FHIR Release 3 (STU) CI-Build

This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0 . For a full list Continuous Integration Build of available versions, see FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationrequest0303.json

Example MedicationRequest/medrx0303 (JSON)

Maturity Level : N/A
Responsible Owner: Pharmacy Work Group Ballot Standards Status : Informative Compartments : Encounter , Group , Patient , Practitioner

Raw JSON ( canonical form + also see JSON Format Specification )

Order for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod

{
  "resourceType": "MedicationRequest",
  "id": "medrx0303",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0303</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>definition</b>: <a>ActivityDefinition/heart-valve-replacement</a></p><p><b>basedOn</b>: <a>CarePlan/gpvisit</a></p><p><b>groupIdentifier</b>: 983939393 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: id: med0311; Prednisone 5mg tablet (Product) <span>(Details : {SNOMED CT code '373994007' = 'Prednisone 5mg tablet', given as 'Prednisone 5mg tablet (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>authoredOn</b>: 15/01/2015</p><h3>Requesters</h3><table><tr><td>-</td><td><b>Agent</b></td><td><b>OnBehalfOf</b></td></tr><tr><td>*</td><td><a>Patrick Pump</a></td><td><a>Organization/f002</a></td></tr></table><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 --&gt; 15/01/2016</td><td>1</td><td>51 TAB<span> (Details: http://hl7.org/fhir/v3/orderableDrugForm code TAB = 'Tablet')</span></td><td>21 days<span> (Details: UCUM code d = 'd')</span></td><td><a>Organization/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></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0311",
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "373994007",
            "display": "Prednisone 5mg tablet (Product)"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "definition": [
    {
      "reference": "ActivityDefinition/heart-valve-replacement"
    }
  ],
  "basedOn": [
    {
      "reference": "CarePlan/gpvisit"

  "resourceType" : "MedicationRequest",
  "id" : "medrx0303",
  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0311",
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "373994007",
        "display" : "Prednisone 5 mg oral tablet"
      }]

    }
  ],
  "groupIdentifier": {
    "use": "official",
    "system": "http://www.bmc.nl/portal/prescriptions",
    "value": "983939393"

  }],
  "identifier" : [{
    "use" : "official",
    "system" : "http://www.bmc.nl/portal/prescriptions",
    "value" : "12345689"
  }],
  "basedOn" : [{
    "reference" : "CarePlan/gpvisit"
  }],
  "groupIdentifier" : {
    "use" : "official",
    "system" : "http://www.bmc.nl/portal/prescriptions",
    "value" : "983939393"

  },
  "status": "active",
  "intent": "order",
  "medicationReference": {
    "reference": "#med0311"

  "status" : "active",
  "intent" : "order",
  "medication" : {
    "reference" : {
      "reference" : "#med0311"
    }

  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"

  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"

  },
  "context": {
    "reference": "Encounter/f001",
    "display": "encounter who leads to this prescription"

  "encounter" : {
    "reference" : "Encounter/f001",
    "display" : "encounter who leads to this prescription"

  },
  "authoredOn": "2015-01-15",
  "requester": {
    "agent": {
      "reference": "Practitioner/f007",
      "display": "Patrick Pump"
    },
    "onBehalfOf": {
      "reference": "Organization/f002"
    }

  "authoredOn" : "2015-01-15",
  "requester" : {
    "reference" : "Practitioner/f007",
    "display" : "Patrick Pump"

  },
  "note": [
    {
      "text": "Patient told to take with food"
    }
  ],
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "Take 4 tablets daily for 7 days starting January 16, 2015",
      "timing": {
        "repeat": {
          "boundsPeriod": {
            "start": "2015-01-16",
            "end": "2015-01-20"
          },
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral Route"

  "note" : [{
    "text" : "Patient told to take with food"
  }],
  "dosageInstruction" : {
    "step" : [{
      "component" : [{
        "text" : "Take 4 tablets daily for 7 days starting January 16, 2015",
        "timing" : {
          "repeat" : {
            "boundsPeriod" : {
              "start" : "2015-01-16",
              "end" : "2015-01-22"
            },
            "frequency" : 1,
            "period" : 1,
            "periodUnit" : "d"

          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "421521009",
            "display": "Swallow - dosing instruction imperative (qualifier value)"

        },
        "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" : 4,
            "unit" : "TAB",
            "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
            "code" : "TAB"

          }
        ]
      },
      "doseQuantity": {
        "value": 4,
        "unit": "TAB",
        "system": "http://hl7.org/fhir/v3/orderableDrugForm",
        "code": "TAB"
      }

        }]
      }]

    },
    {
      "sequence": 2,
      "text": "Take 2 tablets daily for 7 days starting January 23, 2015",
      "timing": {
        "repeat": {
          "boundsPeriod": {
            "start": "2015-01-23",
            "end": "2015-01-30"
          },
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral Route"

      "component" : [{
        "text" : "Take 2 tablets daily for 7 days starting January 23, 2015",
        "timing" : {
          "repeat" : {
            "boundsPeriod" : {
              "start" : "2015-01-23",
              "end" : "2015-01-29"
            },
            "frequency" : 1,
            "period" : 1,
            "periodUnit" : "d"

          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "421521009",
            "display": "Swallow - dosing instruction imperative (qualifier value)"

        },
        "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"

          }
        ]
      },
      "doseQuantity": {
        "value": 2,
        "unit": "TAB",
        "system": "http://hl7.org/fhir/v3/orderableDrugForm",
        "code": "TAB"
      }

        }]
      }]

    },
    {
      "sequence": 3,
      "text": "Take 1 tablets daily for 7 days starting January 31, 2015",
      "timing": {
        "repeat": {
          "boundsPeriod": {
            "start": "2015-01-31",
            "end": "2015-02-06"
          },
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral Route"

      "component" : [{
        "text" : "Take 1 tablets daily for 7 days starting January 30, 2015",
        "timing" : {
          "repeat" : {
            "boundsPeriod" : {
              "start" : "2015-01-30",
              "end" : "2015-02-05"
            },
            "frequency" : 1,
            "period" : 1,
            "periodUnit" : "d"

          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "421521009",
            "display": "Swallow - dosing instruction imperative (qualifier value)"

        },
        "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" : 1,
            "unit" : "TAB",
            "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
            "code" : "TAB"

          }
        ]
      },
      "doseQuantity": {
        "value": 1,
        "unit": "TAB",
        "system": "http://hl7.org/fhir/v3/orderableDrugForm",
        "code": "TAB"
      }
    }
  ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2015-01-15",
      "end": "2016-01-15"

        }]
      }]
    }]
  },
  "dispenseRequest" : {
    "validityPeriod" : {
      "start" : "2015-01-15",
      "end" : "2016-01-15"

    },
    "numberOfRepeatsAllowed": 1,
    "quantity": {
      "value": 51,
      "unit": "TAB",
      "system": "http://hl7.org/fhir/v3/orderableDrugForm",
      "code": "TAB"

    "numberOfRepeatsAllowed" : 1,
    "quantity" : {
      "value" : 51,
      "unit" : "TAB",
      "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
      "code" : "TAB"

    },
    "expectedSupplyDuration": {
      "value": 21,
      "unit": "days",
      "system": "http://unitsofmeasure.org",
      "code": "d"

    "expectedSupplyDuration" : {
      "value" : 21,
      "unit" : "days",
      "system" : "http://unitsofmeasure.org",
      "code" : "d"

    },
    "performer": {
      "reference": "Organization/f001"

    "dispenser" : {
      "reference" : "Organization/f001"

    }
  },
  "substitution": {
    "allowed": true,
    "reason": {
      "coding": [
        {
          "system": "http://hl7.org/fhir/v3/ActReason",
          "code": "FP",
          "display": "formulary policy"
        }
      ]

  "substitution" : {
    "allowedCodeableConcept" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
        "code" : "TB",
        "display" : "Therapeutic Brand"
      }]
    },
    "reason" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "FP",
        "display" : "formulary policy"
      }]

    }
  }
}

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.