Da Vinci - Coverage Requirements Discovery
1.1.0-ballot - STU 1.1 US

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v1.1.0-ballot: STU 1.1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

: MedicationRequest example - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "example",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"example\" </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: draft</p><p><b>intent</b>: order</p><p><b>medication</b>: <a name=\"med0320\"> </a></p><blockquote><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 \"med0320\" </p></div><p><b>code</b>: Azithromycin (as azithromycin dihydrate) 250 mg oral capsule <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#324252006)</span></p></blockquote><p><b>subject</b>: <a href=\"Patient-example.html\">Patient/example</a> \" SHAW\"</p><p><b>encounter</b>: <a href=\"Encounter-example.html\">Encounter/example</a></p><p><b>supportingInformation</b>: <a href=\"Coverage-example.html\">Coverage/example</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href=\"Practitioner-example.html\">Practitioner/example</a> \" CAREFUL\"</p><p><b>reasonCode</b>: Traveler's Diarrhea (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#11840006)</span></p><p><b>insurance</b>: <a href=\"Coverage-example.html\">Coverage/example</a></p><p><b>note</b>: Patient told to take with food</p><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --&gt; 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 1</p><p><b>quantity</b>: 6 TAB<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></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/3.0.0/CodeSystem-v3-ActReason.html\">ActReason</a>#FP)</span></td></tr></table></div>"
  },
  "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" : "draft",
  "intent" : "order",
  "medicationReference" : {
    "reference" : "#med0320"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "supportingInformation" : [
    {
      "reference" : "Coverage/example"
    }
  ],
  "authoredOn" : "2015-01-15",
  "requester" : {
    "reference" : "Practitioner/example"
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "11840006",
          "display" : "Traveler's Diarrhea (disorder)"
        }
      ]
    }
  ],
  "insurance" : [
    {
      "reference" : "Coverage/example"
    }
  ],
  "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" : {
          "frequency" : 4,
          "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"
        }
      ]
    }
  }
}