Da Vinci - Coverage Requirements Discovery
1.0.0 - STU 1

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v1.0.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example MedicationRequest: MedicationRequest example

Generated Narrative

identifier: id: 12345689 (OFFICIAL)

status: draft

intent: order

medication:

code: Azithromycin (as azithromycin dihydrate) 250 mg oral capsule

subject: Generated Summary: Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; Phone: 555-555-5555, amy.shaw@example.com; gender: female; birthDate: 1987-02-20

encounter: Generated Summary: id: v1451 (OFFICIAL); status: in-progress; ambulatory; Patient-initiated encounter; Non-urgent cardiological admission; Heart valve replacement

supportingInformation: Generated Summary: id: 12345; status: active; extended healthcare; dependent: 0; Self; period: 2011-05-23 --> 2012-05-23

authoredOn: 2015-01-15

requester: Generated Summary: id: 9941339108, id: 25456; Adam Careful

reasonCode: Traveler's Diarrhea (disorder)

insurance: Generated Summary: id: 12345; status: active; extended healthcare; dependent: 0; Self; period: 2011-05-23 --> 2012-05-23

note: Patient told to take with food

DosageInstructions

-
*
*

dispenseRequest

validityPeriod: 2015-01-15 --> 2016-01-15

numberOfRepeatsAllowed: 1

quantity: 6 TAB

ExpectedSupplyDurations

-
*

Substitutions

-Allowed[x]Reason
*trueformulary policy