Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft
Australian Digital Health Agency FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/ci-fhir-r4/ and changes regularly. See the Directory of published versions
{
"resourceType" : "MedicationRequest",
"id" : "etp-cont-01",
"meta" : // 21KR32K6YMD6FY6102
// Fully contained
{
"profile" : [
🔗 "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-medicationrequest-core-1"🔗 ,
"http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-medicationrequest-pres-1"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest etp-cont-01</b></p><a name=\"etp-cont-01\"> </a><a name=\"hcetp-cont-01\"> </a><a name=\"etp-cont-01-en-AU\"> </a><p><b>au/StructureDefinition/is-extemp</b>: false</p><p><b>identifier</b>: ETP Identifier/1XPR352VP3QCX7BJD6</p><p><b>status</b>: Active</p><p><b>intent</b>: Instance Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category community}\">Community</span></p><p><b>medication</b>: <a href=\"#hcetp-cont-01/atorvastatin-01\">ATORVASTATIN</a></p><p><b>subject</b>: <a href=\"#hcetp-cont-01/hi-testdata-gainey-bert\">Bert Gainey Male, DoB: 1971-09-24 ( National unique individual identifier\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>authoredOn</b>: 2020-09-03 11:13:12+0000</p><p><b>requester</b>: <a href=\"#hcetp-cont-01/canberra-gp\">PractitionerRole General practitioner</a></p><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>?? --> 2021-01-03 11:13:12+0000</td><td>5</td><td>20 Tab</td></tr></table><p><b>priorPrescription</b>: <a href=\"#hcetp-cont-01/etp-orig-scid-01\">21KR32BGDMPWJC0C89-1</a></p><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Patient #hi-testdata-gainey-bert</b></p><a name=\"etp-cont-01/hi-testdata-gainey-bert\"> </a><a name=\"hcetp-cont-01/hi-testdata-gainey-bert\"> </a><a name=\"etp-cont-01/hi-testdata-gainey-bert-en-AU\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Bert Gainey Male, DoB: 1971-09-24 ( National unique individual identifier\u00a0(use:\u00a0official,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Patient's Medicare number/29533070311\u00a0(use:\u00a0secondary,\u00a0period:\u00a0(?) --> 2023-11-30)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">197 Woodstock Pl CANBERRA AIRPORT ACT 2609 (home)</td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole #canberra-gp</b></p><a name=\"etp-cont-01/canberra-gp\"> </a><a name=\"hcetp-cont-01/canberra-gp\"> </a><a name=\"etp-cont-01/canberra-gp-en-AU\"> </a><p><b>identifier</b>: Employee Number/23RQ2809H, HPI-I/8003614900041243</p><p><b>practitioner</b>: <a href=\"#hcetp-cont-01/rep-prac-gp\">Practitioner Representative Practitioner </a></p><p><b>organization</b>: <a href=\"#hcetp-cont-01/avg-canberra-medical-centre\">Organization Average Canberra Medical Centre</a></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 62247001}, {http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0 253111}\">General Practitioner</span></p><p><b>telecom</b>: ph: 0491 574 118, <a href=\"mailto:information@avgcanberramedicalcentre.example.com\">information@avgcanberramedicalcentre.example.com</a></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner #rep-prac-gp</b></p><a name=\"etp-cont-01/rep-prac-gp\"> </a><a name=\"hcetp-cont-01/rep-prac-gp\"> </a><a name=\"etp-cont-01/rep-prac-gp-en-AU\"> </a><p><b>identifier</b>: HPI-I/8003614900041243, Prescriber Number/11111111</p><p><b>name</b>: Representative Practitioner </p><h3>Qualifications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>AHPRA Registration Number/MED0002137828</td><td><span title=\"Codes:{http://terminology.hl7.org.au/CodeSystem/v2-0360 AUAHPRAProfession}\">Medical Practitioner</span></td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Organization #avg-canberra-medical-centre</b></p><a name=\"etp-cont-01/avg-canberra-medical-centre\"> </a><a name=\"hcetp-cont-01/avg-canberra-medical-centre\"> </a><a name=\"etp-cont-01/avg-canberra-medical-centre-en-AU\"> </a><p><b>identifier</b>: HPI-O/8003629900033370</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 288565001}\">Medical Centre</span></p><p><b>name</b>: Average Canberra Medical Centre</p><p><b>telecom</b>: <a href=\"mailto:information@avgcanberramedicalcentre.example.com\">information@avgcanberramedicalcentre.example.com</a>, ph: (02) 5550 2427(Work)</p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication #atorvastatin-01</b></p><a name=\"etp-cont-01/atorvastatin-01\"> </a><a name=\"hcetp-cont-01/atorvastatin-01\"> </a><a name=\"etp-cont-01/atorvastatin-01-en-AU\"> </a><p><b>Medication Brand Name</b>: LIPITOR</p><p><b>Medication Generic Drug Name</b>: ATORVASTATIN</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 35681000036100}\">Lipitor 10 mg tablet, 10</span></p><p><b>form</b>: <span title=\"Codes:\">TAB</span></p><h3>Ingredients</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">atorvastatin</span></td><td>10 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg = 'mg')</span>/1 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg = 'mg')</span></td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest #etp-orig-scid-01</b></p><a name=\"etp-cont-01/etp-orig-scid-01\"> </a><a name=\"hcetp-cont-01/etp-orig-scid-01\"> </a><a name=\"etp-cont-01/etp-orig-scid-01-en-AU\"> </a><p><b>au/StructureDefinition/supplynumber</b>: 1</p><p><b>au/StructureDefinition/is-extemp</b>: false</p><p><b>identifier</b>: ETP Identifier/1XPR352VP3QCX7BJD6</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href=\"#hcetp-cont-01/proxymetacaine-01\">PROXYMETACAINE</a></p><p><b>subject</b>: <a href=\"#hcetp-cont-01/hi-testdata-gainey-bert\">Bert Gainey Male, DoB: 1971-09-24 ( National unique individual identifier\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>authoredOn</b>: 2019-10-02 00:00:00+0000</p><p><b>requester</b>: <a href=\"#hcetp-cont-01/canberra-gp\">PractitionerRole General practitioner</a></p><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>5</td><td>15 mL</td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication #proxymetacaine-01</b></p><a name=\"etp-cont-01/proxymetacaine-01\"> </a><a name=\"hcetp-cont-01/proxymetacaine-01\"> </a><a name=\"etp-cont-01/proxymetacaine-01-en-AU\"> </a><p><b>Medication Brand Name</b>: ALCAINE</p><p><b>Medication Generic Drug Name</b>: PROXYMETACAINE</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 36900011000036109}\">Alcaine 0.5% eye drops, 15 mL</span></p><p><b>manufacturer</b>: AQ</p><p><b>form</b>: <span title=\"Codes:\">EYE-DRP</span></p><h3>Ingredients</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">proxymetacaine hydrochloride</span></td><td>0.5 %/1 unit</td></tr></table></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Patient",
"id" : "hi-testdata-gainey-bert",
"identifier" : [
{
"extension" : [
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/ihi-status",
"valueCoding" : {
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/ihi-status-1",
"code" : "active"
}
},
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/ihi-record-status",
"valueCoding" : {
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/ihi-record-status-1",
"code" : "verified"
}
}
],
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NI",
"userSelected" : false
}
]
},
"system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
"value" : "8003608833564727"
},
{
"use" : "secondary",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MC",
"userSelected" : false
}
]
},
"system" : "http://ns.electronichealth.net.au/id/medicare-number",
"value" : "29533070311",
"period" : {
"end" : "2023-11-30"
}
}
],
"name" : [
{
"use" : "usual",
"text" : "Bert Gainey",
"family" : "Gainey"
}
],
"gender" : "male",
"birthDate" : "1971-09-24",
"address" : [
{
"use" : "home",
"line" : [
"197 Woodstock Pl"
],
"city" : "CANBERRA AIRPORT",
"state" : "ACT",
"postalCode" : "2609"
}
]
},
{
"resourceType" : "PractitionerRole",
"id" : "canberra-gp",
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "EI",
"display" : "Employee number"
}
],
"text" : "Employee Number"
},
"system" : "http://ns.electronichealth.net.au/id/hpio-scoped/service-provider-individual/1.0/8003629900033370",
"value" : "23RQ2809H",
"assigner" : {
"display" : "Average Canberra Medical Centre ACT"
}
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NPI",
"display" : "National provider identifier"
}
],
"text" : "HPI-I"
},
"system" : "http://ns.electronichealth.net.au/id/hi/hpii/1.0",
"value" : "8003614900041243"
}
],
"practitioner" : {
"reference" : "#rep-prac-gp"
},
"organization" : {
"reference" : "#avg-canberra-medical-centre"
},
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "62247001"
},
{
"system" : "http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0",
"code" : "253111"
}
],
"text" : "General Practitioner"
}
],
"telecom" : [
{
"system" : "phone",
"value" : "0491 574 118"
},
{
"system" : "email",
"value" : "information@avgcanberramedicalcentre.example.com"
}
]
},
{
"resourceType" : "Practitioner",
"id" : "rep-prac-gp",
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NPI",
"display" : "National provider identifier"
}
],
"text" : "HPI-I"
},
"system" : "http://ns.electronichealth.net.au/id/hi/hpii/1.0",
"value" : "8003614900041243"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
"code" : "PRES",
"display" : "Prescriber Number"
}
],
"text" : "Prescriber Number"
},
"system" : "http://ns.electronichealth.net.au/id/medicare-prescriber-number",
"value" : "11111111"
}
],
"name" : [
{
"family" : "Practitioner",
"given" : [
"Representative"
],
"prefix" : [
"Dr."
]
}
],
"qualification" : [
{
"extension" : [
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/ahpraprofession-details",
"extension" : [
{
"url" : "ahpraProfession",
"valueCodeableConcept" : {
"text" : "Medical Practitioner"
}
}
]
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
"code" : "AHPRA",
"display" : "Australian Health Practitioner Regulation Agency Registration Number"
}
],
"text" : "AHPRA Registration Number"
},
"system" : "http://hl7.org.au/id/ahpra-registration-number",
"value" : "MED0002137828"
}
],
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/v2-0360",
"code" : "AUAHPRAProfession"
}
],
"text" : "Medical Practitioner"
}
}
]
},
{
"resourceType" : "Organization",
"id" : "avg-canberra-medical-centre",
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
"code" : "NOI"
}
],
"text" : "HPI-O"
},
"system" : "http://ns.electronichealth.net.au/id/hi/hpio/1.0",
"value" : "8003629900033370"
}
],
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "288565001",
"display" : "Medical centre"
}
],
"text" : "Medical Centre"
}
],
"name" : "Average Canberra Medical Centre",
"telecom" : [
{
"system" : "email",
"value" : "information@avgcanberramedicalcentre.example.com",
"use" : "work"
},
{
"system" : "phone",
"value" : "(02) 5550 2427",
"use" : "work"
}
]
},
{
"resourceType" : "Medication",
"id" : "atorvastatin-01",
"extension" : [
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/medication-brand-name",
"valueString" : "LIPITOR"
},
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/medication-generic-name",
"valueString" : "ATORVASTATIN"
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "35681000036100"
}
]
},
"form" : {
"text" : "TAB"
},
"ingredient" : [
{
"itemCodeableConcept" : {
"text" : "atorvastatin"
},
"strength" : {
"numerator" : {
"value" : 10,
"unit" : "mg",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
},
"denominator" : {
"value" : 1,
"unit" : "mg",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
}
}
}
]
},
{
"resourceType" : "MedicationRequest",
"id" : "etp-orig-scid-01",
"extension" : [
{
"url" : "http://fhir.medicationknowledge.com.au/StructureDefinition/supplynumber",
"valueString" : "1"
},
{
"url" : "http://fhir.medicationknowledge.com.au/StructureDefinition/is-extemp",
"valueBoolean" : false
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
"code" : "ETP"
}
],
"text" : "ETP Identifier"
},
"system" : "http://fhir.erx.com.au/NamingSystem/identifiers#org-scid",
"value" : "1XPR352VP3QCX7BJD6",
"assigner" : {
"display" : "eRx Test Prescibing"
}
}
],
"status" : "completed",
"intent" : "order",
"medicationReference" : {
"reference" : "#proxymetacaine-01",
"display" : "PROXYMETACAINE"
},
"subject" : {
"reference" : "#hi-testdata-gainey-bert",
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NI",
"display" : "National unique individual identifier"
}
],
"text" : "IHI"
},
"system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
"value" : "8003608833564727"
}
},
"authoredOn" : "2019-10-02T00:00:00+00:00",
"requester" : {
"reference" : "#canberra-gp"
},
"dispenseRequest" : {
"numberOfRepeatsAllowed" : 5,
"quantity" : {
"value" : 15,
"unit" : "mL"
}
}
},
{
"resourceType" : "Medication",
"id" : "proxymetacaine-01",
"extension" : [
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/medication-brand-name",
"valueString" : "ALCAINE"
},
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/medication-generic-name",
"valueString" : "PROXYMETACAINE"
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "36900011000036109"
}
]
},
"manufacturer" : {
"display" : "AQ"
},
"form" : {
"text" : "EYE-DRP"
},
"ingredient" : [
{
"itemCodeableConcept" : {
"text" : "proxymetacaine hydrochloride"
},
"strength" : {
"numerator" : {
"value" : 0.5,
"unit" : "%"
},
"denominator" : {
"value" : 1,
"unit" : "unit"
}
}
}
]
}
],
"extension" : [
{
"url" : "http://fhir.medicationknowledge.com.au/StructureDefinition/is-extemp",
"valueBoolean" : false
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
"code" : "ETP"
}
],
"text" : "ETP Identifier"
},
"system" : "http://fhir.erx.com.au/NamingSystem/identifiers#scid",
"value" : "1XPR352VP3QCX7BJD6",
"assigner" : {
"display" : "eRx Test Prescibing"
}
}
],
"status" : "active",
"intent" : "instance-order",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code" : "community"
}
]
}
],
"medicationReference" : {
"reference" : "#atorvastatin-01",
"display" : "ATORVASTATIN"
},
"subject" : {
"reference" : "#hi-testdata-gainey-bert",
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NI",
"display" : "National unique individual identifier"
}
],
"text" : "IHI"
},
"system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
"value" : "8003608833564727"
}
},
"authoredOn" : "2020-09-03T11:13:12.9110285+00:00",
"requester" : {
"reference" : "#canberra-gp"
},
"dispenseRequest" : {
"validityPeriod" : {
"end" : "2021-01-03T11:13:12.9110285+00:00"
},
"numberOfRepeatsAllowed" : 5,
"quantity" : {
"value" : 20,
"unit" : "Tab"
}
},
"priorPrescription" : {
"reference" : "#etp-orig-scid-01",
"display" : "21KR32BGDMPWJC0C89-1"
}
}