Release 4 FHIR CI-Build

This page is part of the Continuous Integration Build of FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always (will be available incorrect/inconsistent at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see times).
See the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationrequest0326.json

Example MedicationRequest/medrx0326 (JSON)

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

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

Request using Medication Code for Inhaler - Proventil - on hold with dispenseRequest and substitution

{
  "resourceType": "MedicationRequest",
  "id": "medrx0326",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0326</p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: on-hold</p><p><b>intent</b>: order</p><p><b>medication</b>: Proventil HFA 90mcg/actuat metered dose inhaler, 200 actuat <span>(Details : {RxNorm code '746763' = 'Proventil HFA 90 MCG/INHAL Metered Dose Inhaler, 200 Actuations', given as 'Proventil HFA 90mcg/actuat metered dose inhaler, 200 actuat'})</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>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 --&gt; 15/01/2016</td><td>3</td><td>30 mL<span> (Details: UCUM code mL = 'mL')</span></td><td>30 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" : "medrx0326",
  "identifier" : [{
    "use" : "official",
    "system" : "http://www.bmc.nl/portal/prescriptions",
    "value" : "12345689"
  }],
  "status" : "on-hold",
  "intent" : "order",
  "medication" : {
    "concept" : {
      "coding" : [{
        "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
        "code" : "746763",
        "display" : "NDA020503 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [Proventil]"
      }]

    }
  ],
  "status": "on-hold",
  "intent": "order",
  "medicationCodeableConcept": {
    "coding": [
      {
        "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
        "code": "746763",
        "display": "Proventil HFA 90mcg/actuat metered dose inhaler, 200 actuat"
      }
    ]

  },
  "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"

  },
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "Use two sprays twice daily",
      "additionalInstruction": [
        {
          "text": "Shake Well"
        }
      ],
      "timing": {
        "repeat": {
          "frequency": 2,
          "period": 1,
          "periodUnit": "d"

  "dosageInstruction" : {
    "simple" : {
      "text" : "Use two sprays twice daily",
      "additionalInstruction" : [{
        "text" : "Shake Well"
      }],
      "timing" : {
        "repeat" : {
          "frequency" : 2,
          "period" : 1,
          "periodUnit" : "d"

        }
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 1,
            "unit": "ea",
            "system": "http://unitsofmeasure.org",
            "code": "ea"
          }

      "doseAndRate" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
            "code" : "ordered",
            "display" : "Ordered"
          }]
        },
        "doseQuantity" : {
          "value" : 1,
          "unit" : "ea",
          "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
          "code" : "ORINHL"

        }
      ]

      }]

    }
  ],
  "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": "mL",
      "system": "http://unitsofmeasure.org",
      "code": "mL"

    "numberOfRepeatsAllowed" : 3,
    "quantity" : {
      "value" : 30,
      "unit" : "mL",
      "system" : "http://unitsofmeasure.org",
      "code" : "mL"

    },
    "expectedSupplyDuration": {
      "value": 30,
      "unit": "days",
      "system": "http://unitsofmeasure.org",
      "code": "d"

    "expectedSupplyDuration" : {
      "value" : 30,
      "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.