R4 Ballot #1 (Mixed Normative/Trial use)
MedicationsThis page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). 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
| Pharmacy Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Encounter, Patient, Practitioner |
Order with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution
{
"resourceType": "MedicationRequest",
"id": "medrx0301",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0301</p><p><b>contained</b>: , </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Inpatient <span>(Details : {http://hl7.org/fhir/medication-request-category code 'inpatient' = 'Inpatient', given as 'Inpatient'})</span></p><p><b>medication</b>: id: med0310; Oral Form Oxycodone (product) <span>(Details : {SNOMED CT code '430127000' = 'Oral form oxycodone', given as 'Oral Form Oxycodone (product)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>context</b>: <a>encounter who leads to this prescription</a></p><p><b>supportingInformation</b>: <a>Procedure/biopsy</a></p><p><b>authoredOn</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>performer</b>: <a>Carla Espinosa</a></p><p><b>performerType</b>: Public Health Nurse <span>(Details : {SNOMED CT code '26369006' = '26369006', given as 'Public Health Nurse'})</span></p><p><b>reasonCode</b>: Rib Pain (finding) <span>(Details : {SNOMED CT code '297217002' = 'Rib pain', given as 'Rib Pain (finding)'})</span></p><p><b>statusReason</b>: Try another treatment first <span>(Details : {http://hl7.org/fhir/med-request-status-reason code 'altchoice' = 'Try another treatment first', given as 'Try another treatment first'})</span></p><p><b>insurance</b>: <a>Coverage/9876B1</a></p><p><b>note</b>: Patient told to take with food</p><p><b>dosageInstruction</b>: </p><h3>DispenseRequests</h3><table><tr><td>-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td><td><b>ExpectedSupplyDuration</b></td><td><b>Performer</b></td></tr><tr><td>*</td><td>15/01/2015 --> 15/01/2016</td><td>0</td><td>30 TAB<span> (Details: http://hl7.org/fhir/v3/orderableDrugForm code TAB = 'Tablet')</span></td><td>10 days<span> (Details: UCUM code d = 'd')</span></td><td><a>Practitioner/f001</a></td></tr></table><h3>Substitutions</h3><table><tr><td>-</td><td><b>Allowed</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td>formulary policy <span>(Details : {http://hl7.org/fhir/v3/ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})</span></td></tr></table><p><b>detectedIssue</b>: <a>DetectedIssue/allergy</a></p><p><b>eventHistory</b>: Author's Signature. Generated Summary: id: signature; recorded: 01/02/2017 5:23:07 PM; </p></div>"
},
"contained": [
{
"resourceType": "Medication",
"id": "med0310",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "430127000",
"display": "Oral Form Oxycodone (product)"
}
]
}
},
{
"resourceType": "Provenance",
"id": "signature",
"target": [
{
"reference": "ServiceRequest/physiotherapy"
}
],
"recorded": "2017-02-01T17:23:07Z",
"agent": [
{
"role": [
{
"coding": [
{
"system": "http://hl7.org/fhir/v3/ParticipationType",
"code": "AUT"
}
]
}
],
"whoReference": {
"reference": "Practitioner/example",
"display": "Dr Adam Careful"
}
}
],
"signature": [
{
"type": [
{
"system": "urn:iso-astm:E1762-95:2013",
"code": "1.2.840.10065.1.12.1.1",
"display": "Author's Signature"
}
],
"when": "2017-02-01T17:23:07Z",
"whoReference": {
"reference": "Practitioner/example",
"display": "Dr Adam Careful"
},
"targetFormat": "application/fhir+xml",
"sigFormat": "application/signature+xml",
"blob": "dGhpcyBibG9iIGlzIHNuaXBwZWQ="
}
]
}
],
"identifier": [
{
"use": "official",
"system": "http://www.bmc.nl/portal/prescriptions",
"value": "12345689"
}
],
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/medication-request-category",
"code": "inpatient",
"display": "Inpatient"
}
]
}
],
"medicationReference": {
"reference": "#med0310"
},
"subject": {
"reference": "Patient/pat1",
"display": "Donald Duck"
},
"context": {
"reference": "Encounter/f201",
"display": "encounter who leads to this prescription"
},
"supportingInformation": [
{
"reference": "Procedure/biopsy"
}
],
"authoredOn": "2015-01-15",
"requester": {
"reference": "Practitioner/f007",
"display": "Patrick Pump"
},
"performer": {
"reference": "Practitioner/f204",
"display": "Carla Espinosa"
},
"performerType": {
"coding": [
{
"system": "http://snomed.info.sct",
"code": "26369006",
"display": "Public Health Nurse"
}
]
},
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "297217002",
"display": "Rib Pain (finding)"
}
]
}
],
"statusReason": {
"coding": [
{
"system": "http://hl7.org/fhir/med-request-status-reason",
"code": "altchoice",
"display": "Try another treatment first"
}
]
},
"insurance": [
{
"reference": "Coverage/9876B1"
}
],
"note": [
{
"text": "Patient told to take with food"
}
],
"dosageInstruction": [
{
"sequence": 1,
"text": "one to two tablets every 4-6 hours as needed for rib pain",
"additionalInstruction": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "418914006",
"display": "Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)"
}
]
}
],
"patientInstruction": "Take one to two tablets every four to six hours as needed for rib pain",
"timing": {
"repeat": {
"frequency": 1,
"period": 4,
"periodMax": 6,
"periodUnit": "h"
}
},
"asNeededCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "297217002",
"display": "Rib Pain (finding)"
}
]
},
"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://hl7.org/fhir/dose-rate-type",
"code": "ordered",
"display": "Ordered"
}
]
},
"doseRange": {
"low": {
"value": 1,
"unit": "TAB",
"system": "http://hl7.org/fhir/v3/orderableDrugForm",
"code": "TAB"
},
"high": {
"value": 2,
"unit": "TAB",
"system": "http://hl7.org/fhir/v3/orderableDrugForm",
"code": "TAB"
}
}
}
]
}
],
"dispenseRequest": {
"validityPeriod": {
"start": "2015-01-15",
"end": "2016-01-15"
},
"numberOfRepeatsAllowed": 0,
"quantity": {
"value": 30,
"unit": "TAB",
"system": "http://hl7.org/fhir/v3/orderableDrugForm",
"code": "TAB"
},
"expectedSupplyDuration": {
"value": 10,
"unit": "days",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"performer": {
"reference": "Practitioner/f001"
}
},
"substitution": {
"allowed": true,
"reason": {
"coding": [
{
"system": "http://hl7.org/fhir/v3/ActReason",
"code": "FP",
"display": "formulary policy"
}
]
}
},
"detectedIssue": [
{
"reference": "DetectedIssue/allergy"
}
],
"eventHistory": [
{
"reference": "#signature",
"display": "Author's Signature"
}
]
}
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.
®© HL7.org 2011+. FHIR Mixed Nomative/Trial Use Ballot (v3.3.0-13671) generated on Tue, Apr 3, 2018 12:16+1000. QA Page
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