Medicationrequest0302.json

Active Order with link to encounter, reasonCode, note multiple dosage lines, dispenseRequest and substitution - Azithromycin

{
  "resourceType": "MedicationRequest",
  "id": "medrx0302",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0302</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: id: med0320; Azithromycin 250mg capsule (product) <span>(Details : {SNOMED CT code '324252006' = 'Azithromycin 250mg capsule', given as 'Azithromycin 250mg capsule (product)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>context</b>: <a>encounter who leads to this prescription</a></p><p><b>supportingInformation</b>: <a>Coverage/SP1234</a></p><p><b>authoredOn</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Traveller's Diarrhea (disorder) <span>(Details : {SNOMED CT code '11840006' = 'Traveler's diarrhea', given as 'Traveller's Diarrhea (disorder)'})</span></p><p><b>note</b>: Patient told to take with food</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>1</td><td>6 TAB<span> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></td><td>5 days<span> (Details: UCUM 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>formulary policy <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})</span></td></tr></table></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0320",
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "324252006",
            "display": "Azithromycin 250mg capsule (product)"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "status": "active",
  "intent": "order",
  "medicationReference": {
    "reference": "#med0320"
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "context": {
    "reference": "Encounter/f001",
    "display": "encounter who leads to this prescription"
  },
  "supportingInformation": [
    {
      "reference": "Coverage/SP1234"
    }
  ],
  "authoredOn": "2015-01-15",
  "requester": {
    "reference": "Practitioner/f007",
    "display": "Patrick Pump"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "11840006",
          "display": "Traveller's Diarrhea (disorder)"
        }
      ]
    }
  ],
  "note": [
    {
      "text": "Patient told to take with food"
    }
  ],
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "Two tablets at once",
      "additionalInstruction": [
        {
          "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)"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 2,
            "unit": "TAB",
            "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
            "code": "TAB"
          }
        }
      ]
    },
    {
      "sequence": 2,
      "text": "One tablet daily for 4 days",
      "additionalInstruction": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "311504000",
              "display": "With or after food"
            }
          ]
        }
      ],
      "timing": {
        "repeat": {
          "frequency": 4,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral Route"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 1,
            "unit": "TAB",
            "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
            "code": "TAB"
          }
        }
      ]
    }
  ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2015-01-15",
      "end": "2016-01-15"
    },
    "numberOfRepeatsAllowed": 1,
    "quantity": {
      "value": 6,
      "unit": "TAB",
      "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
      "code": "TAB"
    },
    "expectedSupplyDuration": {
      "value": 5,
      "unit": "days",
      "system": "http://unitsofmeasure.org",
      "code": "d"
    }
  },
  "substitution": {
    "allowed": true,
    "reason": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
          "code": "FP",
          "display": "formulary policy"
        }
      ]
    }
  }
}