Request for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. Dosage includes additionalInstructions as text
{
"resourceType" : "MedicationRequest",
"id" : "medrx0321",
"contained" : [{
"resourceType" : "Medication",
"id" : "med0307",
"code" : {
"coding" : [{
"system" : "http://hl7.org/fhir/sid/ndc",
"code" : "0169-7501-11",
"display" : "NOVOLOG, 1 VIAL, GLASS in 1 CARTON (0169-7501-11) > 10 mL in 1 VIAL, GLASS (package)"
}],
"text" : "Novolog 100u/ml"
},
"doseForm" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "385219001",
"display" : "Solution for injection"
}]
},
"ingredient" : [{
"item" : {
"concept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "325072002",
"display" : "Insulin Aspart (substance)"
}]
}
},
"strengthRatio" : {
"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",
"medication" : {
"reference" : {
"reference" : "#med0307",
"display" : "NOVOLOG, 1 VIAL, GLASS in 1 CARTON (0169-7501-11) > 10 mL in 1 VIAL, GLASS (package)"
}
},
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"authoredOn" : "2015-01-15",
"requester" : {
"reference" : "Practitioner/f007",
"display" : "Patrick Pump"
},
"reason" : [{
"concept" : {
"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.