Specialty Medication Enrollment
1.0.0 - STU 1

This page is part of the Specialty Medication Enrollment (v1.0.0: STU1) 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</b></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1872980}, {http://hl7.org/fhir/sid/ndc 00074055401}\">Humira 40 MG in 0.4 ML Auto-Injector</span></p><p><b>subject</b>: <a href=\"Patient-specialty-rx-patient-1.html\">Generated Summary: id: 1234; active; Timothy V. Doe ; Phone: 555-555-5555, tim.doe@example.com; gender: male; birthDate: 1987-02-20</a></p><p><b>authoredOn</b>: 2020-03-10</p><p><b>requester</b>: <a href=\"Practitioner-specialty-rx-practitioner-1.html\">Generated Summary: id: 9941339108; Jane Smith ; Phone: 555-555-5555, Fax: 555-555-1234, jane.smith@example.org</a></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
  }
}