DRAFT AU Patient Summary Implementation Guide for Testing
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DRAFT AU Patient Summary Implementation Guide for Testing, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 0.1.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/draft-au-patient-summary/ and changes regularly. See the Directory of published versions

Resource Profile: EXPERIMENTAL AU PS MedicationRequest Approach E ( Experimental )

Official URL: http://hl7.org.au.draft/fhir/aups/StructureDefinition/au-exp-ps-medicationrequest-e Version: 0.1.0-cibuild
Standards status: Informative Maturity Level: 0 Computable Name: EXPERIMENTALAUPSMedicationRequestApproachE

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 demonstrates approach E: Derive from IPS, manually apply additional AU Core constraints (but do not add in other inherited aspects of AU Base). Target references for elements flagged with Must Support changed to EXPERIMENTAL AU PS profiles.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequestIPS Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
Required Pattern: false
... Slices for medication[x] SOΣ 1..1 Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: Medications - IPS (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (IPS))
.... medication[x]:medicationCodeableConcept SOΣ 0..1 CodeableConcept Coded Prescribed Medication
Binding: Medications - IPS (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN Preferred
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:pbs SΣ 0..* Coding Code defined by a terminology system
Binding: PBS Item Codes (required)
...... coding:amt SΣ 0..* Coding Code defined by a terminology system
Binding: Australian Medication . (required)
.... medication[x]:medicationReference SOΣ 0..1 Reference(EXPERIMENTAL AU PS Medication) Prescribed Medication
... subject SOΣ 1..1 Reference(EXPERIMENTAL AU PS Patient) Who or group medication request is for
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
... encounter S 0..1 Reference(EXPERIMENTAL AU PS Encounter) Encounter created as part of encounter/admission/stay
... authoredOn SΣC 0..1 dateTime Created date
Constraints: au-core-medreq-01-e
... requester SΣ 1..1 Reference(EXPERIMENTAL AU PS Practitioner | EXPERIMENTAL AU PS PractitionerRole | EXPERIMENTAL AU PS Organization | EXPERIMENTAL AU PS Patient | EXPERIMENTAL AU PS RelatedPerson) Who/What requested the Request
... reasonCode S 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... reasonReference S 0..* Reference(EXPERIMENTAL AU PS Condition | Observation) Condition or observation that supports why the prescription is being written
... dosageInstruction SO 0..* AUBaseDosage How the medication should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SOΣ 0..1 string Free text dosage instructions e.g. SIG
.... timing SOΣ 0..1 Timing When medication should be administered

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
From the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
From the FHIR Standard
MedicationRequest.medication[x]preferredMedicationsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
MedicationRequest.medication[x]:medicationCodeableConceptexampleMedicationsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbsrequiredPBSItemCodes
http://terminology.hl7.org.au/ValueSet/pbs-item
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amtrequiredAustralianMedication .
https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
au-core-medreq-01-eerrorMedicationRequest.authoredOnDate 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-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationRequestIPS

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequestIPS Ordering of medication for patient or group
... status S 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
... intent S 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
... Slices for medication[x] 1..1 CodeableConcept, Reference(Medication (IPS)) Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept Coded Prescribed Medication
Binding: Medications - IPS (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN Preferred
..... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:pbs S 0..* Coding Code defined by a terminology system
Binding: PBS Item Codes (required)
...... coding:amt S 0..* Coding Code defined by a terminology system
Binding: Australian Medication . (required)
.... medication[x]:medicationReference 0..1 Reference(EXPERIMENTAL AU PS Medication) Prescribed Medication
... encounter S 0..1 Reference(EXPERIMENTAL AU PS Encounter) Encounter created as part of encounter/admission/stay
... authoredOn SC 0..1 dateTime Created date
Constraints: au-core-medreq-01-e
... requester S 1..1 Reference(EXPERIMENTAL AU PS Practitioner | EXPERIMENTAL AU PS PractitionerRole | EXPERIMENTAL AU PS Organization | EXPERIMENTAL AU PS Patient | EXPERIMENTAL AU PS RelatedPerson) Who/What requested the Request
... reasonCode S 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
... reasonReference S 0..* Reference(EXPERIMENTAL AU PS Condition | Observation) Condition or observation that supports why the prescription is being written
... dosageInstruction 0..* AUBaseDosage How the medication should be taken

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.medication[x]:medicationCodeableConceptexampleMedicationsUvIps
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbsrequiredPBSItemCodes
http://terminology.hl7.org.au/ValueSet/pbs-item
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amtrequiredAustralianMedication .
https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1

Constraints

IdGradePath(s)DetailsRequirements
au-core-medreq-01-eerrorMedicationRequest.authoredOnDate 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)
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequestIPS Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... status ?!SΣ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... category 0..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
Required Pattern: false
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... Slices for medication[x] SOΣ 1..1 Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: Medications - IPS (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (IPS))
.... medication[x]:medicationCodeableConcept SOΣ 0..1 CodeableConcept Coded Prescribed Medication
Binding: Medications - IPS (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN Preferred
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:pbs SΣ 0..* Coding Code defined by a terminology system
Binding: PBS Item Codes (required)
...... coding:amt SΣ 0..* Coding Code defined by a terminology system
Binding: Australian Medication . (required)
..... text Σ 0..1 string Plain text representation of the concept
.... medication[x]:medicationReference SOΣ 0..1 Reference(EXPERIMENTAL AU PS Medication) Prescribed Medication
... subject SOΣ 1..1 Reference(EXPERIMENTAL AU PS Patient) Who or group medication request is for
.... id 0..1 string Unique id for inter-element referencing
.... extension 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
.... type 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).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter S 0..1 Reference(EXPERIMENTAL AU PS Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣC 0..1 dateTime Created date
Constraints: au-core-medreq-01-e
... requester SΣ 1..1 Reference(EXPERIMENTAL AU PS Practitioner | EXPERIMENTAL AU PS PractitionerRole | EXPERIMENTAL AU PS Organization | EXPERIMENTAL AU PS Patient | EXPERIMENTAL AU PS RelatedPerson) Who/What requested the Request
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reasonCode S 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... reasonReference S 0..* Reference(EXPERIMENTAL AU PS Condition | Observation) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction SO 0..* AUBaseDosage How the medication should be taken
.... id 0..1 string Unique id for inter-element referencing
.... extension 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
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text SOΣ 0..1 string Free text dosage instructions e.g. SIG
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing SOΣ 0..1 Timing When medication should be administered
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (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.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (preferred): SNOMED Route Terms
Additional BindingsPurpose
Medicine EDQM Route of Administration - IPS candidate
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate Σ 0..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 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: DoseAndRateType (example): The kind of dose or rate specified.
..... dose[x] Σ 0..1 Amount of medication per dose
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity 0..1 SimpleQuantity Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(Organization) Intended dispenser
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
From the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
From the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
From the FHIR Standard
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
From the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
From the FHIR Standard
MedicationRequest.medication[x]preferredMedicationsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
MedicationRequest.medication[x]:medicationCodeableConceptexampleMedicationsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbsrequiredPBSItemCodes
http://terminology.hl7.org.au/ValueSet/pbs-item
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amtrequiredAustralianMedication .
https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationRequest.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
From the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
From the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
From the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.routepreferredSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
From the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
au-core-medreq-01-eerrorMedicationRequest.authoredOnDate 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-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequestIPS Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
Required Pattern: false
... Slices for medication[x] SOΣ 1..1 Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: Medications - IPS (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (IPS))
.... medication[x]:medicationCodeableConcept SOΣ 0..1 CodeableConcept Coded Prescribed Medication
Binding: Medications - IPS (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN Preferred
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:pbs SΣ 0..* Coding Code defined by a terminology system
Binding: PBS Item Codes (required)
...... coding:amt SΣ 0..* Coding Code defined by a terminology system
Binding: Australian Medication . (required)
.... medication[x]:medicationReference SOΣ 0..1 Reference(EXPERIMENTAL AU PS Medication) Prescribed Medication
... subject SOΣ 1..1 Reference(EXPERIMENTAL AU PS Patient) Who or group medication request is for
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
... encounter S 0..1 Reference(EXPERIMENTAL AU PS Encounter) Encounter created as part of encounter/admission/stay
... authoredOn SΣC 0..1 dateTime Created date
Constraints: au-core-medreq-01-e
... requester SΣ 1..1 Reference(EXPERIMENTAL AU PS Practitioner | EXPERIMENTAL AU PS PractitionerRole | EXPERIMENTAL AU PS Organization | EXPERIMENTAL AU PS Patient | EXPERIMENTAL AU PS RelatedPerson) Who/What requested the Request
... reasonCode S 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... reasonReference S 0..* Reference(EXPERIMENTAL AU PS Condition | Observation) Condition or observation that supports why the prescription is being written
... dosageInstruction SO 0..* AUBaseDosage How the medication should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SOΣ 0..1 string Free text dosage instructions e.g. SIG
.... timing SOΣ 0..1 Timing When medication should be administered

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
From the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
From the FHIR Standard
MedicationRequest.medication[x]preferredMedicationsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
MedicationRequest.medication[x]:medicationCodeableConceptexampleMedicationsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbsrequiredPBSItemCodes
http://terminology.hl7.org.au/ValueSet/pbs-item
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amtrequiredAustralianMedication .
https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
au-core-medreq-01-eerrorMedicationRequest.authoredOnDate 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-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from MedicationRequestIPS

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequestIPS Ordering of medication for patient or group
... status S 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
... intent S 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
... Slices for medication[x] 1..1 CodeableConcept, Reference(Medication (IPS)) Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept Coded Prescribed Medication
Binding: Medications - IPS (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN Preferred
..... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:pbs S 0..* Coding Code defined by a terminology system
Binding: PBS Item Codes (required)
...... coding:amt S 0..* Coding Code defined by a terminology system
Binding: Australian Medication . (required)
.... medication[x]:medicationReference 0..1 Reference(EXPERIMENTAL AU PS Medication) Prescribed Medication
... encounter S 0..1 Reference(EXPERIMENTAL AU PS Encounter) Encounter created as part of encounter/admission/stay
... authoredOn SC 0..1 dateTime Created date
Constraints: au-core-medreq-01-e
... requester S 1..1 Reference(EXPERIMENTAL AU PS Practitioner | EXPERIMENTAL AU PS PractitionerRole | EXPERIMENTAL AU PS Organization | EXPERIMENTAL AU PS Patient | EXPERIMENTAL AU PS RelatedPerson) Who/What requested the Request
... reasonCode S 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
... reasonReference S 0..* Reference(EXPERIMENTAL AU PS Condition | Observation) Condition or observation that supports why the prescription is being written
... dosageInstruction 0..* AUBaseDosage How the medication should be taken

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.medication[x]:medicationCodeableConceptexampleMedicationsUvIps
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbsrequiredPBSItemCodes
http://terminology.hl7.org.au/ValueSet/pbs-item
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amtrequiredAustralianMedication .
https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1

Constraints

IdGradePath(s)DetailsRequirements
au-core-medreq-01-eerrorMedicationRequest.authoredOnDate 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)

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequestIPS Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... status ?!SΣ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... category 0..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
Required Pattern: false
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... Slices for medication[x] SOΣ 1..1 Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: Medications - IPS (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (IPS))
.... medication[x]:medicationCodeableConcept SOΣ 0..1 CodeableConcept Coded Prescribed Medication
Binding: Medications - IPS (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN Preferred
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:pbs SΣ 0..* Coding Code defined by a terminology system
Binding: PBS Item Codes (required)
...... coding:amt SΣ 0..* Coding Code defined by a terminology system
Binding: Australian Medication . (required)
..... text Σ 0..1 string Plain text representation of the concept
.... medication[x]:medicationReference SOΣ 0..1 Reference(EXPERIMENTAL AU PS Medication) Prescribed Medication
... subject SOΣ 1..1 Reference(EXPERIMENTAL AU PS Patient) Who or group medication request is for
.... id 0..1 string Unique id for inter-element referencing
.... extension 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
.... type 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).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter S 0..1 Reference(EXPERIMENTAL AU PS Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣC 0..1 dateTime Created date
Constraints: au-core-medreq-01-e
... requester SΣ 1..1 Reference(EXPERIMENTAL AU PS Practitioner | EXPERIMENTAL AU PS PractitionerRole | EXPERIMENTAL AU PS Organization | EXPERIMENTAL AU PS Patient | EXPERIMENTAL AU PS RelatedPerson) Who/What requested the Request
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reasonCode S 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... reasonReference S 0..* Reference(EXPERIMENTAL AU PS Condition | Observation) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction SO 0..* AUBaseDosage How the medication should be taken
.... id 0..1 string Unique id for inter-element referencing
.... extension 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
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text SOΣ 0..1 string Free text dosage instructions e.g. SIG
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing SOΣ 0..1 Timing When medication should be administered
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (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.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (preferred): SNOMED Route Terms
Additional BindingsPurpose
Medicine EDQM Route of Administration - IPS candidate
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate Σ 0..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 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: DoseAndRateType (example): The kind of dose or rate specified.
..... dose[x] Σ 0..1 Amount of medication per dose
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity 0..1 SimpleQuantity Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(Organization) Intended dispenser
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
From the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
From the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
From the FHIR Standard
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
From the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
From the FHIR Standard
MedicationRequest.medication[x]preferredMedicationsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
MedicationRequest.medication[x]:medicationCodeableConceptexampleMedicationsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbsrequiredPBSItemCodes
http://terminology.hl7.org.au/ValueSet/pbs-item
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amtrequiredAustralianMedication .
https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationRequest.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
From the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
From the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
From the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.routepreferredSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
From the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
au-core-medreq-01-eerrorMedicationRequest.authoredOnDate 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-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron