Medicationrequest0321.json

Order for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. DosageInstruction includes additionalInstructions as text

{
  "resourceType": "MedicationRequest",
  "id": "medrx0321",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0321</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>stage</b>: original-order <span>(Details : {[not stated] code 'original-order' = 'original-order)</span></p><p><b>medication</b>: Novolog 100u/ml. Generated Summary: id: med0307; Novolog 100u/ml <span>(Details : {http://hl7.org/fhir/sid/ndc code '0169-7501-11' = '0169-7501-11', given as 'Novolog 100u/ml'})</span>; isBrand</p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>dateWritten</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Diabetes mellitus type 2 (disorder) <span>(Details : {SNOMED CT code '44054006' = 'Type 2 diabetes mellitus', given as 'Diabetes mellitus type 2 (disorder)'})</span></p><p><b>note</b>: Check blood sugar levels before taking insulin</p><p><b>dosageInstruction</b>: , , </p><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>3</td><td>10 ml<span> (Details: UCUM code ml = 'ml')</span></td><td>30 days<span> (Details: UCUM code d = 'd')</span></td></tr></table></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0307",
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/ndc",
            "code": "0169-7501-11",
            "display": "Novolog 100u/ml"
          }
        ]
      },
      "isBrand": true,
      "product": {
        "form": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "385219001",
              "display": "Injection solution (qualifier value)"
            }
          ]
        },
        "ingredient": [
          {
            "itemCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "325072002",
                  "display": "Insulin Aspart (substance)"
                }
              ]
            },
            "amount": {
              "numerator": {
                "value": 100,
                "system": "http://unitsofmeasure.org",
                "code": "U"
              },
              "denominator": {
                "value": 1,
                "system": "http://unitsofmeasure.org",
                "code": "mL"
              }
            }
          }
        ],
        "batch": [
          {
            "lotNumber": "12345",
            "expirationDate": "2019-10-31"
          }
        ]
      },
      "package": {
        "container": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "415818006",
              "display": "Vial"
            }
          ]
        },
        "content": [
          {
            "itemCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "325072002",
                  "display": "Insulin Aspart (substance)"
                }
              ]
            },
            "amount": {
              "value": 10,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "status": "active",
  "stage": {
    "coding": [
      {
        "code": "original-order"
      }
    ]
  },
  "medicationReference": {
    "reference": "#med0307",
    "display": "Novolog 100u/ml"
  },
  "patient": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "dateWritten": "2015-01-15",
  "requester": {
    "reference": "Practitioner/f007",
    "display": "Patrick Pump"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "44054006",
          "display": "Diabetes mellitus type 2 (disorder)"
        }
      ]
    }
  ],
  "note": [
    {
      "text": "Check blood sugar levels before taking insulin"
    }
  ],
  "dosageInstruction": [
    {
      "sequence": 2,
      "text": "inject 10 units subcut before breakfast",
      "additionalInstructions": [
        {
          "text": "Before Breakfast"
        }
      ],
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "doseQuantity": {
        "value": 10,
        "unit": "U",
        "system": "http://unitsofmeasure.org",
        "code": "U"
      }
    },
    {
      "sequence": 2,
      "text": "15 units before lunch",
      "additionalInstructions": [
        {
          "text": "Before Lunch"
        }
      ],
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "doseQuantity": {
        "value": 15,
        "unit": "U",
        "system": "http://unitsofmeasure.org",
        "code": "U"
      }
    },
    {
      "sequence": 1,
      "text": "20 units before dinner",
      "additionalInstructions": [
        {
          "text": "Before Dinner"
        }
      ],
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "doseQuantity": {
        "value": 20,
        "unit": "U",
        "system": "http://unitsofmeasure.org",
        "code": "U"
      }
    }
  ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2015-01-15",
      "end": "2016-01-15"
    },
    "numberOfRepeatsAllowed": 3,
    "quantity": {
      "value": 10,
      "unit": "ml",
      "system": "http://unitsofmeasure.org",
      "code": "ml"
    },
    "expectedSupplyDuration": {
      "value": 30,
      "unit": "days",
      "system": "http://unitsofmeasure.org",
      "code": "d"
    }
  }
}