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 for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod
{
"resourceType": "MedicationRequest",
"id": "medrx0303",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource "medrx0303" </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a> </a></p><blockquote><div><p>Resource "med0311" </p></div><p><b>code</b>: Prednisone 5mg tablet (Product) <span> (<a>SNOMED CT</a>#373994007)</span></p></blockquote><p><b>subject</b>: <a>Patient/pat1: Donald Duck</a> "Duck DONALD"</p><p><b>encounter</b>: <a>Encounter/f001: encounter who leads to this prescription</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>basedOn</b>: <a>CarePlan/gpvisit</a></p><p><b>groupIdentifier</b>: id: 983939393 (OFFICIAL)</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>: 1</p><p><b>quantity</b>: 51 TAB<span> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><p><b>performer</b>: <a>Organization/f001</a> "Burgers University Medical Center"</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>Therapeutic Brand <span> (<a>Substance Admin Substitution</a>#TB)</span></td><td>formulary policy <span> (<a>ActReason</a>#FP)</span></td></tr></table></div>"
},
"contained": [
{
"resourceType": "Medication",
"id": "med0311",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "373994007",
"display": "Prednisone 5mg tablet (Product)"
}
]
}
}
],
"identifier": [
{
"use": "official",
"system": "http://www.bmc.nl/portal/prescriptions",
"value": "12345689"
}
],
"status": "active",
"intent": "order",
"medicationReference": {
"reference": "#med0311"
},
"subject": {
"reference": "Patient/pat1",
"display": "Donald Duck"
},
"encounter": {
"reference": "Encounter/f001",
"display": "encounter who leads to this prescription"
},
"authoredOn": "2015-01-15",
"requester": {
"reference": "Practitioner/f007",
"display": "Patrick Pump"
},
"basedOn": [
{
"reference": "CarePlan/gpvisit"
}
],
"groupIdentifier": {
"use": "official",
"system": "http://www.bmc.nl/portal/prescriptions",
"value": "983939393"
},
"note": [
{
"text": "Patient told to take with food"
}
],
"dosageInstruction": [
{
"sequence": 1,
"text": "Take 4 tablets daily for 7 days starting January 16, 2015",
"timing": {
"repeat": {
"boundsPeriod": {
"start": "2015-01-16",
"end": "2015-01-20"
},
"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": 4,
"unit": "TAB",
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "TAB"
}
}
]
},
{
"sequence": 2,
"text": "Take 2 tablets daily for 7 days starting January 23, 2015",
"timing": {
"repeat": {
"boundsPeriod": {
"start": "2015-01-23",
"end": "2015-01-30"
},
"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": 3,
"text": "Take 1 tablets daily for 7 days starting January 31, 2015",
"timing": {
"repeat": {
"boundsPeriod": {
"start": "2015-01-31",
"end": "2015-02-06"
},
"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": 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": 51,
"unit": "TAB",
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "TAB"
},
"expectedSupplyDuration": {
"value": 21,
"unit": "days",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"performer": {
"reference": "Organization/f001"
}
},
"substitution": {
"allowedCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
"code": "TB",
"display": "Therapeutic Brand"
}
]
},
"reason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code": "FP",
"display": "formulary policy"
}
]
}
}
}
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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