This page is part of the Da Vinci Payer Data Exchange (v0.1.0: STU 1 Ballot 1) based on FHIR R4 . The current version which supercedes this version is 1.0.0 . For a full list of available versions, see the Directory of published versions
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3-6-20 US Core MedicationRequest
3-6-20 US Core MedicationRequest
Where a Health Plan has access to Prescription information they SHALL make the information available using the US Core MedicationRequest resource.
The essential fields to be provided in the MedicationRequest resource are:
R4 Hierarchical Name
R4 Name
Card.
Type
MedicationRequest
MedicationRequest
DomainResource
MedicationRequest.identifier
identifier
0..*
Identifier
MedicationRequest.status
status
1..1
code
MedicationRequest.intent
intent
1..1
code
MedicationRequest.medication[x]
medication[x]
1..1
MedicationRequest.subject
subject
1..1
Reference(Patient
Group)
MedicationRequest.substitution.allowed[x].allowedCodeableConcept
allowedCodeableConcept
CodeableConcept
MedicationRequest.substitution.reason
reason
0..1
CodeableConcept
MedicationRequest.priorPrescription
priorPrescription
0..1
Reference(MedicationRequest)
MedicationRequest.detectedIssue
detectedIssue
0..*
Reference(DetectedIssue)
MedicationRequest.eventHistory
eventHistory
0..*
Reference(Provenance)
3-6-20-1 Example MedicationRequest Resource
An example mapping of a MedicationRequest is shown below:
{
"resourceType": "MedicationRequest",
"id": "medrx0303",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative with Details
id : medrx0303
contained :
identifier : 12345689 (OFFICIAL)
status : active
intent : order
medication : id: med0311; Prednisone 5mg tablet (Product) (Details : {SNOMED CT code '373994007' = 'Prednisone 5mg tablet', given as 'Prednisone 5mg tablet (Product)'})
subject : Donald Duck
encounter : encounter who leads to this prescription
authoredOn : 15/01/2015
requester : Patrick Pump
basedOn : CarePlan/gpvisit
groupIdentifier : 983939393 (OFFICIAL)
note : Patient told to take with food
dosageInstruction : , ,
DispenseRequests - ValidityPeriod NumberOfRepeatsAllowed Quantity ExpectedSupplyDuration Performer * 15/01/2015 --> 15/01/2016 1 51 TAB (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet') 21 days (Details: UCUM code d = 'd') Organization/f001
Substitutions - Allowed[x] Reason * Therapeutic Brand (Details : {http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution code 'TB' = 'therapeutic brand', given as 'Therapeutic Brand'}) formulary policy (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})
</div>"
},
"contained": [
{
"resourceType": "Medication",
"id": "med0311",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "373994007",
"display": "Prednisone 5mg tablet (Product)"
}
]
}
}
],
"identifier": [
{
"use": "official",
"system": "http://www.bmc.nl/portal/prescriptions",
"value": "12345689"
}
],
"status": "active",
"intent": "order",
"medicationReference": {
"reference": "#med0311"
},
"subject": {
"reference": "Patient/pat1",
"display": "Donald Duck"
},
"encounter": {
"reference": "Encounter/f001",
"display": "encounter who leads to this prescription"
},
"authoredOn": "2015-01-15",
"requester": {
"reference": "Practitioner/f007",
"display": "Patrick Pump"
},
"basedOn": [
{
"reference": "CarePlan/gpvisit"
}
],
"groupIdentifier": {
"use": "official",
"system": "http://www.bmc.nl/portal/prescriptions",
"value": "983939393"
},
"note": [
{
"text": "Patient told to take with food"
}
],
"dosageInstruction": [
{
"sequence": 1,
"text": "Take 4 tablets daily for 7 days starting January 16, 2015",
"timing": {
"repeat": {
"boundsPeriod": {
"start": "2015-01-16",
"end": "2015-01-20"
},
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "Oral Route"
}
]
},
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "421521009",
"display": "Swallow - dosing instruction imperative (qualifier value)"
}
]
},
"doseAndRate": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
}
]
},
"doseQuantity": {
"value": 4,
"unit": "TAB",
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "TAB"
}
}
]
},
{
"sequence": 2,
"text": "Take 2 tablets daily for 7 days starting January 23, 2015",
"timing": {
"repeat": {
"boundsPeriod": {
"start": "2015-01-23",
"end": "2015-01-30"
},
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "Oral Route"
}
]
},
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "421521009",
"display": "Swallow - dosing instruction imperative (qualifier value)"
}
]
},
"doseAndRate": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
}
]
},
"doseQuantity": {
"value": 2,
"unit": "TAB",
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "TAB"
}
}
]
},
{
"sequence": 3,
"text": "Take 1 tablets daily for 7 days starting January 31, 2015",
"timing": {
"repeat": {
"boundsPeriod": {
"start": "2015-01-31",
"end": "2015-02-06"
},
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "Oral Route"
}
]
},
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "421521009",
"display": "Swallow - dosing instruction imperative (qualifier value)"
}
]
},
"doseAndRate": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
}
]
},
"doseQuantity": {
"value": 1,
"unit": "TAB",
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "TAB"
}
}
]
}
],
"dispenseRequest": {
"validityPeriod": {
"start": "2015-01-15",
"end": "2016-01-15"
},
"numberOfRepeatsAllowed": 1,
"quantity": {
"value": 51,
"unit": "TAB",
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "TAB"
},
"expectedSupplyDuration": {
"value": 21,
"unit": "days",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"performer": {
"reference": "Organization/f001"
}
},
"substitution": {
"allowedCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
"code": "TB",
"display": "Therapeutic Brand"
}
]
},
"reason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code": "FP",
"display": "formulary policy"
}
]
}
}
}
