Medications
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| 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",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0339</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: id: med0322; Vagistat-3 <span>(Details : {http://hl7.org/fhir/sid/ndc code '0067-2091-03' = 'n/a', given as 'Vagistat-3'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription</a></p><p><b>authoredOn</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>basedOn</b>: <a>CarePlan/gpvisit</a></p><p><b>groupIdentifier</b>: 983939393 (OFFICIAL)</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 --> 15/01/2016</td><td>1</td><td>1</td><td>3 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[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>"
},
"contained": [
{
"resourceType": "Medication",
"id": "med0322",
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/ndc",
"code": "0067-2091-03",
"display": "Vagistat-3"
}
]
}
}
],
"identifier": [
{
"use": "official",
"system": "http://www.bmc.nl/portal/prescriptions",
"value": "12345689"
"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"
}
],
"status": "active",
"intent": "order",
"medicationReference": {
"reference": "#med0322"
}],
"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"
},
"subject": {
"reference": "Patient/pat1",
"display": "Donald Duck"
"status" : "active",
"intent" : "order",
"medication" : {
"reference" : {
"reference" : "#med0322"
}
},
"encounter": {
"reference": "Encounter/f001",
"display": "encounter who leads to this prescription"
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"authoredOn": "2015-01-15",
"requester": {
"reference": "Practitioner/f007",
"display": "Patrick Pump"
"encounter" : {
"reference" : "Encounter/f001",
"display" : "encounter who leads to this prescription"
},
"basedOn": [
{
"reference": "CarePlan/gpvisit"
}
],
"groupIdentifier": {
"use": "official",
"system": "http://www.bmc.nl/portal/prescriptions",
"value": "983939393"
"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"
},
"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"
}
]
},
"doseQuantity": {
"value": 1,
"unit": "VAGTAB",
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "VAGTAB"
}
}
]
"dosageInstruction" : [{
"sequence" : 1,
"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"
}
},
{
"sequence": 1,
"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"
}
},
"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)"
}
]
"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"
}]
},
"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"
"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"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"numberOfRepeatsAllowed": 1,
"quantity": {
"value": 1
"route" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "6064005",
"display" : "Topical Route"
}]
},
"expectedSupplyDuration": {
"value": 3,
"unit": "days",
"system": "http://unitsofmeasure.org",
"code": "d"
"method" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "417924000",
"display" : "Apply - dosing instruction imperative (qualifier value)"
}]
},
"performer": {
"reference": "Organization/f001"
"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"
}
]
"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.
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2011+.
FHIR
Release
4
(Technical
Correction
#1)
(v4.0.1)
R6
hl7.fhir.core#6.0.0-ballot3
generated
on
Fri,
Wed,
Nov
1,
2019
09:36+1100.
QA
Page
12,
2025
19:45+0000.
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