Active Order with link to encounter, reasonCode, note multiple dosage lines, dispenseRequest and substitution - Azithromycin
{
"resourceType" : "MedicationRequest",
"id" : "medrx0302",
"contained" : [{
"resourceType" : "Medication",
"id" : "med0320",
"code" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "324252006",
"display" : "Azithromycin (as azithromycin dihydrate) 250 mg oral capsule"
}]
}
}],
"identifier" : [{
"use" : "official",
"system" : "http://www.bmc.nl/portal/prescriptions",
"value" : "12345689"
}],
"status" : "active",
"intent" : "order",
"medication" : {
"reference" : {
"reference" : "#med0320"
}
},
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"encounter" : {
"reference" : "Encounter/f001",
"display" : "encounter who leads to this prescription"
},
"supportingInformation" : [{
"reference" : "Coverage/SP1234"
}],
"authoredOn" : "2015-01-15",
"requester" : {
"reference" : "Practitioner/f007",
"display" : "Patrick Pump"
},
"reason" : [{
"concept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "11840006",
"display" : "Traveler's diarrhea (disorder)"
}]
}
}],
"note" : [{
"text" : "Patient told to take with food"
}],
"dosageInstruction" : [{
"sequence" : 1,
"text" : "Two tablets at once",
"additionalInstruction" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "311504000",
"display" : "With or after food"
}]
}],
"timing" : {
"repeat" : {
"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" : 2,
"text" : "One tablet daily for 4 days",
"additionalInstruction" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "311504000",
"display" : "With or after food"
}]
}],
"timing" : {
"repeat" : {
"boundsDuration" : {
"value" : 4,
"unit" : "days",
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"route" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "26643006",
"display" : "Oral Route"
}]
},
"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" : 6,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
},
"expectedSupplyDuration" : {
"value" : 5,
"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"
}]
}
}
}
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.