US Meds Implementation Guide (Release 1)

This page is part of the US-Medication FHIR IG (v1.0.0: STU 1) based on FHIR R3. The current version which supercedes this version is 1.2.0. For a full list of available versions, see the Directory of published versions

Example: MedicationRequest-enca-3

Formats: Narrative, XML, JSON, Turtle

Raw json

{
  "resourceType" : "MedicationRequest",
  "id" : "enca-3",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/STU3/us/core/StructureDefinition/us-core-medicationrequest"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: enca-3</p><p><b>meta</b>: </p><p><b>contained</b>: </p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>medication</b>: unknown resource contained</p><p><b>subject</b>: <a href="Patient-test2.html">Brian Z. Generated Summary: id: test2; Medical Record Number = 1032702 (USUAL); active; Brian Z ; ph: 555-555-5555(HOME); gender: male; birthDate: 05/01/1964</a></p><p><b>context</b>: <a href="Encounter-A.html">Inpatient Encounter A. Generated Summary: id: A; status: finished; <span title="{http://hl7.org/fhir/STU3/v3/ActCode IMP}">inpatient encounter</span>; ????; period: 10/09/2016 --&gt; 12/09/2016</a></p><p><b>authoredOn</b>: 10/09/2016</p><h3>Requesters</h3><table class="grid"><tr><td>-</td><td><b>Agent</b></td></tr><tr><td>*</td><td>Dr. B</td></tr></table><p><b>reasonCode</b>: Pneumonia (disorder) <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '233604007' = 'Pneumonia', given as 'Pneumonia (disorder)'})</span></p><p><b>dosageInstruction</b>: </p></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "med-1",
      "meta" : {
        "profile" : [
          "http://hl7.org/fhir/STU3/us/core/StructureDefinition/us-core-medication"
        ]
      },
      "code" : {
        "text" : "Azithromycin 500mg in 250 ml Normal Saline"
      },
      "ingredient" : [
        {
          "itemCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
                "code" : "1668240",
                "display" : "Zithromax 500 MG Injection"
              }
            ],
            "text" : "Zithromax (azithromycin) 500 MG Injection"
          },
          "isActive" : true,
          "amount" : {
            "numerator" : {
              "value" : 500,
              "unit" : "mg",
              "system" : "http://unitsofmeasure.org",
              "code" : "mg"
            },
            "denominator" : {
              "value" : 1,
              "unit" : "vial",
              "system" : "http://unitsofmeasure.org",
              "code" : "{vial}"
            }
          }
        },
        {
          "itemCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
                "code" : "313002",
                "display" : "Sodium Chloride 0.9% injectable solution"
              }
            ],
            "text" : "Normal Saline"
          },
          "isActive" : true,
          "amount" : {
            "numerator" : {
              "value" : 250,
              "unit" : "mL",
              "system" : "http://unitsofmeasure.org",
              "code" : "mL"
            },
            "denominator" : {
              "value" : 1,
              "unit" : "IV Bag",
              "system" : "http://unitsofmeasure.org",
              "code" : "{IV Bag}"
            }
          }
        }
      ]
    }
  ],
  "status" : "completed",
  "intent" : "order",
  "medicationReference" : {
    "reference" : "#med-1"
  },
  "subject" : {
    "reference" : "Patient/test2",
    "display" : "Brian Z"
  },
  "context" : {
    "reference" : "Encounter/A",
    "display" : "Inpatient Encounter A"
  },
  "authoredOn" : "2016-09-10",
  "requester" : {
    "agent" : {
      "display" : "Dr. B"
    }
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "233604007",
          "display" : "Pneumonia (disorder)"
        }
      ]
    }
  ],
  "dosageInstruction" : [
    {
      "sequence" : 1,
      "text" : "Azithromycin 500mg in 250 ml Normal Saline intravenously over 1hour every 24 hours",
      "timing" : {
        "repeat" : {
          "duration" : 1,
          "durationUnit" : "h",
          "frequency" : 1,
          "period" : 24,
          "periodUnit" : "h"
        }
      },
      "asNeededBoolean" : false,
      "route" : {
        "coding" : [
          {
            "system" : "http://ncimeta.nci.nih.gov",
            "code" : "C38276",
            "display" : "INTRAVENOUS"
          }
        ]
      },
      "method" : {
        "text" : "1 hr infusion"
      },
      "doseQuantity" : {
        "value" : 500,
        "unit" : "mg",
        "system" : "http://unitsofmeasure.org",
        "code" : "mg"
      }
    }
  ]
}