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

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

This profile may be referred to by APIs, which will be listed here when available.

Profile specific guidance

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

Boundaries and relationships

These profiles build on this profile (ADHA Core MedicationRequest) to define specific roles:

• ADHA Prescription

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from AUCoreMedicationRequest

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	AUCoreMedicationRequest	A request for a medication for a patient in an Australian healthcare context
subject	SC	1..1	Reference(AU Core Patient)	Who or group medication request is for inv-dh-medreq-01: At least reference or a valid identifier shall be present
encounter	S	0..1	Reference(AU Core Encounter)	Encounter created as part of encounter/admission/stay
requester	SC	1..1	Reference(ADHA Authoring PractitionerRole | AU Core Organization | AU Core Patient | ADHA Authoring RelatedPerson)	Who/What requested the Request inv-dh-medreq-02: At least reference or display or a valid identifier shall be present
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-medreq-01	error	MedicationRequest.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-medreq-02	error	MedicationRequest.requester	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	AUCoreMedicationRequest	A request for a medication for a patient in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
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)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SOΣ	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. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
intent	?!SOΣ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
Slices for medication[x]	SOΣ	1..1		Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example) Additional Bindings Purpose Australian Medication Preferred PBS Item Codes Preferred MIMS Preferred GTIN Preferred
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
coding:pbs	SOΣ	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Slices for extension				Content/Rules for all slices
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
coding:amt	SOΣ	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Slices for extension				Content/Rules for all slices
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
medication[x]:medicationReference	OΣ	0..1	Reference(AU Core Medication)	Prescribed Medication Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
subject	SOΣC	1..1	Reference(AU Core Patient)	Who or group medication request is for inv-dh-medreq-01: At least reference or a valid identifier shall be present Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
encounter	SO	0..1	Reference(AU Core Encounter)	Encounter created as part of encounter/admission/stay Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Slices for supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication Slice: Unordered, Open by profile:resolve()
supportingInformation:bodyHeight		0..1	Reference(Observation Body Height Profile)	Observation of Body Height
supportingInformation:bodyWeight		0..1	Reference(Observation Body Weight Profile)	Observation of Body Weight
authoredOn	SOΣC	1..1	dateTime	Created date au-core-medreq-03: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
requester	SOΣC	1..1	Reference(ADHA Authoring PractitionerRole | AU Core Organization | AU Core Patient | ADHA Authoring RelatedPerson)	Who/What requested the Request inv-dh-medreq-02: At least reference or display or a valid identifier shall be present Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
reasonCode	SO	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred) Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
reasonReference	SO	0..*	Reference(AU Core Condition | Observation)	Condition or observation that supports why the prescription is being written Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
dosageInstruction	SO	0..*	AUBaseDosage	Dosage information in an Australian healthcare context Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes Additional Bindings Purpose Documentation Australian Medication Preferred This value set is for use when AMT (Australian Medicines Terminology) codes are preferred. PBS Item Codes Preferred This value set is for use when PBS (Pharmaceutical Benefits Scheme) item codes are preferred. MIMS Preferred This value set is for use when MIMS (Monthly Index of Medical Specialties) codes are preferred. GTIN Preferred This value set is for use when GTIN (Global Trade Item Number) codes are preferred. http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs	required	PBSItemCodes http://terminology.hl7.org.au/ValueSet/pbs-item
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt	required	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-medreq-01	error	MedicationRequest.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-medreq-02	error	MedicationRequest.requester	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	AUCoreMedicationRequest	A request for a medication for a patient in an Australian healthcare context
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier	External ids for this request
status	?!SOΣ	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. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!SOΣ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
Slices for medication[x]	SOΣ	1..1		Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example) Additional Bindings Purpose Australian Medication Preferred PBS Item Codes Preferred MIMS Preferred GTIN Preferred
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:pbs	SOΣ	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:amt	SOΣ	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Medication primary text
medication[x]:medicationReference	OΣ	0..1	Reference(AU Core Medication)	Prescribed Medication Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
subject	SOΣC	1..1	Reference(AU Core Patient)	Who or group medication request is for inv-dh-medreq-01: At least reference or a valid identifier shall be present Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
encounter	SO	0..1	Reference(AU Core Encounter)	Encounter created as part of encounter/admission/stay Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Slices for supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication Slice: Unordered, Open by profile:resolve()
supportingInformation:bodyHeight		0..1	Reference(Observation Body Height Profile)	Observation of Body Height
supportingInformation:bodyWeight		0..1	Reference(Observation Body Weight Profile)	Observation of Body Weight
authoredOn	SOΣC	1..1	dateTime	Created date au-core-medreq-03: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
requester	SOΣC	1..1	Reference(ADHA Authoring PractitionerRole | AU Core Organization | AU Core Patient | ADHA Authoring RelatedPerson)	Who/What requested the Request inv-dh-medreq-02: At least reference or display or a valid identifier shall be present Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
performerType	Σ	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.
recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
reasonCode	SO	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred) Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
reasonReference	SO	0..*	Reference(AU Core Condition | Observation)	Condition or observation that supports why the prescription is being written Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
note		0..*	Annotation	Information about the prescription
dosageInstruction	SO	0..*	AUBaseDosage	Dosage information in an Australian healthcare context Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
dispenseRequest		0..1	BackboneElement	Requested dispensing
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	SimpleQuantity	First fill quantity
duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses
validityPeriod		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	unsignedInt	Maximum repeats authorised
quantity		0..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser
substitution		0..1	BackboneElement	Brand substitution details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1		Brand substitution flag Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: Medicine Substitution Reason (preferred)
priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes Additional Bindings Purpose Documentation Australian Medication Preferred This value set is for use when AMT (Australian Medicines Terminology) codes are preferred. PBS Item Codes Preferred This value set is for use when PBS (Pharmaceutical Benefits Scheme) item codes are preferred. MIMS Preferred This value set is for use when MIMS (Monthly Index of Medical Specialties) codes are preferred. GTIN Preferred This value set is for use when GTIN (Global Trade Item Number) codes are preferred. http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs	required	PBSItemCodes http://terminology.hl7.org.au/ValueSet/pbs-item
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt	required	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	preferred	MedicineSubstitutionReason https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-medreq-01	error	MedicationRequest.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-medreq-02	error	MedicationRequest.requester	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()

Differential View

This structure is derived from AUCoreMedicationRequest

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	AUCoreMedicationRequest	A request for a medication for a patient in an Australian healthcare context
subject	SC	1..1	Reference(AU Core Patient)	Who or group medication request is for inv-dh-medreq-01: At least reference or a valid identifier shall be present
encounter	S	0..1	Reference(AU Core Encounter)	Encounter created as part of encounter/admission/stay
requester	SC	1..1	Reference(ADHA Authoring PractitionerRole | AU Core Organization | AU Core Patient | ADHA Authoring RelatedPerson)	Who/What requested the Request inv-dh-medreq-02: At least reference or display or a valid identifier shall be present
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-medreq-01	error	MedicationRequest.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-medreq-02	error	MedicationRequest.requester	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	AUCoreMedicationRequest	A request for a medication for a patient in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
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)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SOΣ	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. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
intent	?!SOΣ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
Slices for medication[x]	SOΣ	1..1		Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example) Additional Bindings Purpose Australian Medication Preferred PBS Item Codes Preferred MIMS Preferred GTIN Preferred
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
coding:pbs	SOΣ	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Slices for extension				Content/Rules for all slices
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
coding:amt	SOΣ	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Slices for extension				Content/Rules for all slices
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
medication[x]:medicationReference	OΣ	0..1	Reference(AU Core Medication)	Prescribed Medication Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
subject	SOΣC	1..1	Reference(AU Core Patient)	Who or group medication request is for inv-dh-medreq-01: At least reference or a valid identifier shall be present Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
encounter	SO	0..1	Reference(AU Core Encounter)	Encounter created as part of encounter/admission/stay Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Slices for supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication Slice: Unordered, Open by profile:resolve()
supportingInformation:bodyHeight		0..1	Reference(Observation Body Height Profile)	Observation of Body Height
supportingInformation:bodyWeight		0..1	Reference(Observation Body Weight Profile)	Observation of Body Weight
authoredOn	SOΣC	1..1	dateTime	Created date au-core-medreq-03: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
requester	SOΣC	1..1	Reference(ADHA Authoring PractitionerRole | AU Core Organization | AU Core Patient | ADHA Authoring RelatedPerson)	Who/What requested the Request inv-dh-medreq-02: At least reference or display or a valid identifier shall be present Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
reasonCode	SO	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred) Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
reasonReference	SO	0..*	Reference(AU Core Condition | Observation)	Condition or observation that supports why the prescription is being written Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
dosageInstruction	SO	0..*	AUBaseDosage	Dosage information in an Australian healthcare context Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes Additional Bindings Purpose Documentation Australian Medication Preferred This value set is for use when AMT (Australian Medicines Terminology) codes are preferred. PBS Item Codes Preferred This value set is for use when PBS (Pharmaceutical Benefits Scheme) item codes are preferred. MIMS Preferred This value set is for use when MIMS (Monthly Index of Medical Specialties) codes are preferred. GTIN Preferred This value set is for use when GTIN (Global Trade Item Number) codes are preferred. http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs	required	PBSItemCodes http://terminology.hl7.org.au/ValueSet/pbs-item
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt	required	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-medreq-01	error	MedicationRequest.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-medreq-02	error	MedicationRequest.requester	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	AUCoreMedicationRequest	A request for a medication for a patient in an Australian healthcare context
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier	External ids for this request
status	?!SOΣ	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. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!SOΣ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
Slices for medication[x]	SOΣ	1..1		Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example) Additional Bindings Purpose Australian Medication Preferred PBS Item Codes Preferred MIMS Preferred GTIN Preferred
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:pbs	SOΣ	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:amt	SOΣ	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Medication primary text
medication[x]:medicationReference	OΣ	0..1	Reference(AU Core Medication)	Prescribed Medication Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
subject	SOΣC	1..1	Reference(AU Core Patient)	Who or group medication request is for inv-dh-medreq-01: At least reference or a valid identifier shall be present Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
encounter	SO	0..1	Reference(AU Core Encounter)	Encounter created as part of encounter/admission/stay Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Slices for supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication Slice: Unordered, Open by profile:resolve()
supportingInformation:bodyHeight		0..1	Reference(Observation Body Height Profile)	Observation of Body Height
supportingInformation:bodyWeight		0..1	Reference(Observation Body Weight Profile)	Observation of Body Weight
authoredOn	SOΣC	1..1	dateTime	Created date au-core-medreq-03: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
requester	SOΣC	1..1	Reference(ADHA Authoring PractitionerRole | AU Core Organization | AU Core Patient | ADHA Authoring RelatedPerson)	Who/What requested the Request inv-dh-medreq-02: At least reference or display or a valid identifier shall be present Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
performerType	Σ	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.
recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
reasonCode	SO	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred) Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
reasonReference	SO	0..*	Reference(AU Core Condition | Observation)	Condition or observation that supports why the prescription is being written Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
note		0..*	Annotation	Information about the prescription
dosageInstruction	SO	0..*	AUBaseDosage	Dosage information in an Australian healthcare context Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
dispenseRequest		0..1	BackboneElement	Requested dispensing
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	SimpleQuantity	First fill quantity
duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses
validityPeriod		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	unsignedInt	Maximum repeats authorised
quantity		0..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser
substitution		0..1	BackboneElement	Brand substitution details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1		Brand substitution flag Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: Medicine Substitution Reason (preferred)
priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes Additional Bindings Purpose Documentation Australian Medication Preferred This value set is for use when AMT (Australian Medicines Terminology) codes are preferred. PBS Item Codes Preferred This value set is for use when PBS (Pharmaceutical Benefits Scheme) item codes are preferred. MIMS Preferred This value set is for use when MIMS (Monthly Index of Medical Specialties) codes are preferred. GTIN Preferred This value set is for use when GTIN (Global Trade Item Number) codes are preferred. http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs	required	PBSItemCodes http://terminology.hl7.org.au/ValueSet/pbs-item
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt	required	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	preferred	MedicineSubstitutionReason https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-medreq-01	error	MedicationRequest.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-medreq-02	error	MedicationRequest.requester	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()

This structure is derived from AUCoreMedicationRequest

Summary

Mandatory: 1 element
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• AU Core Patient (http://hl7.org.au/fhir/core/StructureDefinition/au-core-patient)
• AU Core Encounter (http://hl7.org.au/fhir/core/StructureDefinition/au-core-encounter)
• ADHA Authoring PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-author-1)
• AU Core Organization (http://hl7.org.au/fhir/core/StructureDefinition/au-core-organization)
• ADHA Authoring RelatedPerson (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-relatedperson-author-1)

Below is an overview of the mandatory and optional search parameters. FHIR search operations and the syntax used to describe the interactions is described here.

Mandatory Search Parameters

The following search parameters and search parameter combinations SHALL be supported:

1. SHALL support searching for all medication requests for a patient using the combination of the subject:identifier and intent search parameters:
   • including support for OR search on intent (e.g.intent={system|}[code],{system|}[code],...)

   GET [base]/MedicationRequest?subject:identifier={system|}[code]&intent=order,plan

   Example:

    GET [base]/MedicationRequest?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437
   

   Implementation Notes: Fetches a bundle of all MedicationRequest resources for the specified patient (how to search by :identifier and how to search by token)

2. SHALL support searching using the identifier search parameter:

   GET [base]/MedicationRequest?identifier={system|}[code]

   Example:

    GET [base]/MedicationRequest?identifier=http://fhir.erx.com.au/NamingSystem/identifiers#local-script-number|2998
   

   Implementation Notes: Fetches a bundle containing any MedicationRequest resources matching the identifier (how to search by token)

3. SHALL support searching using the combination of the subject:identifier and intent and status search parameters:
   • including support for OR search on intent (e.g.intent={system|}[code],{system|}[code],...)
   • including support for OR search on status (e.g.status={system|}[code],{system|}[code],...)

   GET [base]/MedicationRequest?subject:identifier={system|}[code]&intent=order,plan&status={system|}[code]{,{system|}[code],...}

   Example:

    GET [base]/MedicationRequest?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&intent=order,plan&status=active
   

   Implementation Notes: Fetches a bundle of all MedicationRequest resources for the specified patient and intent code = order,plan and status (how to search by :identifier and how to search by token)

4. SHALL support searching using the combination of the subject:identifier and intent and authoredon search parameters:
   • including support for OR search on intent (e.g.intent={system|}[code],{system|}[code],...)

   GET [base]/MedicationRequest?subject:identifier={system|}[code]&intent=order,plan&authoredon=[date]

   Example:

    GET [base]/MedicationRequest?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&intent=order,plan&authoredon=ge2013-03-14
   

   Implementation Notes: Fetches a bundle of all MedicationRequest resources for the specified patient that have a date greater than or equal to 21st Jan 2013. (how to search by :identifier and how to search by date)