Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1 United States of America flag

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.1.0: STU 2.1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example MedicationRequest: MedicationRequest example

Page standards status: Informative

Generated Narrative: MedicationRequest example

identifier: http://www.bmc.nl/portal/prescriptions/12345689 (use: official, )

status: Draft

intent: Order

medication: Medication Azithromycin 250 mg oral tablet

subject: Amy V. Shaw Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))

encounter: Encounter: identifier = http://www.amc.nl/zorgportal/identifiers/visits#v1451 (use: official, ); status = in-progress; class = ambulatory (ActCode#AMB); type = Patient-initiated encounter; priority = Non-urgent cardiological admission; reasonCode = Heart valve replacement

authoredOn: 2015-01-15

requester: Practitioner Bone

reasonCode: Traveler's Diarrhea (disorder)

insurance: Coverage: identifier = Member Number; status = active; type = extended healthcare; dependent = 0; relationship = Self; period = 2011-05-23 --> 2012-05-23

note: Patient told to take with food

dosageInstruction

sequence: 1

text: Two tablets at once

additionalInstruction: With or after food

timing: Once per 1 days

route: Oral Route

method: Swallow - dosing instruction imperative (qualifier value)

DoseAndRates

-TypeDose[x]
*Ordered2 TAB (Details: Orderable Drug Form codeTAB = 'Tablet')

dosageInstruction

sequence: 2

text: One tablet daily for 4 days

additionalInstruction: With or after food

timing: 4 per 1 days

route: Oral Route

DoseAndRates

-TypeDose[x]
*Ordered1 TAB (Details: Orderable Drug Form codeTAB = 'Tablet')

dispenseRequest

validityPeriod: 2015-01-15 --> 2016-01-15

numberOfRepeatsAllowed: 1

quantity: 6 TAB (Details: Orderable Drug Form codeTAB = 'Tablet')

ExpectedSupplyDurations

-ValueUnitSystemCode
*5dayshttp://unitsofmeasure.orgd

Substitutions

-Allowed[x]Reason
*trueformulary policy

Generated Narrative: Medication #med0320

code: Azithromycin 250 mg oral tablet