AU Patient Summary Implementation Guide
0.5.0-cibuild - CI Build
AU Patient Summary Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 0.5.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-ps/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationrequest | Version: 0.5.0-cibuild | |||
Standards status: Draft | Maturity Level: 0 | Computable Name: AUPSMedicationRequest | ||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved. |
This profile sets minimum expectations for a MedicationRequest resource in the context of a patient summary in an Australian context. It is based on the AU Core MedicationRequest, and applies the additional requirements from MedicationRequest (IPS).
See Comparison With Other National and International IGs for a comparison between AU Patient Summary (AU PS) profiles and profiles in other implementation guides.
MedicationRequest.medicationCodeableConcept
producers SHALL correctly populate MedicationRequest.medicationCodeableConcept.coding
with either a code from Australian Medication or PBS Item Codes, or both, if a coded value is known and MAY populate with a code from another code system.
MedicationRequest.reasonCode
, or a reference with MedicationRequest.reasonReference
to a Condition or other resource.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from AUCoreMedicationRequest
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
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0..* | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context This profile also complies with the profile MedicationRequest (IPS) | |||||||||
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O | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
| ||||||||
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O | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
| ||||||||
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0..1 | boolean | True if request is prohibiting action Required Pattern: false | |||||||||
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O | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken
| ||||||||
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Content/Rules for all slices | |||||||||||
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O | 0..1 | CodeableConcept | Coded Prescribed Medication
| ||||||||
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Content/Rules for all slices | |||||||||||
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O | 0..* | Coding | Code defined by a terminology system
| ||||||||
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O | 0..* | Coding | Code defined by a terminology system
| ||||||||
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O | 0..1 | Reference(AU PS Medication) | Prescribed Medication
| ||||||||
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O | 1..1 | Reference(AU PS Patient) | Who or group medication request is for
| ||||||||
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SO | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
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O | 0..1 | Reference(AU PS Encounter) | Encounter created as part of encounter/admission/stay
| ||||||||
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O | 1..1 | dateTime | Created date
| ||||||||
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O | 1..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) | Who/What requested the Request
| ||||||||
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O | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication
| ||||||||
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O | 0..* | Reference(AU PS Condition | Observation) | Condition or observation that supports why the prescription is being written
| ||||||||
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O | 0..* | AUBaseDosage | How the medication should be taken
| ||||||||
![]() ![]() ![]() ![]() |
O | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||||
![]() ![]() ![]() ![]() |
SO | 0..1 | Timing | When medication should be administered
| ||||||||
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Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context This profile also complies with the profile MedicationRequest (IPS) | |||||||||||||||||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||||||||
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Content/Rules for all slices | |||||||||||||||||||||
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0..* | (Complex) | A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse | |||||||||||||||||||
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0..1 | Coding | Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: Concurrent Supply Grounds ![]() | |||||||||||||||||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||||||
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?!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.
| ||||||||||||||||||
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?!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.
| ||||||||||||||||||
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?!Σ | 0..1 | boolean | True if request is prohibiting action Required Pattern: false | ||||||||||||||||||
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SOΣ | 1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
| |||||||||||||||||||
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CodeableConcept | |||||||||||||||||||||
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Reference(Medication) | |||||||||||||||||||||
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SOΣ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
| ||||||||||||||||||
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Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||||||||||||||||
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SOΣ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
| ||||||||||||||||||
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Content/Rules for all slices | |||||||||||||||||||||
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0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |||||||||||||||||||
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SOΣ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication ![]()
| ||||||||||||||||||
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Content/Rules for all slices | |||||||||||||||||||||
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0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |||||||||||||||||||
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SOΣ | 0..1 | Reference(AU PS Medication) | Prescribed Medication
| ||||||||||||||||||
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SOΣ | 1..1 | Reference(AU PS Patient) | Who or group medication request is for
| ||||||||||||||||||
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SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||||||||
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SO | 0..1 | Reference(AU PS Encounter) | Encounter created as part of encounter/admission/stay
| ||||||||||||||||||
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0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() | |||||||||||||||||||
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0..1 | Reference(Observation Body Height Profile) | Observation of Body Height | |||||||||||||||||||
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0..1 | Reference(Observation Body Weight Profile) | Observation of Body Weight | |||||||||||||||||||
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SOΣC | 1..1 | dateTime | Created date Constraints: au-core-medreq-01
| ||||||||||||||||||
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SOΣ | 1..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) | Who/What requested the Request
| ||||||||||||||||||
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SO | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Reason for Request ![]()
| ||||||||||||||||||
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SO | 0..* | Reference(AU PS Condition | Observation) | Condition or observation that supports why the prescription is being written
| ||||||||||||||||||
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SO | 0..* | AUBaseDosage | How the medication should be taken
| ||||||||||||||||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||||
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SOΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||||||||||||||
![]() ![]() ![]() ![]() |
SOΣ | 0..1 | Timing | When medication should be administered
| ||||||||||||||||||
![]() |
Path | Conformance | ValueSet | URI |
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard | |
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 From the FHIR Standard | |
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard | |
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard | |
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodeshttp://terminology.hl7.org.au/ValueSet/pbs-item | |
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication ![]() https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 | |
MedicationRequest.reasonCode | preferred | ReasonForRequest ![]() https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 |
Id | Grade | Path(s) | Details | Requirements |
au-core-medreq-01 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : $this.hasValue() implies (extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not() and $this.toString().length() >= 10) | |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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0..* | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context This profile also complies with the profile MedicationRequest (IPS) | |||||||||||||||||||
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Σ | 0..1 | id | Logical id of this artifact | ||||||||||||||||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||||||||||||||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||||||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||||||||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||||||||||
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0..* | Resource | Contained, inline Resources | |||||||||||||||||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||||||||||
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0..* | (Complex) | A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse | |||||||||||||||||||
![]() ![]() ![]() ![]() |
0..1 | Coding | Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: Concurrent Supply Grounds ![]() | |||||||||||||||||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||||||
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0..* | Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier | External ids for this request | |||||||||||||||||||
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?!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.
| ||||||||||||||||||
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0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||||||||||||||||
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?!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.
| ||||||||||||||||||
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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. | |||||||||||||||||||
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Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||||||||||||||||
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?!Σ | 0..1 | boolean | True if request is prohibiting action Required Pattern: false | ||||||||||||||||||
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Σ | 0..1 | Reported rather than primary record | |||||||||||||||||||
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boolean | |||||||||||||||||||||
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Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||||||||||||||||
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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.
| |||||||||||||||||||
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CodeableConcept | |||||||||||||||||||||
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Reference(Medication) | |||||||||||||||||||||
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SOΣ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
| ||||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||||
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Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||||||||||||||||
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SOΣ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
| ||||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||||||||||
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0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |||||||||||||||||||
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Σ | 0..1 | uri | Identity of the terminology system | ||||||||||||||||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||||||||||||||||
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Σ | 0..1 | code | Symbol in syntax defined by the system | ||||||||||||||||||
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Σ | 0..1 | string | Representation defined by the system | ||||||||||||||||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||||||||||||||||
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SOΣ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication ![]()
| ||||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||||||||||
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0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |||||||||||||||||||
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Σ | 0..1 | uri | Identity of the terminology system | ||||||||||||||||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||||||||||||||||
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Σ | 0..1 | code | Symbol in syntax defined by the system | ||||||||||||||||||
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Σ | 0..1 | string | Representation defined by the system | ||||||||||||||||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||||||||||||||||
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Σ | 0..1 | string | Medication primary text | ||||||||||||||||||
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SOΣ | 0..1 | Reference(AU PS Medication) | Prescribed Medication
| ||||||||||||||||||
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SOΣ | 1..1 | Reference(AU PS Patient) | Who or group medication request is for
| ||||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||||
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SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||||||||
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Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||||||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||||||||||||
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Σ | 0..1 | string | Text alternative for the resource | ||||||||||||||||||
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SO | 0..1 | Reference(AU PS Encounter) | Encounter created as part of encounter/admission/stay
| ||||||||||||||||||
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0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() | |||||||||||||||||||
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0..1 | Reference(Observation Body Height Profile) | Observation of Body Height | |||||||||||||||||||
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0..1 | Reference(Observation Body Weight Profile) | Observation of Body Weight | |||||||||||||||||||
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SOΣC | 1..1 | dateTime | Created date Constraints: au-core-medreq-01
| ||||||||||||||||||
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SOΣ | 1..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) | Who/What requested the Request
| ||||||||||||||||||
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0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||||||||||||||||
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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. | ||||||||||||||||||
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0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||||||||||||||||
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SO | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Reason for Request ![]()
| ||||||||||||||||||
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SO | 0..* | Reference(AU PS Condition | Observation) | Condition or observation that supports why the prescription is being written
| ||||||||||||||||||
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Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||||||||||||||||
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Σ | 0..* | uri | Instantiates external protocol or definition | ||||||||||||||||||
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Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||||||||||||||||
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Σ | 0..1 | Identifier | Composite request this is part of | ||||||||||||||||||
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0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||||||||||||||||
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0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||||||||||||||||
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0..* | Annotation | Information about the prescription | |||||||||||||||||||
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SO | 0..* | AUBaseDosage | How the medication should be taken
| ||||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||||
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Σ | 0..1 | integer | The order of the dosage instructions | ||||||||||||||||||
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SOΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||||||||||||||
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Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred) | ||||||||||||||||||
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Σ | 0..1 | string | Patient or consumer oriented instructions | ||||||||||||||||||
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SOΣ | 0..1 | Timing | When medication should be administered
| ||||||||||||||||||
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Σ | 0..1 | Take "as needed" (for x) Binding: Clinical Finding ![]() | |||||||||||||||||||
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boolean | |||||||||||||||||||||
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CodeableConcept | |||||||||||||||||||||
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Σ | 0..1 | CodeableConcept | Body site to administer to Binding: Body Site ![]() | ||||||||||||||||||
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Σ | 0..1 | CodeableConcept | How drug should enter body Binding: Route of Administration ![]() | ||||||||||||||||||
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Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred) | ||||||||||||||||||
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Σ | 0..* | Element | Amount of medication administered | ||||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||||
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Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||||||||||||||||
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Σ | 0..1 | Amount of medication per dose | |||||||||||||||||||
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Range | |||||||||||||||||||||
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Quantity(SimpleQuantity) | |||||||||||||||||||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | Amount of medication per unit of time | |||||||||||||||||||
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Ratio | |||||||||||||||||||||
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Range | |||||||||||||||||||||
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Quantity(SimpleQuantity) | |||||||||||||||||||||
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Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||||||||||||||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||||||||||||||||
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Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||||||||||||||||
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0..1 | BackboneElement | Requested dispensing | |||||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||||||||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||||
![]() ![]() ![]() ![]() |
0..1 | BackboneElement | First fill details | |||||||||||||||||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||||||||||||||||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||||
![]() ![]() ![]() ![]() ![]() |
0..1 | SimpleQuantity | First fill quantity | |||||||||||||||||||
![]() ![]() ![]() ![]() ![]() |
0..1 | Duration | First fill duration | |||||||||||||||||||
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0..1 | Duration | Minimum period of time between dispenses | |||||||||||||||||||
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0..1 | Period | Time period supply is authorized for | |||||||||||||||||||
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0..1 | unsignedInt | Maximum repeats authorised | |||||||||||||||||||
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0..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||||||||||||||||
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0..1 | Duration | Number of days supply per dispense | |||||||||||||||||||
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0..1 | Reference(Organization) | Intended dispenser | |||||||||||||||||||
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0..1 | BackboneElement | Brand substitution details | |||||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||||
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1..1 | Brand substitution flag Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||||||||||||||||
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boolean | |||||||||||||||||||||
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CodeableConcept | |||||||||||||||||||||
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0..1 | CodeableConcept | Why should (not) substitution be made Binding: Medicine Substitution Reason ![]() | |||||||||||||||||||
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0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||||||||||||||||
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0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||||||||||||||||
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0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||||||||||||||||
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Path | Conformance | ValueSet | URI | |||
MedicationRequest.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
| ||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason From the FHIR Standard | ||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 From the FHIR Standard | ||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category From the FHIR Standard | ||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 From the FHIR Standard | ||||
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodeshttp://terminology.hl7.org.au/ValueSet/pbs-item | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication ![]() https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 | ||||
MedicationRequest.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard | ||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role From the FHIR Standard | ||||
MedicationRequest.reasonCode | preferred | ReasonForRequest ![]() https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy From the FHIR Standard | ||||
MedicationRequest.dosageInstruction.additionalInstruction | preferred | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes From the FHIR Standard | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | preferred | ClinicalFinding ![]() https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 | ||||
MedicationRequest.dosageInstruction.site | preferred | BodySite ![]() https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 | ||||
MedicationRequest.dosageInstruction.route | preferred | RouteOfAdministration ![]() https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 | ||||
MedicationRequest.dosageInstruction.method | preferred | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes From the FHIR Standard | ||||
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type From the FHIR Standard | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | preferred | MedicineSubstitutionReason ![]() https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 |
Id | Grade | Path(s) | Details | Requirements |
au-core-medreq-01 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : $this.hasValue() implies (extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not() and $this.toString().length() >= 10) | |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from AUCoreMedicationRequest
Summary
Mandatory: 1 element
Must-Support: 2 elements
Structures
This structure refers to these other structures:
Maturity: 0
Differential View
This structure is derived from AUCoreMedicationRequest
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
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0..* | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context This profile also complies with the profile MedicationRequest (IPS) | |||||||||
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O | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
| ||||||||
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O | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
| ||||||||
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0..1 | boolean | True if request is prohibiting action Required Pattern: false | |||||||||
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O | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken
| ||||||||
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Content/Rules for all slices | |||||||||||
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O | 0..1 | CodeableConcept | Coded Prescribed Medication
| ||||||||
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Content/Rules for all slices | |||||||||||
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O | 0..* | Coding | Code defined by a terminology system
| ||||||||
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O | 0..* | Coding | Code defined by a terminology system
| ||||||||
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O | 0..1 | Reference(AU PS Medication) | Prescribed Medication
| ||||||||
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O | 1..1 | Reference(AU PS Patient) | Who or group medication request is for
| ||||||||
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SO | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
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O | 0..1 | Reference(AU PS Encounter) | Encounter created as part of encounter/admission/stay
| ||||||||
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O | 1..1 | dateTime | Created date
| ||||||||
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O | 1..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) | Who/What requested the Request
| ||||||||
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O | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication
| ||||||||
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O | 0..* | Reference(AU PS Condition | Observation) | Condition or observation that supports why the prescription is being written
| ||||||||
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O | 0..* | AUBaseDosage | How the medication should be taken
| ||||||||
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O | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||||
![]() ![]() ![]() ![]() |
SO | 0..1 | Timing | When medication should be administered
| ||||||||
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Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context This profile also complies with the profile MedicationRequest (IPS) | |||||||||||||||||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||||||||
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Content/Rules for all slices | |||||||||||||||||||||
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0..* | (Complex) | A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse | |||||||||||||||||||
![]() ![]() ![]() ![]() |
0..1 | Coding | Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: Concurrent Supply Grounds ![]() | |||||||||||||||||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||||||
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?!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.
| ||||||||||||||||||
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?!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.
| ||||||||||||||||||
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?!Σ | 0..1 | boolean | True if request is prohibiting action Required Pattern: false | ||||||||||||||||||
![]() ![]() ![]() |
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.
| |||||||||||||||||||
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CodeableConcept | |||||||||||||||||||||
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Reference(Medication) | |||||||||||||||||||||
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SOΣ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
| ||||||||||||||||||
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Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||||||||||||||||
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SOΣ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
| ||||||||||||||||||
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Content/Rules for all slices | |||||||||||||||||||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |||||||||||||||||||
![]() ![]() ![]() ![]() ![]() ![]() |
SOΣ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication ![]()
| ||||||||||||||||||
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Content/Rules for all slices | |||||||||||||||||||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |||||||||||||||||||
![]() ![]() ![]() ![]() |
SOΣ | 0..1 | Reference(AU PS Medication) | Prescribed Medication
| ||||||||||||||||||
![]() ![]() ![]() |
SOΣ | 1..1 | Reference(AU PS Patient) | Who or group medication request is for
| ||||||||||||||||||
![]() ![]() ![]() ![]() |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||||||||
![]() ![]() ![]() |
SO | 0..1 | Reference(AU PS Encounter) | Encounter created as part of encounter/admission/stay
| ||||||||||||||||||
![]() ![]() ![]() |
0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() | |||||||||||||||||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Observation Body Height Profile) | Observation of Body Height | |||||||||||||||||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Observation Body Weight Profile) | Observation of Body Weight | |||||||||||||||||||
![]() ![]() ![]() |
SOΣC | 1..1 | dateTime | Created date Constraints: au-core-medreq-01
| ||||||||||||||||||
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SOΣ | 1..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) | Who/What requested the Request
| ||||||||||||||||||
![]() ![]() ![]() |
SO | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Reason for Request ![]()
| ||||||||||||||||||
![]() ![]() ![]() |
SO | 0..* | Reference(AU PS Condition | Observation) | Condition or observation that supports why the prescription is being written
| ||||||||||||||||||
![]() ![]() ![]() |
SO | 0..* | AUBaseDosage | How the medication should be taken
| ||||||||||||||||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||||
![]() ![]() ![]() ![]() |
SOΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||||||||||||||
![]() ![]() ![]() ![]() |
SOΣ | 0..1 | Timing | When medication should be administered
| ||||||||||||||||||
![]() |
Path | Conformance | ValueSet | URI |
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard | |
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 From the FHIR Standard | |
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard | |
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard | |
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodeshttp://terminology.hl7.org.au/ValueSet/pbs-item | |
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication ![]() https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 | |
MedicationRequest.reasonCode | preferred | ReasonForRequest ![]() https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 |
Id | Grade | Path(s) | Details | Requirements |
au-core-medreq-01 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : $this.hasValue() implies (extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not() and $this.toString().length() >= 10) | |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context This profile also complies with the profile MedicationRequest (IPS) | |||||||||||||||||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||||||||||||||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||||||||||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||||||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||||||||||
![]() ![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||||||||||
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||||||||||||||||
![]() ![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||||||||||
![]() ![]() ![]() ![]() |
0..* | (Complex) | A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse | |||||||||||||||||||
![]() ![]() ![]() ![]() |
0..1 | Coding | Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: Concurrent Supply Grounds ![]() | |||||||||||||||||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||||||
![]() ![]() ![]() |
0..* | Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier | External ids for this request | |||||||||||||||||||
![]() ![]() ![]() |
?!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.
| ||||||||||||||||||
![]() ![]() ![]() |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||||||||||||||||
![]() ![]() ![]() |
?!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.
| ||||||||||||||||||
![]() ![]() ![]() |
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. | |||||||||||||||||||
![]() ![]() ![]() |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||||||||||||||||
![]() ![]() ![]() |
?!Σ | 0..1 | boolean | True if request is prohibiting action Required Pattern: false | ||||||||||||||||||
![]() ![]() ![]() |
Σ | 0..1 | Reported rather than primary record | |||||||||||||||||||
![]() ![]() ![]() ![]() |
boolean | |||||||||||||||||||||
![]() ![]() ![]() ![]() |
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||||||||||||||||
![]() ![]() ![]() |
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.
| |||||||||||||||||||
![]() ![]() ![]() ![]() |
CodeableConcept | |||||||||||||||||||||
![]() ![]() ![]() ![]() |
Reference(Medication) | |||||||||||||||||||||
![]() ![]() ![]() ![]() |
SOΣ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
| ||||||||||||||||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||||
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Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||||||||||||||||
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SOΣ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||||||||||
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0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |||||||||||||||||||
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Σ | 0..1 | uri | Identity of the terminology system | ||||||||||||||||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||||||||||||||||
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Σ | 0..1 | code | Symbol in syntax defined by the system | ||||||||||||||||||
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Σ | 0..1 | string | Representation defined by the system | ||||||||||||||||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||||||||||||||||
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SOΣ | 0..* | Coding | Code defined by a terminology system Binding: Australian Medication ![]()
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||||||||||
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0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |||||||||||||||||||
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Σ | 0..1 | uri | Identity of the terminology system | ||||||||||||||||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||||||||||||||||
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Σ | 0..1 | code | Symbol in syntax defined by the system | ||||||||||||||||||
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Σ | 0..1 | string | Representation defined by the system | ||||||||||||||||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||||||||||||||||
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Σ | 0..1 | string | Medication primary text | ||||||||||||||||||
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SOΣ | 0..1 | Reference(AU PS Medication) | Prescribed Medication
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SOΣ | 1..1 | Reference(AU PS Patient) | Who or group medication request is for
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||||
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SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
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Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||||||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||||||||||||
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Σ | 0..1 | string | Text alternative for the resource | ||||||||||||||||||
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SO | 0..1 | Reference(AU PS Encounter) | Encounter created as part of encounter/admission/stay
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0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() | |||||||||||||||||||
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0..1 | Reference(Observation Body Height Profile) | Observation of Body Height | |||||||||||||||||||
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0..1 | Reference(Observation Body Weight Profile) | Observation of Body Weight | |||||||||||||||||||
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SOΣC | 1..1 | dateTime | Created date Constraints: au-core-medreq-01
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SOΣ | 1..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) | Who/What requested the Request
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0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||||||||||||||||
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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. | ||||||||||||||||||
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0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||||||||||||||||
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SO | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Reason for Request ![]()
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SO | 0..* | Reference(AU PS Condition | Observation) | Condition or observation that supports why the prescription is being written
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Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||||||||||||||||
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Σ | 0..* | uri | Instantiates external protocol or definition | ||||||||||||||||||
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Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||||||||||||||||
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Σ | 0..1 | Identifier | Composite request this is part of | ||||||||||||||||||
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0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||||||||||||||||
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0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||||||||||||||||
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0..* | Annotation | Information about the prescription | |||||||||||||||||||
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SO | 0..* | AUBaseDosage | How the medication should be taken
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||||
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Σ | 0..1 | integer | The order of the dosage instructions | ||||||||||||||||||
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SOΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||||||||||||||
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Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred) | ||||||||||||||||||
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Σ | 0..1 | string | Patient or consumer oriented instructions | ||||||||||||||||||
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SOΣ | 0..1 | Timing | When medication should be administered
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Σ | 0..1 | Take "as needed" (for x) Binding: Clinical Finding ![]() | |||||||||||||||||||
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boolean | |||||||||||||||||||||
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CodeableConcept | |||||||||||||||||||||
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Σ | 0..1 | CodeableConcept | Body site to administer to Binding: Body Site ![]() | ||||||||||||||||||
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Σ | 0..1 | CodeableConcept | How drug should enter body Binding: Route of Administration ![]() | ||||||||||||||||||
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Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred) | ||||||||||||||||||
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Σ | 0..* | Element | Amount of medication administered | ||||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||||
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Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||||||||||||||||
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Σ | 0..1 | Amount of medication per dose | |||||||||||||||||||
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Range | |||||||||||||||||||||
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Quantity(SimpleQuantity) | |||||||||||||||||||||
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Σ | 0..1 | Amount of medication per unit of time | |||||||||||||||||||
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Ratio | |||||||||||||||||||||
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Range | |||||||||||||||||||||
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Quantity(SimpleQuantity) | |||||||||||||||||||||
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Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||||||||||||||||
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Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||||||||||||||||
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Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||||||||||||||||
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0..1 | BackboneElement | Requested dispensing | |||||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||||
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0..1 | BackboneElement | First fill details | |||||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||||
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0..1 | SimpleQuantity | First fill quantity | |||||||||||||||||||
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0..1 | Duration | First fill duration | |||||||||||||||||||
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0..1 | Duration | Minimum period of time between dispenses | |||||||||||||||||||
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0..1 | Period | Time period supply is authorized for | |||||||||||||||||||
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0..1 | unsignedInt | Maximum repeats authorised | |||||||||||||||||||
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0..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||||||||||||||||
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0..1 | Duration | Number of days supply per dispense | |||||||||||||||||||
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0..1 | Reference(Organization) | Intended dispenser | |||||||||||||||||||
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0..1 | BackboneElement | Brand substitution details | |||||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||||
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1..1 | Brand substitution flag Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||||||||||||||||
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boolean | |||||||||||||||||||||
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CodeableConcept | |||||||||||||||||||||
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0..1 | CodeableConcept | Why should (not) substitution be made Binding: Medicine Substitution Reason ![]() | |||||||||||||||||||
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0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||||||||||||||||
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0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||||||||||||||||
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0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||||||||||||||||
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Path | Conformance | ValueSet | URI | |||
MedicationRequest.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
| ||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason From the FHIR Standard | ||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 From the FHIR Standard | ||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category From the FHIR Standard | ||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 From the FHIR Standard | ||||
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodeshttp://terminology.hl7.org.au/ValueSet/pbs-item | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication ![]() https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 | ||||
MedicationRequest.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard | ||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role From the FHIR Standard | ||||
MedicationRequest.reasonCode | preferred | ReasonForRequest ![]() https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy From the FHIR Standard | ||||
MedicationRequest.dosageInstruction.additionalInstruction | preferred | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes From the FHIR Standard | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | preferred | ClinicalFinding ![]() https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 | ||||
MedicationRequest.dosageInstruction.site | preferred | BodySite ![]() https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 | ||||
MedicationRequest.dosageInstruction.route | preferred | RouteOfAdministration ![]() https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 | ||||
MedicationRequest.dosageInstruction.method | preferred | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes From the FHIR Standard | ||||
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type From the FHIR Standard | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | preferred | MedicineSubstitutionReason ![]() https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 |
Id | Grade | Path(s) | Details | Requirements |
au-core-medreq-01 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : $this.hasValue() implies (extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not() and $this.toString().length() >= 10) | |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from AUCoreMedicationRequest
Summary
Mandatory: 1 element
Must-Support: 2 elements
Structures
This structure refers to these other structures:
Maturity: 0
Other representations of profile: CSV, Excel, Schematron