Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). 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

Medicationrequest0321.json

Example MedicationRequest/medrx0321 (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 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 --&gt; 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>"

  "resourceType" : "MedicationRequest",
  "id" : "medrx0321",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"medrx0321\"> </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;medrx0321&quot; </p></div><p><b>identifier</b>: id:\u00a012345689\u00a0(use:\u00a0OFFICIAL)</p><p><b>status</b>: active</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=\"med0307\"> </a><blockquote><p/><p><a name=\"med0307\"> </a></p><p><b>code</b>: Novolog 100u/ml <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0169-7501-11)</span></p><p><b>doseForm</b>: Injection solution (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385219001)</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>Insulin Aspart (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#325072002)</span></td></tr></table><p><b>strength</b>: 100 U<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code U = 'U')</span>/1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p></blockquote><h3>Batches</h3><table class=\"grid\"><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>12345</td><td>2019-10-31</td></tr></table></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><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Diabetes mellitus type 2 (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#44054006)</span></td></tr></table><p><b>note</b>: Check blood sugar levels before taking insulin</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 2</p><p><b>text</b>: inject 10 units subcut 10 minutes before breakfast</p><p><b>timing</b>: 10min , before breakfast</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 2</p><p><b>text</b>: 15 units before lunch</p><p><b>additionalInstruction</b>: Before Lunch <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Once per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 20 units before dinner</p><p><b>additionalInstruction</b>: Before Dinner <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Once per 1 days</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>: 10 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code ml = 'ml')</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>30</td><td>days</td><td><a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ucum.html\">Unified Code for Units of Measure (UCUM)</a></td><td>d</td></tr></table></blockquote></div>"

  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0307",
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/ndc",
            "code": "0169-7501-11",
            "display": "Novolog 100u/ml"
          }
        ]
      },
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385219001",
            "display": "Injection solution (qualifier value)"
          }
        ]

  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0307",
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/sid/ndc",
        "code" : "0169-7501-11",
        "display" : "Novolog 100u/ml"
      }]
    },
    "doseForm" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "385219001",
        "display" : "Injection solution (qualifier value)"
      }]
    },
    "ingredient" : [{
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "325072002",
            "display" : "Insulin Aspart (substance)"
          }]
        }

      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "325072002",
                "display": "Insulin Aspart (substance)"
              }
            ]
          },
          "strength": {
            "numerator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "U"
            },
            "denominator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }

      "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"

      }
    }],
    "batch" : {
      "lotNumber" : "12345",
      "expirationDate" : "2019-10-31"

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

  }],
  "identifier" : [{
    "use" : "official",
    "system" : "http://www.bmc.nl/portal/prescriptions",
    "value" : "12345689"
  }],
  "status" : "active",
  "intent" : "order",
  "medication" : {
    "reference" : {
      "reference" : "#med0307",
      "display" : "Novolog 100u/ml"

    }
  ],
  "status": "active",
  "intent": "order",
  "medicationReference": {
    "reference": "#med0307",
    "display": "Novolog 100u/ml"

  },
  "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"

  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "44054006",
          "display": "Diabetes mellitus type 2 (disorder)"
        }
      ]
    }
  ],
  "note": [
    {
      "text": "Check blood sugar levels before taking insulin"

  "reason" : [{
    "concept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "44054006",
        "display" : "Diabetes mellitus type 2 (disorder)"
      }]

    }
  ],
  "dosageInstruction": [
    {
      "sequence": 2,
      "text": "inject 10 units subcut 10 minutes before breakfast",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 1,
          "periodUnit": "d",
          "when": [
            "ACM"
          ],
          "offset": 10
        }

  }],
  "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"
        }]

      },
      "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"
          }
        }
      ]

      "doseQuantity" : {
        "value" : 10,
        "unit" : "U",
        "system" : "http://unitsofmeasure.org",
        "code" : "U"
      }
    }]
  },
  {
    "sequence" : 2,
    "text" : "15 units before lunch",
    "additionalInstruction" : [{
      "text" : "Before Lunch"
    }],
    "timing" : {
      "repeat" : {
        "frequency" : 1,
        "period" : 1,
        "periodUnit" : "d"
      }

    },
    {
      "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"
        }]

      },
      "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"
          }
        }
      ]

      "doseQuantity" : {
        "value" : 15,
        "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"
      }

    },
    {
      "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"
        }]

      },
      "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"

      "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"

    "numberOfRepeatsAllowed" : 3,
    "quantity" : {
      "value" : 10,
      "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"

    }
  }
}

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.