Release 4B R5 Final QA

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationrequest0329.json

Example MedicationRequest/medrx0329 (JSON)

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

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

Request referencing Medication Resource for Compounded Product - HC 1%, Salicylic Acid 5% in Glaxal Base - on hold with dispenseRequest 

{
  "resourceType": "MedicationRequest",
  "id": "medrx0329",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource &quot;medrx0329&quot; </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: on-hold</p><p><b>intent</b>: order</p><p><b>medication</b>: <a name=\"med0319\"> </a></p><blockquote><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource &quot;med0319&quot; </p></div><p><b>form</b>: Ointment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385101003)</span></p><blockquote><p><b>ingredient</b></p><p><b>item</b>: Salicyclic Acid (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#387253001)</span></p><p><b>strength</b>: 5 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span>/100 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: Salicyclic Acid (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#396458002)</span></p><p><b>strength</b>: 1 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span>/100 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: White Petrolatum (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#126066007)</span></p><p><b>strength</b>: 94 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span>/100 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span></p></blockquote></blockquote><p><b>subject</b>: <a href=\"patient-pat1.html\">Patient/pat1: Donald Duck</a> &quot;Duck DONALD&quot;</p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href=\"practitioner-f007.html\">Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</p><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --&gt; 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 3</p><p><b>quantity</b>: 30 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span></p></blockquote></div>"

  "resourceType" : "MedicationRequest",
  "id" : "medrx0329",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"medrx0329\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest &quot;medrx0329&quot; </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>status</b>: on-hold</p><p><b>intent</b>: order</p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a name=\"med0319\"> </a><blockquote><p/><p><a name=\"med0319\"> </a></p><p><b>doseForm</b>: Ointment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385101003)</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Salicyclic Acid (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#387253001)</span></td></tr></table><p><b>strength</b>: 5 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span>/100 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span></p></blockquote><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Salicyclic Acid (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#396458002)</span></td></tr></table><p><b>strength</b>: 1 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span>/100 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span></p></blockquote><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>White Petrolatum (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#126066007)</span></td></tr></table><p><b>strength</b>: 94 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span>/100 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span></p></blockquote></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href=\"practitioner-example-f007-sh.html\">Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Apply twice daily to affected area on left arm</p><p><b>additionalInstruction</b>: Apply sparingly <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: 2 per 1 days</p><p><b>site</b>: Entire left upper arm (body structure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#72098002)</span></p><p><b>route</b>: Topical (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#359540000)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --&gt; 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 3</p><p><b>quantity</b>: 30 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span></p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td>-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>10</td><td>days</td><td><a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ucum.html\">Unified Code for Units of Measure (UCUM)</a></td><td>d</td></tr></table></blockquote></div>"

  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0319",
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385101003",
            "display": "Ointment"
          }
        ],
        "text": "Ointment"

  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0319",
    "doseForm" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "385101003",
        "display" : "Ointment"
      }],
      "text" : "Ointment"
    },
    "ingredient" : [{
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "387253001",
            "display" : "Salicyclic Acid (substance)"
          }]
        }

      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "387253001",
                "display": "Salicyclic Acid (substance)"
              }
            ]
          },
          "strength": {
            "numerator": {
              "value": 5,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            },
            "denominator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            }
          }

      "strengthRatio" : {
        "numerator" : {
          "value" : 5,
          "system" : "http://unitsofmeasure.org",
          "code" : "g"

        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "396458002",
                "display": "Salicyclic Acid (substance)"
              }
            ]
          },
          "strength": {
            "numerator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            },
            "denominator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            }
          }

        "denominator" : {
          "value" : 100,
          "system" : "http://unitsofmeasure.org",
          "code" : "g"
        }
      }
    },
    {
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "396458002",
            "display" : "Salicyclic Acid (substance)"
          }]
        }
      },
      "strengthRatio" : {
        "numerator" : {
          "value" : 1,
          "system" : "http://unitsofmeasure.org",
          "code" : "g"

        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "126066007",
                "display": "White Petrolatum (substance)"
              }
            ]
          },
          "strength": {
            "numerator": {
              "value": 94,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            },
            "denominator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            }
          }

        "denominator" : {
          "value" : 100,
          "system" : "http://unitsofmeasure.org",
          "code" : "g"

        }
      ]
    }
  ],
  "identifier": [

      }
    },

    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"

      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "126066007",
            "display" : "White Petrolatum (substance)"
          }]
        }
      },
      "strengthRatio" : {
        "numerator" : {
          "value" : 94,
          "system" : "http://unitsofmeasure.org",
          "code" : "g"
        },
        "denominator" : {
          "value" : 100,
          "system" : "http://unitsofmeasure.org",
          "code" : "g"
        }
      }
    }]
  }],
  "identifier" : [{
    "use" : "official",
    "system" : "http://www.bmc.nl/portal/prescriptions",
    "value" : "12345689"
  }],
  "status" : "on-hold",
  "intent" : "order",
  "medication" : {
    "reference" : {
      "reference" : "#med0319"

    }
  ],
  "status": "on-hold",
  "intent": "order",
  "medicationReference": {
    "reference": "#med0319"

  },
  "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": "Apply twice daily to affected area on left arm",
      "additionalInstruction": [
        {
          "text": "Apply sparingly"
        }
      ],
      "timing": {
        "repeat": {
          "frequency": 2,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "site": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "72098002",
            "display": "Entire left upper arm (body structure)"
          }
        ]
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "359540000",
            "display": "Topical (qualifier value)"
          }
        ]

  "dosageInstruction" : [{
    "sequence" : 1,
    "text" : "Apply twice daily to affected area on left arm",
    "additionalInstruction" : [{
      "text" : "Apply sparingly"
    }],
    "timing" : {
      "repeat" : {
        "frequency" : 2,
        "period" : 1,
        "periodUnit" : "d"
      }
    },
    "site" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "72098002",
        "display" : "Entire left upper arm (body structure)"
      }]
    },
    "route" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "359540000",
        "display" : "Topical (qualifier value)"
      }]
    },
    "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"
              }
            ]
          },
          "doseQuantity": {
            "value": 1,
            "unit": "ea",
            "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
            "code": "OINT"
          }
        }
      ]
    }
  ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2015-01-15",
      "end": "2016-01-15"

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

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

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

    },
    "expectedSupplyDuration": {
      "value": 10,
      "unit": "days",
      "system": "http://unitsofmeasure.org",
      "code": "d"

    "expectedSupplyDuration" : {
      "value" : 10,
      "unit" : "days",
      "system" : "http://unitsofmeasure.org",
      "code" : "d"

    }
  }
}

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.