R6 Ballot (2nd Draft)

Publish-box (todo)

Example MedicationRequest/medrx0316 (JSON)

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner

Raw JSON (canonical form + also see JSON Format Specification)

Request for Intravenous Chemotherapy (inpatient order) - Brentuximab Vedotin - completed

{
  "resourceType" : "MedicationRequest",
  "id" : "medrx0316",
  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0306",
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/sid/ndc",
        "code" : "51144-050-01",
        "display" : "ADCETRIS, 1 VIAL, SINGLE-DOSE in 1 BOX (51144-050-01) > 10.5 mL in 1 VIAL, SINGLE-DOSE (package)"
      }],
      "text" : "Adcetris"
    },
    "doseForm" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "421637006",
        "display" : "Lyophilised powder for conventional release solution for injection"
      }]
    },
    "batch" : {
      "lotNumber" : "12345",
      "expirationDate" : "2019-10-31"
    }
  }],
  "identifier" : [{
    "use" : "official",
    "system" : "http://www.bmc.nl/portal/prescriptions",
    "value" : "12345689"
  }],
  "status" : "completed",
  "intent" : "order",
  "medication" : {
    "reference" : {
      "reference" : "#med0306"
    }
  },
  "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"
  },
  "dosageInstruction" : [{
    "sequence" : 1,
    "text" : "1.8 mg/kg IV infusion over 20 minutes every 3 weeks for 16 cycles",
    "timing" : {
      "repeat" : {
        "count" : 16,
        "frequency" : 1,
        "period" : 3,
        "periodUnit" : "wk"
      }
    },
    "route" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "255560000",
        "display" : "Intravenous"
      }]
    },
    "doseAndRate" : [{
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code" : "ordered",
          "display" : "Ordered"
        }]
      },
      "doseQuantity" : {
        "value" : 1.8,
        "unit" : "mg/kg",
        "system" : "http://unitsofmeasure.org",
        "code" : "mg/kg"
      },
      "rateRatio" : {
        "numerator" : {
          "value" : 1.8,
          "system" : "http://unitsofmeasure.org",
          "code" : "mg/kg"
        },
        "denominator" : {
          "value" : 20,
          "system" : "http://unitsofmeasure.org",
          "code" : "min"
        }
      }
    }],
    "maxDosePerLifetime" : {
      "value" : 400,
      "unit" : "mg",
      "system" : "http://unitsofmeasure.org",
      "code" : "mg"
    }
  }]
}

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.