Request
using
Medication
Code
for
Rectal
Suppository
-
Acetaminophen
-
completed
with
reasonCode,
dispenseRequest
and
substitution
{
"resourceType": "MedicationRequest",
"id": "medrx0324",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0324</p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>medication</b>: Paracetamol 240mg suppository (product) <span>(Details : {SNOMED CT code '322254008' = 'Paracetamol 240mg suppository', given as 'Paracetamol 240mg suppository (product)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>authoredOn</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Scarlet Fever (disorder) <span>(Details : {SNOMED CT code '30242009' = 'Scarlet fever', given as 'Scarlet Fever (disorder)'})</span></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></tr><tr><td>*</td><td>15/01/2015 --> 15/01/2016</td><td>3</td><td>30 RECSUPP<span> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code RECSUPP = 'Rectal Suppository')</span></td><td>10 days<span> (Details: UCUM code d = 'd')</span></td></tr></table><h3>Substitutions</h3><table><tr><td>-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td>formulary policy <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})</span></td></tr></table></div>"
},
"identifier": [
{
"use": "official",
"system": "http://www.bmc.nl/portal/prescriptions",
"value": "12345689"
"resourceType" : "MedicationRequest",
"id" : "medrx0324",
"identifier" : [{
"use" : "official",
"system" : "http://www.bmc.nl/portal/prescriptions",
"value" : "12345689"
}],
"status" : "completed",
"intent" : "order",
"medication" : {
"concept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "322254008",
"display" : "Acetaminophen 240 mg rectal suppository"
}]
}
],
"status": "completed",
"intent": "order",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "322254008",
"display": "Paracetamol 240mg suppository (product)"
}
]
},
"subject": {
"reference": "Patient/pat1",
"display": "Donald Duck"
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"authoredOn": "2015-01-15",
"requester": {
"reference": "Practitioner/f007",
"display": "Patrick Pump"
"authoredOn" : "2015-01-15",
"requester" : {
"reference" : "Practitioner/f007",
"display" : "Patrick Pump"
},
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "30242009",
"display": "Scarlet Fever (disorder)"
}
]
"reason" : [{
"concept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "30242009",
"display" : "Scarlet Fever (disorder)"
}]
}
],
"dosageInstruction": [
{
"sequence": 1,
"text": "Insert one suppository rectally twice daily as needed for fever to a maximim of 3 per day",
"additionalInstruction": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "418637003",
"display": "Do not take with any other paracetamol products (qualifier value)"
}
]
}
],
"timing": {
"repeat": {
"frequency": 2,
"period": 1,
"periodUnit": "d"
}
}],
"dosageInstruction" : [{
"sequence" : 1,
"text" : "Insert one suppository rectally twice daily as needed for fever to a maximim of 3 per day",
"additionalInstruction" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "418637003",
"display" : "Do not take with any other paracetamol products (qualifier value)"
}]
}],
"timing" : {
"repeat" : {
"frequency" : 2,
"period" : 1,
"periodUnit" : "d"
}
},
"asNeededFor" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "386661006",
"display" : "Fever (finding)"
}]
}],
"doseAndRate" : [{
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}]
},
"asNeededCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "386661006",
"display": "Fever (finding)"
}
]
"doseQuantity" : {
"value" : 240,
"unit" : "mg",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
}
}],
"maxDosePerPeriod" : [{
"numerator" : {
"value" : 720,
"system" : "http://unitsofmeasure.org",
"code" : "mg"
},
"doseAndRate": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
}
]
},
"doseQuantity": {
"value": 240,
"unit": "mg",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
],
"maxDosePerPeriod": {
"numerator": {
"value": 720,
"system": "http://unitsofmeasure.org",
"code": "mg"
},
"denominator": {
"value": 1,
"system": "http://unitsofmeasure.org",
"code": "d"
}
"denominator" : {
"value" : 1,
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
],
"dispenseRequest": {
"validityPeriod": {
"start": "2015-01-15",
"end": "2016-01-15"
}]
}],
"dispenseRequest" : {
"validityPeriod" : {
"start" : "2015-01-15",
"end" : "2016-01-15"
},
"numberOfRepeatsAllowed": 3,
"quantity": {
"value": 30,
"unit": "RECSUPP",
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "RECSUPP"
"numberOfRepeatsAllowed" : 3,
"quantity" : {
"value" : 30,
"unit" : "RECSUPP",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "RECSUPP"
},
"expectedSupplyDuration": {
"value": 10,
"unit": "days",
"system": "http://unitsofmeasure.org",
"code": "d"
"expectedSupplyDuration" : {
"value" : 10,
"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"
}
]
"substitution" : {
"allowedBoolean" : true,
"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.
Medications
|
Propose
a
change