This 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)
Request for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. Dosage includes additionalInstructions as text
{ "resourceType": "MedicationRequest", "id": "medrx0321", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource "medrx0321" </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 "med0307" </p></div><p><b>code</b>: Novolog 100u/ml <span> (<a>National drug codes</a>#0169-7501-11)</span></p><p><b>form</b>: Injection solution (qualifier value) <span> (<a>SNOMED CT</a>#385219001)</span></p><h3>Ingredients</h3><table><tr><td>-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td>*</td><td>Insulin Aspart (substance) <span> (<a>SNOMED CT</a>#325072002)</span></td><td>100 U<span> (Details: UCUM code U = 'U')</span>/1 mL<span> (Details: UCUM code mL = 'mL')</span></td></tr></table><h3>Batches</h3><table><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>12345</td><td>2019-10-31</td></tr></table></blockquote><p><b>subject</b>: <a>Patient/pat1: Donald Duck</a> "Duck DONALD"</p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a>Practitioner/f007: Patrick Pump</a> "Simone HEPS"</p><p><b>reasonCode</b>: Diabetes mellitus type 2 (disorder) <span> (<a>SNOMED CT</a>#44054006)</span></p><p><b>note</b>: Check blood sugar levels before taking insulin</p><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --> 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 3</p><p><b>quantity</b>: 10 ml<span> (Details: UCUM code ml = 'ml')</span></p></blockquote></div>" }, "contained": [ { "resourceType": "Medication", "id": "med0307", "code": { "coding": [ { "system": "http://hl7.org/fhir/sid/ndc", "code": "0169-7501-11", "display": "Novolog 100u/ml" } ] }, "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)" } ] }, "strength": { "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" } } ], "identifier": [ { "use": "official", "system": "http://www.bmc.nl/portal/prescriptions", "value": "12345689" } ], "status": "active", "intent": "order", "medicationReference": { "reference": "#med0307", "display": "Novolog 100u/ml" }, "subject": { "reference": "Patient/pat1", "display": "Donald Duck" }, "authoredOn": "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 10 minutes before breakfast", "timing": { "repeat": { "frequency": 1, "period": 1, "periodUnit": "d", "when": [ "ACM" ], "offset": 10 } }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 10, "unit": "U", "system": "http://unitsofmeasure.org", "code": "U" } } ] }, { "sequence": 2, "text": "15 units before lunch", "additionalInstruction": [ { "text": "Before Lunch" } ], "timing": { "repeat": { "frequency": 1, "period": 1, "periodUnit": "d" } }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 15, "unit": "U", "system": "http://unitsofmeasure.org", "code": "U" } } ] }, { "sequence": 1, "text": "20 units before dinner", "additionalInstruction": [ { "text": "Before Dinner" } ], "timing": { "repeat": { "frequency": 1, "period": 1, "periodUnit": "d" } }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "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" } } }
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.