Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1
Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1
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
| Page standards status: Informative |
{
"resourceType" : "MedicationRequest",
"id" : "example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </a><a name=\"example-en-US\"> </a><p><b>identifier</b>: <code>http://www.bmc.nl/portal/prescriptions</code>/12345689\u00a0(use:\u00a0official,\u00a0)</p><p><b>status</b>: Draft</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href=\"#hcexample/med0320\">Medication Azithromycin 250 mg oral tablet</a></p><p><b>subject</b>: <a href=\"Patient-example.html\">Amy V. Shaw Female, DoB: 1987-02-20 ( Medical Record Number:\u00a01032702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>encounter</b>: <a href=\"Encounter-example.html\">Encounter: identifier = http://www.amc.nl/zorgportal/identifiers/visits#v1451\u00a0(use:\u00a0official,\u00a0); status = in-progress; class = ambulatory (ActCode#AMB); type = Patient-initiated encounter; priority = Non-urgent cardiological admission; reasonCode = Heart valve replacement</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href=\"Practitioner-full.html\">Practitioner Bone </a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 11840006}\">Traveler's Diarrhea (disorder)</span></p><p><b>insurance</b>: <a href=\"Coverage-example.html\">Coverage: identifier = Member Number; status = active; type = extended healthcare; dependent = 0; relationship = Self; period = 2011-05-23 --> 2012-05-23</a></p><p><b>note</b>: Patient told to take with food</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Two tablets at once</p><p><b>additionalInstruction</b>: <span title=\"Codes:{http://snomed.info/sct 311504000}\">With or after food</span></p><p><b>timing</b>: Once per 1 days</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral Route</span></p><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 421521009}\">Swallow - dosing instruction imperative (qualifier value)</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type ordered}\">Ordered</span></td><td>2 TAB<span style=\"background: LightGoldenRodYellow\"> (Details: Orderable Drug Form codeTAB = 'Tablet')</span></td></tr></table></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 2</p><p><b>text</b>: One tablet daily for 4 days</p><p><b>additionalInstruction</b>: <span title=\"Codes:{http://snomed.info/sct 311504000}\">With or after food</span></p><p><b>timing</b>: 4 per 1 days</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral Route</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type ordered}\">Ordered</span></td><td>1 TAB<span style=\"background: LightGoldenRodYellow\"> (Details: Orderable Drug Form codeTAB = 'Tablet')</span></td></tr></table></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --> 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 1</p><p><b>quantity</b>: 6 TAB<span style=\"background: LightGoldenRodYellow\"> (Details: Orderable Drug Form codeTAB = 'Tablet')</span></p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>5</td><td>days</td><td><a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ucum.html\">http://unitsofmeasure.org</a></td><td>d</td></tr></table></blockquote><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActReason FP}\">formulary policy</span></td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication #med0320</b></p><a name=\"example/med0320\"> </a><a name=\"hcexample/med0320\"> </a><a name=\"example/med0320-en-US\"> </a><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1145423002}\">Azithromycin 250 mg oral tablet</span></p></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Medication",
"id" : "med0320",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1145423002",
"display" : "Azithromycin 250 mg oral tablet"
}
]
}
}
],
"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"
},
"authoredOn" : "2015-01-15",
"requester" : {
🔗 "reference" : "Practitioner/full"
},
"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"
}
]
}
}
}
IG © 2019+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-crd#2.1.0 based on FHIR 4.0.1. Generated 2024-12-11
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