Australian CVD Risk Calculator
Iteration3 - ci-build

Australian CVD Risk Calculator - Local Development build (vIteration3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: CVD Risk Medication Request

Official URL: https://www.cvdcheck.org.au/fhir/StructureDefinition/CVDRiskMedicationRequest | Version: Iteration3
Draft as of 2025-05-19 | Computable Name: CVDRiskMedicationRequest
Copyright/Legal: Copyright © 2024+ National Heart Foundation of Australia - All rights reserved. This content is not available under an open source licence.

This profile sets the expectations for a MedicationRequest resource that can be used to populate cardiovascular disease medicine information used by the Aus CVD Risk-i application.

### Profile specific implementation guidance

This profile is derived from AU Core Medication Request.

It additionally requires medication information to be represented using the Australian Medicines Terminology (AMT). This is done either by supplying an AMT coding with `MedicationRequest.medicationCodeableConcept`, or reference a CVD Risk Medication resource with `MedicationRequest.medicationReference`.

Usage:

- Examples for this Resource Profile: MedicationRequest/CVDRisk-DS-AdamPopper-Antithrombotic-Med-Request, MedicationRequest/CVDRisk-DS-AdamPopper-BP-Lowering-Med-Request, MedicationRequest/CVDRisk-DS-AdamPopper-Insulin-Med-Request, MedicationRequest/CVDRisk-DS-AdamPopper-Lipid-Modifying-Med-Request... Show 2 more, MedicationRequest/irbesartan-code and MedicationRequest/irbesartan-reference
- CapabilityStatements using this Resource Profile: Aus CVD Risk Calculator Application and Aus CVD Risk Calculator Launch Server

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension |  |  |  | Content/Rules for all slices
extension: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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status | ?!SO 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. ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
intent | ?!SO 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. ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action ele-1: All FHIR elements must have a @value or children
Slices for medication[x] | SO Σ | 1..1 |  | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
ele-1: All FHIR elements must have a @value or children
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:pbs | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required) ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding:amt | SO Σ | 1..* | Coding | Code defined by a terminology system Binding: Australian Medication (required) ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
medication[x]:medicationReference | SO Σ | 0..1 | Reference(CVD Risk Medication) | Prescribed Medication ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
subject | SO Σ | 1..1 | Reference(AU Core Patient) | Who or group medication request is for ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
encounter | SO | 0..1 | Reference(AU Core Encounter) | Encounter created as part of encounter/admission/stay ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
Slices for supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
supportingInformation:bodyHeight |  | 0..1 | Reference(Observation Body Height Profile) | Observation of Body Height ele-1: All FHIR elements must have a @value or children
supportingInformation:bodyWeight |  | 0..1 | Reference(Observation Body Weight Profile) | Observation of Body Weight ele-1: All FHIR elements must have a @value or children
authoredOn | SO Σ C | 1..1 | dateTime | Created date ele-1: All FHIR elements must have a @value or children au-core-medreq-01: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
requester | SO Σ | 1..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who/What requested the Request ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
reasonCode | SO | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred) ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
reasonReference | SO | 0..* | Reference(AU Core Condition | Observation) | Condition or observation that supports why the prescription is being written ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
dosageInstruction | SO | 0..* | AUBaseDosage | How the medication should be taken ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationRequest.status | required | medicationrequest Status `http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1` from the FHIR Standard
MedicationRequest.intent | required | medicationRequest Intent `http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1` from the FHIR Standard
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.reasonCode | preferred | ReasonForRequest `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
au-core-medreq-01 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : $this.hasValue() implies (extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not() and $this.toString().length() >= 10) |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | MedicationRequest | If 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-4 | error | MedicationRequest | If 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-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from AUCoreMedicationRequest

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context
status | O | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Obligations | Actor
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application
SHALL:no-error | AU Core Requester
medication[x] | O | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken
Obligations | Actor
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application
SHALL:no-error | AU Core Requester
Slices for medication[x] |  |  |  | Content/Rules for all slices
medication[x]:medicationCodeableConcept |  | 0..1 | CodeableConcept | Coded Prescribed Medication
coding |  | 1..* | Coding | Code defined by a terminology system
Slices for coding |  |  |  | Content/Rules for all slices
coding:amt | O | 1..* | Coding | Code defined by a terminology system
Obligations | Actor
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application
SHALL:no-error | AU Core Requester
medication[x]:medicationReference | SO | 0..1 | Reference(CVD Risk Medication) | Prescribed Medication
Obligations | Actor
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application
SHALL:no-error | AU Core Requester
subject | O | 1..1 | Reference(AU Core Patient) | Who or group medication request is for
Obligations | Actor
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application
SHALL:no-error | AU Core Requester
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUCoreMedicationRequest | 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
extension: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 |  | 0..* | Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier | External ids for this request
status | ?!SO 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.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
statusReason |  | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent | ?!SO 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.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
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] | SO Σ | 1..1 |  | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:pbs | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension: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
coding:amt | SO Σ | 1..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension: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
medication[x]:medicationReference | SO Σ | 0..1 | Reference(CVD Risk Medication) | Prescribed Medication
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
subject | SO Σ | 1..1 | Reference(AU Core Patient) | Who or group medication request is for
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
encounter | SO | 0..1 | Reference(AU Core Encounter) | Encounter created as part of encounter/admission/stay
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
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 | SO Σ C | 1..1 | dateTime | Created date au-core-medreq-01: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
requester | SO Σ | 1..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who/What requested the Request
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
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 | SO | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
reasonReference | SO | 0..* | Reference(AU Core Condition | Observation) | Condition or observation that supports why the prescription is being written
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
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 | SO | 0..* | AUBaseDosage | How the medication should be taken
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
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): 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 | URI
MedicationRequest.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
MedicationRequest.status | required | medicationrequest Status `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 | medicationRequest Intent `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] | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir
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
au-core-medreq-01 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : $this.hasValue() implies (extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not() and $this.toString().length() >= 10) |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | MedicationRequest | If 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-4 | error | MedicationRequest | If 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-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from AUCoreMedicationRequest

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 1 element

Structures

This structure refers to these other structures:

- CVD Risk Medication (https://www.cvdcheck.org.au/fhir/StructureDefinition/CVDRiskMedication)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension |  |  |  | Content/Rules for all slices
extension: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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status | ?!SO 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. ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
intent | ?!SO 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. ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action ele-1: All FHIR elements must have a @value or children
Slices for medication[x] | SO Σ | 1..1 |  | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
ele-1: All FHIR elements must have a @value or children
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:pbs | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required) ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding:amt | SO Σ | 1..* | Coding | Code defined by a terminology system Binding: Australian Medication (required) ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
Slices for extension |  |  |  | Content/Rules for all slices
extension:medicationClass |  | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
medication[x]:medicationReference | SO Σ | 0..1 | Reference(CVD Risk Medication) | Prescribed Medication ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
subject | SO Σ | 1..1 | Reference(AU Core Patient) | Who or group medication request is for ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
encounter | SO | 0..1 | Reference(AU Core Encounter) | Encounter created as part of encounter/admission/stay ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
Slices for supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
supportingInformation:bodyHeight |  | 0..1 | Reference(Observation Body Height Profile) | Observation of Body Height ele-1: All FHIR elements must have a @value or children
supportingInformation:bodyWeight |  | 0..1 | Reference(Observation Body Weight Profile) | Observation of Body Weight ele-1: All FHIR elements must have a @value or children
authoredOn | SO Σ C | 1..1 | dateTime | Created date ele-1: All FHIR elements must have a @value or children au-core-medreq-01: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
requester | SO Σ | 1..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who/What requested the Request ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
reasonCode | SO | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred) ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
reasonReference | SO | 0..* | Reference(AU Core Condition | Observation) | Condition or observation that supports why the prescription is being written ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
dosageInstruction | SO | 0..* | AUBaseDosage | How the medication should be taken ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationRequest.status | required | medicationrequest Status `http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1` from the FHIR Standard
MedicationRequest.intent | required | medicationRequest Intent `http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1` from the FHIR Standard
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir
MedicationRequest.reasonCode | preferred | ReasonForRequest `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
au-core-medreq-01 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : $this.hasValue() implies (extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not() and $this.toString().length() >= 10) |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | MedicationRequest | If 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-4 | error | MedicationRequest | If 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-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Differential View

This structure is derived from AUCoreMedicationRequest

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context
status | O | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Obligations | Actor
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application
SHALL:no-error | AU Core Requester
medication[x] | O | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken
Obligations | Actor
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application
SHALL:no-error | AU Core Requester
Slices for medication[x] |  |  |  | Content/Rules for all slices
medication[x]:medicationCodeableConcept |  | 0..1 | CodeableConcept | Coded Prescribed Medication
coding |  | 1..* | Coding | Code defined by a terminology system
Slices for coding |  |  |  | Content/Rules for all slices
coding:amt | O | 1..* | Coding | Code defined by a terminology system
Obligations | Actor
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application
SHALL:no-error | AU Core Requester
medication[x]:medicationReference | SO | 0..1 | Reference(CVD Risk Medication) | Prescribed Medication
Obligations | Actor
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application
SHALL:no-error | AU Core Requester
subject | O | 1..1 | Reference(AU Core Patient) | Who or group medication request is for
Obligations | Actor
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application
SHALL:no-error | AU Core Requester
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | AUCoreMedicationRequest | 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
extension: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 |  | 0..* | Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier | External ids for this request
status | ?!SO 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.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
statusReason |  | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent | ?!SO 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.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
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] | SO Σ | 1..1 |  | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example)
Additional Bindings | Purpose
Australian Medication | Preferred
PBS Item Codes | Preferred
MIMS | Preferred
GTIN | Preferred
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:pbs | SO Σ | 0..* | Coding | Code defined by a terminology system Binding: PBS Item Codes (required)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension: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
coding:amt | SO Σ | 1..* | Coding | Code defined by a terminology system Binding: Australian Medication (required)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension: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
medication[x]:medicationReference | SO Σ | 0..1 | Reference(CVD Risk Medication) | Prescribed Medication
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
subject | SO Σ | 1..1 | Reference(AU Core Patient) | Who or group medication request is for
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
SHALL:populate-if-known & SHALL:process | AU Core Responder Aus CVD Risk Calculator Application |
SHALL:no-error | AU Core Requester |
encounter | SO | 0..1 | Reference(AU Core Encounter) | Encounter created as part of encounter/admission/stay
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
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 | SO Σ C | 1..1 | dateTime | Created date au-core-medreq-01: Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
requester | SO Σ | 1..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who/What requested the Request
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
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 | SO | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
reasonReference | SO | 0..* | Reference(AU Core Condition | Observation) | Condition or observation that supports why the prescription is being written
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
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 | SO | 0..* | AUBaseDosage | How the medication should be taken
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core MedicationRequest
SHALL:no-error | AU Core Requester | from AU Core MedicationRequest
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): 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 | URI
MedicationRequest.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
MedicationRequest.status | required | medicationrequest Status `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 | medicationRequest Intent `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] | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:pbs | required | PBSItemCodes `http://terminology.hl7.org.au/ValueSet/pbs-item`
MedicationRequest.medication[x]:medicationCodeableConcept.coding:amt | required | AustralianMedication `https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1` from https://tx.ontoserver.csiro.au/fhir
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
au-core-medreq-01 | error | MedicationRequest.authoredOn | Date shall be precise to the day or, if not available, the Data Absent Reason extension shall be present : $this.hasValue() implies (extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not() and $this.toString().length() >= 10) |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | MedicationRequest | If 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-4 | error | MedicationRequest | If 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-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from AUCoreMedicationRequest

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 1 element

Structures

This structure refers to these other structures:

- CVD Risk Medication (https://www.cvdcheck.org.au/fhir/StructureDefinition/CVDRiskMedication)

Other representations of profile: CSV, Excel, Schematron