Release
4
5
Snapshot
#1
Medications
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| Pharmacy Work Group | Maturity Level : N/A | Standards Status : Informative | Compartments : Encounter , Patient , Practitioner |
Raw JSON ( canonical form + also see JSON Format Specification )
Request for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. Dosage includes additionalInstructions as text
{
"resourceType": "MedicationRequest",
"id": "medrx0321",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0321</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>: Novolog 100u/ml. Generated Summary: id: med0307; Novolog 100u/ml <span>(Details : {http://hl7.org/fhir/sid/ndc code '0169-7501-11' = 'n/a', given as 'Novolog 100u/ml'})</span>; Injection solution (qualifier value) <span>(Details : {SNOMED CT code '385219001' = 'Injection solution', given as 'Injection solution (qualifier value)'})</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>: Diabetes mellitus type 2 (disorder) <span>(Details : {SNOMED CT code '44054006' = 'Diabetes mellitus type II', given as 'Diabetes mellitus type 2 (disorder)'})</span></p><p><b>note</b>: Check blood sugar levels before taking insulin</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>10 ml<span> (Details: UCUM code ml = 'ml')</span></td><td>30 days<span> (Details: UCUM code d = 'd')</span></td></tr></table></div>"
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource "medrx0321" </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>subject</b>: <a>Patient/pat1: Donald Duck</a> "Donald DUCK"</p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a>Practitioner/f007: Patrick Pump</a> "Simone HEPS"</p><p><b>note</b>: Check blood sugar levels before taking insulin</p><blockquote><p><b>dose</b></p></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --> 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 3</p><p><b>quantity</b>: 10 ml<span> (Details: UCUM code ml = 'ml')</span></p></blockquote></div>"
},
"contained": [
{
"resourceType": "Medication",
"id": "med0307",
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/ndc",
"code": "0169-7501-11",
"display": "Novolog 100u/ml"
}
]
},
"form": {
"doseForm": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385219001",
"display": "Injection solution (qualifier value)"
}
]
},
"ingredient": [
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "325072002",
"display": "Insulin Aspart (substance)"
}
]
"item": {
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "325072002",
"display": "Insulin Aspart (substance)"
}
]
}
},
"strength": {
"strengthRatio": {
"numerator": {
"value": 100,
"system": "http://unitsofmeasure.org",
"code": "U"
},
"denominator": {
"value": 1,
"system": "http://unitsofmeasure.org",
"code": "mL"
}
}
}
],
"batch": {
"lotNumber": "12345",
"expirationDate": "2019-10-31"
}
}
],
"identifier": [
{
"use": "official",
"system": "http://www.bmc.nl/portal/prescriptions",
"value": "12345689"
}
],
"status": "active",
"intent": "order",
"medicationReference": {
"reference": "#med0307",
"display": "Novolog 100u/ml"
"medication": {
"reference": {
"reference": "#med0307",
"display": "Novolog 100u/ml"
}
},
"subject": {
"reference": "Patient/pat1",
"display": "Donald Duck"
},
"authoredOn": "2015-01-15",
"requester": {
"reference": "Practitioner/f007",
"display": "Patrick Pump"
},
"reasonCode": [
"reason": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "44054006",
"display": "Diabetes mellitus type 2 (disorder)"
}
]
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "44054006",
"display": "Diabetes mellitus type 2 (disorder)"
}
]
}
}
],
"note": [
{
"text": "Check blood sugar levels before taking insulin"
}
],
"dosageInstruction": [
{
"sequence": 2,
"text": "inject 10 units subcut 10 minutes before breakfast",
"timing": {
"repeat": {
"frequency": 1,
"period": 1,
"periodUnit": "d",
"when": [
"ACM"
],
"offset": 10
}
},
"doseAndRate": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
}
]
},
"doseQuantity": {
"value": 10,
"unit": "U",
"system": "http://unitsofmeasure.org",
"code": "U"
"dose": {
"dosageInstruction": [
{
"sequence": 2,
"text": "inject 10 units subcut 10 minutes before breakfast",
"timing": {
"repeat": {
"frequency": 1,
"period": 1,
"periodUnit": "d",
"when": [
"ACM"
],
"offset": 10
}
}
]
},
{
"sequence": 2,
"text": "15 units before lunch",
"additionalInstruction": [
{
"text": "Before Lunch"
}
],
"timing": {
"repeat": {
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"doseAndRate": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
}
]
},
"doseQuantity": {
"value": 10,
"unit": "U",
"system": "http://unitsofmeasure.org",
"code": "U"
}
}
]
},
"doseAndRate": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
}
]
},
"doseQuantity": {
"value": 15,
"unit": "U",
"system": "http://unitsofmeasure.org",
"code": "U"
{
"sequence": 2,
"text": "15 units before lunch",
"additionalInstruction": [
{
"text": "Before Lunch"
}
}
]
},
{
"sequence": 1,
"text": "20 units before dinner",
"additionalInstruction": [
{
"text": "Before Dinner"
}
],
"timing": {
"repeat": {
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
],
"timing": {
"repeat": {
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"doseAndRate": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
}
]
},
"doseQuantity": {
"value": 15,
"unit": "U",
"system": "http://unitsofmeasure.org",
"code": "U"
}
}
]
},
"doseAndRate": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
}
]
},
"doseQuantity": {
"value": 20,
"unit": "U",
"system": "http://unitsofmeasure.org",
"code": "U"
{
"sequence": 1,
"text": "20 units before dinner",
"additionalInstruction": [
{
"text": "Before Dinner"
}
}
]
}
],
],
"timing": {
"repeat": {
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"doseAndRate": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
}
]
},
"doseQuantity": {
"value": 20,
"unit": "U",
"system": "http://unitsofmeasure.org",
"code": "U"
}
}
]
}
]
},
"dispenseRequest": {
"validityPeriod": {
"start": "2015-01-15",
"end": "2016-01-15"
},
"numberOfRepeatsAllowed": 3,
"quantity": {
"value": 10,
"unit": "ml",
"system": "http://unitsofmeasure.org",
"code": "ml"
},
"expectedSupplyDuration": {
"value": 30,
"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.
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FHIR
Release
4
(Technical
Correction
#1)
(v4.0.1)
R5
Draft
Ballot
hl7.fhir.core#5.0.0-snapshot1
generated
on
Fri,
Nov
1,
2019
09:36+1100.
QA
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Sun,
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2021
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