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
<MedicationRequest xmlns="http://hl7.org/fhir">
<!-- 21KR32K6YMD6FY6102 -->
<!-- Fully contained -->
<id value="etp-cont-01"/>
<meta>
<profile
value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-medicationrequest-core-1"/>
<profile
value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-medicationrequest-pres-1"/>
</meta>
<text>
<status value="extensions"/>
<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 (use: official, ))</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 (use: official, ))</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 (use: secondary, period: (?) --> 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 (use: official, ))</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>
</text>
<contained>
<Patient>
<id value="hi-testdata-gainey-bert"/>
<identifier>
<extension
url="http://hl7.org.au/fhir/StructureDefinition/ihi-status">
<valueCoding>
<system
value="https://healthterminologies.gov.au/fhir/CodeSystem/ihi-status-1"/>
<code value="active"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org.au/fhir/StructureDefinition/ihi-record-status">
<valueCoding>
<system
value="https://healthterminologies.gov.au/fhir/CodeSystem/ihi-record-status-1"/>
<code value="verified"/>
</valueCoding>
</extension>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NI"/>
<userSelected value="false"/>
</coding>
</type>
<system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
<value value="8003608833564727"/>
</identifier>
<identifier>
<use value="secondary"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MC"/>
<userSelected value="false"/>
</coding>
</type>
<system value="http://ns.electronichealth.net.au/id/medicare-number"/>
<value value="29533070311"/>
<period>
<end value="2023-11-30"/>
</period>
</identifier>
<name>
<use value="usual"/>
<text value="Bert Gainey"/>
<family value="Gainey"/>
</name>
<gender value="male"/>
<birthDate value="1971-09-24"/>
<address>
<use value="home"/>
<line value="197 Woodstock Pl"/>
<city value="CANBERRA AIRPORT"/>
<state value="ACT"/>
<postalCode value="2609"/>
</address>
</Patient>
</contained>
<contained>
<PractitionerRole>
<id value="canberra-gp"/>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="EI"/>
<display value="Employee number"/>
</coding>
<text value="Employee Number"/>
</type>
<system
value="http://ns.electronichealth.net.au/id/hpio-scoped/service-provider-individual/1.0/8003629900033370"/>
<value value="23RQ2809H"/>
<assigner>
<display value="Average Canberra Medical Centre ACT"/>
</assigner>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NPI"/>
<display value="National provider identifier"/>
</coding>
<text value="HPI-I"/>
</type>
<system value="http://ns.electronichealth.net.au/id/hi/hpii/1.0"/>
<value value="8003614900041243"/>
</identifier>
<practitioner>
<reference value="#rep-prac-gp"/>
</practitioner>
<organization>
<reference value="#avg-canberra-medical-centre"/>
</organization>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="62247001"/>
</coding>
<coding>
<system value="http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0"/>
<code value="253111"/>
</coding>
<text value="General Practitioner"/>
</code>
<telecom>
<system value="phone"/>
<value value="0491 574 118"/>
</telecom>
<telecom>
<system value="email"/>
<value value="information@avgcanberramedicalcentre.example.com"/>
</telecom>
</PractitionerRole>
</contained>
<contained>
<Practitioner>
<id value="rep-prac-gp"/>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NPI"/>
<display value="National provider identifier"/>
</coding>
<text value="HPI-I"/>
</type>
<system value="http://ns.electronichealth.net.au/id/hi/hpii/1.0"/>
<value value="8003614900041243"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
<code value="PRES"/>
<display value="Prescriber Number"/>
</coding>
<text value="Prescriber Number"/>
</type>
<system
value="http://ns.electronichealth.net.au/id/medicare-prescriber-number"/>
<value value="11111111"/>
</identifier>
<name>
<family value="Practitioner"/>
<given value="Representative"/>
<prefix value="Dr."/>
</name>
<qualification>
<extension
url="http://hl7.org.au/fhir/StructureDefinition/ahpraprofession-details">
<extension url="ahpraProfession">
<valueCodeableConcept>
<text value="Medical Practitioner"/>
</valueCodeableConcept>
</extension>
</extension>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
<code value="AHPRA"/>
<display
value="Australian Health Practitioner Regulation Agency Registration Number"/>
</coding>
<text value="AHPRA Registration Number"/>
</type>
<system value="http://hl7.org.au/id/ahpra-registration-number"/>
<value value="MED0002137828"/>
</identifier>
<code>
<coding>
<system value="http://terminology.hl7.org.au/CodeSystem/v2-0360"/>
<code value="AUAHPRAProfession"/>
</coding>
<text value="Medical Practitioner"/>
</code>
</qualification>
</Practitioner>
</contained>
<contained>
<Organization>
<id value="avg-canberra-medical-centre"/>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
<code value="NOI"/>
</coding>
<text value="HPI-O"/>
</type>
<system value="http://ns.electronichealth.net.au/id/hi/hpio/1.0"/>
<value value="8003629900033370"/>
</identifier>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="288565001"/>
<display value="Medical centre"/>
</coding>
<text value="Medical Centre"/>
</type>
<name value="Average Canberra Medical Centre"/>
<telecom>
<system value="email"/>
<value value="information@avgcanberramedicalcentre.example.com"/>
<use value="work"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="(02) 5550 2427"/>
<use value="work"/>
</telecom>
</Organization>
</contained>
<contained>
<Medication>
<id value="atorvastatin-01"/>
<extension
url="http://hl7.org.au/fhir/StructureDefinition/medication-brand-name">
<valueString value="LIPITOR"/>
</extension>
<extension
url="http://hl7.org.au/fhir/StructureDefinition/medication-generic-name">
<valueString value="ATORVASTATIN"/>
</extension>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="35681000036100"/>
</coding>
</code>
<form>
<text value="TAB"/>
</form>
<ingredient>
<itemCodeableConcept>
<text value="atorvastatin"/>
</itemCodeableConcept>
<strength>
<numerator>
<value value="10"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</denominator>
</strength>
</ingredient>
</Medication>
</contained>
<contained>
<MedicationRequest>
<id value="etp-orig-scid-01"/>
<extension
url="http://fhir.medicationknowledge.com.au/StructureDefinition/supplynumber">
<valueString value="1"/>
</extension>
<extension
url="http://fhir.medicationknowledge.com.au/StructureDefinition/is-extemp">
<valueBoolean value="false"/>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
<code value="ETP"/>
</coding>
<text value="ETP Identifier"/>
</type>
<system
value="http://fhir.erx.com.au/NamingSystem/identifiers#org-scid"/>
<value value="1XPR352VP3QCX7BJD6"/>
<assigner>
<display value="eRx Test Prescibing"/>
</assigner>
</identifier>
<status value="completed"/>
<intent value="order"/>
<medicationReference>
<reference value="#proxymetacaine-01"/>
<display value="PROXYMETACAINE"/>
</medicationReference>
<subject>
<reference value="#hi-testdata-gainey-bert"/>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NI"/>
<display value="National unique individual identifier"/>
</coding>
<text value="IHI"/>
</type>
<system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
<value value="8003608833564727"/>
</identifier>
</subject>
<authoredOn value="2019-10-02T00:00:00+00:00"/>
<requester>
<reference value="#canberra-gp"/>
</requester>
<dispenseRequest>
<numberOfRepeatsAllowed value="5"/>
<quantity>
<value value="15"/>
<unit value="mL"/>
</quantity>
</dispenseRequest>
</MedicationRequest>
</contained>
<contained>
<Medication>
<id value="proxymetacaine-01"/>
<extension
url="http://hl7.org.au/fhir/StructureDefinition/medication-brand-name">
<valueString value="ALCAINE"/>
</extension>
<extension
url="http://hl7.org.au/fhir/StructureDefinition/medication-generic-name">
<valueString value="PROXYMETACAINE"/>
</extension>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="36900011000036109"/>
</coding>
</code>
<manufacturer>
<display value="AQ"/>
</manufacturer>
<form>
<text value="EYE-DRP"/>
</form>
<ingredient>
<itemCodeableConcept>
<text value="proxymetacaine hydrochloride"/>
</itemCodeableConcept>
<strength>
<numerator>
<value value="0.5"/>
<unit value="%"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="unit"/>
</denominator>
</strength>
</ingredient>
</Medication>
</contained>
<extension
url="http://fhir.medicationknowledge.com.au/StructureDefinition/is-extemp">
<valueBoolean value="false"/>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
<code value="ETP"/>
</coding>
<text value="ETP Identifier"/>
</type>
<system value="http://fhir.erx.com.au/NamingSystem/identifiers#scid"/>
<value value="1XPR352VP3QCX7BJD6"/>
<assigner>
<display value="eRx Test Prescibing"/>
</assigner>
</identifier>
<status value="active"/>
<intent value="instance-order"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="community"/>
</coding>
</category>
<medicationReference>
<reference value="#atorvastatin-01"/>
<display value="ATORVASTATIN"/>
</medicationReference>
<subject>
<reference value="#hi-testdata-gainey-bert"/>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NI"/>
<display value="National unique individual identifier"/>
</coding>
<text value="IHI"/>
</type>
<system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
<value value="8003608833564727"/>
</identifier>
</subject>
<authoredOn value="2020-09-03T11:13:12.9110285+00:00"/>
<requester>
<reference value="#canberra-gp"/>
</requester>
<dispenseRequest>
<validityPeriod>
<end value="2021-01-03T11:13:12.9110285+00:00"/>
</validityPeriod>
<numberOfRepeatsAllowed value="5"/>
<quantity>
<value value="20"/>
<unit value="Tab"/>
</quantity>
</dispenseRequest>
<priorPrescription>
<reference value="#etp-orig-scid-01"/>
<display value="21KR32BGDMPWJC0C89-1"/>
</priorPrescription>
</MedicationRequest>