Common Components FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 26.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/common-components/ and changes regularly. See the Directory of published versions

: MedicationRequest CDA Extensions Example - XML Representation

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<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medicationrequest-cda-extensions-example"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-cda-extensions-example</b></p><a name="medicationrequest-cda-extensions-example"> </a><a name="hcmedicationrequest-cda-extensions-example"> </a><p><b>Source CDA Document Identifier</b>: CDA Instance Identifier/urn:oid:2.25.119743254367089612530986407591263451023</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title="Codes:{http://snomed.info/sct 27437011000036101}, {http://pbs.gov.au/code/item 8214H}">Lipitor 20 mg tablet, 30</span></p><p><b>subject</b>: Example Patient</p><p><b>authoredOn</b>: 2026-05-15</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>30 tablet</td></tr></table></div>
  </text>
  <extension
             url="http://digitalhealth.gov.au/fhir/cc/StructureDefinition/source-cda-document-identifier">
    <valueIdentifier>
      <type>
        <coding>
          <system
                  value="http://digitalhealth.gov.au/fhir/cc/CodeSystem/identifier-type-cs"/>
          <code value="CDII"/>
          <display value="CDA Instance Identifier"/>
        </coding>
      </type>
      <system value="urn:ietf:rfc:3986"/>
      <value value="urn:oid:2.25.119743254367089612530986407591263451023"/>
      <assigner>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:oid:1.2.36.1.2001.1007.10.8003640002000050"/>
        </identifier>
        <display value="PCEHR Assigned Identifier - Repository"/>
      </assigner>
    </valueIdentifier>
  </extension>
  <status value="active"/>
  <intent value="order"/>
  <medicationCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="27437011000036101"/>
      <display value="Atorvastatin 20 mg tablet, 30"/>
    </coding>
    <coding>
      <system value="http://pbs.gov.au/code/item"/>
      <code value="8214H"/>
      <display value="LIPITOR atorvastatin 20 mg tablet, 30"/>
    </coding>
    <text value="Lipitor 20 mg tablet, 30"/>
  </medicationCodeableConcept>
  <subject>
    <display value="Example Patient"/>
  </subject>
  <authoredOn value="2026-05-15"/>
  <dispenseRequest>
    <numberOfRepeatsAllowed value="5"/>
    <quantity>
      <extension
                 url="http://digitalhealth.gov.au/fhir/cc/StructureDefinition/medicationdispense-quantity-description">
        <valueString value="30 tablets (1 commercial pack)"/>
      </extension>
      <value value="30"/>
      <unit value="tablet"/>
    </quantity>
  </dispenseRequest>
</MedicationRequest>