R6 Ballot (3rd Draft) FHIR CI-Build

Publish-box (todo) This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions

Example MedicationRequest/medrx0339 (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 for a product that contains multiple dosage forms

{
  "resourceType" : "MedicationRequest",
  "id" : "medrx0339",
  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0322",
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/sid/ndc",
        "code" : "0067-2091-03",
        "display" : "Vagistat-3, 1 KIT in 1 CARTON (0067-2091-03) * 3 SUPPOSITORY in 1 BLISTER PACK * 1 TUBE in 1 CARTON > 9 g in 1 TUBE (package)"
      }],
      "text" : "Vagistat-3"
    }
  }],
  "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",
  "medication" : {
    "reference" : {
      "reference" : "#med0322"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "encounter" : {
    "reference" : "Encounter/f001",
    "display" : "encounter who leads to this prescription"
  },
  "authoredOn" : "2015-01-15",
  "requester" : {
    "reference" : "Practitioner/f007",
    "display" : "Patrick Pump"
  },
  "dosageInstruction" : [{
    "sequence" : 1,
    "text" : "Insert one suppository into the vagina daily at bedtime",
    "timing" : {
      "repeat" : {
        "boundsPeriod" : {
          "start" : "2015-01-16",
          "end" : "2015-01-18"

  "dosageInstruction" : {
    "step" : [{
      "component" : [{
        "text" : "Insert one suppository into the vagina daily at bedtime",
        "timing" : {
          "repeat" : {
            "boundsPeriod" : {
              "start" : "2015-01-16",
              "end" : "2015-01-18"
            },
            "frequency" : 1,
            "period" : 1,
            "periodUnit" : "d"
          }

        },
        "frequency" : 1,
        "period" : 1,
        "periodUnit" : "d"
      }
    },
    "route" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "16857009",
        "display" : "Vaginal Route"
      }]
    },
    "method" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "421257003",
        "display" : "Insert"
      }]
    },
    "doseAndRate" : [{
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code" : "ordered",
          "display" : "Ordered"

        "route" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "16857009",
            "display" : "Vaginal Route"
          }]
        },
        "method" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "421257003",
            "display" : "Insert"
          }]
        },
        "doseAndRate" : [{
          "type" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
              "code" : "ordered",
              "display" : "Ordered"
            }]
          },
          "doseQuantity" : {
            "value" : 1,
            "unit" : "VAGTAB",
            "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
            "code" : "VAGTAB"
          }

        }]
      },
      "doseQuantity" : {
        "value" : 1,
        "unit" : "VAGTAB",
        "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
        "code" : "VAGTAB"
      }
    }]
  },
  {
    "sequence" : 1,
    "text" : "Apply to vaginal area topically once daily",
    "timing" : {
      "repeat" : {
        "boundsPeriod" : {
          "start" : "2015-01-16",
          "end" : "2015-01-18"

      {
        "text" : "Apply to vaginal area topically once daily",
        "timing" : {
          "repeat" : {
            "boundsPeriod" : {
              "start" : "2015-01-16",
              "end" : "2015-01-18"
            },
            "frequency" : 1,
            "period" : 1,
            "periodUnit" : "d"
          }

        },
        "frequency" : 1,
        "period" : 1,
        "periodUnit" : "d"
      }
    },
    "route" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "6064005",
        "display" : "Topical Route"
      }]
    },
    "method" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "417924000",
        "display" : "Apply - dosing instruction imperative (qualifier value)"
      }]
    },
    "doseAndRate" : [{
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code" : "ordered",
          "display" : "Ordered"

        "route" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "6064005",
            "display" : "Topical Route"
          }]
        },
        "method" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "417924000",
            "display" : "Apply - dosing instruction imperative (qualifier value)"
          }]
        },
        "doseAndRate" : [{
          "type" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
              "code" : "ordered",
              "display" : "Ordered"
            }]
          }

        }]
      }

      }]

    }]
  }],

  },

  "dispenseRequest" : {
    "validityPeriod" : {
      "start" : "2015-01-15",
      "end" : "2016-01-15"
    },
    "numberOfRepeatsAllowed" : 1,
    "quantity" : {
      "value" : 1
    },
    "expectedSupplyDuration" : {
      "value" : 3,
      "unit" : "days",
      "system" : "http://unitsofmeasure.org",
      "code" : "d"
    },
    "dispenser" : {
      "reference" : "Organization/f001"
    }
  },
  "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.