Medtech ALEX® Implementation Guide - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Examples
• JSON

Resource Profile: Repeat Prescription Post Bundle

The Bundle payload for post of Repeat Prescription

Usage:

• Examples for this Resource Profile: Bundle/repeat-prescription-post-bundle-example

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
Bundle	C	0..*	Bundle	Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource
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
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. ele-1: All FHIR elements must have a @value or children Required Pattern: transaction
Slices for entry	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Closed by type:resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference ele-1: All FHIR elements must have a @value or children This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
entry:repeatprescription	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference ele-1: All FHIR elements must have a @value or children This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
resource		0..1	AlexRepeatPrescription	A request for a medication for a patient in an Australian healthcare context
id	SΣ	1..1	id	The ID of the existing medication to be repeated.
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
longTerm		0..1	boolean	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-long-term ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
scheme		0..1	Coding	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-scheme Binding: Medication Scheme (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
unusualDose		0..1	boolean	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-unusual-dose ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
regulation24		0..1	boolean	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-regulation-24 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
approvedNumber		0..1	string	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-approved-number ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
authorityNumber		0..1	string	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-authority-number 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	?!SΣ	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 Required Pattern: active
intent	?!SΣ	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 Required Pattern: order
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]	Σ	1..1	CodeableConcept	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
medication[x]:medicationReference	SΣ	0..1	Reference(Medication)	Prescribed Medication ele-1: All FHIR elements must have a @value or children
medication[x]:medicationCodeableConcept	SΣ	1..1	CodeableConcept	Coded Prescribed Medication 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
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:mimsPackage	Σ	1..1	Coding	MIMS Package Binding: MIMS (preferred) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://www.mims.com.au/codes
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Medication primary text ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Patient | Group)	Who or group medication request is for ele-1: All FHIR elements must have a @value or children
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	SΣ	1..1	dateTime	Created date ele-1: All FHIR elements must have a @value or children
requester	SΣ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/What requested the Request ele-1: All FHIR elements must have a @value or children
note		0..*	Annotation	Information about the prescription ele-1: All FHIR elements must have a @value or children
text	SΣC	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children medication-request-note-length: Note - text size validation
dosageInstruction	SC	0..*	AUBaseDosage	Dosage information in an Australian healthcare context ele-1: All FHIR elements must have a @value or children dosage-instruction-text-length: Dosage instruction - text size validation
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG ele-1: All FHIR elements must have a @value or children
patientInstruction	SΣC	0..1	string	Patient or consumer oriented instructions ele-1: All FHIR elements must have a @value or children patient-instruction-length: Dosage instruction - patient instruction size validation
timing	SΣ	0..1	Timing	Since daily frequency is user defineable in PMS, it may contain other code defined with Medtech extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: Daily Frequency Value Set for Dosage (extensible) ele-1: All FHIR elements must have a @value or children
doseAndRate	SΣ	0..*	Element	Amount of medication administered ele-1: All FHIR elements must have a @value or children
dispenseRequest	S	0..1	BackboneElement	Requested dispensing ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
numberOfRepeatsAllowed	S	0..1	unsignedInt	Maximum repeats authorised ele-1: All FHIR elements must have a @value or children
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense ele-1: All FHIR elements must have a @value or children
value	SΣ	0..1	decimal	Numerical value (with implicit precision) ele-1: All FHIR elements must have a @value or children
unit	SΣ	0..1	string	Unit representation ele-1: All FHIR elements must have a @value or children
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense ele-1: All FHIR elements must have a @value or children
value	SΣ	0..1	decimal	Numerical value (with implicit precision) ele-1: All FHIR elements must have a @value or children
unit	SΣ	0..1	string	Unit representation ele-1: All FHIR elements must have a @value or children
system	SΣC	0..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children Required Pattern: http://unitsofmeasure.org
substitution		0..1	BackboneElement	Brand substitution details ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for allowed[x]		1..1		Brand substitution flag Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. ele-1: All FHIR elements must have a @value or children
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
allowed[x]:allowedBoolean	S	0..1	boolean	Brand substitution flag ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.type	required	Pattern: transaction http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Bundle.entry:repeatprescription.resource.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Bundle.entry:repeatprescription.resource.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS http://terminology.hl7.org.au/ValueSet/mims
Bundle.entry:repeatprescription.resource.dosageInstruction.timing.code	extensible	DailyFrequency https://alexapi.medtechglobal.com.au/fhir/ValueSet/daily-frequency from this IG
Bundle.entry:repeatprescription.resource.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Constraints

Id	Grade	Path(s)	Details	Requirements
bdl-1	error	Bundle	total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search : entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:repeatprescription	must be a resource unless there's a request or response : resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) : (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:repeatprescription	fullUrl cannot be a version specific reference : fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value : type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date : type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource : type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource : type = 'message' implies entry.first().resource.is(MessageHeader)
dosage-instruction-text-length	error	Bundle.entry:repeatprescription.resource.dosageInstruction	Dosage instruction - text size validation : text.length() <= 200
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()
medication-request-note-length	error	Bundle.entry:repeatprescription.resource.note.text	Note - text size validation : value.exists().not() or value.length() <= 256
patient-instruction-length	error	Bundle.entry:repeatprescription.resource.dosageInstruction.patientInstruction	Dosage instruction - patient instruction size validation : value.exists().not() or value.length() <= 32

This structure is derived from Bundle

Name	Flags	Card.	Type	Description & Constraints
Bundle		0..*	Bundle	Contains a collection of resources
meta
tag		0..*	Coding	Tags applied to this resource Binding: Writeback Action Type Value Set (required)
type		1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: transaction
Slices for entry		0..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Closed by type:resource
entry:repeatprescription		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		0..1	AlexRepeatPrescription	A request for a medication for a patient in an Australian healthcare context
meta
tag		0..0
request
method		1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Required Pattern: PUT
url		1..1	uri	URL for HTTP equivalent of this entry Required Pattern: MedicationRequest
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Bundle.meta.tag	required	WritebackActionType (a valid code from Writeback Action Type CodeSystem) https://alexapi.medtechglobal.com.au/fhir/ValueSet/writeback-action-type from this IG

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	Bundle	Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: Writeback Action Type Value Set (required)
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
identifier	Σ	0..1	Identifier	Persistent identifier for the bundle
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: transaction
timestamp	Σ	0..1	instant	When the bundle was assembled
total	ΣC	0..1	unsignedInt	If search, the total number of matches
link	Σ	0..*	BackboneElement	Links related to this Bundle
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
relation	Σ	1..1	string	See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
url	Σ	1..1	uri	Reference details for the link
Slices for entry	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Closed by type:resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
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
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	0..1	Resource	A resource in the bundle
search	ΣC	0..1	BackboneElement	Search related information
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
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
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
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
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
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:repeatprescription	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
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
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		0..1	AlexRepeatPrescription	A request for a medication for a patient in an Australian healthcare context
id	SΣ	1..1	id	The ID of the existing medication to be repeated.
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: Definition of Confidentiality Value Set (required)
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
longTerm		0..1	boolean	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-long-term
scheme		0..1	Coding	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-scheme Binding: Medication Scheme (required)
unusualDose		0..1	boolean	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-unusual-dose
regulation24		0..1	boolean	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-regulation-24
approvedNumber		0..1	string	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-approved-number
authorityNumber		0..1	string	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-authority-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier	External ids for this request
status	?!SΣ	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. Required Pattern: active
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!SΣ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order
category		0..*	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: Priority for Medication Request (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)
Slices for medication[x]	Σ	1..1	CodeableConcept	Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medication[x]:medicationReference	SΣ	0..1	Reference(Medication)	Prescribed Medication
medication[x]:medicationCodeableConcept	SΣ	1..1	CodeableConcept	Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:mimsPackage	Σ	1..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	SΣ	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	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Medication primary text
subject	SΣ	1..1	Reference(Patient | Group)	Who or group medication request is for
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Reference to Patient resource
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	External Name of Patient
encounter		0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay
Slices for supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication Slice: Unordered, Open by profile:resolve()
supportingInformation:bodyHeight		0..1	Reference(Observation Body Height Profile)	Observation of Body Height
supportingInformation:bodyWeight		0..1	Reference(Observation Body Weight Profile)	Observation of Body Weight
authoredOn	SΣ	1..1	dateTime	Created date
requester	SΣ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/What requested the Request
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred)
reasonReference		0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
note		0..*	Annotation	Information about the prescription
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣC	1..1	markdown	The annotation - text content (as markdown) medication-request-note-length: Note - text size validation
dosageInstruction	SC	0..*	AUBaseDosage	Dosage information in an Australian healthcare context dosage-instruction-text-length: Dosage instruction - text size validation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
patientInstruction	SΣC	0..1	string	Patient or consumer oriented instructions patient-instruction-length: Dosage instruction - patient instruction size validation
timing	SΣ	0..1	Timing	Since daily frequency is user defineable in PMS, it may contain other code defined with Medtech extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: Daily Frequency Value Set for Dosage (extensible)
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: Clinical Finding (preferred)
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: Body Site (preferred)
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: Route of Administration (required)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
doseAndRate	SΣ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
dispenseRequest	S	0..1	BackboneElement	Requested dispensing
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
numberOfRepeatsAllowed	S	0..1	unsignedInt	Maximum repeats authorised
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Binding: Duration (required)
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
Slices for allowed[x]		1..1		Brand substitution flag Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
allowed[x]:allowedBoolean	S	0..1	boolean	Brand substitution flag
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
search	ΣC	0..1	BackboneElement	Search related information
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
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
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
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: PUT
url	Σ	1..1	uri	URL for HTTP equivalent of this entry Required Pattern: MedicationRequest
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
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
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
signature	Σ	0..1	Signature	Digital Signature
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Bundle.meta.tag	required	WritebackActionType (a valid code from Writeback Action Type CodeSystem) https://alexapi.medtechglobal.com.au/fhir/ValueSet/writeback-action-type from this IG
Bundle.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Bundle.type	required	Pattern: transaction http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard
Bundle.entry.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.meta.security	required	ConfidentialityVS https://alexapi.medtechglobal.com.au/fhir/ValueSet/confidentiality from this IG
Bundle.entry:repeatprescription.resource.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Bundle.entry:repeatprescription.resource.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
Bundle.entry:repeatprescription.resource.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
Bundle.entry:repeatprescription.resource.priority	required	MedicationRequestPriorityVS https://alexapi.medtechglobal.com.au/fhir/ValueSet/request-priority from this IG
Bundle.entry:repeatprescription.resource.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Bundle.entry:repeatprescription.resource.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Bundle.entry:repeatprescription.resource.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS http://terminology.hl7.org.au/ValueSet/mims
Bundle.entry:repeatprescription.resource.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Bundle.entry:repeatprescription.resource.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Bundle.entry:repeatprescription.resource.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from this IG
Bundle.entry:repeatprescription.resource.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
Bundle.entry:repeatprescription.resource.dosageInstruction.additionalInstruction	preferred	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
Bundle.entry:repeatprescription.resource.dosageInstruction.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.dosageInstruction.timing.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.dosageInstruction.timing.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.dosageInstruction.timing.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.dosageInstruction.timing.code	extensible	DailyFrequency https://alexapi.medtechglobal.com.au/fhir/ValueSet/daily-frequency from this IG
Bundle.entry:repeatprescription.resource.dosageInstruction.asNeeded[x]	preferred	ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 from https://tx.ontoserver.csiro.au/fhir
Bundle.entry:repeatprescription.resource.dosageInstruction.site	preferred	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir
Bundle.entry:repeatprescription.resource.dosageInstruction.route	required	RouteOfAdministration https://alexapi.medtechglobal.com.au/fhir/ValueSet/route-of-administration from this IG
Bundle.entry:repeatprescription.resource.dosageInstruction.method	preferred	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
Bundle.entry:repeatprescription.resource.dosageInstruction.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard
Bundle.entry:repeatprescription.resource.dispenseRequest.expectedSupplyDuration.code	required	Duration https://alexapi.medtechglobal.com.au/fhir/ValueSet/duration from this IG
Bundle.entry:repeatprescription.resource.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
Bundle.entry:repeatprescription.resource.substitution.reason	preferred	MedicineSubstitutionReason https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 from this IG
Bundle.entry:repeatprescription.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.request.method	required	Pattern: PUT http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdl-1	error	Bundle	total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search : entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:repeatprescription	must be a resource unless there's a request or response : resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) : (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:repeatprescription	fullUrl cannot be a version specific reference : fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value : type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date : type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource : type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource : type = 'message' implies entry.first().resource.is(MessageHeader)
dosage-instruction-text-length	error	Bundle.entry:repeatprescription.resource.dosageInstruction	Dosage instruction - text size validation : text.length() <= 200
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()
medication-request-note-length	error	Bundle.entry:repeatprescription.resource.note.text	Note - text size validation : value.exists().not() or value.length() <= 256
patient-instruction-length	error	Bundle.entry:repeatprescription.resource.dosageInstruction.patientInstruction	Dosage instruction - patient instruction size validation : value.exists().not() or value.length() <= 32

This structure is derived from Bundle

Summary

Prohibited: 1 element

Structures

This structure refers to these other structures:

• Repeat Prescription Profile (https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/alex-repeatprescription)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Bundle.entry (Closed)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	Bundle	Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource
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
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. ele-1: All FHIR elements must have a @value or children Required Pattern: transaction
Slices for entry	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Closed by type:resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference ele-1: All FHIR elements must have a @value or children This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
entry:repeatprescription	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference ele-1: All FHIR elements must have a @value or children This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
resource		0..1	AlexRepeatPrescription	A request for a medication for a patient in an Australian healthcare context
id	SΣ	1..1	id	The ID of the existing medication to be repeated.
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
longTerm		0..1	boolean	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-long-term ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
scheme		0..1	Coding	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-scheme Binding: Medication Scheme (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
unusualDose		0..1	boolean	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-unusual-dose ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
regulation24		0..1	boolean	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-regulation-24 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
approvedNumber		0..1	string	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-approved-number ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
authorityNumber		0..1	string	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-authority-number 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	?!SΣ	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 Required Pattern: active
intent	?!SΣ	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 Required Pattern: order
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]	Σ	1..1	CodeableConcept	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
medication[x]:medicationReference	SΣ	0..1	Reference(Medication)	Prescribed Medication ele-1: All FHIR elements must have a @value or children
medication[x]:medicationCodeableConcept	SΣ	1..1	CodeableConcept	Coded Prescribed Medication 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
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:mimsPackage	Σ	1..1	Coding	MIMS Package Binding: MIMS (preferred) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://www.mims.com.au/codes
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Medication primary text ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Patient | Group)	Who or group medication request is for ele-1: All FHIR elements must have a @value or children
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	SΣ	1..1	dateTime	Created date ele-1: All FHIR elements must have a @value or children
requester	SΣ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/What requested the Request ele-1: All FHIR elements must have a @value or children
note		0..*	Annotation	Information about the prescription ele-1: All FHIR elements must have a @value or children
text	SΣC	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children medication-request-note-length: Note - text size validation
dosageInstruction	SC	0..*	AUBaseDosage	Dosage information in an Australian healthcare context ele-1: All FHIR elements must have a @value or children dosage-instruction-text-length: Dosage instruction - text size validation
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG ele-1: All FHIR elements must have a @value or children
patientInstruction	SΣC	0..1	string	Patient or consumer oriented instructions ele-1: All FHIR elements must have a @value or children patient-instruction-length: Dosage instruction - patient instruction size validation
timing	SΣ	0..1	Timing	Since daily frequency is user defineable in PMS, it may contain other code defined with Medtech extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: Daily Frequency Value Set for Dosage (extensible) ele-1: All FHIR elements must have a @value or children
doseAndRate	SΣ	0..*	Element	Amount of medication administered ele-1: All FHIR elements must have a @value or children
dispenseRequest	S	0..1	BackboneElement	Requested dispensing ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
numberOfRepeatsAllowed	S	0..1	unsignedInt	Maximum repeats authorised ele-1: All FHIR elements must have a @value or children
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense ele-1: All FHIR elements must have a @value or children
value	SΣ	0..1	decimal	Numerical value (with implicit precision) ele-1: All FHIR elements must have a @value or children
unit	SΣ	0..1	string	Unit representation ele-1: All FHIR elements must have a @value or children
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense ele-1: All FHIR elements must have a @value or children
value	SΣ	0..1	decimal	Numerical value (with implicit precision) ele-1: All FHIR elements must have a @value or children
unit	SΣ	0..1	string	Unit representation ele-1: All FHIR elements must have a @value or children
system	SΣC	0..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children Required Pattern: http://unitsofmeasure.org
substitution		0..1	BackboneElement	Brand substitution details ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for allowed[x]		1..1		Brand substitution flag Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. ele-1: All FHIR elements must have a @value or children
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
allowed[x]:allowedBoolean	S	0..1	boolean	Brand substitution flag ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.type	required	Pattern: transaction http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Bundle.entry:repeatprescription.resource.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Bundle.entry:repeatprescription.resource.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS http://terminology.hl7.org.au/ValueSet/mims
Bundle.entry:repeatprescription.resource.dosageInstruction.timing.code	extensible	DailyFrequency https://alexapi.medtechglobal.com.au/fhir/ValueSet/daily-frequency from this IG
Bundle.entry:repeatprescription.resource.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Constraints

Id	Grade	Path(s)	Details	Requirements
bdl-1	error	Bundle	total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search : entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:repeatprescription	must be a resource unless there's a request or response : resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) : (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:repeatprescription	fullUrl cannot be a version specific reference : fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value : type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date : type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource : type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource : type = 'message' implies entry.first().resource.is(MessageHeader)
dosage-instruction-text-length	error	Bundle.entry:repeatprescription.resource.dosageInstruction	Dosage instruction - text size validation : text.length() <= 200
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()
medication-request-note-length	error	Bundle.entry:repeatprescription.resource.note.text	Note - text size validation : value.exists().not() or value.length() <= 256
patient-instruction-length	error	Bundle.entry:repeatprescription.resource.dosageInstruction.patientInstruction	Dosage instruction - patient instruction size validation : value.exists().not() or value.length() <= 32

Differential View

This structure is derived from Bundle

Name	Flags	Card.	Type	Description & Constraints
Bundle		0..*	Bundle	Contains a collection of resources
meta
tag		0..*	Coding	Tags applied to this resource Binding: Writeback Action Type Value Set (required)
type		1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: transaction
Slices for entry		0..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Closed by type:resource
entry:repeatprescription		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		0..1	AlexRepeatPrescription	A request for a medication for a patient in an Australian healthcare context
meta
tag		0..0
request
method		1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Required Pattern: PUT
url		1..1	uri	URL for HTTP equivalent of this entry Required Pattern: MedicationRequest
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Bundle.meta.tag	required	WritebackActionType (a valid code from Writeback Action Type CodeSystem) https://alexapi.medtechglobal.com.au/fhir/ValueSet/writeback-action-type from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	Bundle	Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: Writeback Action Type Value Set (required)
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
identifier	Σ	0..1	Identifier	Persistent identifier for the bundle
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: transaction
timestamp	Σ	0..1	instant	When the bundle was assembled
total	ΣC	0..1	unsignedInt	If search, the total number of matches
link	Σ	0..*	BackboneElement	Links related to this Bundle
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
relation	Σ	1..1	string	See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
url	Σ	1..1	uri	Reference details for the link
Slices for entry	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Closed by type:resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
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
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	0..1	Resource	A resource in the bundle
search	ΣC	0..1	BackboneElement	Search related information
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
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
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
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
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
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:repeatprescription	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
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
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		0..1	AlexRepeatPrescription	A request for a medication for a patient in an Australian healthcare context
id	SΣ	1..1	id	The ID of the existing medication to be repeated.
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: Definition of Confidentiality Value Set (required)
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
longTerm		0..1	boolean	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-long-term
scheme		0..1	Coding	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-scheme Binding: Medication Scheme (required)
unusualDose		0..1	boolean	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-unusual-dose
regulation24		0..1	boolean	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-regulation-24
approvedNumber		0..1	string	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-approved-number
authorityNumber		0..1	string	Extension URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/medication-authority-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier, AUETPPrescriptionIdentifier, AULocalPrescriptionIdentifier	External ids for this request
status	?!SΣ	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. Required Pattern: active
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!SΣ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order
category		0..*	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: Priority for Medication Request (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)
Slices for medication[x]	Σ	1..1	CodeableConcept	Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medication[x]:medicationReference	SΣ	0..1	Reference(Medication)	Prescribed Medication
medication[x]:medicationCodeableConcept	SΣ	1..1	CodeableConcept	Coded Prescribed Medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:mimsPackage	Σ	1..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	SΣ	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	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Medication primary text
subject	SΣ	1..1	Reference(Patient | Group)	Who or group medication request is for
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Reference to Patient resource
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	External Name of Patient
encounter		0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay
Slices for supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication Slice: Unordered, Open by profile:resolve()
supportingInformation:bodyHeight		0..1	Reference(Observation Body Height Profile)	Observation of Body Height
supportingInformation:bodyWeight		0..1	Reference(Observation Body Weight Profile)	Observation of Body Weight
authoredOn	SΣ	1..1	dateTime	Created date
requester	SΣ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/What requested the Request
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Reason for Request (preferred)
reasonReference		0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
note		0..*	Annotation	Information about the prescription
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣC	1..1	markdown	The annotation - text content (as markdown) medication-request-note-length: Note - text size validation
dosageInstruction	SC	0..*	AUBaseDosage	Dosage information in an Australian healthcare context dosage-instruction-text-length: Dosage instruction - text size validation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
patientInstruction	SΣC	0..1	string	Patient or consumer oriented instructions patient-instruction-length: Dosage instruction - patient instruction size validation
timing	SΣ	0..1	Timing	Since daily frequency is user defineable in PMS, it may contain other code defined with Medtech extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: Daily Frequency Value Set for Dosage (extensible)
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: Clinical Finding (preferred)
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: Body Site (preferred)
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: Route of Administration (required)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
doseAndRate	SΣ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
dispenseRequest	S	0..1	BackboneElement	Requested dispensing
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
numberOfRepeatsAllowed	S	0..1	unsignedInt	Maximum repeats authorised
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Binding: Duration (required)
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
Slices for allowed[x]		1..1		Brand substitution flag Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
allowed[x]:allowedBoolean	S	0..1	boolean	Brand substitution flag
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
search	ΣC	0..1	BackboneElement	Search related information
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
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
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
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: PUT
url	Σ	1..1	uri	URL for HTTP equivalent of this entry Required Pattern: MedicationRequest
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
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
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
signature	Σ	0..1	Signature	Digital Signature
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Bundle.meta.tag	required	WritebackActionType (a valid code from Writeback Action Type CodeSystem) https://alexapi.medtechglobal.com.au/fhir/ValueSet/writeback-action-type from this IG
Bundle.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Bundle.type	required	Pattern: transaction http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard
Bundle.entry.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.meta.security	required	ConfidentialityVS https://alexapi.medtechglobal.com.au/fhir/ValueSet/confidentiality from this IG
Bundle.entry:repeatprescription.resource.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Bundle.entry:repeatprescription.resource.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
Bundle.entry:repeatprescription.resource.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
Bundle.entry:repeatprescription.resource.priority	required	MedicationRequestPriorityVS https://alexapi.medtechglobal.com.au/fhir/ValueSet/request-priority from this IG
Bundle.entry:repeatprescription.resource.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Bundle.entry:repeatprescription.resource.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Bundle.entry:repeatprescription.resource.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS http://terminology.hl7.org.au/ValueSet/mims
Bundle.entry:repeatprescription.resource.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Bundle.entry:repeatprescription.resource.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Bundle.entry:repeatprescription.resource.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from this IG
Bundle.entry:repeatprescription.resource.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
Bundle.entry:repeatprescription.resource.dosageInstruction.additionalInstruction	preferred	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
Bundle.entry:repeatprescription.resource.dosageInstruction.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.dosageInstruction.timing.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.dosageInstruction.timing.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.dosageInstruction.timing.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.resource.dosageInstruction.timing.code	extensible	DailyFrequency https://alexapi.medtechglobal.com.au/fhir/ValueSet/daily-frequency from this IG
Bundle.entry:repeatprescription.resource.dosageInstruction.asNeeded[x]	preferred	ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 from https://tx.ontoserver.csiro.au/fhir
Bundle.entry:repeatprescription.resource.dosageInstruction.site	preferred	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir
Bundle.entry:repeatprescription.resource.dosageInstruction.route	required	RouteOfAdministration https://alexapi.medtechglobal.com.au/fhir/ValueSet/route-of-administration from this IG
Bundle.entry:repeatprescription.resource.dosageInstruction.method	preferred	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
Bundle.entry:repeatprescription.resource.dosageInstruction.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard
Bundle.entry:repeatprescription.resource.dispenseRequest.expectedSupplyDuration.code	required	Duration https://alexapi.medtechglobal.com.au/fhir/ValueSet/duration from this IG
Bundle.entry:repeatprescription.resource.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
Bundle.entry:repeatprescription.resource.substitution.reason	preferred	MedicineSubstitutionReason https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 from this IG
Bundle.entry:repeatprescription.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:repeatprescription.request.method	required	Pattern: PUT http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdl-1	error	Bundle	total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search : entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:repeatprescription	must be a resource unless there's a request or response : resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) : (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:repeatprescription	fullUrl cannot be a version specific reference : fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value : type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date : type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource : type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource : type = 'message' implies entry.first().resource.is(MessageHeader)
dosage-instruction-text-length	error	Bundle.entry:repeatprescription.resource.dosageInstruction	Dosage instruction - text size validation : text.length() <= 200
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()
medication-request-note-length	error	Bundle.entry:repeatprescription.resource.note.text	Note - text size validation : value.exists().not() or value.length() <= 256
patient-instruction-length	error	Bundle.entry:repeatprescription.resource.dosageInstruction.patientInstruction	Dosage instruction - patient instruction size validation : value.exists().not() or value.length() <= 32

This structure is derived from Bundle

Summary

Prohibited: 1 element

Structures

This structure refers to these other structures:

• Repeat Prescription Profile (https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/alex-repeatprescription)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Bundle.entry (Closed)