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StructureDefinition: EPSB MedicationRequest 
The official URL for this profile is:
http://epsb.medicationknowledge.com.au/StructureDefinition/epsb-medicationrequest
An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.
This profile builds on AUBaseMedicationRequest.
This profile was published on Thu Feb 24 03:44:23 UTC 2022 as a draft by Medication Knowledge.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationRequest | 0..* | AUBaseMedicationRequest | Ordering of medication for patient or group | |
  id | Σ | 0..1 | string | 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) Max Binding: AllLanguages | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 subsidised-concurrent-supply | 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) | |
| creator-conformance-id | S | 0..* | string | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/creator-conformance-id |
| repeat-creator-conformance-id | S | 0..* | string | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/repeat-creator-conformance-id |
| original-repository-soft-unique-id | S | 0..* | string | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/original-repository-soft-unique-id |
| repository-soft-unique-id | S | 0..* | string | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/repository-soft-unique-id |
| etp-uri | S | 0..* | uri | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/etp-uri |
| quantity | 0..* | string | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/quantity | |
| item-generic-intention | 0..* | Coding | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/item-generic-intention Binding: Generic Intention - Brand or Generic (required) | |
| unusual-qty-flag | S | 0..* | boolean | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/unusual-qty-flag |
| schedule-number | S | 0..* | unsignedInt | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/schedule-number |
| is-extemp | S | 0..* | boolean | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/is-extemp |
| unlisted-item-repat-authority | S | 0..* | boolean | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/unlisted-item-repat-authority |
| private-prescription | S | 0..* | boolean | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/private-prescription |
| maximum-quantity-authorised | S | 0..* | unsignedInt | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/maximum-quantity-authorised |
| privacy-statement | S | 0..* | boolean | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/privacy-statement |
| is-emergency-supply | S | 0..* | boolean | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/is-emergency-supply |
| controlled-substance-reference | S | 0..* | string | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/controlled-substance-reference |
| unusual-dose-flag | S | 0..* | boolean | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/unusual-dose-flag |
| medchart-chart-type | S | 0..* | string | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/medchart-chart-type |
| medchart-chart-state | S | 0..* | string | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/medchart-chart-state |
| medchart-chart-start-date | S | 0..* | dateTime | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/medchart-chart-start-date |
| medchart-chart-end-date | S | 0..* | dateTime | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/medchart-chart-end-date |
| send-to-pharmacy | S | 0..* | boolean | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/send-to-pharmacy |
| upload-consent | S | 0..* | boolean | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/upload-consent |
| item-type | S | 0..* | string | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/item-type |
| item-frequency | S | 0..* | string | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/item-frequency |
| item-dose-times | S | 0..* | string | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/item-dose-times |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | S | 0..* | Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier, authorityScriptNumber, authorityApprovalNumber, ctgAnnotation, rtacId | External ids for this request |
| status | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required) |
| statusReason | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example) | |
| intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required) |
| category | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example) | |
| priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required) |
| 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) | |||
 medication[x] | Σ | 1..1 | (Slice Definition) | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example) |
 medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(Medication) | |||
 medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example) |
  id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| medchart-max-supply-permitted | S | 0..* | unsignedInt | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/medchart-max-supply-permitted |
| medchart-number-of-supplies-done | S | 0..* | unsignedInt | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/medchart-number-of-supplies-done |
| medchart-requires-prescription | S | 0..* | boolean | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/medchart-requires-prescription |
| myhr-consent | S | 0..* | boolean | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/myhr-consent |
| medchart-item-end-date | S | 0..* | dateTime | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/medchart-item-end-date |
| medchart-item-start-date | S | 0..* | dateTime | Extension URL: http://epsb.medicationknowledge.com.au/StructureDefinition/medchart-item-start-date |
 coding | Σ | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system |
 coding:pbs | Σ | 0..* | Coding | PBS Item Code Binding: PBS Item Codes (preferred) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
 userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| coding:gtin | Σ | 0..* | Coding | Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.gs1.org/gtin |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| coding:amt | Σ | 0..* | Coding | AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| medication-type | 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(Medication) | Prescribed Medication |
| subject | Σ | 1..1 | Reference(Patient | Group) | Who or group medication request is for |
| encounter | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | |
| supportingInformation | 0..* | (Slice Definition) | 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 | Σ | 0..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) |
| recorder | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |
| reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example) |
| 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 | SΣ | 0..* | Coding | Code defined by a terminology system |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | SΣ | 0..1 | uri | Identity of the terminology system |
| code | SΣ | 0..1 | code | Symbol in syntax defined by the system |
| text | SΣ | 0..1 | string | Plain text representation of the concept |
| 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) | |
| 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 | 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 | 0..1 | Period | Time period supply is authorized for | |
| numberOfRepeatsAllowed | 0..1 | unsignedInt | Maximum repeats authorised | |
| quantity | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | |
| 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) | ||
| 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 | ||||
| Resource Id | Description |
|---|
Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work
Terminology Bindings
| Path | Conformance | ValueSet |
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodes |
Constraints
| Id | Path | Details | Requirements |
Note: core invariants ele-1, ext1, dom-3, dom-4, dom-5 and dom-6 have been omitted for clarity.