Release 4B Snapshot #1
MedicationsThis page is part of the FHIR Specification (v4.3.0-snapshot1: Release 4B Snapshot #1). 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><div><p>Resource "medrx0301" </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>statusReason</b>: Try another treatment first <span> (<a>MedicationRequest Status Reason Codes</a>#altchoice)</span></p><p><b>intent</b>: order</p><p><b>category</b>: Inpatient <span> (<a>Medication request administration location codes</a>#inpatient)</span></p><p><b>medication</b>: <a> </a></p><blockquote><div><p>Resource "med0310" </p></div><p><b>code</b>: Oral Form Oxycodone (product) <span> (<a>SNOMED CT</a>#430127000)</span></p></blockquote><p><b>subject</b>: <a>Patient/pat1: Donald Duck</a> "Duck DONALD"</p><p><b>encounter</b>: <a>Encounter/f201: encounter who leads to this prescription</a></p><p><b>supportingInformation</b>: <a>Procedure/biopsy</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a>Practitioner/f007: Patrick Pump</a> "Simone HEPS"</p><p><b>performer</b>: <a>Practitioner/f204: Carla Espinosa</a> "Carla Espinosa"</p><p><b>performerType</b>: Public Health Nurse <span> (<a>SNOMED CT</a>#26369006)</span></p><p><b>reasonCode</b>: Rib Pain (finding) <span> (<a>SNOMED CT</a>#297217002)</span></p><p><b>insurance</b>: <a>Coverage/9876B1</a></p><p><b>note</b>: Patient told to take with food</p><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --> 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 0</p><p><b>quantity</b>: 30 TAB<span> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p></blockquote><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>formulary policy <span> (<a>ActReason</a>#FP)</span></td></tr></table><p><b>detectedIssue</b>: <a>DetectedIssue/allergy</a></p><p><b>eventHistory</b>: <a> </a></p><blockquote><div><p>Resource "signature" </p></div><p><b>target</b>: <a>ServiceRequest/physiotherapy</a></p><p><b>recorded</b>: 2 Feb. 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>author (originator) <span> (<a>ParticipationType</a>#AUT)</span></td><td><a>Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</td></tr></table></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"
}
]
}
],
"medicationReference": {
"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"
}
]
},
"reasonCode": [
{
"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"
}
},
"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 R4B Ballot #1 hl7.fhir.core#4.3.0-snapshot1 generated on Mon, Dec 20, 2021 14:14+1100.
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