My Health Record FHIR IG
1.2.0 - active

My Health Record FHIR IG - Local Development build (v1.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: ADHA PBS Claim Item

Official URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-medicationrequest-pbs-claim-1 | Version: 1.2.0
Active as of 2024-09-19 | Computable Name: ADHAMedicationRequestPBSClaim
Copyright/Legal: Copyright © 2022 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.

The purpose of this profile is to define a representation of the prescription item claimed in a claim against the Pharmaceutical Benefits Scheme (PBS) or Repatriation Pharmaceutical Benefits Scheme (RPBS) 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.

This profile is designed to set a MedicationRequest standard for:

- Recording or updating a prescription item in a PBS claim (ExplanationOfBenefit resource)
- Reading a prescription items in an RPBS claim (ExplanationOfBenefit resource)

Operations, including querying, on prescription items in PBS claims (MedicationRequest resources) are expected to be within the context of an ExplanationOfBenefit resource query.

#### Profile specific guidance

None.

Usage:

- Refer to this Resource Profile: ADHA Record of Claim against PBS or RPBS
- Examples for this Resource Profile: MedicationRequest/claim-pbs-01, MedicationRequest/claim-pbs-02 and MedicationRequest/mds

### Formal Views of Profile Content

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

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from AUBaseMedicationRequest

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUBaseMedicationRequest | PBS or RPBS claim item
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 Fixed Value: unknown
intent | S | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order
Slices for medication[x] |  |  |  | Content/Rules for all slices
medication[x]:medicationReference | S C | 1..1 | Reference(ADHA Core Medication) | Prescribed Medication inv-dh-pbs-03: At least reference shall be present
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
authoredOn | S | 1..1 | dateTime | Created date
dispenseRequest | S | 1..1 | BackboneElement | Requested dispensing
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Maximum repeats authorised
quantity | S | 1..1 | SimpleQuantity | Amount of medication to supply per dispense
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-medreq-01 | error | MedicationRequest.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-pbs-03 | error | MedicationRequest.medication[x]:medicationReference | At least reference shall be present : reference.exists() |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUBaseMedicationRequest | PBS or RPBS claim item
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
subsidisedConcurrentSupply |  | 0..1 | Coding | Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: Concurrent Supply Grounds (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. Fixed Value: unknown
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. Fixed Value: order
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
Slices for medication[x] | Σ | 1..1 | Reference() | Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference | S Σ C | 1..1 | Reference(ADHA Core Medication) | Prescribed Medication inv-dh-pbs-03: At least reference shall be present
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
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
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 | 1..1 | dateTime | Created date
dispenseRequest | S | 1..1 | BackboneElement | Requested dispensing
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Maximum repeats authorised
quantity | S | 1..1 | SimpleQuantity | Amount of medication to supply per dispense
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
MedicationRequest.status | required | Fixed Value: unknown `http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1` from the FHIR Standard
MedicationRequest.intent | required | Fixed Value: order `http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1` from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes
Additional Bindings | Purpose | Documentation
Australian Medication | Preferred | This value set is for use when AMT (Australian Medicines Terminology) codes are preferred.
PBS Item Codes | Preferred | This value set is for use when PBS (Pharmaceutical Benefits Scheme) item codes are preferred.
MIMS | Preferred | This value set is for use when MIMS (Monthly Index of Medical Specialties) codes are preferred.
GTIN | Preferred | This value set is for use when GTIN (Global Trade Item Number) codes are preferred.
`http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-medreq-01 | error | MedicationRequest.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-pbs-03 | error | MedicationRequest.medication[x]:medicationReference | At least reference shall be present : reference.exists() |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUBaseMedicationRequest | PBS or RPBS claim item
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: Concurrent Supply Grounds (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. Fixed Value: unknown
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. 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 | 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] | Σ | 1..1 | Reference() | Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference | S Σ C | 1..1 | Reference(ADHA Core Medication) | Prescribed Medication inv-dh-pbs-03: At least reference shall be present
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
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 | 0..1 | uri | Identity of the terminology system
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 | 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 |  | 0..1 | Reference(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 | 1..1 | dateTime | Created date
requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | 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 |  | 0..* | 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 |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
note |  | 0..* | Annotation | Information about the prescription
dosageInstruction |  | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context
dispenseRequest | S | 1..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 |  | 0..1 | Period | Time period supply is authorized for
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Maximum repeats authorised
quantity | S | 1..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
allowed[x] |  | 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: 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
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
MedicationRequest.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
MedicationRequest.status | required | Fixed Value: unknown `http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1` from the FHIR Standard
MedicationRequest.statusReason | example | medicationRequest Status Reason Codes `http://hl7.org/fhir/ValueSet/medicationrequest-status-reason` from the FHIR Standard
MedicationRequest.intent | required | Fixed Value: order `http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1` from the FHIR Standard
MedicationRequest.category | example | medicationRequest Category Codes `http://hl7.org/fhir/ValueSet/medicationrequest-category` from the FHIR Standard
MedicationRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes
Additional Bindings | Purpose | Documentation
Australian Medication | Preferred | This value set is for use when AMT (Australian Medicines Terminology) codes are preferred.
PBS Item Codes | Preferred | This value set is for use when PBS (Pharmaceutical Benefits Scheme) item codes are preferred.
MIMS | Preferred | This value set is for use when MIMS (Monthly Index of Medical Specialties) codes are preferred.
GTIN | Preferred | This value set is for use when GTIN (Global Trade Item Number) codes are preferred.
`http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationRequest.performerType | example | ProcedurePerformerRoleCodes `http://hl7.org/fhir/ValueSet/performer-role` from the FHIR Standard
MedicationRequest.reasonCode | preferred | ReasonForRequest `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1` from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes `http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy` from the FHIR Standard
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCode `http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode`
MedicationRequest.substitution.reason | preferred | MedicineSubstitutionReason `https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-medreq-01 | error | MedicationRequest.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-pbs-03 | error | MedicationRequest.medication[x]:medicationReference | At least reference shall be present : reference.exists() |

This structure is derived from AUBaseMedicationRequest

Summary

Mandatory: 4 elements
Must-Support: 9 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

- ADHA Core Medication (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-medication-core-1)
- ADHA Core Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1)

Differential View

This structure is derived from AUBaseMedicationRequest

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUBaseMedicationRequest | PBS or RPBS claim item
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 Fixed Value: unknown
intent | S | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order
Slices for medication[x] |  |  |  | Content/Rules for all slices
medication[x]:medicationReference | S C | 1..1 | Reference(ADHA Core Medication) | Prescribed Medication inv-dh-pbs-03: At least reference shall be present
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
authoredOn | S | 1..1 | dateTime | Created date
dispenseRequest | S | 1..1 | BackboneElement | Requested dispensing
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Maximum repeats authorised
quantity | S | 1..1 | SimpleQuantity | Amount of medication to supply per dispense
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-medreq-01 | error | MedicationRequest.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-pbs-03 | error | MedicationRequest.medication[x]:medicationReference | At least reference shall be present : reference.exists() |

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUBaseMedicationRequest | PBS or RPBS claim item
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
subsidisedConcurrentSupply |  | 0..1 | Coding | Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: Concurrent Supply Grounds (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. Fixed Value: unknown
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. Fixed Value: order
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
Slices for medication[x] | Σ | 1..1 | Reference() | Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference | S Σ C | 1..1 | Reference(ADHA Core Medication) | Prescribed Medication inv-dh-pbs-03: At least reference shall be present
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
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
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 | 1..1 | dateTime | Created date
dispenseRequest | S | 1..1 | BackboneElement | Requested dispensing
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Maximum repeats authorised
quantity | S | 1..1 | SimpleQuantity | Amount of medication to supply per dispense
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
MedicationRequest.status | required | Fixed Value: unknown `http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1` from the FHIR Standard
MedicationRequest.intent | required | Fixed Value: order `http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1` from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes
Additional Bindings | Purpose | Documentation
Australian Medication | Preferred | This value set is for use when AMT (Australian Medicines Terminology) codes are preferred.
PBS Item Codes | Preferred | This value set is for use when PBS (Pharmaceutical Benefits Scheme) item codes are preferred.
MIMS | Preferred | This value set is for use when MIMS (Monthly Index of Medical Specialties) codes are preferred.
GTIN | Preferred | This value set is for use when GTIN (Global Trade Item Number) codes are preferred.
`http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-medreq-01 | error | MedicationRequest.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-pbs-03 | error | MedicationRequest.medication[x]:medicationReference | At least reference shall be present : reference.exists() |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUBaseMedicationRequest | PBS or RPBS claim item
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: Concurrent Supply Grounds (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. Fixed Value: unknown
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. 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 | 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] | Σ | 1..1 | Reference() | Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference | S Σ C | 1..1 | Reference(ADHA Core Medication) | Prescribed Medication inv-dh-pbs-03: At least reference shall be present
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
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 | 0..1 | uri | Identity of the terminology system
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 | 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 |  | 0..1 | Reference(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 | 1..1 | dateTime | Created date
requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | 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 |  | 0..* | 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 |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
note |  | 0..* | Annotation | Information about the prescription
dosageInstruction |  | 0..* | AUBaseDosage | Dosage information in an Australian healthcare context
dispenseRequest | S | 1..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 |  | 0..1 | Period | Time period supply is authorized for
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Maximum repeats authorised
quantity | S | 1..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
allowed[x] |  | 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: 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
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
MedicationRequest.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
MedicationRequest.status | required | Fixed Value: unknown `http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1` from the FHIR Standard
MedicationRequest.statusReason | example | medicationRequest Status Reason Codes `http://hl7.org/fhir/ValueSet/medicationrequest-status-reason` from the FHIR Standard
MedicationRequest.intent | required | Fixed Value: order `http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1` from the FHIR Standard
MedicationRequest.category | example | medicationRequest Category Codes `http://hl7.org/fhir/ValueSet/medicationrequest-category` from the FHIR Standard
MedicationRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes
Additional Bindings | Purpose | Documentation
Australian Medication | Preferred | This value set is for use when AMT (Australian Medicines Terminology) codes are preferred.
PBS Item Codes | Preferred | This value set is for use when PBS (Pharmaceutical Benefits Scheme) item codes are preferred.
MIMS | Preferred | This value set is for use when MIMS (Monthly Index of Medical Specialties) codes are preferred.
GTIN | Preferred | This value set is for use when GTIN (Global Trade Item Number) codes are preferred.
`http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationRequest.performerType | example | ProcedurePerformerRoleCodes `http://hl7.org/fhir/ValueSet/performer-role` from the FHIR Standard
MedicationRequest.reasonCode | preferred | ReasonForRequest `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1` from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes `http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy` from the FHIR Standard
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCode `http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode`
MedicationRequest.substitution.reason | preferred | MedicineSubstitutionReason `https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-medreq-01 | error | MedicationRequest.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-pbs-03 | error | MedicationRequest.medication[x]:medicationReference | At least reference shall be present : reference.exists() |

This structure is derived from AUBaseMedicationRequest

Summary

Mandatory: 4 elements
Must-Support: 9 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

- ADHA Core Medication (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-medication-core-1)
- ADHA Core Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1)

Other representations of profile: CSV, Excel, Schematron