Da Vinci - Coverage Requirements Discovery
1.0.0 - STU 1
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 
{
"resourceType" : "MedicationRequest",
"id" : "example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: draft</p><p><b>intent</b>: order</p><p><b>medication</b>: <a name=\"med0320\"> </a></p><blockquote><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 324252006}\">Azithromycin (as azithromycin dihydrate) 250 mg oral capsule</span></p></blockquote><p><b>subject</b>: <a href=\"Patient-example.html\">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</a></p><p><b>encounter</b>: <a href=\"Encounter-example.html\">Generated Summary: id: v1451 (OFFICIAL); status: in-progress; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span>; <span title=\"Codes: {http://snomed.info/sct 270427003}\">Patient-initiated encounter</span>; <span title=\"Codes: {http://snomed.info/sct 310361003}\">Non-urgent cardiological admission</span>; <span title=\"Codes: {http://snomed.info/sct 34068001}\">Heart valve replacement</span></a></p><p><b>supportingInformation</b>: <a href=\"Coverage-example.html\">Generated Summary: id: 12345; status: active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActCode EHCPOL}\">extended healthcare</span>; dependent: 0; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span>; period: 2011-05-23 --> 2012-05-23</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href=\"Practitioner-example.html\">Generated Summary: id: 9941339108, id: 25456; Adam Careful </a></p><p><b>reasonCode</b>: <span title=\"Codes: {http://snomed.info/sct 11840006}\">Traveler's Diarrhea (disorder)</span></p><p><b>insurance</b>: <a href=\"Coverage-example.html\">Generated Summary: id: 12345; status: active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActCode EHCPOL}\">extended healthcare</span>; dependent: 0; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span>; period: 2011-05-23 --> 2012-05-23</a></p><p><b>note</b>: Patient told to take with food</p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --> 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 1</p><p><b>quantity</b>: 6 TAB</p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><h3>Substitutions</h3><table class=\"grid\"><tr><td>-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason FP}\">formulary policy</span></td></tr></table></div>"
},
"contained" : [
{
"resourceType" : "Medication",
"id" : "med0320",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "324252006",
"display" : "Azithromycin (as azithromycin dihydrate) 250 mg oral capsule"
}
]
}
}
],
"identifier" : [
{
"use" : "official",
"system" : "http://www.bmc.nl/portal/prescriptions",
"value" : "12345689"
}
],
"status" : "draft",
"intent" : "order",
"medicationReference" : {
"reference" : "#med0320"
},
"subject" : {
"reference" : "Patient/example"
},
"encounter" : {
"reference" : "Encounter/example"
},
"supportingInformation" : [
{
"reference" : "Coverage/example"
}
],
"authoredOn" : "2015-01-15",
"requester" : {
"reference" : "Practitioner/example"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "11840006",
"display" : "Traveler's Diarrhea (disorder)"
}
]
}
],
"insurance" : [
{
"reference" : "Coverage/example"
}
],
"note" : [
{
"text" : "Patient told to take with food"
}
],
"dosageInstruction" : [
{
"sequence" : 1,
"text" : "Two tablets at once",
"additionalInstruction" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "311504000",
"display" : "With or after food"
}
]
}
],
"timing" : {
"repeat" : {
"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" : 2,
"text" : "One tablet daily for 4 days",
"additionalInstruction" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "311504000",
"display" : "With or after food"
}
]
}
],
"timing" : {
"repeat" : {
"frequency" : 4,
"period" : 1,
"periodUnit" : "d"
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "26643006",
"display" : "Oral Route"
}
]
},
"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" : 6,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
},
"expectedSupplyDuration" : {
"value" : 5,
"unit" : "days",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
},
"substitution" : {
"allowedBoolean" : true,
"reason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "FP",
"display" : "formulary policy"
}
]
}
}
}
IG © 2019+ HL7 International - Financial Management Work Group. Package hl7.fhir.us.davinci-crd#1.0.0 based on FHIR 4.0.1. Generated 2020-12-22
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