This page is part of the Consumer Real-time Pharmacy Benefit Check (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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JSON Format: MedicationRequest-rtpbc-medicationrequest-03

Raw json

{
  "resourceType" : "MedicationRequest",
  "id" : "rtpbc-medicationrequest-03",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/carin/StructureDefinition/rtpbc-medicationrequest"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: rtpbc-medicationrequest-03</p><p><b>meta</b>: </p><p><b>status</b>: draft</p><p><b>intent</b>: proposal</p><p><b>reported</b>: true</p><p><b>medication</b>: Prozac 10mg capsule <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/ndc-11 code '00777310402' = 'Prozac 10mg capsule', given as 'Prozac 10mg capsule'})</span></p><p><b>subject</b>: <a href=\"Patient-rtpbc-patient-03.html\">Generated Summary: id: rtpbc-patient-03; Jane Doe ; gender: female; birthDate: 1975-12-05</a></p><p><b>requester</b>: <a href=\"Practitioner-rtpbc-practitioner-03.html\">Generated Summary: id: rtpbc-practitioner-03; 1234567890; Johnson </a></p><h3>DispenseRequests</h3><table class=\"grid\"><tr><td>-</td><td><b>Quantity</b></td><td><b>ExpectedSupplyDuration</b></td><td><b>Performer</b></td></tr><tr><td>*</td><td>60 EA</td><td>30 days<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></td><td><a href=\"Organization-rtpbc-organization-03.html\">Generated Summary: id: rtpbc-organization-03; 0999017; <span title=\"Codes: {http://ncpdp.org/pharmacy-type R}\">Retail</span>; name: Hometown Drug; ph: 6081234567</a></td></tr></table><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" : "draft",
  "intent" : "proposal",
  "reportedBoolean" : true,
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/ndc-11",
        "code" : "00777310402",
        "display" : "Prozac 10mg capsule"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/rtpbc-patient-03"
  },
  "requester" : {
    "reference" : "Practitioner/rtpbc-practitioner-03"
  },
  "dispenseRequest" : {
    "quantity" : {
      "value" : 60,
      "unit" : "EA"
    },
    "expectedSupplyDuration" : {
      "value" : 30,
      "unit" : "days",
      "system" : "http://unitsofmeasure.org",
      "code" : "d"
    },
    "performer" : {
      "reference" : "Organization/rtpbc-organization-03"
    }
  },
  "substitution" : {
    "allowedBoolean" : false
  }
}