Release 5 Ballot
MedicationsThis page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). 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: MedicationRequest</b><a name=\"medrx0301\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest "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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-medicationrequest-status-reason.html\">MedicationRequest Status Reason Codes</a>#altchoice)</span></p><p><b>intent</b>: order</p><p><b>category</b>: Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-medicationrequest-admin-location.html\">Medication request administration location codes</a>#inpatient)</span></p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><span title=\" Linked to a RESOURCE Medication \"><a name=\"med0310\"> </a></span><blockquote><p/><p><a name=\"med0310\"> </a></p><p><b>code</b>: Oral Form Oxycodone (product) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#430127000)</span></p></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><p><b>encounter</b>: <a href=\"encounter-example-f201-20130404.html\">Encounter/f201: encounter who leads to this prescription</a></p><p><b>supportingInformation</b>: <a href=\"procedure-example-biopsy.html\">Procedure/biopsy</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href=\"practitioner-example-f007-sh.html\">Practitioner/f007: Patrick Pump</a> "Simone HEPS"</p><p><b>performerType</b>: Public Health Nurse <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#26369006)</span></p><p><b>performer</b>: <a href=\"practitioner-example-f204-ce.html\">Practitioner/f204: Carla Espinosa</a> "Carla Espinosa"</p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Rib Pain (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#297217002)</span></td></tr></table><p><b>insurance</b>: <a href=\"coverage-example.html\">Coverage/9876B1</a></p><p><b>note</b>: Patient told to take with food</p><blockquote><p><b>dose</b></p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: one to two tablets every 4-6 hours as needed for rib pain</p><p><b>additionalInstruction</b>: Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#418914006)</span></p><p><b>patientInstruction</b>: Take one to two tablets every four to six hours as needed for rib pain</p><p><b>timing</b>: Do Once per 4-6 hours</p><p><b>asNeededFor</b>: Rib Pain (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#297217002)</span></p><p><b>route</b>: Oral Route <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#26643006)</span></p><p><b>method</b>: Swallow - dosing instruction imperative (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#421521009)</span></p></blockquote></blockquote><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 style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td>-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>10</td><td>days</td><td><a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ucum.html\">Unified Code for Units of Measure (UCUM)</a></td><td>d</td></tr></table><p><b>dispenser</b>: <a href=\"organization-example-good-health-care.html\">Organization/2.16.840.1.113883.19.5</a> "Good Health Clinic"</p></blockquote><h3>Substitutions</h3><table class=\"grid\"><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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActReason.html\">ActReason</a>#FP)</span></td></tr></table><p><b>eventHistory</b>: <a name=\"signature\"> </a></p><blockquote><p/><p><a name=\"signature\"> </a></p><p><b>target</b>: <a href=\"servicerequest-example2.html\">ServiceRequest/physiotherapy</a></p><p><b>recorded</b>: 02/02/2017 4:23:07 AM</p><h3>Agents</h3><table class=\"grid\"><tr><td>-</td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td>*</td><td>author (originator) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#AUT)</span></td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</td></tr></table><h3>Signatures</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>TargetFormat</b></td><td><b>SigFormat</b></td><td><b>Data</b></td></tr><tr><td>*</td><td>Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'Author's Signature')</td><td>02/02/2017 4:23:07 AM</td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</td><td>application/fhir+xml</td><td>application/signature+xml</td><td>dGhpcyBibG9iIGlzIHNuaXBwZWQ=</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"
}
]
}
],
"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"
},
"performerType": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26369006",
"display": "Public Health Nurse"
}
]
},
"performer": [
{
"reference": "Practitioner/f204",
"display": "Carla Espinosa"
}
],
"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"
}
],
"dose": {
"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"
}
},
"asNeededFor": [
{
"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"
}
]
}
},
"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 Ballot hl7.fhir.core#5.0.0-ballot generated on Wed, Sep 7, 2022 11:10+1000.
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