MediRecords FHIR Implementation Guide
1.4.1 - release


Resource Profile: MR MedicationRequest

Defining URL:https://fhir.medirecords.com/StructureDefinition/mr-medication-request
Version:1.4.1
Name:MRMedicationRequest
Title:MR MedicationRequest
Status:Active as of 2025-02-03 04:29:41+0000
Definition:

MediRecords MedicationRequest profile to record details about a prescription

Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

https://fhir.medirecords.com/StructureDefinition/mr-medication-request

Formal Views of Profile Content

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

This structure is derived from AUBaseMedicationRequest

Summary

Mandatory: 3 elements
Must-Support: 21 elements
Fixed: 3 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationRequest.identifier
  • The element 1 is sliced based on the value of MedicationRequest.reported[x]
  • The element 1 is sliced based on the value of MedicationRequest.substitution.allowed[x]

This structure is derived from AUBaseMedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest C 0..* AUBaseMedicationRequest A request for a medication for a patient in an Australian healthcare context
inv-mr-prescription-statusReason-01: MediRecords supports statusReason for only 'stopped' status
... meta S 0..1 MRMeta Metadata about a resource
... Slices for extension Content/Rules for all slices
.... extension:subsidisedConcurrentSupply 0..1 GroundsForConcurrentSupplyOfMedication Indicates Regulation 24
..... extension 0..0
..... value[x] 1..1 Coding Value of extension
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/concurrent-supply-grounds-1
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1
...... display 1..1 string Representation defined by the system
Fixed Value: Pursuant to Regulation 24
.... isCTGPBSCoPay 0..1 boolean Indicates CTG/PBS Co Payment
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-ctg-extn
.... lastDateStr 0..1 dateTime Represents the script last date
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-last-date-extn
.... usualDose 0..1 boolean Indicates if the prescription contains unusual dose and relevant authority details
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-unusal-dose-extn
.... authorityDetails 0..1 (Complex) Contains relevant authority details
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-authority-details-extn
.... approvalStatus 0..1 Coding Non-formulary prescription approval status
URL: https://fhir.medirecords.com/StructureDefinition/mr-prescription-approval-status
Binding: Prescription Approval Status ValueSet (required)
.... prescriptionType 0..1 Coding Prescription type
URL: https://fhir.medirecords.com/StructureDefinition/mr-prescription-type
Binding: Prescription Type ValueSet (required)
... Slices for identifier 0..* Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier External ids for this request
Slice: Unordered, Open by pattern:type
.... identifier:identifierLPN S 0..1 AULocalPrescriptionIdentifier Local Prescription Identifier
.... identifier:identifierDSPID S 0..1 AUETPPrescriptionIdentifier Electronic Transfer of Prescription (ETP) Prescription Identifier
... statusReason S 0..1 CodeableConcept Reason for current status
... intent S 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Fixed Value: order
... priority SC 0..1 code routine | urgent | asap | stat
inv-mr-prescription-priority-01: MediRecords only supports 'routine' or 'urgent' priority
... Slices for reported[x] 0..1 boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reported[x]:reportedBoolean S 0..1 boolean Reported for information and not expected to be acted upon
... Slices for medication[x] Content/Rules for all slices
.... medication[x]:medicationReference S 1..1 Reference(MR Medication) Reference to the 'Medication' rsource instance must be added as 'contained' reference
... subject S 1..1 Reference(MR Patient) Who or group medication request is for
... encounter S 0..1 Reference(MR Encounter) Encounter created as part of encounter/admission/stay
... authoredOn S 1..1 dateTime Created date
... requester S 1..1 Reference(MR Patient | MR Practitioner | MR Organisation) Who/What requested the Request
... reasonCode S 0..1 CodeableConcept Reason or indication for ordering or not ordering the medication
... courseOfTherapyType S 0..1 CodeableConcept Overall pattern of medication administration
.... coding
..... system 0..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
..... code 0..1 code Symbol in syntax defined by the system
Fixed Value: continuous
... dosageInstruction S 0..1 MRDosage Dosage information in an Australian healthcare context
... dispenseRequest
.... dispenseInterval S 0..1 Duration Minimum period of time between dispenses
.... validityPeriod S 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed S 0..1 unsignedInt Maximum repeats authorised
.... quantity S 0..1 SimpleQuantity Amount of medication to supply per dispense
... substitution
.... Slices for allowed[x] 1..1 boolean, CodeableConcept Brand substitution flag
Slice: Unordered, Open by type:$this
..... allowed[x]:allowedBoolean S 0..1 boolean Brand substitution flag

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest C 0..* AUBaseMedicationRequest A request for a medication for a patient in an Australian healthcare context
inv-mr-prescription-statusReason-01: MediRecords supports statusReason for only 'stopped' status
... id Σ 0..1 id Logical id of this artifact
... meta S 0..1 MRMeta Metadata about a resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... subsidisedConcurrentSupply 0..1 (Complex) Indicates Regulation 24
URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply"
..... value[x] 1..1 Coding Value of extension
Binding: Concurrent Supply Grounds . (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/concurrent-supply-grounds-1
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1
...... display 1..1 string Representation defined by the system
Fixed Value: Pursuant to Regulation 24
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... isCTGPBSCoPay 0..1 boolean Indicates CTG/PBS Co Payment
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-ctg-extn
.... lastDateStr 0..1 dateTime Represents the script last date
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-last-date-extn
.... usualDose 0..1 boolean Indicates if the prescription contains unusual dose and relevant authority details
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-unusal-dose-extn
.... authorityDetails 0..1 (Complex) Contains relevant authority details
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-authority-details-extn
.... approvalStatus 0..1 Coding Non-formulary prescription approval status
URL: https://fhir.medirecords.com/StructureDefinition/mr-prescription-approval-status
Binding: Prescription Approval Status ValueSet (required)
.... prescriptionType 0..1 Coding Prescription type
URL: https://fhir.medirecords.com/StructureDefinition/mr-prescription-type
Binding: Prescription Type ValueSet (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier 0..* Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier External ids for this request
Slice: Unordered, Open by pattern:type
.... identifier:identifierLPN S 0..1 AULocalPrescriptionIdentifier Local Prescription Identifier
.... identifier:identifierDSPID S 0..1 AUETPPrescriptionIdentifier Electronic Transfer of Prescription (ETP) Prescription Identifier
... status ?!SΣC 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.


inv-mr-prescription-status-01: MediRecords does not support 'on-hold' or 'unknown' status
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

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


Fixed Value: order
... category 0..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.


... priority SΣC 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.


inv-mr-prescription-priority-01: MediRecords only supports 'routine' or 'urgent' priority
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... Slices for reported[x] Σ 0..1 Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
.... reported[x]:reportedBoolean SΣ 0..1 boolean Reported for information and not expected to be acted upon
... Slices for medication[x] Σ 1..1 Reference(Medication) Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

.... medication[x]:medicationReference SΣ 1..1 Reference(MR Medication) Reference to the 'Medication' rsource instance must be added as 'contained' reference
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Coded Prescribed Medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

..... 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 value:system
...... coding:pbs Σ 0..* Coding PBS Item Code
Binding: PBS Item Codes (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
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:gtin Σ 0..* Coding Medication Package Global Trade Item Number (GTIN)
Binding: 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
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://www.gs1.org/gtin
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:amt Σ 0..* Coding AMT Medicines
Binding: Australian Medication . (preferred)
....... id 0..1 string Unique id for inter-element referencing
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ medicationClass 0..1 Coding Medication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:mimsPackage Σ 0..1 Coding MIMS Package
Binding: MIMS (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
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://www.mims.com.au/codes
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Medication primary text
... subject SΣ 1..1 Reference(MR Patient) Who or group medication request is for
... encounter S 0..1 Reference(MR Encounter) Encounter created as part of encounter/admission/stay
... Slices for supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
Slice: Unordered, Open by profile:resolve()
.... supportingInformation:bodyHeight 0..1 Reference(Observation Body Height Profile) Observation of Body Height
.... supportingInformation:bodyWeight 0..1 Reference(Observation Body Weight Profile) Observation of Body Weight
... authoredOn SΣ 1..1 dateTime Created date
... requester SΣ 1..1 Reference(MR Patient | MR Practitioner | MR Organisation) 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..1 CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Reason for Request . (preferred)
... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType S 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: continuous
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction S 0..1 MRDosage Dosage information in an Australian healthcare context
... dispenseRequest 0..1 BackboneElement Requested dispensing
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval S 0..1 Duration Minimum period of time between dispenses
.... validityPeriod S 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed S 0..1 unsignedInt Maximum repeats authorised
.... quantity S 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 Brand substitution details
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for allowed[x] 1..1 Brand substitution flag
Slice: Unordered, Open by type:$this
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
..... allowed[x]:allowedBoolean S 0..1 boolean Brand substitution flag
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: Medicine Substitution Reason . (preferred)
... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* AUBaseMedicationRequest A request for a medication for a patient in an Australian healthcare context
... meta 0..1 MRMeta Metadata about a resource
... Slices for identifier Content/Rules for all slices
.... identifier:identifierLPN 0..1 AULocalPrescriptionIdentifier Local Prescription Identifier
.... identifier:identifierDSPID 0..1 AUETPPrescriptionIdentifier Electronic Transfer of Prescription (ETP) Prescription Identifier
... status ?!ΣC 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.


inv-mr-prescription-status-01: MediRecords does not support 'on-hold' or 'unknown' status
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.


Fixed Value: order
... priority ΣC 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.


inv-mr-prescription-priority-01: MediRecords only supports 'routine' or 'urgent' priority
... Slices for reported[x] Content/Rules for all slices
.... reported[x]:reportedBoolean Σ 0..1 boolean Reported for information and not expected to be acted upon
... Slices for medication[x] Content/Rules for all slices
.... medication[x]:medicationReference Σ 1..1 Reference(MR Medication) Reference to the 'Medication' rsource instance must be added as 'contained' reference
... subject Σ 1..1 Reference(MR Patient) Who or group medication request is for
... encounter 0..1 Reference(MR Encounter) Encounter created as part of encounter/admission/stay
... authoredOn Σ 1..1 dateTime Created date
... requester Σ 1..1 Reference(MR Patient | MR Practitioner | MR Organisation) Who/What requested the Request
... reasonCode 0..1 CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Reason for Request . (preferred)
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

... dosageInstruction 0..1 MRDosage Dosage information in an Australian healthcare context
... dispenseRequest 0..1 BackboneElement Requested dispensing
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt Maximum repeats authorised
.... quantity 0..1 SimpleQuantity Amount of medication to supply per dispense
... substitution 0..1 BackboneElement Brand substitution details
.... Slices for allowed[x] Content/Rules for all slices
..... allowed[x]:allowedBoolean 0..1 boolean Brand substitution flag

doco Documentation for this format

This structure is derived from AUBaseMedicationRequest

Summary

Mandatory: 3 elements
Must-Support: 21 elements
Fixed: 3 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationRequest.identifier
  • The element 1 is sliced based on the value of MedicationRequest.reported[x]
  • The element 1 is sliced based on the value of MedicationRequest.substitution.allowed[x]

Differential View

This structure is derived from AUBaseMedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest C 0..* AUBaseMedicationRequest A request for a medication for a patient in an Australian healthcare context
inv-mr-prescription-statusReason-01: MediRecords supports statusReason for only 'stopped' status
... meta S 0..1 MRMeta Metadata about a resource
... Slices for extension Content/Rules for all slices
.... extension:subsidisedConcurrentSupply 0..1 GroundsForConcurrentSupplyOfMedication Indicates Regulation 24
..... extension 0..0
..... value[x] 1..1 Coding Value of extension
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/concurrent-supply-grounds-1
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1
...... display 1..1 string Representation defined by the system
Fixed Value: Pursuant to Regulation 24
.... isCTGPBSCoPay 0..1 boolean Indicates CTG/PBS Co Payment
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-ctg-extn
.... lastDateStr 0..1 dateTime Represents the script last date
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-last-date-extn
.... usualDose 0..1 boolean Indicates if the prescription contains unusual dose and relevant authority details
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-unusal-dose-extn
.... authorityDetails 0..1 (Complex) Contains relevant authority details
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-authority-details-extn
.... approvalStatus 0..1 Coding Non-formulary prescription approval status
URL: https://fhir.medirecords.com/StructureDefinition/mr-prescription-approval-status
Binding: Prescription Approval Status ValueSet (required)
.... prescriptionType 0..1 Coding Prescription type
URL: https://fhir.medirecords.com/StructureDefinition/mr-prescription-type
Binding: Prescription Type ValueSet (required)
... Slices for identifier 0..* Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier External ids for this request
Slice: Unordered, Open by pattern:type
.... identifier:identifierLPN S 0..1 AULocalPrescriptionIdentifier Local Prescription Identifier
.... identifier:identifierDSPID S 0..1 AUETPPrescriptionIdentifier Electronic Transfer of Prescription (ETP) Prescription Identifier
... statusReason S 0..1 CodeableConcept Reason for current status
... intent S 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Fixed Value: order
... priority SC 0..1 code routine | urgent | asap | stat
inv-mr-prescription-priority-01: MediRecords only supports 'routine' or 'urgent' priority
... Slices for reported[x] 0..1 boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reported[x]:reportedBoolean S 0..1 boolean Reported for information and not expected to be acted upon
... Slices for medication[x] Content/Rules for all slices
.... medication[x]:medicationReference S 1..1 Reference(MR Medication) Reference to the 'Medication' rsource instance must be added as 'contained' reference
... subject S 1..1 Reference(MR Patient) Who or group medication request is for
... encounter S 0..1 Reference(MR Encounter) Encounter created as part of encounter/admission/stay
... authoredOn S 1..1 dateTime Created date
... requester S 1..1 Reference(MR Patient | MR Practitioner | MR Organisation) Who/What requested the Request
... reasonCode S 0..1 CodeableConcept Reason or indication for ordering or not ordering the medication
... courseOfTherapyType S 0..1 CodeableConcept Overall pattern of medication administration
.... coding
..... system 0..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
..... code 0..1 code Symbol in syntax defined by the system
Fixed Value: continuous
... dosageInstruction S 0..1 MRDosage Dosage information in an Australian healthcare context
... dispenseRequest
.... dispenseInterval S 0..1 Duration Minimum period of time between dispenses
.... validityPeriod S 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed S 0..1 unsignedInt Maximum repeats authorised
.... quantity S 0..1 SimpleQuantity Amount of medication to supply per dispense
... substitution
.... Slices for allowed[x] 1..1 boolean, CodeableConcept Brand substitution flag
Slice: Unordered, Open by type:$this
..... allowed[x]:allowedBoolean S 0..1 boolean Brand substitution flag

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest C 0..* AUBaseMedicationRequest A request for a medication for a patient in an Australian healthcare context
inv-mr-prescription-statusReason-01: MediRecords supports statusReason for only 'stopped' status
... id Σ 0..1 id Logical id of this artifact
... meta S 0..1 MRMeta Metadata about a resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... subsidisedConcurrentSupply 0..1 (Complex) Indicates Regulation 24
URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply"
..... value[x] 1..1 Coding Value of extension
Binding: Concurrent Supply Grounds . (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/concurrent-supply-grounds-1
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1
...... display 1..1 string Representation defined by the system
Fixed Value: Pursuant to Regulation 24
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... isCTGPBSCoPay 0..1 boolean Indicates CTG/PBS Co Payment
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-ctg-extn
.... lastDateStr 0..1 dateTime Represents the script last date
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-last-date-extn
.... usualDose 0..1 boolean Indicates if the prescription contains unusual dose and relevant authority details
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-unusal-dose-extn
.... authorityDetails 0..1 (Complex) Contains relevant authority details
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-authority-details-extn
.... approvalStatus 0..1 Coding Non-formulary prescription approval status
URL: https://fhir.medirecords.com/StructureDefinition/mr-prescription-approval-status
Binding: Prescription Approval Status ValueSet (required)
.... prescriptionType 0..1 Coding Prescription type
URL: https://fhir.medirecords.com/StructureDefinition/mr-prescription-type
Binding: Prescription Type ValueSet (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier 0..* Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier External ids for this request
Slice: Unordered, Open by pattern:type
.... identifier:identifierLPN S 0..1 AULocalPrescriptionIdentifier Local Prescription Identifier
.... identifier:identifierDSPID S 0..1 AUETPPrescriptionIdentifier Electronic Transfer of Prescription (ETP) Prescription Identifier
... status ?!SΣC 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.


inv-mr-prescription-status-01: MediRecords does not support 'on-hold' or 'unknown' status
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

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


Fixed Value: order
... category 0..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.


... priority SΣC 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.


inv-mr-prescription-priority-01: MediRecords only supports 'routine' or 'urgent' priority
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... Slices for reported[x] Σ 0..1 Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
.... reported[x]:reportedBoolean SΣ 0..1 boolean Reported for information and not expected to be acted upon
... Slices for medication[x] Σ 1..1 Reference(Medication) Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

.... medication[x]:medicationReference SΣ 1..1 Reference(MR Medication) Reference to the 'Medication' rsource instance must be added as 'contained' reference
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Coded Prescribed Medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

..... 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 value:system
...... coding:pbs Σ 0..* Coding PBS Item Code
Binding: PBS Item Codes (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
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:gtin Σ 0..* Coding Medication Package Global Trade Item Number (GTIN)
Binding: 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
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://www.gs1.org/gtin
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:amt Σ 0..* Coding AMT Medicines
Binding: Australian Medication . (preferred)
....... id 0..1 string Unique id for inter-element referencing
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ medicationClass 0..1 Coding Medication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:mimsPackage Σ 0..1 Coding MIMS Package
Binding: MIMS (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
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://www.mims.com.au/codes
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Medication primary text
... subject SΣ 1..1 Reference(MR Patient) Who or group medication request is for
... encounter S 0..1 Reference(MR Encounter) Encounter created as part of encounter/admission/stay
... Slices for supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
Slice: Unordered, Open by profile:resolve()
.... supportingInformation:bodyHeight 0..1 Reference(Observation Body Height Profile) Observation of Body Height
.... supportingInformation:bodyWeight 0..1 Reference(Observation Body Weight Profile) Observation of Body Weight
... authoredOn SΣ 1..1 dateTime Created date
... requester SΣ 1..1 Reference(MR Patient | MR Practitioner | MR Organisation) 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..1 CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Reason for Request . (preferred)
... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType S 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: continuous
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction S 0..1 MRDosage Dosage information in an Australian healthcare context
... dispenseRequest 0..1 BackboneElement Requested dispensing
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval S 0..1 Duration Minimum period of time between dispenses
.... validityPeriod S 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed S 0..1 unsignedInt Maximum repeats authorised
.... quantity S 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 Brand substitution details
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for allowed[x] 1..1 Brand substitution flag
Slice: Unordered, Open by type:$this
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
..... allowed[x]:allowedBoolean S 0..1 boolean Brand substitution flag
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: Medicine Substitution Reason . (preferred)
... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.extension:subsidisedConcurrentSupply.value[x]requiredPattern: 1("Pursuant to Regulation 24")
https://healthterminologies.gov.au/fhir/ValueSet/concurrent-supply-grounds-1
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.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
from the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbspreferredPBSItemCodes
http://terminology.hl7.org.au/ValueSet/pbs-item
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gtinpreferredGTIN
http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amtpreferredAustralianMedication .
https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationRequest.medication[x]:medicationCodeableConcept.coding:mimsPackagepreferredMIMS
http://terminology.hl7.org.au/ValueSet/mims
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.reasonCodepreferredReasonForRequest .
https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonpreferredMedicineSubstitutionReason .
https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

Constraints

IdGradePath(s)DetailsRequirements
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()
inv-mr-prescription-priority-01errorMedicationRequest.priorityMediRecords only supports 'routine' or 'urgent' priority
: $this.exists() implies ($this = 'routine' or $this = 'urgent')
inv-mr-prescription-status-01errorMedicationRequest.statusMediRecords does not support 'on-hold' or 'unknown' status
: $this.exists() implies ($this != 'on-hold' and $this != 'unknown')
inv-mr-prescription-statusReason-01errorMedicationRequestMediRecords supports statusReason for only 'stopped' status
: statusReason.exists() implies (status = 'stopped')