Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft Australia flag

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

Resource Profile: ADHA PBS Claim Item

Official URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-medicationrequest-pbs-claim-1 Version: 1.0.0
Active as of 2024-09-12 Computable Name: ADHAMedicationRequestPBSClaim

Copyright/Legal: Copyright © 2023 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.

The purpose of this profile is to define a representation of the prescription item claimed in a claim against the Pharmaceutical Benefits Scheme (PBS) or Repatriation Pharmaceutical Benefits Scheme (RPBS) for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia.

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

This profile is designed to set a MedicationRequest standard for:

  • Recording or updating a prescription item in a PBS claim (ExplanationOfBenefit resource)
  • Reading a prescription items in an RPBS claim (ExplanationOfBenefit resource)

Operations, including querying, on prescription items in PBS claims (MedicationRequest resource) are expected to be within the context of an ExplanationOfBenefit resource query.

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

Profile specific guidance

None.

Usage:

Formal Views of Profile Content

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

This structure is derived from AUBaseMedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* AUBaseMedicationRequest PBS or RPBS claim item
... identifier S 0..* Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier External ids for this request
... status S 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Fixed Value: unknown
... intent S 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Fixed Value: order
.... medication[x]:medicationReference SC 1..1 Reference(ADHA Core Medication) Prescribed Medication
inv-dh-pbs-03: At least reference shall be present
... subject SC 1..1 Reference(ADHA Core Patient) Who or group medication request is for
inv-dh-medreq-01: At least reference or a valid identifier shall be present
... authoredOn S 1..1 dateTime Created date
... dispenseRequest S 1..1 BackboneElement Requested dispensing
.... numberOfRepeatsAllowed S 0..1 unsignedInt Maximum repeats authorised
.... quantity S 1..1 SimpleQuantity Amount of medication to supply per dispense

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-medreq-01errorMedicationRequest.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-pbs-03errorMedicationRequest.medication[x]:medicationReferenceAt least reference shall be present
: reference.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* AUBaseMedicationRequest PBS or RPBS claim item
... 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 ?!SΣ 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.


Fixed Value: unknown
... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.


Fixed Value: order
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... Slices for medication[x] Σ 1..1 Reference() Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference SΣC 1..1 Reference(ADHA Core Medication) Prescribed Medication
inv-dh-pbs-03: At least reference shall be present
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Coded Prescribed Medication
Binding: SNOMEDCTMedicationCodes (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN Preferred
... subject SΣC 1..1 Reference(ADHA Core Patient) Who or group medication request is for
inv-dh-medreq-01: At least reference or a valid identifier shall be present
... 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 SΣ 1..1 dateTime Created date
... dispenseRequest S 1..1 BackboneElement Requested dispensing
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... numberOfRepeatsAllowed S 0..1 unsignedInt Maximum repeats authorised
.... quantity S 1..1 SimpleQuantity Amount of medication to supply per dispense

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.statusrequiredFixed Value: unknown
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
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

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-medreq-01errorMedicationRequest.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-pbs-03errorMedicationRequest.medication[x]:medicationReferenceAt least reference shall be present
: reference.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* AUBaseMedicationRequest PBS or RPBS claim item
... 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 BindingsPurpose
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 S 0..* Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier External ids for this request
... status ?!SΣ 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.


Fixed Value: unknown
... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.


Fixed Value: order
... 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] Σ 1..1 Reference() Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference SΣC 1..1 Reference(ADHA Core Medication) Prescribed Medication
inv-dh-pbs-03: At least reference shall be present
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Coded Prescribed Medication
Binding: SNOMEDCTMedicationCodes (example)
Additional BindingsPurpose
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
..... coding Σ 0..* Coding Code defined by a terminology system
...... 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
... subject SΣC 1..1 Reference(ADHA Core Patient) Who or group medication request is for
inv-dh-medreq-01: At least reference or a valid identifier shall be present
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... 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 SΣ 1..1 dateTime Created date
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... 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 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Reason for Request . (preferred)
... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... 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 0..* AUBaseDosage Dosage information in an Australian healthcare context
... dispenseRequest S 1..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 S 0..1 unsignedInt Maximum repeats authorised
.... quantity S 1..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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationRequest.statusrequiredFixed Value: unknown
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
from the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
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.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.reasonCodepreferredReasonForRequest .
https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonpreferredMedicineSubstitutionReason .
https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-medreq-01errorMedicationRequest.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-pbs-03errorMedicationRequest.medication[x]:medicationReferenceAt least reference shall be present
: reference.exists()

This structure is derived from AUBaseMedicationRequest

Differential View

This structure is derived from AUBaseMedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* AUBaseMedicationRequest PBS or RPBS claim item
... identifier S 0..* Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier External ids for this request
... status S 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Fixed Value: unknown
... intent S 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Fixed Value: order
.... medication[x]:medicationReference SC 1..1 Reference(ADHA Core Medication) Prescribed Medication
inv-dh-pbs-03: At least reference shall be present
... subject SC 1..1 Reference(ADHA Core Patient) Who or group medication request is for
inv-dh-medreq-01: At least reference or a valid identifier shall be present
... authoredOn S 1..1 dateTime Created date
... dispenseRequest S 1..1 BackboneElement Requested dispensing
.... numberOfRepeatsAllowed S 0..1 unsignedInt Maximum repeats authorised
.... quantity S 1..1 SimpleQuantity Amount of medication to supply per dispense

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-medreq-01errorMedicationRequest.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-pbs-03errorMedicationRequest.medication[x]:medicationReferenceAt least reference shall be present
: reference.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* AUBaseMedicationRequest PBS or RPBS claim item
... 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 ?!SΣ 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.


Fixed Value: unknown
... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.


Fixed Value: order
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... Slices for medication[x] Σ 1..1 Reference() Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference SΣC 1..1 Reference(ADHA Core Medication) Prescribed Medication
inv-dh-pbs-03: At least reference shall be present
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Coded Prescribed Medication
Binding: SNOMEDCTMedicationCodes (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN Preferred
... subject SΣC 1..1 Reference(ADHA Core Patient) Who or group medication request is for
inv-dh-medreq-01: At least reference or a valid identifier shall be present
... 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 SΣ 1..1 dateTime Created date
... dispenseRequest S 1..1 BackboneElement Requested dispensing
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... numberOfRepeatsAllowed S 0..1 unsignedInt Maximum repeats authorised
.... quantity S 1..1 SimpleQuantity Amount of medication to supply per dispense

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.statusrequiredFixed Value: unknown
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
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

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-medreq-01errorMedicationRequest.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-pbs-03errorMedicationRequest.medication[x]:medicationReferenceAt least reference shall be present
: reference.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* AUBaseMedicationRequest PBS or RPBS claim item
... 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 BindingsPurpose
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 S 0..* Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier External ids for this request
... status ?!SΣ 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.


Fixed Value: unknown
... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.


Fixed Value: order
... 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] Σ 1..1 Reference() Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference SΣC 1..1 Reference(ADHA Core Medication) Prescribed Medication
inv-dh-pbs-03: At least reference shall be present
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Coded Prescribed Medication
Binding: SNOMEDCTMedicationCodes (example)
Additional BindingsPurpose
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
..... coding Σ 0..* Coding Code defined by a terminology system
...... 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
... subject SΣC 1..1 Reference(ADHA Core Patient) Who or group medication request is for
inv-dh-medreq-01: At least reference or a valid identifier shall be present
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... 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 SΣ 1..1 dateTime Created date
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... 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 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Reason for Request . (preferred)
... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... 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 0..* AUBaseDosage Dosage information in an Australian healthcare context
... dispenseRequest S 1..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 S 0..1 unsignedInt Maximum repeats authorised
.... quantity S 1..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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationRequest.statusrequiredFixed Value: unknown
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
from the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
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.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.reasonCodepreferredReasonForRequest .
https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonpreferredMedicineSubstitutionReason .
https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-medreq-01errorMedicationRequest.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-pbs-03errorMedicationRequest.medication[x]:medicationReferenceAt least reference shall be present
: reference.exists()

This structure is derived from AUBaseMedicationRequest

Summary

Mandatory: 4 elements
Must-Support: 9 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron

Notes:

No mandatory or optional search parameters for ADHA PBS Claim Item.