STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Medicationorderexample1.json

Raw JSON (canonical form)

Fully populated example of a MedicationOrder - Chlorthalidone - active - with link to encounter, reasonReference, note, dispenseRequest, substitution and eventHistory

{
  "resourceType": "MedicationOrder",
  "id": "medrx0311",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0311</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>medication</b>: id: med0316; Chlorthalidone 50mg tablet (product) <span>(Details : {SNOMED CT code '317935006' = 'Chlorthalidone 50mg tablet (product)', given as 'Chlorthalidone 50mg tablet (product)'})</span>; </p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription</a></p><p><b>dateWritten</b>: 15/01/2015</p><p><b>prescriber</b>: <a>Patrick Pump</a></p><p><b>reasonReference</b>: <a>condition for prescribing this medication</a></p><p><b>note</b>: Chlorthalidone increases urniation so take it in the morning</p><h3>DosageInstructions</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>AdditionalInstructions</b></td><td><b>Timing</b></td><td><b>Route</b></td><td><b>Method</b></td><td><b>Dose[x]</b></td></tr><tr><td>*</td><td>One tablet daily</td><td>With or after food <span>(Details : {SNOMED CT code '311504000' = 'With or after food (qualifier value)', given as 'With or after food'})</span></td><td>Do Once per 1 days</td><td>Oral Route <span>(Details : {SNOMED CT code '26643006' = 'Oral route (qualifier value)', given as 'Oral Route'})</span></td><td>Swallow - dosing instruction imperative (qualifier value) <span>(Details : {SNOMED CT code '421521009' = 'Swallow - dosing instruction imperative (qualifier value)', given as 'Swallow - dosing instruction imperative (qualifier value)'})</span></td><td>1 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></td></tr></table><h3>DispenseRequests</h3><table><tr><td>-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td><td><b>ExpectedSupplyDuration</b></td></tr><tr><td>*</td><td>15/01/2015 --&gt; 15/01/2016</td><td>1</td><td>30 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></td><td>30 days<span> (Details: http://unitsofmeasure.org code d = 'd')</span></td></tr></table><h3>Substitutions</h3><table><tr><td>-</td><td><b>Allowed</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td>continuing therapy <span>(Details : {http://hl7.org/fhir code 'CT' = '??', given as 'continuing therapy'})</span></td></tr></table><h3>EventHistories</h3><table><tr><td>-</td><td><b>Status</b></td><td><b>DateTime</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td>stopped</td><td>01/04/2016</td><td><a>Patrick Pump</a></td></tr></table></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0316",
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "317935006",
            "display": "Chlorthalidone 50mg tablet (product)"
          }
        ]
      },
      "isBrand": false,
      "product": {
        "form": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "385055001",
              "display": "Tablet dose form (qualifier value)"
            }
          ]
        }
      }
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "status": "active",
  "medicationReference": {
    "reference": "#med0316"
  },
  "patient": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "encounter": {
    "reference": "Encounter/f001",
    "display": "encounter who leads to this prescription"
  },
  "dateWritten": "2015-01-15",
  "prescriber": {
    "reference": "Practitioner/f007",
    "display": "Patrick Pump"
  },
  "reasonReference": [
    {
      "reference": "Condition/f201",
      "display": "condition for prescribing this medication"
    }
  ],
  "note": [
    {
      "text": "Chlorthalidone increases urniation so take it in the morning"
    }
  ],
  "dosageInstruction": [
    {
      "text": "One tablet daily",
      "additionalInstructions": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "311504000",
              "display": "With or after food"
            }
          ]
        }
      ],
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral Route"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "421521009",
            "display": "Swallow - dosing instruction imperative (qualifier value)"
          }
        ]
      },
      "doseQuantity": {
        "value": 1,
        "unit": "TAB",
        "system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm",
        "code": "TAB"
      }
    }
  ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2015-01-15",
      "end": "2016-01-15"
    },
    "numberOfRepeatsAllowed": 1,
    "quantity": {
      "value": 30,
      "unit": "TAB",
      "system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm",
      "code": "TAB"
    },
    "expectedSupplyDuration": {
      "value": 30,
      "unit": "days",
      "system": "http://unitsofmeasure.org",
      "code": "d"
    }
  },
  "substitution": {
    "allowed": true,
    "reason": {
      "coding": [
        {
          "system": "http://hl7.org/fhir",
          "code": "CT",
          "display": "continuing therapy"
        }
      ]
    }
  },
  "eventHistory": [
    {
      "status": "stopped",
      "dateTime": "2016-04-01",
      "actor": {
        "reference": "Practitioner/f007",
        "display": "Patrick Pump"
      }
    }
  ]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.