Specialty Medication Enrollment
2.0.0 - STU2 US United States of America flag

This page is part of the Specialty Medication Enrollment (v2.0.0: STU2) based on FHIR R4. This is the current published version. 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: MedicationRequest

Resource MedicationRequest "specialty-rx-medicationrequest-1"

Profile: Specialty Prescription

status: active

intent: order

medication: Humira 40 MG in 0.4 ML Auto-Injector (RxNorm#1872980; National drug codes#00074055401)

subject: Patient/specialty-rx-patient-1 " DOE"

authoredOn: 2020-03-10

requester: Practitioner/specialty-rx-practitioner-1 " SMITH"

DosageInstructions

-Text
*Inject 2 pens on Day 1. Inject 1 pen on Day 8 and every other week thereafter

dispenseRequest

InitialFills

-Quantity
*4 {each}

numberOfRepeatsAllowed: 2

ExpectedSupplyDurations

-ValueUnitSystemCode
*30daysUnified Code for Units of Measure (UCUM)d

performer: : Our Specialty Pharmacy

Substitutions

-Allowed[x]
*false