.identifier 0..* Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier External ids for this request
    MedicationRequest.Slices for medication[x] 1..1 CodeableConcept, Reference(Medication) Medication to be taken
    Slice: Unordered, Closed by type:$this
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for medication[x].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
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.Slices for extension Content/Rules for all slices
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.Slices for extension.extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.text 0..1 string Medication primary text
    MedicationRequest.Slices for medication[x].medication[x]:medicationReference 0..1 Reference(Medication) Prescribed Medication
    MedicationRequest.Slices for supportingInformation.supportingInformation:bodyHeight 0..1 Reference(Observation Body Height Profile) Observation of Body Height
    MedicationRequest.Slices for supportingInformation.supportingInformation:bodyWeight 0..1 Reference(Observation Body Weight Profile) Observation of Body Weight
    MedicationRequest.authoredOn 0..1 dateTime Created date
    MedicationRequest.reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
    Binding: Reason for Request (preferred)
    MedicationRequest.dosageInstruction 0..* AUBaseDosage How the medication should be taken
    MedicationRequest.dispenseRequest 0..1 BackboneElement Requested dispensing
    MedicationRequest.dispenseRequest.numberOfRepeatsAllowed 0..1 unsignedInt Maximum repeats authorised
    MedicationRequest.substitution 0..1 BackboneElement Brand substitution details
    MedicationRequest.substitution.allowed[x] 1..1 boolean, CodeableConcept Brand substitution flag
    MedicationRequest.substitution.reason 0..1 CodeableConcept Why should (not) substitution be made
    Binding: Medicine Substitution Reason (preferred)

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    MedicationRequest.medication[x]:medicationCodeableConcept Base example Not State Unknown
    MedicationRequest.reasonCode Base preferred Reason for Request ⏿1.0.1 tx.hl7.org.au
    MedicationRequest.substitution.​reason Base preferred Medicine Substitution Reason ⏿1.0.1 tx.hl7.org.au
    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    MedicationRequest 0..* MedicationRequest A request for a medication for a patient in an Australian healthcare context
    MedicationRequest.id This element is included in summaries. 0..1 id Logical id of this artifact
    MedicationRequest.meta This element is included in summaries. 0..1 Meta Metadata about the resource
    MedicationRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    MedicationRequest.language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding
    MedicationRequest.text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    MedicationRequest.contained 0..* Resource Contained, inline Resources
    MedicationRequest.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for extension.extension:sexParameterForClinicalUse 0..* (Complex) A context-specific sex parameter for clinical use
    URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
    MedicationRequest.Slices for extension.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)
    MedicationRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    MedicationRequest.identifier 0..* Identifier The constraints on the root of this type profile have not been applied to this element in the snapshot. Check the type profile directly as well, AUETPPrescriptionIdentifier The constraints on the root of this type profile have not been applied to this element in the snapshot. Check the type profile directly as well, AULocalPrescriptionIdentifier The constraints on the root of this type profile have not been applied to this element in the snapshot. Check the type profile directly as well External ids for this request
    MedicationRequest.status This element is a modifier element. This element is included in summaries. 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.
    MedicationRequest.statusReason 0..1 CodeableConcept Reason for current status
    Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
    MedicationRequest.intent This element is a modifier element. This element is included in summaries. 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: medicationRequest Intent (required): The kind of medication order.
    MedicationRequest.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.
    MedicationRequest.priority This element is included in summaries. 0..1 code routine | urgent | asap | stat
    Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
    MedicationRequest.doNotPerform This element is a modifier element. This element is included in summaries. 0..1 boolean True if request is prohibiting action
    MedicationRequest.reported[x] This element is included in summaries. 0..1 Reported rather than primary record
    MedicationRequest.reported[x].reportedBoolean boolean
    MedicationRequest.reported[x].reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
    MedicationRequest.Slices for medication[x] This element is included in summaries. 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.
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for medication[x].medicationCodeableConcept CodeableConcept
    MedicationRequest.Slices for medication[x].medicationReference Reference(Medication)
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept This element is included in summaries. 0..1 CodeableConcept Coded Prescribed Medication
    Binding: SNOMEDCTMedicationCodes (example)
    Additional BindingsPurpose
    Australian Medication Preferred
    PBS Item Codes Preferred
    MIMS Preferred
    GTIN Preferred
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.id 0..1 string Unique id for inter-element referencing
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.id 0..1 string Unique id for inter-element referencing
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.Slices for extension Content/Rules for all slices
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.Slices for extension.extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.system This element is included in summaries. 0..1 uri Identity of the terminology system
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.display This element is included in summaries. 0..1 string Representation defined by the system
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.text This element is included in summaries. 0..1 string Medication primary text
    MedicationRequest.Slices for medication[x].medication[x]:medicationReference This element is included in summaries. 0..1 Reference(Medication) Prescribed Medication
    MedicationRequest.subject This element is included in summaries. 1..1 Reference(Patient | Group) Who or group medication request is for
    MedicationRequest.encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
    MedicationRequest.Slices for supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
    Slice: Unordered, Open by profile:resolve()

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for supportingInformation.supportingInformation:bodyHeight 0..1 Reference(Observation Body Height Profile) Observation of Body Height
    MedicationRequest.Slices for supportingInformation.supportingInformation:bodyWeight 0..1 Reference(Observation Body Weight Profile) Observation of Body Weight
    MedicationRequest.authoredOn This element is included in summaries. 0..1 dateTime Created date
    MedicationRequest.requester This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
    MedicationRequest.performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
    MedicationRequest.performerType This element is included in summaries. 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.
    MedicationRequest.recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
    MedicationRequest.reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
    Binding: Reason for Request (preferred)
    MedicationRequest.reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
    MedicationRequest.instantiatesCanonical This element is included in summaries. 0..* canonical() Instantiates FHIR protocol or definition
    MedicationRequest.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition
    MedicationRequest.basedOn This element is included in summaries. 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
    MedicationRequest.groupIdentifier This element is included in summaries. 0..1 Identifier Composite request this is part of
    MedicationRequest.courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
    Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
    MedicationRequest.insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
    MedicationRequest.note 0..* Annotation Information about the prescription
    MedicationRequest.dosageInstruction 0..* AUBaseDosage How the medication should be taken
    MedicationRequest.dispenseRequest 0..1 BackboneElement Requested dispensing
    MedicationRequest.dispenseRequest.id 0..1 string Unique id for inter-element referencing
    MedicationRequest.dispenseRequest.extension 0..* Extension Additional content defined by implementations
    MedicationRequest.dispenseRequest.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    MedicationRequest.dispenseRequest.initialFill 0..1 BackboneElement First fill details
    MedicationRequest.dispenseRequest.initialFill.id 0..1 string Unique id for inter-element referencing
    MedicationRequest.dispenseRequest.initialFill.extension 0..* Extension Additional content defined by implementations
    MedicationRequest.dispenseRequest.initialFill.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    MedicationRequest.dispenseRequest.initialFill.quantity C 0..1 SimpleQuantity(4.0.1) First fill quantity
    Constraints: sqty-1
    MedicationRequest.dispenseRequest.initialFill.duration 0..1 Duration First fill duration
    MedicationRequest.dispenseRequest.dispenseInterval 0..1 Duration Minimum period of time between dispenses
    MedicationRequest.dispenseRequest.validityPeriod 0..1 Period Time period supply is authorized for
    MedicationRequest.dispenseRequest.numberOfRepeatsAllowed 0..1 unsignedInt Maximum repeats authorised
    MedicationRequest.dispenseRequest.quantity C 0..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
    Constraints: sqty-1
    MedicationRequest.dispenseRequest.expectedSupplyDuration 0..1 Duration Number of days supply per dispense
    MedicationRequest.dispenseRequest.performer 0..1 Reference(Organization) Intended dispenser
    MedicationRequest.substitution 0..1 BackboneElement Brand substitution details
    MedicationRequest.substitution.id 0..1 string Unique id for inter-element referencing
    MedicationRequest.substitution.extension 0..* Extension Additional content defined by implementations
    MedicationRequest.substitution.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    MedicationRequest.substitution.allowed[x] 1..1 Brand substitution flag
    Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
    MedicationRequest.substitution.allowed[x].allowedBoolean boolean
    MedicationRequest.substitution.allowed[x].allowedCodeableConcept CodeableConcept
    MedicationRequest.substitution.reason 0..1 CodeableConcept Why should (not) substitution be made
    Binding: Medicine Substitution Reason (preferred)
    MedicationRequest.priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
    MedicationRequest.detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
    MedicationRequest.eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    MedicationRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
    MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
    MedicationRequest.statusReason Base example Medication request status reason codes 📍4.0.1 FHIR Std.
    MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
    MedicationRequest.category Base example Medication request category codes 📍4.0.1 FHIR Std.
    MedicationRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
    MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
    MedicationRequest.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
    MedicationRequest.performerType Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
    MedicationRequest.reasonCode Base preferred Reason for Request ⏿1.0.1 tx.hl7.org.au
    MedicationRequest.courseOfTherapyType Base example Medication request course of therapy codes 📍4.0.1 FHIR Std.
    MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.4
    MedicationRequest.substitution.​reason Base preferred Medicine Substitution Reason ⏿1.0.1 tx.hl7.org.au

    Constraints

    Id Grade Path(s) Description Expression
    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()
    sqty-1 error MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity The comparator is not used on a SimpleQuantity comparator.empty()

    This structure is derived from MedicationRequest

    Summary

    Structures

    This structure refers to these other structures:

    Extensions

    This structure refers to these extensions:

    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.supportingInformation

    Maturity: 2

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    MedicationRequest 0..* MedicationRequest A request for a medication for a patient in an Australian healthcare context
    MedicationRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    MedicationRequest.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for extension.extension:sexParameterForClinicalUse 0..* (Complex) A context-specific sex parameter for clinical use
    URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
    MedicationRequest.Slices for extension.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)
    MedicationRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    MedicationRequest.identifier 0..* Identifier The constraints on the root of this type profile have not been applied to this element in the snapshot. Check the type profile directly as well, AUETPPrescriptionIdentifier The constraints on the root of this type profile have not been applied to this element in the snapshot. Check the type profile directly as well, AULocalPrescriptionIdentifier The constraints on the root of this type profile have not been applied to this element in the snapshot. Check the type profile directly as well External ids for this request
    MedicationRequest.status This element is a modifier element. This element is included in summaries. 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.
    MedicationRequest.intent This element is a modifier element. This element is included in summaries. 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: medicationRequest Intent (required): The kind of medication order.
    MedicationRequest.doNotPerform This element is a modifier element. This element is included in summaries. 0..1 boolean True if request is prohibiting action
    MedicationRequest.Slices for medication[x] This element is included in summaries. 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.
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for medication[x].medicationCodeableConcept CodeableConcept
    MedicationRequest.Slices for medication[x].medicationReference Reference(Medication)
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept This element is included in summaries. 0..1 CodeableConcept Coded Prescribed Medication
    Binding: SNOMEDCTMedicationCodes (example)
    Additional BindingsPurpose
    Australian Medication Preferred
    PBS Item Codes Preferred
    MIMS Preferred
    GTIN Preferred
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.text This element is included in summaries. 0..1 string Medication primary text
    MedicationRequest.Slices for medication[x].medication[x]:medicationReference This element is included in summaries. 0..1 Reference(Medication) Prescribed Medication
    MedicationRequest.subject This element is included in summaries. 1..1 Reference(Patient | Group) Who or group medication request is for
    MedicationRequest.Slices for supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
    Slice: Unordered, Open by profile:resolve()

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for supportingInformation.supportingInformation:bodyHeight 0..1 Reference(Observation Body Height Profile) Observation of Body Height
    MedicationRequest.Slices for supportingInformation.supportingInformation:bodyWeight 0..1 Reference(Observation Body Weight Profile) Observation of Body Weight
    MedicationRequest.authoredOn This element is included in summaries. 0..1 dateTime Created date
    MedicationRequest.reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
    Binding: Reason for Request (preferred)
    MedicationRequest.dosageInstruction 0..* AUBaseDosage How the medication should be taken
    MedicationRequest.dispenseRequest 0..1 BackboneElement Requested dispensing
    MedicationRequest.dispenseRequest.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    MedicationRequest.dispenseRequest.numberOfRepeatsAllowed 0..1 unsignedInt Maximum repeats authorised
    MedicationRequest.substitution 0..1 BackboneElement Brand substitution details
    MedicationRequest.substitution.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    MedicationRequest.substitution.allowed[x] 1..1 Brand substitution flag
    Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
    MedicationRequest.substitution.allowed[x].allowedBoolean boolean
    MedicationRequest.substitution.allowed[x].allowedCodeableConcept CodeableConcept
    MedicationRequest.substitution.reason 0..1 CodeableConcept Why should (not) substitution be made
    Binding: Medicine Substitution Reason (preferred)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
    MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
    MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
    MedicationRequest.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
    MedicationRequest.reasonCode Base preferred Reason for Request ⏿1.0.1 tx.hl7.org.au
    MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.4
    MedicationRequest.substitution.​reason Base preferred Medicine Substitution Reason ⏿1.0.1 tx.hl7.org.au

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    Differential View

    This structure is derived from MedicationRequest

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    MedicationRequest 0..* MedicationRequest A request for a medication for a patient in an Australian healthcare context
    MedicationRequest.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for extension.extension:sexParameterForClinicalUse 0..* (Complex) A context-specific sex parameter for clinical use
    URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
    MedicationRequest.Slices for extension.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)
    MedicationRequest.identifier 0..* Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier External ids for this request
    MedicationRequest.Slices for medication[x] 1..1 CodeableConcept, Reference(Medication) Medication to be taken
    Slice: Unordered, Closed by type:$this
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for medication[x].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
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.Slices for extension Content/Rules for all slices
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.Slices for extension.extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.text 0..1 string Medication primary text
    MedicationRequest.Slices for medication[x].medication[x]:medicationReference 0..1 Reference(Medication) Prescribed Medication
    MedicationRequest.Slices for supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
    Slice: Unordered, Open by profile:resolve()
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for supportingInformation.supportingInformation:bodyHeight 0..1 Reference(Observation Body Height Profile) Observation of Body Height
    MedicationRequest.Slices for supportingInformation.supportingInformation:bodyWeight 0..1 Reference(Observation Body Weight Profile) Observation of Body Weight
    MedicationRequest.authoredOn 0..1 dateTime Created date
    MedicationRequest.reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
    Binding: Reason for Request (preferred)
    MedicationRequest.dosageInstruction 0..* AUBaseDosage How the medication should be taken
    MedicationRequest.dispenseRequest 0..1 BackboneElement Requested dispensing
    MedicationRequest.dispenseRequest.numberOfRepeatsAllowed 0..1 unsignedInt Maximum repeats authorised
    MedicationRequest.substitution 0..1 BackboneElement Brand substitution details
    MedicationRequest.substitution.allowed[x] 1..1 boolean, CodeableConcept Brand substitution flag
    MedicationRequest.substitution.reason 0..1 CodeableConcept Why should (not) substitution be made
    Binding: Medicine Substitution Reason (preferred)

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    MedicationRequest.medication[x]:medicationCodeableConcept Base example Not State Unknown
    MedicationRequest.reasonCode Base preferred Reason for Request ⏿1.0.1 tx.hl7.org.au
    MedicationRequest.substitution.​reason Base preferred Medicine Substitution Reason ⏿1.0.1 tx.hl7.org.au

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    MedicationRequest 0..* MedicationRequest A request for a medication for a patient in an Australian healthcare context
    MedicationRequest.id This element is included in summaries. 0..1 id Logical id of this artifact
    MedicationRequest.meta This element is included in summaries. 0..1 Meta Metadata about the resource
    MedicationRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    MedicationRequest.language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding
    MedicationRequest.text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    MedicationRequest.contained 0..* Resource Contained, inline Resources
    MedicationRequest.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for extension.extension:sexParameterForClinicalUse 0..* (Complex) A context-specific sex parameter for clinical use
    URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
    MedicationRequest.Slices for extension.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)
    MedicationRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    MedicationRequest.identifier 0..* Identifier The constraints on the root of this type profile have not been applied to this element in the snapshot. Check the type profile directly as well, AUETPPrescriptionIdentifier The constraints on the root of this type profile have not been applied to this element in the snapshot. Check the type profile directly as well, AULocalPrescriptionIdentifier The constraints on the root of this type profile have not been applied to this element in the snapshot. Check the type profile directly as well External ids for this request
    MedicationRequest.status This element is a modifier element. This element is included in summaries. 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.
    MedicationRequest.statusReason 0..1 CodeableConcept Reason for current status
    Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
    MedicationRequest.intent This element is a modifier element. This element is included in summaries. 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: medicationRequest Intent (required): The kind of medication order.
    MedicationRequest.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.
    MedicationRequest.priority This element is included in summaries. 0..1 code routine | urgent | asap | stat
    Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
    MedicationRequest.doNotPerform This element is a modifier element. This element is included in summaries. 0..1 boolean True if request is prohibiting action
    MedicationRequest.reported[x] This element is included in summaries. 0..1 Reported rather than primary record
    MedicationRequest.reported[x].reportedBoolean boolean
    MedicationRequest.reported[x].reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
    MedicationRequest.Slices for medication[x] This element is included in summaries. 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.
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for medication[x].medicationCodeableConcept CodeableConcept
    MedicationRequest.Slices for medication[x].medicationReference Reference(Medication)
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept This element is included in summaries. 0..1 CodeableConcept Coded Prescribed Medication
    Binding: SNOMEDCTMedicationCodes (example)
    Additional BindingsPurpose
    Australian Medication Preferred
    PBS Item Codes Preferred
    MIMS Preferred
    GTIN Preferred
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.id 0..1 string Unique id for inter-element referencing
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.id 0..1 string Unique id for inter-element referencing
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.Slices for extension Content/Rules for all slices
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.Slices for extension.extension:medicationClass 0..1 Coding Medication type
    URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
    Binding: Medication Type (required)
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.system This element is included in summaries. 0..1 uri Identity of the terminology system
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.display This element is included in summaries. 0..1 string Representation defined by the system
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
    MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.text This element is included in summaries. 0..1 string Medication primary text
    MedicationRequest.Slices for medication[x].medication[x]:medicationReference This element is included in summaries. 0..1 Reference(Medication) Prescribed Medication
    MedicationRequest.subject This element is included in summaries. 1..1 Reference(Patient | Group) Who or group medication request is for
    MedicationRequest.encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
    MedicationRequest.Slices for supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
    Slice: Unordered, Open by profile:resolve()

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    MedicationRequest.Slices for supportingInformation.supportingInformation:bodyHeight 0..1 Reference(Observation Body Height Profile) Observation of Body Height
    MedicationRequest.Slices for supportingInformation.supportingInformation:bodyWeight 0..1 Reference(Observation Body Weight Profile) Observation of Body Weight
    MedicationRequest.authoredOn This element is included in summaries. 0..1 dateTime Created date
    MedicationRequest.requester This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
    MedicationRequest.performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
    MedicationRequest.performerType This element is included in summaries. 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.
    MedicationRequest.recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
    MedicationRequest.reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
    Binding: Reason for Request (preferred)
    MedicationRequest.reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
    MedicationRequest.instantiatesCanonical This element is included in summaries. 0..* canonical() Instantiates FHIR protocol or definition
    MedicationRequest.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition
    MedicationRequest.basedOn This element is included in summaries. 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
    MedicationRequest.groupIdentifier This element is included in summaries. 0..1 Identifier Composite request this is part of
    MedicationRequest.courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
    Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
    MedicationRequest.insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
    MedicationRequest.note 0..* Annotation Information about the prescription
    MedicationRequest.dosageInstruction 0..* AUBaseDosage How the medication should be taken
    MedicationRequest.dispenseRequest 0..1 BackboneElement Requested dispensing
    MedicationRequest.dispenseRequest.id 0..1 string Unique id for inter-element referencing
    MedicationRequest.dispenseRequest.extension 0..* Extension Additional content defined by implementations
    MedicationRequest.dispenseRequest.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    MedicationRequest.dispenseRequest.initialFill 0..1 BackboneElement First fill details
    MedicationRequest.dispenseRequest.initialFill.id 0..1 string Unique id for inter-element referencing
    MedicationRequest.dispenseRequest.initialFill.extension 0..* Extension Additional content defined by implementations
    MedicationRequest.dispenseRequest.initialFill.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    MedicationRequest.dispenseRequest.initialFill.quantity C 0..1 SimpleQuantity(4.0.1) First fill quantity
    Constraints: sqty-1
    MedicationRequest.dispenseRequest.initialFill.duration 0..1 Duration First fill duration
    MedicationRequest.dispenseRequest.dispenseInterval 0..1 Duration Minimum period of time between dispenses
    MedicationRequest.dispenseRequest.validityPeriod 0..1 Period Time period supply is authorized for
    MedicationRequest.dispenseRequest.numberOfRepeatsAllowed 0..1 unsignedInt Maximum repeats authorised
    MedicationRequest.dispenseRequest.quantity C 0..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
    Constraints: sqty-1
    MedicationRequest.dispenseRequest.expectedSupplyDuration 0..1 Duration Number of days supply per dispense
    MedicationRequest.dispenseRequest.performer 0..1 Reference(Organization) Intended dispenser
    MedicationRequest.substitution 0..1 BackboneElement Brand substitution details
    MedicationRequest.substitution.id 0..1 string Unique id for inter-element referencing
    MedicationRequest.substitution.extension 0..* Extension Additional content defined by implementations
    MedicationRequest.substitution.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    MedicationRequest.substitution.allowed[x] 1..1 Brand substitution flag
    Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
    MedicationRequest.substitution.allowed[x].allowedBoolean boolean
    MedicationRequest.substitution.allowed[x].allowedCodeableConcept CodeableConcept
    MedicationRequest.substitution.reason 0..1 CodeableConcept Why should (not) substitution be made
    Binding: Medicine Substitution Reason (preferred)
    MedicationRequest.priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
    MedicationRequest.detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
    MedicationRequest.eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    MedicationRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
    MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
    MedicationRequest.statusReason Base example Medication request status reason codes 📍4.0.1 FHIR Std.
    MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
    MedicationRequest.category Base example Medication request category codes 📍4.0.1 FHIR Std.
    MedicationRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
    MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
    MedicationRequest.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
    MedicationRequest.performerType Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
    MedicationRequest.reasonCode Base preferred Reason for Request ⏿1.0.1 tx.hl7.org.au
    MedicationRequest.courseOfTherapyType Base example Medication request course of therapy codes 📍4.0.1 FHIR Std.
    MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.4
    MedicationRequest.substitution.​reason Base preferred Medicine Substitution Reason ⏿1.0.1 tx.hl7.org.au

    Constraints

    Id Grade Path(s) Description Expression
    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()
    sqty-1 error MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity The comparator is not used on a SimpleQuantity comparator.empty()

    This structure is derived from MedicationRequest

    Summary

    Structures

    This structure refers to these other structures:

    Extensions

    This structure refers to these extensions:

    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.supportingInformation

    Maturity: 2

     

    Other representations of profile: CSV, Excel, Schematron