R4 Draft for Comment

This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationrequest0313.json

Pharmacy Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Encounter, Patient, Practitioner

Raw JSON (canonical form)

Order with a single dosage line - Azithromycin - completed - with link to prior prescription and reason code

{
  "resourceType": "MedicationRequest",
  "id": "medrx0313",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0313</p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>medication</b>: Azithromycin 250mg capsule (product) <span>(Details : {SNOMED CT code '324252006' = 'Azithromycin 250mg capsule', given as 'Azithromycin 250mg capsule (product)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>authoredOn</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Traveller's Diarrhea (disorder) <span>(Details : {SNOMED CT code '11840006' = 'Traveler's diarrhea', given as 'Traveller's Diarrhea (disorder)'})</span></p><p><b>dosageInstruction</b>: </p><h3>DispenseRequests</h3><table><tr><td>-</td><td><b>ValidityPeriod</b></td><td><b>Quantity</b></td><td><b>ExpectedSupplyDuration</b></td></tr><tr><td>*</td><td>15/01/2015 --&gt; 15/01/2016</td><td>5 Tab<span> (Details: http://hl7.org/fhir/v3/orderableDrugForm code Tab = 'Tab')</span></td><td>5 days<span> (Details: UCUM code d = 'd')</span></td></tr></table><p><b>priorPrescription</b>: <a>Vancomycin IV</a></p></div>"
  },
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "status": "completed",
  "intent": "order",
  "medicationCodeableConcept": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "324252006",
        "display": "Azithromycin 250mg capsule (product)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "authoredOn": "2015-01-15",
  "requester": {
    "reference": "Practitioner/f007",
    "display": "Patrick Pump"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "11840006",
          "display": "Traveller's Diarrhea (disorder)"
        }
      ]
    }
  ],
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "500mg daily for 5 days",
      "additionalInstruction": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "421984009",
              "display": "Until finished - dosing instruction fragment (qualifier value)"
            }
          ]
        }
      ],
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral Route (qualifier value)"
          }
        ]
      },
      "doseQuantity": {
        "value": 500,
        "unit": "mg",
        "system": "http://unitsofmeasure.org",
        "code": "mg"
      }
    }
  ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2015-01-15",
      "end": "2016-01-15"
    },
    "quantity": {
      "value": 5,
      "unit": "Tab",
      "system": "http://hl7.org/fhir/v3/orderableDrugForm",
      "code": "Tab"
    },
    "expectedSupplyDuration": {
      "value": 5,
      "unit": "days",
      "system": "http://unitsofmeasure.org",
      "code": "d"
    }
  },
  "priorPrescription": {
    "reference": "MedicationRequest/medrx0318",
    "display": "Vancomycin IV"
  }
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.