Specialty Medication Enrollment
2.0.0-ballot - STU 2 Ballot US

This page is part of the Specialty Medication Enrollment (v2.0.0-ballot: STU2 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

: Specialty Rx MedicationRequest 1 - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "specialty-rx-medicationrequest-1",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-medicationrequest"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest \"specialty-rx-medicationrequest-1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-specialty-rx-medicationrequest.html\">Specialty Prescription</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: Humira 40 MG in 0.4 ML Auto-Injector <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#1872980; <a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ndc.html\">National drug codes</a>#00074055401)</span></p><p><b>subject</b>: <a href=\"Patient-specialty-rx-patient-1.html\">Patient/specialty-rx-patient-1</a> \" DOE\"</p><p><b>authoredOn</b>: 2020-03-10</p><p><b>requester</b>: <a href=\"Practitioner-specialty-rx-practitioner-1.html\">Practitioner/specialty-rx-practitioner-1</a> \" SMITH\"</p><blockquote><p><b>dispenseRequest</b></p><h3>InitialFills</h3><table class=\"grid\"><tr><td>-</td><td><b>Quantity</b></td></tr><tr><td>*</td><td>4 {each}</td></tr></table><p><b>numberOfRepeatsAllowed</b>: 2</p><p><b>performer</b>: <span>: Our Specialty Pharmacy</span></p></blockquote><h3>Substitutions</h3><table class=\"grid\"><tr><td>-</td><td><b>Allowed[x]</b></td></tr><tr><td>*</td><td>false</td></tr></table></div>"
  },
  "status" : "active",
  "intent" : "order",
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
        "code" : "1872980",
        "display" : "Humira 40 MG in 0.4 ML Auto-Injector"
      },
      {
        "system" : "http://hl7.org/fhir/sid/ndc",
        "code" : "00074055401"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/specialty-rx-patient-1"
  },
  "authoredOn" : "2020-03-10",
  "requester" : {
    "reference" : "Practitioner/specialty-rx-practitioner-1"
  },
  "dosageInstruction" : [
    {
      "text" : "Inject 2 pens on Day 1. Inject 1 pen on Day 8 and every other week thereafter"
    }
  ],
  "dispenseRequest" : {
    "initialFill" : {
      "quantity" : {
        "value" : 4,
        "unit" : "{each}"
      }
    },
    "numberOfRepeatsAllowed" : 2,
    "expectedSupplyDuration" : {
      "value" : 30,
      "unit" : "days",
      "system" : "http://unitsofmeasure.org",
      "code" : "d"
    },
    "performer" : {
      "identifier" : {
        "value" : "TBD Pharmacy ID"
      },
      "display" : "Our Specialty Pharmacy"
    }
  },
  "substitution" : {
    "allowedBoolean" : false
  }
}