Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips vs http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationrequest

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationRequest	http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationrequest	Values Differ
copyright		Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved.	Added the item 'Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved.'
date	2021-05-14T21:56:28-05:00	2025-10-20T12:42:12+00:00	Values Differ
description	This profile represents the constraints applied to the MedicationRequest resource by the International Patient Summary (IPS) FHIR Implementation Guide, based on FHIR R4. A record of a medication request is represented in the patient summary as an instance of a MedicationRequest resource constrained by this profile.	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](http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationrequest), and applies the additional requirements from [MedicationRequest (IPS)](http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips).	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001		Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction[1]		urn:iso:std:iso:3166#AU	Added the item 'urn:iso:std:iso:3166#AU'
kind	resource
name	MedicationRequestIPS	AUPSMedicationRequest	Values Differ
publisher	HL7 International / Patient Care	HL7 Australia	Values Differ
purpose	This profile constrains the representation of a medication request related to the patient, in the context of the international patient summary as specified by the IPS project of HL7 International.		Removed the item 'This profile constrains the representation of a medication request related to the patient, in the context of the international patient summary as specified by the IPS project of HL7 International.'
status	active	draft	Values Differ
title	MedicationRequest (IPS)	AU PS MedicationRequest	Values Differ
type	MedicationRequest
url	http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips	http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationrequest	Values Differ
version	2.0.0	0.5.0-cibuild	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group		0..*	AUCoreMedicationRequest	A request for a medication for a patient in an Australian healthcare context This profile also complies with the profile MedicationRequest (IPS)
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		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..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
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External ids for this request		0..*	??, ??, ??	External ids for this request
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.	?!SOΣ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core MedicationRequest SHALL:no-error AU Core Requester from AU Core MedicationRequest SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer	Elements differ in definition for mustSupport: 'false' vs 'true'
statusReason		0..1	CodeableConcept	Reason for current status Binding: ?? (example): Identifies the reasons for a given status.		0..1	CodeableConcept	Reason for current status Binding: ?? (example): Identifies the reasons for a given status.
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order.	?!SOΣ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core MedicationRequest SHALL:no-error AU Core Requester from AU Core MedicationRequest SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer	Elements differ in definition for mustSupport: 'false' vs 'true'
category		0..*	CodeableConcept	Type of medication usage Binding: ?? (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.		0..*	CodeableConcept	Type of medication usage Binding: ?? (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: ?? (required): Identifies the level of importance to be assigned to actioning the request.	Σ	0..1	code	routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action Required Pattern: false	?!Σ	0..1	boolean	True if request is prohibiting action Required Pattern: false
reported[x]	Σ	0..1	boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Reported rather than primary record	Σ	0..1	boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Reported rather than primary record
medication[x]	SOΣ	1..1	??, Reference(Medication (IPS))	Medication to be taken Binding: ?? (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	SOΣ	1..1	CodeableConcept, Reference(Medication)	Medication to be taken Slice: Unordered, Closed by type:$this Binding: ?? (example): A coded concept identifying substance or product that can be ordered. Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core MedicationRequest SHALL:no-error AU Core Requester from AU Core MedicationRequest SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer	Example/preferred bindings differ at MedicationRequest.medication[x] using binding from MedicationRequestIPS
subject	SOΣ	1..1	Reference(Patient (IPS))	Who or group medication request is for Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	SOΣ	1..1	Reference(AU PS Patient)	Who or group medication request is for Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core MedicationRequest SHALL:no-error AU Core Requester from AU Core MedicationRequest SHALL:populate AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
encounter		0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay	SO	0..1	Reference(AU PS Encounter)	Encounter created as part of encounter/admission/stay Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core MedicationRequest SHALL:no-error AU Core Requester from AU Core MedicationRequest SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer	Elements differ in definition for mustSupport: 'false' vs 'true'
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication		0..*	Reference(Resource)	Information to support ordering of the medication Slice: Unordered, Open by profile:resolve()
authoredOn	Σ	0..1	dateTime	When request was initially authored	SOΣC	1..1	dateTime	Created date Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core MedicationRequest SHALL:no-error AU Core Requester from AU Core MedicationRequest SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer	Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1'
requester	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/What requested the Request	SOΣ	1..1	Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson)	Who/What requested the Request Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core MedicationRequest SHALL:no-error AU Core Requester from AU Core MedicationRequest SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer	Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1'
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration		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: ?? (example): Identifies the type of individual that is desired to administer the medication.	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication.
recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered.	SO	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: ?? (preferred) Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core MedicationRequest SHALL:no-error AU Core Requester from AU Core MedicationRequest SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer	Elements differ in definition for mustSupport: 'false' vs 'true' Example/preferred bindings differ at MedicationRequest.reasonCode using binding from AUPSMedicationRequest
reasonReference		0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written	SO	0..*	Reference(AU PS Condition | Observation)	Condition or observation that supports why the prescription is being written Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core MedicationRequest SHALL:no-error AU Core Requester from AU Core MedicationRequest SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer	Elements differ in definition for mustSupport: 'false' vs 'true'
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of	Σ	0..1	Identifier	Composite request this is part of
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio.		0..1	CodeableConcept	Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio.
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
note		0..*	Annotation	Information about the prescription		0..*	Annotation	Information about the prescription
dosageInstruction	SO	0..*	Dosage	How the medication should be taken Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	SO	0..*	??	How the medication should be taken Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core MedicationRequest SHALL:no-error AU Core Requester from AU Core MedicationRequest SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions	Σ	0..1	integer	The order of the dosage instructions
text	SOΣ	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	SOΣ	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core MedicationRequest SHALL:no-error AU Core Requester from AU Core MedicationRequest SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (preferred)	Example/preferred bindings differ at MedicationRequest.dosageInstruction.additionalInstruction using binding from AUPSMedicationRequest
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions	Σ	0..1	string	Patient or consumer oriented instructions
timing	SOΣ	0..1	Timing	When medication should be administered Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	SOΣ	0..1	Timing	When medication should be administered Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
asNeeded[x]	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (preferred)	Example/preferred bindings differ at MedicationRequest.dosageInstruction.asNeeded[x] using binding from AUPSMedicationRequest
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (preferred)	Example/preferred bindings differ at MedicationRequest.dosageInstruction.site using binding from AUPSMedicationRequest
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: ?? (preferred): SNOMED Route Terms Additional Bindings Purpose ?? candidate	Σ	0..1	CodeableConcept	How drug should enter body Binding: ?? (preferred)	Example/preferred bindings differ at MedicationRequest.dosageInstruction.route using binding from MedicationRequestIPS
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (preferred)	Example/preferred bindings differ at MedicationRequest.dosageInstruction.method using binding from AUPSMedicationRequest
doseAndRate	Σ	0..*	Element	Amount of medication administered	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.
dose[x]	Σ	0..1	Range, ??	Amount of medication per dose	Σ	0..1	Range, ??	Amount of medication per dose
rate[x]	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	??	Upper limit on medication per administration	Σ	0..1	??	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	??	Upper limit on medication per lifetime of the patient	Σ	0..1	??	Upper limit on medication per lifetime of the patient
dispenseRequest		0..1	BackboneElement	Medication supply authorization		0..1	BackboneElement	Requested dispensing
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	??	First fill quantity		0..1	??	First fill quantity
duration		0..1	Duration	First fill duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses		0..1	Duration	Minimum period of time between dispenses
validityPeriod		0..1	Period	Time period supply is authorized for		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized		0..1	unsignedInt	Maximum repeats authorised
quantity		0..1	??	Amount of medication to supply per dispense		0..1	??	Amount of medication to supply per dispense
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser		0..1	Reference(Organization)	Intended dispenser
substitution		0..1	BackboneElement	Any restrictions on medication substitution		0..1	BackboneElement	Brand substitution details
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1	boolean, CodeableConcept	Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed.		1..1	boolean, CodeableConcept	Brand substitution flag Binding: ?? (example): Identifies the type of substitution allowed.
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.		0..1	CodeableConcept	Why should (not) substitution be made Binding: ?? (preferred)	Example/preferred bindings differ at MedicationRequest.substitution.reason using binding from AUPSMedicationRequest
priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action		0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format