description: This profile defines a medication request structure including core localisation concepts for use as a prescription in an Australian context.
package_name: rs/hl7.fhir.au.base
derivation: constraint
name: AUBaseMedicationRequest
type: MedicationRequest
elements:
  substitution:
    short: Brand substitution details
    index: 53
    elements:
      allowed: {short: Brand substitution flag, index: 54}
  medication[x]:
    elements:
      coding:
        index: 33
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          - {path: code, type: value}
          min: null
          slices:
            pbs:
              match: {system: null, code: null}
              schema: {short: PBS Item Code, index: 34}
            gtin:
              match: {system: null, code: null}
              schema: {short: Medication Package Global Trade Item Number (GTIN), index: 35}
            amt:
              match: {system: null, code: null}
              schema:
                short: AMT Medicines
                index: 36
                extensions:
                  medicationClass:
                    url: h
                    type: Extension
                    short: Class of Medication Coding
                    index: 38
                    elements:
                      valueCoding:
                        pattern:
                          type: Coding
                          value: {code: BPG, system: 'http://hl7.org.au/fhir/CodeSystem/medication-type', display: Branded package with no container}
                        type: Coding
                        index: 39
                        slicing:
                          slices:
                            valueCoding:
                              match: {}
                              schema:
                                pattern:
                                  type: Coding
                                  value: {code: BPG, system: 'http://hl7.org.au/fhir/CodeSystem/medication-type', display: Branded package with no container}
                                type: Coding
                                index: 39
                elements:
                  extension:
                    index: 37
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: null
                      slices:
                        medicationClass:
                          match: {url: null}
                          schema:
                            type: Extension
                            short: Class of Medication Coding
                            url: h
                            index: 38
                            elements:
                              valueCoding:
                                pattern:
                                  type: Coding
                                  value: {code: BPG, system: 'http://hl7.org.au/fhir/CodeSystem/medication-type', display: Branded package with no container}
                                type: Coding
                                index: 39
                                slicing:
                                  slices:
                                    valueCoding:
                                      match: {}
                                      schema:
                                        pattern:
                                          type: Coding
                                          value: {code: BPG, system: 'http://hl7.org.au/fhir/CodeSystem/medication-type', display: Branded package with no container}
                                        type: Coding
                                        index: 39
            mimsPackage:
              match: {system: null, code: null}
              schema: {short: MIMS Package, index: 40}
              max: 1
      text: {short: Medication primary text, index: 41}
  dispenseRequest:
    short: Requested dispensing
    index: 51
    elements:
      numberOfRepeatsAllowed: {short: Maximum repeats authorised, index: 52}
  reasonCode: {index: 49}
  medicationCodeableConcept:
    type: CodeableConcept
    short: Coded Prescribed Medication
    constraint:
      inv-amt-tpuu: {human: AMT TPUU valueset membership required, severity: error, expression: 'coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''BPDSF'').exists() implies coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''BPDSF'').first().code in ''http://hl7.org.au/fhir/ValueSet/amt-tpuu-codes'''}
      inv-amt-tpp: {human: AMT TPU valueset membership required, severity: error, expression: 'coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''BPG'').exists() implies coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''BPG'').first().code in ''http://hl7.org.au/fhir/ValueSet/amt-tpp-codes'''}
      inv-amt-tp: {human: AMT TP valueset membership required, severity: error, expression: 'coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''BPD'').exists() implies coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''BPD'').first().code in ''http://hl7.org.au/fhir/ValueSet/amt-tp-codes'''}
      inv-amp-mpuu: {human: AMT MPUU valueset membership required, severity: error, expression: 'coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''UPDSF'').exists() implies coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''UPDSF'').first().code in ''http://hl7.org.au/fhir/ValueSet/amt-mpuu-codes'''}
      inv-amt-mpp: {human: AMT MPP valueset membership required, severity: error, expression: 'coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''UPG'').exists() implies coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''UPG'').first().code in ''http://hl7.org.au/fhir/ValueSet/amt-mpp-codes'''}
      inv-amt-mp: {human: AMT MP valueset membership required, severity: error, expression: 'coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''UPD'').exists() implies coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''UPD'').first().code in ''http://hl7.org.au/fhir/ValueSet/amt-mp-codes'''}
      inv-amt-ctpp: {human: AMT CTPP valueset membership required, severity: error, expression: 'coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''BPGC'').exists() implies coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''BPGC'').first().code in ''http://hl7.org.au/fhir/ValueSet/amt-ctpp-codes'''}
    choiceOf: medication
    index: 32
    slicing:
      slices:
        medicationCoded:
          match: {}
          schema:
            type: CodeableConcept
            short: Coded Prescribed Medication
            constraint:
              inv-amt-tpuu: {human: AMT TPUU valueset membership required, severity: error, expression: 'coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''BPDSF'').exists() implies coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''BPDSF'').first().code in ''http://hl7.org.au/fhir/ValueSet/amt-tpuu-codes'''}
              inv-amt-tpp: {human: AMT TPU valueset membership required, severity: error, expression: 'coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''BPG'').exists() implies coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''BPG'').first().code in ''http://hl7.org.au/fhir/ValueSet/amt-tpp-codes'''}
              inv-amt-tp: {human: AMT TP valueset membership required, severity: error, expression: 'coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''BPD'').exists() implies coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''BPD'').first().code in ''http://hl7.org.au/fhir/ValueSet/amt-tp-codes'''}
              inv-amp-mpuu: {human: AMT MPUU valueset membership required, severity: error, expression: 'coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''UPDSF'').exists() implies coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''UPDSF'').first().code in ''http://hl7.org.au/fhir/ValueSet/amt-mpuu-codes'''}
              inv-amt-mpp: {human: AMT MPP valueset membership required, severity: error, expression: 'coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''UPG'').exists() implies coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''UPG'').first().code in ''http://hl7.org.au/fhir/ValueSet/amt-mpp-codes'''}
              inv-amt-mp: {human: AMT MP valueset membership required, severity: error, expression: 'coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''UPD'').exists() implies coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''UPD'').first().code in ''http://hl7.org.au/fhir/ValueSet/amt-mp-codes'''}
              inv-amt-ctpp: {human: AMT CTPP valueset membership required, severity: error, expression: 'coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''BPGC'').exists() implies coding.where(system=''http://snomed.info/sct'' and extention.where(url=''http://hl7.org.au/fhir/CodeSystem/medication-type'').valueCoding=''BPGC'').first().code in ''http://hl7.org.au/fhir/ValueSet/amt-ctpp-codes'''}
            choiceOf: medication
            index: 32
  authoredOn: {short: Created date, index: 48}
  extension:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        groundsForConcurrentSupply:
          match: {url: null}
          schema: {type: Extension, short: Grounds for Concurrent Supply of Medication, url: h, index: 1}
          max: 1
        minimumIntervalBetweenRepeats:
          match: {url: null}
          schema: {type: Extension, short: Minimum Interval Between Repeats, url: h, index: 2}
        brandName:
          match: {url: null}
          schema: {type: Extension, short: Medication Brand Name, url: h, index: 3}
        genericName:
          match: {url: null}
          schema: {type: Extension, short: Medication Generic Drug Name, url: h, index: 4}
  supportingInformation:
    index: 45
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: resolve(), type: profile}
      min: null
      slices:
        bodyHeight:
          match: {}
          schema:
            type: Reference
            short: Observation of Body Height
            refers: ['http://hl7.org.au/fhir/StructureDefinition/au-bodyheight']
            index: 46
          max: 1
        bodyWeight:
          match: {}
          schema:
            type: Reference
            short: Observation of Body Weight
            refers: ['http://hl7.org.au/fhir/StructureDefinition/au-bodyweight']
            index: 47
          max: 1
  dosageInstruction: {type: Dosage, index: 50}
  identifier:
    index: 5
    slicing:
      rules: open
      discriminator:
      - {path: system, type: value}
      - {path: type, type: value}
      min: null
      slices:
        etpVendorIdentifier:
          match: {system: null, type: null}
          schema:
            short: Electronic Transfer of Prescription Supplier Identifier
            index: 6
            elements:
              type:
                index: 7
                elements:
                  coding:
                    index: 8
                    elements:
                      system:
                        pattern: {type: uri, value: 'http://hl7.org.au/fhir/v2/0203'}
                        type: uri
                        index: 9
                      code:
                        pattern: {type: code, value: ETP}
                        type: code
                        index: 10
                    required: [code, system]
                  text:
                    pattern: {type: string, value: ETP Identifier}
                    type: string
                    index: 11
                required: [coding, text]
              system: {short: ETP vendor identifier system URL, index: 12}
              value: {short: ETP vendor identifier, index: 13}
              assigner:
                short: ETP vendor
                index: 14
                elements:
                  display: {short: ETP vendor name, index: 15}
                required: [display]
            required: [assigner, system, type, value]
        localScriptNumber:
          match: {system: null, type: null}
          schema:
            short: Local Prescription Number
            index: 16
            elements:
              type:
                short: Coded identifier type for local prescription number
                index: 17
                elements:
                  coding:
                    index: 18
                    elements:
                      system:
                        pattern: {type: uri, value: 'http://hl7.org.au/fhir/v2/0203'}
                        type: uri
                        index: 19
                      code:
                        pattern: {type: code, value: LPN}
                        type: code
                        index: 20
                    required: [code, system]
                  text:
                    pattern: {type: string, value: Local Prescription Number}
                    type: string
                    index: 21
                required: [coding, text]
              system: {short: Namespace for local prescription number, index: 22}
              value: {short: Prescription number, index: 23}
              assigner:
                index: 24
                elements:
                  display: {index: 25}
                required: [display]
            required: [assigner, system, type, value]
  medicationReference:
    type: Reference
    short: Prescribed Medication
    choiceOf: medication
    refers: ['http://hl7.org.au/fhir/StructureDefinition/au-medication']
    index: 44
    slicing:
      slices:
        medicationReference:
          match: {}
          schema:
            type: Reference
            short: Prescribed Medication
            choiceOf: medication
            refers: ['http://hl7.org.au/fhir/StructureDefinition/au-medication']
            index: 44
  medication:
    short: Prescribed Medication
    choices: [medicationReference]
    index: 43
    slicing:
      slices:
        medicationReference:
          match: {}
          schema:
            short: Prescribed Medication
            choices: [medicationReference]
            index: 43
package_version: 1.0.2
extensions:
  groundsForConcurrentSupply: {url: h, max: 1, type: Extension, short: Grounds for Concurrent Supply of Medication, index: 1}
  minimumIntervalBetweenRepeats: {url: h, type: Extension, short: Minimum Interval Between Repeats, index: 2}
  brandName: {url: h, type: Extension, short: Medication Brand Name, index: 3}
  genericName: {url: h, type: Extension, short: Medication Generic Drug Name, index: 4}
class: profile
kind: resource
url: http://hl7.org.au/fhir/StructureDefinition/au-medicationrequest
base: http://hl7.org/fhir/StructureDefinition/MedicationRequest
version: 1.0.1