Release 5 Preview #3
MedicationsThis page is part of the FHIR Specification (v4.5.0: R5 Preview #3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B R4 R3
| Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
Order with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution
{
"resourceType": "MedicationRequest",
"id": "medrx0301",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: medrx0301</p><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>statusReason</b>: <span>Try another treatment first</span></p><p><b>intent</b>: order</p><p><b>category</b>: <span>Inpatient</span></p><p><b>medication</b>: </p><p><b>subject</b>: <a>Donald Duck. Generated Summary: id: pat1; Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male; </a></p><p><b>encounter</b>: <a>encounter who leads to this prescription. Generated Summary: id: f201; id: Encounter_Roel_20130404 (TEMP); status: completed; <span>ambulatory</span>; <span>Consultation</span>; <span>Normal</span>; <span>The patient had fever peaks over the last couple of days. He is worried about these peaks.</span></a></p><p><b>supportingInformation</b>: <a>Generated Summary: id: biopsy; status: completed; <span>Diagnostic procedure</span>; <span>Biopsy of suspected melanoma L) arm</span>; occurrence: 2014-02-03; recorded: 2014-02-03; <span>Dark lesion l) forearm. getting darker last 3 months.</span>; <span>Left forearm</span>; <span>Ineffective airway clearance</span>; <span>Review in clinic</span>; Standard Biopsy; <span>30-guage needle</span></a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a>Patrick Pump. Generated Summary: id: f007; id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); ph: 020556936(WORK), S.M.Heps@bmc.nl(WORK), fax: 0205669283(WORK); gender: female; birthDate: 1971-11-07</a></p><p><b>performer</b>: <a>Carla Espinosa. Generated Summary: id: f204; UZI-nummer: 12345678904 (OFFICIAL); Carla Espinosa; ph: +31715262169(WORK); gender: female; birthDate: 1967-11-05</a></p><p><b>performerType</b>: <span>Public Health Nurse</span></p><p><b>reason</b>: </p><p><b>insurance</b>: <a>Generated Summary: id: 9876B1; id: 12345; status: active; <span>extended healthcare</span>; dependent: 0; <span>self</span>; period: 2011-05-23 --> 2012-05-23</a></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><td><b>Dispenser</b></td></tr><tr><td>*</td><td>2015-01-15 --> 2016-01-15</td><td>0</td><td>30 TAB</td><td>10 days</td><td><a>Generated Summary: id: 2.16.840.1.113883.19.5; id: urn:oid:2.16.840.1.113883.19.5; name: Good Health Clinic</a></td></tr></table><h3>Substitutions</h3><table><tr><td>-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td><span>formulary policy</span></td></tr></table><p><b>detectedIssue</b>: <a>Generated Summary: id: allergy; status: final</a></p><p><b>eventHistory</b>: <a> </a></p><blockquote><p><b>id</b>: signature</p><p><b>target</b>: <a>Generated Summary: id: physiotherapy; Placer: 20170201-0001; status: completed; intent: order; <span>Physiotherapy of chest (regime/therapy)</span>; Duration 15days, Do 1-1 per 1 days; <span>as needed to clear mucus</span>; authoredOn: 02/02/2017 4:23:07 AM; <span>#cystic-fibrosis</span></a></p><p><b>recorded</b>: 02/02/2017 4:23:07 AM</p><h3>Agents</h3><table><tr><td>-</td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td>*</td><td><span>author (originator)</span></td><td><a>Dr Adam Careful. Generated Summary: id: example; id: 23; active; Adam Careful </a></td></tr></table><p><b>signature</b>: </p></blockquote></div>"
},
"contained": [
{
"resourceType": "Medication",
"id": "med0310",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "430127000",
"display": "Oral Form Oxycodone (product)"
}
]
}
},
{
"resourceType": "Provenance",
"id": "signature",
"target": [
{
"reference": "ServiceRequest/physiotherapy"
}
],
"recorded": "2017-02-01T17:23:07Z",
"agent": [
{
"role": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "AUT"
}
]
}
],
"who": {
"reference": "Practitioner/example",
"display": "Dr Adam Careful"
}
}
],
"signature": [
{
"type": [
{
"system": "urn:iso-astm:E1762-95:2013",
"code": "1.2.840.10065.1.12.1.1",
"display": "Author's Signature"
}
],
"when": "2017-02-01T17:23:07Z",
"who": {
"reference": "Practitioner/example",
"display": "Dr Adam Careful"
},
"targetFormat": "application/fhir+xml",
"sigFormat": "application/signature+xml",
"data": "dGhpcyBibG9iIGlzIHNuaXBwZWQ="
}
]
}
],
"identifier": [
{
"use": "official",
"system": "http://www.bmc.nl/portal/prescriptions",
"value": "12345689"
}
],
"status": "completed",
"statusReason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
"code": "altchoice",
"display": "Try another treatment first"
}
]
},
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-admin-location",
"code": "inpatient",
"display": "Inpatient"
}
]
}
],
"medication": {
"reference": {
"reference": "#med0310"
}
},
"subject": {
"reference": "Patient/pat1",
"display": "Donald Duck"
},
"encounter": {
"reference": "Encounter/f201",
"display": "encounter who leads to this prescription"
},
"supportingInformation": [
{
"reference": "Procedure/biopsy"
}
],
"authoredOn": "2015-01-15",
"requester": {
"reference": "Practitioner/f007",
"display": "Patrick Pump"
},
"performer": {
"reference": "Practitioner/f204",
"display": "Carla Espinosa"
},
"performerType": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26369006",
"display": "Public Health Nurse"
}
]
},
"reason": [
{
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "297217002",
"display": "Rib Pain (finding)"
}
]
}
}
],
"insurance": [
{
"reference": "Coverage/9876B1"
}
],
"note": [
{
"text": "Patient told to take with food"
}
],
"dosageInstruction": [
{
"sequence": 1,
"text": "one to two tablets every 4-6 hours as needed for rib pain",
"additionalInstruction": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "418914006",
"display": "Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)"
}
]
}
],
"patientInstruction": "Take one to two tablets every four to six hours as needed for rib pain",
"timing": {
"repeat": {
"frequency": 1,
"period": 4,
"periodMax": 6,
"periodUnit": "h"
}
},
"asNeededCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "297217002",
"display": "Rib Pain (finding)"
}
]
},
"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"
}
]
},
"doseRange": {
"low": {
"value": 1,
"unit": "TAB",
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "TAB"
},
"high": {
"value": 2,
"unit": "TAB",
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "TAB"
}
}
}
]
}
],
"dispenseRequest": {
"validityPeriod": {
"start": "2015-01-15",
"end": "2016-01-15"
},
"numberOfRepeatsAllowed": 0,
"quantity": {
"value": 30,
"unit": "TAB",
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "TAB"
},
"expectedSupplyDuration": {
"value": 10,
"unit": "days",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"dispenser": {
"reference": "Organization/2.16.840.1.113883.19.5"
}
},
"substitution": {
"allowedBoolean": true,
"reason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code": "FP",
"display": "formulary policy"
}
]
}
},
"detectedIssue": [
{
"reference": "DetectedIssue/allergy"
}
],
"eventHistory": [
{
"reference": "#signature",
"display": "Author's Signature"
}
]
}
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.
FHIR ®© HL7.org 2011+. FHIR R5 Preview #3 hl7.fhir.core#4.5.0 generated on Thu, Aug 20, 2020 17:45+1000.
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