| Australian Digital Health Agency FHIR Implementation Guide 1.0.0

Australian Digital Health Agency FHIR Implementation Guide. This is the current published version. It is based on FHIR® version 4.0.1. See the Directory of published versions for a list of available versions.

### StructureDefinition: ADHA Core MedicationRequest [Active]

The purpose of this profile is to provide a core representation of a request for the supply of a medication and the instructions for administration of that medication to a patient for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia.

This profile identifies the additional constraints, extensions, and value sets that build on and extend MedicationRequest that are supported.

Where a more specific MedicationRequest profile is applicable, e.g. prescription, an implementation SHALL ensure the resource conforms to that specific profile.

This profile is designed to set a core MedicationRequest standard for:

- Query medication orders or prescriptions for a patient (current and historical)
- Record or update medication orders or prescriptions for a patient

#### Profile specific guidance

- See the Medicine information section for guidance.
- MedicationRequest resources can represent a medication using either a code, or reference a Medication resource.
  - When referencing a Medication resource, it is preferred the resource is contained but it may be an external resource.

#### Boundaries and relationships

This profile is not referenced by another profile in this implementation guide.

#### Formal Views of Profile Content

The official URL for this profile is:

    http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-medicationrequest-core-1

The purpose of this profile is to provide a core representation of a request for the supply of a medication and the instructions for administration of that medication to a patient for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia.

This profile builds on AUBaseMedicationRequest.

This profile was published on 2023-04-14 04:02:01+0000 as a active by Australian Digital Health Agency.

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

- Differential Table
- Snapshot Table
- All

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUBaseMedicationRequest | A request for a medication for a patient in an Australian healthcare context
identifier | S | 0..* | Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier | External ids for this request
status | S | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
intent | S | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
category | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (extensible)
Slices for medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationCodeableConcept |  | 0..1 | CodeableConcept | Coded Prescribed Medication
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:pbs | S | 0..* | Coding | PBS Item Code
coding:amt | S | 0..* | Coding | AMT Medicines
medication[x]:medicationReference |  | 0..1 | Reference(ADHA Core Medication) | Prescribed Medication
subject | S C | 1..1 | Reference(ADHA Core Patient) | Who or group medication request is for inv-dh-medreq-01: At least reference or a valid identifier shall be present
encounter | S | 0..1 | Reference(ADHA Core Encounter) | Encounter created as part of encounter/admission/stay
authoredOn | S C | 1..1 | dateTime | Created date inv-dh-medreq-03: Date shall be at least to day
requester | S C | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who/What requested the Request inv-dh-medreq-02: At least reference or display or a valid identifier shall be present
reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication
note | S | 0..* | Annotation | Information about the prescription
dosageInstruction | S | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context
dispenseRequest | S | 0..1 | BackboneElement | Requested dispensing
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 | S | 0..1 | BackboneElement | Brand substitution details
allowed[x] | S | 1..1 | boolean, CodeableConcept | Brand substitution flag
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUBaseMedicationRequest | A request for a medication for a patient in an Australian healthcare context
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
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 | Coding | Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: https://healthterminologies.gov.au/fhir/ValueSet/concurrent-supply-grounds-1 (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S | 0..* | Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier | External ids for this request
status | ?!S Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason |  | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent | ?!S 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.
category | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (extensible)
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
reported[x] | Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) |
Slices for medication[x] | S Σ | 1..1 |  | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
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 | S 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 | S Σ | 0..* | Coding | AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (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
medication[x]:medicationReference | Σ | 0..1 | Reference(ADHA Core Medication) | Prescribed Medication
subject | S Σ C | 1..1 | Reference(ADHA Core Patient) | Who or group medication request is for inv-dh-medreq-01: At least reference or a valid identifier shall be present
encounter | S | 0..1 | Reference(ADHA Core 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 | S Σ C | 1..1 | dateTime | Created date inv-dh-medreq-03: Date shall be at least to day
requester | S Σ C | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who/What requested the Request inv-dh-medreq-02: At least reference or display or a valid identifier shall be present
performer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request
reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 (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 |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
note | S | 0..* | Annotation | Information about the prescription
dosageInstruction | S | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context
dispenseRequest | S | 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 |  | 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 | S | 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
allowed[x] | S | 1..1 |  | Brand substitution flag Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean |  |  | boolean |
allowedCodeableConcept |  |  | CodeableConcept |
reason |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (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
Documentation for this format

Differential View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUBaseMedicationRequest | A request for a medication for a patient in an Australian healthcare context
identifier | S | 0..* | Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier | External ids for this request
status | S | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
intent | S | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
category | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (extensible)
Slices for medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationCodeableConcept |  | 0..1 | CodeableConcept | Coded Prescribed Medication
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:pbs | S | 0..* | Coding | PBS Item Code
coding:amt | S | 0..* | Coding | AMT Medicines
medication[x]:medicationReference |  | 0..1 | Reference(ADHA Core Medication) | Prescribed Medication
subject | S C | 1..1 | Reference(ADHA Core Patient) | Who or group medication request is for inv-dh-medreq-01: At least reference or a valid identifier shall be present
encounter | S | 0..1 | Reference(ADHA Core Encounter) | Encounter created as part of encounter/admission/stay
authoredOn | S C | 1..1 | dateTime | Created date inv-dh-medreq-03: Date shall be at least to day
requester | S C | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who/What requested the Request inv-dh-medreq-02: At least reference or display or a valid identifier shall be present
reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication
note | S | 0..* | Annotation | Information about the prescription
dosageInstruction | S | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context
dispenseRequest | S | 0..1 | BackboneElement | Requested dispensing
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 | S | 0..1 | BackboneElement | Brand substitution details
allowed[x] | S | 1..1 | boolean, CodeableConcept | Brand substitution flag
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUBaseMedicationRequest | A request for a medication for a patient in an Australian healthcare context
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
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 | Coding | Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: https://healthterminologies.gov.au/fhir/ValueSet/concurrent-supply-grounds-1 (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S | 0..* | Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier | External ids for this request
status | ?!S Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason |  | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent | ?!S 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.
category | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (extensible)
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
reported[x] | Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) |
Slices for medication[x] | S Σ | 1..1 |  | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
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 | S 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 | S Σ | 0..* | Coding | AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (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
medication[x]:medicationReference | Σ | 0..1 | Reference(ADHA Core Medication) | Prescribed Medication
subject | S Σ C | 1..1 | Reference(ADHA Core Patient) | Who or group medication request is for inv-dh-medreq-01: At least reference or a valid identifier shall be present
encounter | S | 0..1 | Reference(ADHA Core 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 | S Σ C | 1..1 | dateTime | Created date inv-dh-medreq-03: Date shall be at least to day
requester | S Σ C | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who/What requested the Request inv-dh-medreq-02: At least reference or display or a valid identifier shall be present
performer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request
reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 (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 |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
note | S | 0..* | Annotation | Information about the prescription
dosageInstruction | S | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context
dispenseRequest | S | 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 |  | 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 | S | 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
allowed[x] | S | 1..1 |  | Brand substitution flag Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean |  |  | boolean |
allowedCodeableConcept |  |  | CodeableConcept |
reason |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (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
Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron

#### Terminology Bindings

Path | Conformance | ValueSet
MedicationRequest.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
MedicationRequest.status | required | medicationrequest Status
MedicationRequest.statusReason | example | medicationRequest Status Reason Codes
MedicationRequest.intent | required | medicationRequest Intent
MedicationRequest.category | extensible | medicationRequest Category Codes
MedicationRequest.priority | required | RequestPriority
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | preferred | PBSItemCodes
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gtin | preferred | GTIN
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | preferred | https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationRequest.medication[x]:medicationCodeableConcept.coding:mimsPackage | preferred | MIMS
MedicationRequest.performerType | example | ProcedurePerformerRoleCodes
MedicationRequest.reasonCode | preferred | https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason | preferred | https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

#### Search Parameters

None defined.