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-5

Formats: Narrative, XML, JSON, Turtle

Raw json

{
  "resourceType" : "MedicationRequest",
  "id" : "enca-5",
  "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-5</p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: Zithromax 500 MG Oral Tablet <span style="background: LightGoldenRodYellow">(Details : {RxNorm code '212446' = '212446', given as 'Zithromax 250 MG Oral Tablet'})</span></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>: 12/09/2016</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><h3>DispenseRequests</h3><table class="grid"><tr><td>-</td><td><b>ValidityPeriod</b></td><td><b>Quantity</b></td><td><b>ExpectedSupplyDuration</b></td></tr><tr><td>*</td><td>12/09/2016 --&gt; 12/10/2016</td><td>20 TAB<span style="background: LightGoldenRodYellow"> (Details: http://hl7.org/fhir/STU3/v3/orderableDrugForm code TAB = 'Tablet')</span></td><td>10 days<span style="background: LightGoldenRodYellow"> (Details: UCUM code d = 'd')</span></td></tr></table></div>"
  },
  "status" : "active",
  "intent" : "order",
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
        "code" : "212446",
        "display" : "Zithromax 250 MG Oral Tablet"
      }
    ],
    "text" : "Zithromax 500 MG Oral Tablet"
  },
  "subject" : {
    "reference" : "Patient/test2",
    "display" : "Brian Z"
  },
  "context" : {
    "reference" : "Encounter/A",
    "display" : "Inpatient Encounter A"
  },
  "authoredOn" : "2016-09-12",
  "requester" : {
    "agent" : {
      "display" : "Dr. B"
    }
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "233604007",
          "display" : "Pneumonia (disorder)"
        }
      ]
    }
  ],
  "dosageInstruction" : [
    {
      "sequence" : 1,
      "text" : "Zithromax (azithromycin) 250mg by mouth every 12 hours for 10 days",
      "additionalInstruction" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "311504000",
              "display" : "With or after food"
            }
          ]
        }
      ],
      "timing" : {
        "repeat" : {
          "frequency" : 1,
          "period" : 12,
          "periodUnit" : "h"
        }
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://ncimeta.nci.nih.gov",
            "code" : "C38288",
            "display" : "ORALLY",
            "userSelected" : false
          }
        ]
      },
      "doseQuantity" : {
        "value" : 1,
        "unit" : "TAB",
        "system" : "http://hl7.org/fhir/STU3/v3/orderableDrugForm",
        "code" : "TAB"
      }
    }
  ],
  "dispenseRequest" : {
    "validityPeriod" : {
      "start" : "2016-09-12",
      "end" : "2016-10-12"
    },
    "quantity" : {
      "value" : 20,
      "unit" : "TAB",
      "system" : "http://hl7.org/fhir/STU3/v3/orderableDrugForm",
      "code" : "TAB"
    },
    "expectedSupplyDuration" : {
      "value" : 10,
      "unit" : "days",
      "system" : "http://unitsofmeasure.org",
      "code" : "d"
    }
  }
}