I usually visualize elements $\frac{a}{b} \in\mathbb{Q}$ as $(a,b) \in \mathbb{Z}\times(\mathbb{Z}\setminus \{0\})$. By this construction, I think it's pretty clear that elements of $\mathbb{Q}$ may have the same value but have a different representation (i.e. $\frac{1}{2},\frac{2}{4}$) and therefore I consider different ordered pairs unique when I think of elements, despite having the same value. However, I find that when I think of $\mathbb{Q}$ as a whole, I tend to think of congruence classes and $\frac{1}{2}=\frac{2}{4}$.
I still think the former is more accurate, but in a general case does it really matter (if we're not specifically looking for relationships between numerators and denominators and some other factors)?
The set of rational numbers is not the same as $\mathbb{Z}\times(\mathbb{Z}\setminus\{0\})$, but rather $$ \mathbb{Q}=(\mathbb{Z}\times(\mathbb{Z}\setminus\{0\}))/\sim$$ where we say that $(a,b)\sim(c,d)$ if $ad=bc$.
Therefore there are infinitely many pairs $(a,b)$ corresponding to a given rational number. However, we can choose a canonical representative of each equivalence class by requiring that $b>0$ and $\gcd(a,b)=1$.