Da Vinci Prior Authorization Support (PAS) FHIR IG - Downloaded Version 2.2.0-ballot See the Directory of published versions
| Page standards status: Informative |
Profile: PAS Medication Request
status: Active
intent: Order
medication: Prozac, 100 CAPSULE in 1 BOTTLE (0777-3105-02) (package)
subject: JESSE SMITH Female, DoB: 1947-01-18 ( Member Number)
authoredOn: 2005-06-02
requester: Practitioner SUSAN WATSON
| Timing |
| Quantity |
| 300 mg (Details: UCUM codemg = 'mg') |