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 2024-10-28 02:34:31+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 (1 nested mandatory element)
Must-Support: 20 elements
Fixed Value: 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 MedicationRequest.identifier is sliced based on the value of pattern:type

This structure is derived from AUBaseMedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
​.. MedicationRequest C0..*AUBaseMedicationRequestA 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 S0..1MRMetaMetadata about a resource
​... extension:subsidisedConcurrentSupply 0..1GroundsForConcurrentSupplyOfMedicationIndicates Regulation 24
.... extension 0..0
​.... valueCoding 1..1CodingValue of extension
Required Pattern: At least the following
..... system1..1uriIdentity of the terminology system
Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/concurrent-supply-grounds-1
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 1
..... display1..1stringRepresentation defined by the system
Fixed Value: Pursuant to Regulation 24
​... isCTGPBSCoPay 0..1booleanIndicates CTG/PBS Co Payment
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-ctg-extn
​... usualDose 0..1booleanIndicates 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..1CodingNon-formulary prescription approval status
URL: https://fhir.medirecords.com/StructureDefinition/mr-prescription-approval-status
Binding: Prescription Approval Status ValueSet (required)
​... prescriptionType 0..1CodingPrescription type
URL: https://fhir.medirecords.com/StructureDefinition/mr-prescription-type
Binding: Prescription Type ValueSet (required)
​... Slices for identifier 0..*Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifierExternal ids for this request
Slice: Unordered, Open by pattern:type
​.... identifier:identifierLPN S0..1AULocalPrescriptionIdentifierLocal Prescription Identifier
​... status SC1..1codeactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
inv-mr-prescription-status-01: MediRecords does not support 'on-hold' or 'unknown' status
​... statusReason S0..1CodeableConceptReason for current status
​... intent S1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Fixed Value: order
​... priority SC0..1coderoutine | urgent | asap | stat
inv-mr-prescription-priority-01: MediRecords only supports 'routine' or 'urgent' priority
​... reportedBoolean S0..1booleanReported for information and not expected to be acted upon
​... medicationReference S1..1Reference(MR Medication)Reference to the 'Medication' rsource instance must be added as 'contained' reference
​... subject S1..1Reference(MR Patient)Who or group medication request is for
​... encounter S0..1Reference(MR Encounter)Encounter created as part of encounter/admission/stay
​... authoredOn S1..1dateTimeCreated date
​... requester S1..1Reference(MR Patient | MR Practitioner | MR Organisation)Who/What requested the Request
​... reasonCode S0..1CodeableConceptReason or indication for ordering or not ordering the medication
​... courseOfTherapyType S0..1CodeableConceptOverall pattern of medication administration
​.... coding
​..... system 0..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
​..... code 0..1codeSymbol in syntax defined by the system
Fixed Value: continuous
​... dosageInstruction S0..1MRDosageDosage information in an Australian healthcare context
​... dispenseRequest
​.... dispenseInterval S0..1DurationMinimum period of time between dispenses
​.... validityPeriod S0..1PeriodTime period supply is authorized for
​.... numberOfRepeatsAllowed S0..1unsignedIntMaximum repeats authorised
​.... quantity S0..1SimpleQuantityAmount of medication to supply per dispense
​... substitution
​.... allowedBoolean S0..1booleanBrand substitution flag

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest C0..*AUBaseMedicationRequestA 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 Σ0..1idLogical id of this artifact
... meta S0..1MRMetaMetadata about a resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... subsidisedConcurrentSupply 0..1CodingIndicates Regulation 24
URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply
Binding: Concurrent Supply Grounds . (required)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply"
.... Slices for value[x] 1..1CodingValue of extension
Slice: Unordered, Closed by type:$this
Binding: Concurrent Supply Grounds . (required)
..... value[x]:valueCoding 1..1CodingValue of extension
Binding: Concurrent Supply Grounds . (required)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/concurrent-supply-grounds-1
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 1
...... display1..1stringRepresentation defined by the system
Fixed Value: Pursuant to Regulation 24
...... userSelected0..1booleanIf this coding was chosen directly by the user
... isCTGPBSCoPay 0..1booleanIndicates CTG/PBS Co Payment
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-ctg-extn
... lastDateStr 0..1dateTimeRepresents the script last date
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-last-date-extn
... usualDose 0..1booleanIndicates 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..1CodingNon-formulary prescription approval status
URL: https://fhir.medirecords.com/StructureDefinition/mr-prescription-approval-status
Binding: Prescription Approval Status ValueSet (required)
... prescriptionType 0..1CodingPrescription type
URL: https://fhir.medirecords.com/StructureDefinition/mr-prescription-type
Binding: Prescription Type ValueSet (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier 0..*Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifierExternal ids for this request
Slice: Unordered, Open by pattern:type
.... identifier:identifierLPN S0..1AULocalPrescriptionIdentifierLocal Prescription Identifier
... status ?!SΣC1..1codeactive | 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 S0..1CodeableConceptReason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!SΣ1..1codeproposal | 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..*CodeableConceptType 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 SΣC0..1coderoutine | 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 ?!Σ0..1booleanTrue if request is prohibiting action
... Slices for reported[x] Σ0..1Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reportedBooleanboolean
.... reportedReferenceReference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
.... reported[x]:reportedBoolean SΣ0..1booleanReported for information and not expected to be acted upon
... Slices for medication[x] Σ1..1Reference(Medication)Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

.... medication[x]:medicationReference SΣ1..1Reference(MR Medication)Reference to the 'Medication' rsource instance must be added as 'contained' reference
.... medication[x]:medicationCodeableConcept Σ0..1CodeableConceptCoded Prescribed Medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:pbs Σ0..*CodingPBS Item Code
Binding: PBS Item Codes (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:gtin Σ0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://www.gs1.org/gtin
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:amt Σ0..*CodingAMT Medicines
Binding: Australian Medication . (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... medicationClass 0..1CodingMedication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:mimsPackage Σ0..1CodingMIMS Package
Binding: MIMS (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://www.mims.com.au/codes
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringMedication primary text
... subject SΣ1..1Reference(MR Patient)Who or group medication request is for
... encounter S0..1Reference(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..1Reference(Observation Body Height Profile)Observation of Body Height
.... supportingInformation:bodyWeight 0..1Reference(Observation Body Weight Profile)Observation of Body Weight
... authoredOn SΣ1..1dateTimeCreated date
... requester SΣ1..1Reference(MR Patient | MR Practitioner | MR Organisation)Who/What requested the Request
... performer 0..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)Intended performer of administration
... performerType Σ0..1CodeableConceptDesired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... recorder 0..1Reference(Practitioner | PractitionerRole)Person who entered the request
... reasonCode S0..1CodeableConceptReason 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 Σ0..*canonical()Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... courseOfTherapyType S0..1CodeableConceptOverall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: continuous
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... note 0..*AnnotationInformation about the prescription
... dosageInstruction S0..1MRDosageDosage information in an Australian healthcare context
... dispenseRequest 0..1BackboneElementRequested dispensing
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... initialFill 0..1BackboneElementFirst fill details
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... quantity 0..1SimpleQuantityFirst fill quantity
..... duration 0..1DurationFirst fill duration
.... dispenseInterval S0..1DurationMinimum period of time between dispenses
.... validityPeriod S0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed S0..1unsignedIntMaximum repeats authorised
.... quantity S0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration 0..1DurationNumber of days supply per dispense
.... performer 0..1Reference(Organization)Intended dispenser
... substitution 0..1BackboneElementBrand substitution details
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Slices for allowed[x] 1..1Brand substitution flag
Slice: Unordered, Open by type:$this
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBooleanboolean
..... allowedCodeableConceptCodeableConcept
..... allowed[x]:allowedBoolean S0..1booleanBrand substitution flag
.... reason 0..1CodeableConceptWhy should (not) substitution be made
Binding: Medicine Substitution Reason . (preferred)
... priorPrescription 0..1Reference(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..*AUBaseMedicationRequestA request for a medication for a patient in an Australian healthcare context
​... meta 0..1MRMetaMetadata about a resource
​... identifier:identifierLPN 0..1AULocalPrescriptionIdentifierLocal Prescription Identifier
​... status ?!ΣC1..1codeactive | 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 ?!Σ1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.


Fixed Value: order
​... priority ΣC0..1coderoutine | 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
​... reported[x]:reportedBoolean Σ0..1booleanReported for information and not expected to be acted upon
​... medication[x]:medicationReference Σ1..1Reference(MR Medication)Reference to the 'Medication' rsource instance must be added as 'contained' reference
​... subject Σ1..1Reference(MR Patient)Who or group medication request is for
​... encounter 0..1Reference(MR Encounter)Encounter created as part of encounter/admission/stay
​... authoredOn Σ1..1dateTimeCreated date
​... requester Σ1..1Reference(MR Patient | MR Practitioner | MR Organisation)Who/What requested the Request
​... reasonCode 0..1CodeableConceptReason or indication for ordering or not ordering the medication
Binding: Reason for Request . (preferred)
​... courseOfTherapyType 0..1CodeableConceptOverall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

​... dosageInstruction 0..1MRDosageDosage information in an Australian healthcare context
​... dispenseRequest 0..1BackboneElementRequested dispensing
​.... dispenseInterval 0..1DurationMinimum period of time between dispenses
​.... validityPeriod 0..1PeriodTime period supply is authorized for
​.... numberOfRepeatsAllowed 0..1unsignedIntMaximum repeats authorised
​.... quantity 0..1SimpleQuantityAmount of medication to supply per dispense
​... substitution 0..1BackboneElementBrand substitution details
​.... allowed[x]:allowedBoolean 0..1booleanBrand substitution flag

doco Documentation for this format

This structure is derived from AUBaseMedicationRequest

Summary

Mandatory: 3 elements (1 nested mandatory element)
Must-Support: 20 elements
Fixed Value: 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 MedicationRequest.identifier is sliced based on the value of pattern:type

Differential View

This structure is derived from AUBaseMedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
​.. MedicationRequest C0..*AUBaseMedicationRequestA 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 S0..1MRMetaMetadata about a resource
​... extension:subsidisedConcurrentSupply 0..1GroundsForConcurrentSupplyOfMedicationIndicates Regulation 24
.... extension 0..0
​.... valueCoding 1..1CodingValue of extension
Required Pattern: At least the following
..... system1..1uriIdentity of the terminology system
Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/concurrent-supply-grounds-1
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 1
..... display1..1stringRepresentation defined by the system
Fixed Value: Pursuant to Regulation 24
​... isCTGPBSCoPay 0..1booleanIndicates CTG/PBS Co Payment
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-ctg-extn
​... usualDose 0..1booleanIndicates 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..1CodingNon-formulary prescription approval status
URL: https://fhir.medirecords.com/StructureDefinition/mr-prescription-approval-status
Binding: Prescription Approval Status ValueSet (required)
​... prescriptionType 0..1CodingPrescription type
URL: https://fhir.medirecords.com/StructureDefinition/mr-prescription-type
Binding: Prescription Type ValueSet (required)
​... Slices for identifier 0..*Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifierExternal ids for this request
Slice: Unordered, Open by pattern:type
​.... identifier:identifierLPN S0..1AULocalPrescriptionIdentifierLocal Prescription Identifier
​... status SC1..1codeactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
inv-mr-prescription-status-01: MediRecords does not support 'on-hold' or 'unknown' status
​... statusReason S0..1CodeableConceptReason for current status
​... intent S1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Fixed Value: order
​... priority SC0..1coderoutine | urgent | asap | stat
inv-mr-prescription-priority-01: MediRecords only supports 'routine' or 'urgent' priority
​... reportedBoolean S0..1booleanReported for information and not expected to be acted upon
​... medicationReference S1..1Reference(MR Medication)Reference to the 'Medication' rsource instance must be added as 'contained' reference
​... subject S1..1Reference(MR Patient)Who or group medication request is for
​... encounter S0..1Reference(MR Encounter)Encounter created as part of encounter/admission/stay
​... authoredOn S1..1dateTimeCreated date
​... requester S1..1Reference(MR Patient | MR Practitioner | MR Organisation)Who/What requested the Request
​... reasonCode S0..1CodeableConceptReason or indication for ordering or not ordering the medication
​... courseOfTherapyType S0..1CodeableConceptOverall pattern of medication administration
​.... coding
​..... system 0..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
​..... code 0..1codeSymbol in syntax defined by the system
Fixed Value: continuous
​... dosageInstruction S0..1MRDosageDosage information in an Australian healthcare context
​... dispenseRequest
​.... dispenseInterval S0..1DurationMinimum period of time between dispenses
​.... validityPeriod S0..1PeriodTime period supply is authorized for
​.... numberOfRepeatsAllowed S0..1unsignedIntMaximum repeats authorised
​.... quantity S0..1SimpleQuantityAmount of medication to supply per dispense
​... substitution
​.... allowedBoolean S0..1booleanBrand substitution flag

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest C0..*AUBaseMedicationRequestA 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 Σ0..1idLogical id of this artifact
... meta S0..1MRMetaMetadata about a resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... subsidisedConcurrentSupply 0..1CodingIndicates Regulation 24
URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply
Binding: Concurrent Supply Grounds . (required)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply"
.... Slices for value[x] 1..1CodingValue of extension
Slice: Unordered, Closed by type:$this
Binding: Concurrent Supply Grounds . (required)
..... value[x]:valueCoding 1..1CodingValue of extension
Binding: Concurrent Supply Grounds . (required)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/concurrent-supply-grounds-1
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 1
...... display1..1stringRepresentation defined by the system
Fixed Value: Pursuant to Regulation 24
...... userSelected0..1booleanIf this coding was chosen directly by the user
... isCTGPBSCoPay 0..1booleanIndicates CTG/PBS Co Payment
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-ctg-extn
... lastDateStr 0..1dateTimeRepresents the script last date
URL: https://fhir.medirecords.com/StructureDefinition/mr-medicationrequest-last-date-extn
... usualDose 0..1booleanIndicates 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..1CodingNon-formulary prescription approval status
URL: https://fhir.medirecords.com/StructureDefinition/mr-prescription-approval-status
Binding: Prescription Approval Status ValueSet (required)
... prescriptionType 0..1CodingPrescription type
URL: https://fhir.medirecords.com/StructureDefinition/mr-prescription-type
Binding: Prescription Type ValueSet (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier 0..*Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifierExternal ids for this request
Slice: Unordered, Open by pattern:type
.... identifier:identifierLPN S0..1AULocalPrescriptionIdentifierLocal Prescription Identifier
... status ?!SΣC1..1codeactive | 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 S0..1CodeableConceptReason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!SΣ1..1codeproposal | 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..*CodeableConceptType 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 SΣC0..1coderoutine | 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 ?!Σ0..1booleanTrue if request is prohibiting action
... Slices for reported[x] Σ0..1Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reportedBooleanboolean
.... reportedReferenceReference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
.... reported[x]:reportedBoolean SΣ0..1booleanReported for information and not expected to be acted upon
... Slices for medication[x] Σ1..1Reference(Medication)Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

.... medication[x]:medicationReference SΣ1..1Reference(MR Medication)Reference to the 'Medication' rsource instance must be added as 'contained' reference
.... medication[x]:medicationCodeableConcept Σ0..1CodeableConceptCoded Prescribed Medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:pbs Σ0..*CodingPBS Item Code
Binding: PBS Item Codes (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://pbs.gov.au/code/item
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:gtin Σ0..*CodingMedication Package Global Trade Item Number (GTIN)
Binding: GTIN (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://www.gs1.org/gtin
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:amt Σ0..*CodingAMT Medicines
Binding: Australian Medication . (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... medicationClass 0..1CodingMedication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:mimsPackage Σ0..1CodingMIMS Package
Binding: MIMS (preferred)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://www.mims.com.au/codes
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringMedication primary text
... subject SΣ1..1Reference(MR Patient)Who or group medication request is for
... encounter S0..1Reference(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..1Reference(Observation Body Height Profile)Observation of Body Height
.... supportingInformation:bodyWeight 0..1Reference(Observation Body Weight Profile)Observation of Body Weight
... authoredOn SΣ1..1dateTimeCreated date
... requester SΣ1..1Reference(MR Patient | MR Practitioner | MR Organisation)Who/What requested the Request
... performer 0..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)Intended performer of administration
... performerType Σ0..1CodeableConceptDesired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... recorder 0..1Reference(Practitioner | PractitionerRole)Person who entered the request
... reasonCode S0..1CodeableConceptReason 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 Σ0..*canonical()Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... courseOfTherapyType S0..1CodeableConceptOverall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: continuous
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... note 0..*AnnotationInformation about the prescription
... dosageInstruction S0..1MRDosageDosage information in an Australian healthcare context
... dispenseRequest 0..1BackboneElementRequested dispensing
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... initialFill 0..1BackboneElementFirst fill details
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... quantity 0..1SimpleQuantityFirst fill quantity
..... duration 0..1DurationFirst fill duration
.... dispenseInterval S0..1DurationMinimum period of time between dispenses
.... validityPeriod S0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed S0..1unsignedIntMaximum repeats authorised
.... quantity S0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration 0..1DurationNumber of days supply per dispense
.... performer 0..1Reference(Organization)Intended dispenser
... substitution 0..1BackboneElementBrand substitution details
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Slices for allowed[x] 1..1Brand substitution flag
Slice: Unordered, Open by type:$this
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBooleanboolean
..... allowedCodeableConceptCodeableConcept
..... allowed[x]:allowedBoolean S0..1booleanBrand substitution flag
.... reason 0..1CodeableConceptWhy should (not) substitution be made
Binding: Medicine Substitution Reason . (preferred)
... priorPrescription 0..1Reference(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

Constraints

PathConformanceValueSet / CodeURI
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationRequest.extension:subsidisedConcurrentSupply.value[x]requiredConcurrentSupplyGrounds . (a valid code from https://healthterminologies.gov.au/fhir/CodeSystem/concurrent-supply-grounds-1)
https://healthterminologies.gov.au/fhir/ValueSet/concurrent-supply-grounds-1
MedicationRequest.extension:subsidisedConcurrentSupply.value[x]:valueCodingrequiredPattern: 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
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')