Specialty Medication Enrollment
0.1.0 - STU1 Ballot

This page is part of the Specialty Medication Enrollment (v0.1.0: STU1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Example MedicationRequest: Specialty Rx MedicationRequest 1

Example data content

MedicationRequest
id@value:  specialty-rx-medicationrequest-1
metaprofile@value:  http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-medicationrequest
status@value:  active
intent@value:  order
medicationCodeableConceptcoding[1]system@value:  http://www.nlm.nih.gov/research/umls/rxnormcode@value:  1872980display@value:  Humira 40 MG in 0.4 ML Auto-Injector
coding[2]system@value:  http://hl7.org/fhir/sid/ndccode@value:  00074055401subjectreference@value:  Patient/specialty-rx-patient-1
authoredOn@value:  2020-03-10
requesterreference@value:  Practitioner/specialty-rx-practitioner-1
dosageInstructiontext@value:  Inject 2 pens on Day 1. Inject 1 pen on Day 8 and every other week thereafter
dispenseRequestinitialFillquantityvalue@value:  4unit@value:  {each}
numberOfRepeatsAllowed@value:  2expectedSupplyDurationvalue@value:  30unit@value:  dayssystem@value:  http://unitsofmeasure.orgcode@value:  d
performeridentifiervalue@value:  TBD Pharmacy IDdisplay@value:  Our Specialty Pharmacy
substitutionallowedBoolean@value:  false

Generated Narrative

status: active

intent: order

medication: Humira 40 MG in 0.4 ML Auto-Injector

subject: Generated Summary: id: 1234; active; Timothy V. Doe ; Phone: 555-555-5555, tim.doe@example.com; gender: male; birthDate: 1987-02-20

authoredOn: 2020-03-10

requester: Generated Summary: id: 9941339108; Jane Smith ; Phone: 555-555-5555, Fax: 555-555-1234, jane.smith@example.org

DosageInstructions

-
*

dispenseRequest

InitialFills

-Quantity
*4 {each}

numberOfRepeatsAllowed: 2

ExpectedSupplyDurations

-
*

performer: Our Specialty Pharmacy

Substitutions

-Allowed[x]
*false