Release 4B 5

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0: R5 - STU ). The This is the current published version which supercedes in it's permanent home (it will always be available at this version is 5.0.0 . URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R5 R4B R4

Medicationrequest0339.json

Example MedicationRequest/medrx0339 (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 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</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;medrx0339&quot; </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a name=\"med0322\"> </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;med0322&quot; </p></div><p><b>code</b>: Vagistat-3 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0067-2091-03)</span></p></blockquote><p><b>subject</b>: <a href=\"patient-pat1.html\">Patient/pat1: Donald Duck</a> &quot;Duck DONALD&quot;</p><p><b>encounter</b>: <a href=\"encounter-f001.html\">Encounter/f001: encounter who leads to this prescription</a></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><p><b>basedOn</b>: <a href=\"careplan-gpvisit.html\">CarePlan/gpvisit</a></p><p><b>groupIdentifier</b>: id: 983939393 (OFFICIAL)</p><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --&gt; 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 1</p><p><b>quantity</b>: 1</p><p><b>performer</b>: <a href=\"organization-f001.html\">Organization/f001</a> &quot;Burgers University Medical Center&quot;</p></blockquote><h3>Substitutions</h3><table class=\"grid\"><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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActReason.html\">ActReason</a>#FP)</span></td></tr></table></div>"

  "resourceType" : "MedicationRequest",
  "id" : "medrx0339",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"medrx0339\"> </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;medrx0339&quot; </p></div><p><b>identifier</b>: id:\u00a012345689\u00a0(use:\u00a0OFFICIAL)</p><p><b>basedOn</b>: <a href=\"careplan-example-GPVisit.html\">CarePlan/gpvisit</a></p><p><b>groupIdentifier</b>: id:\u00a0983939393\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><span title=\"  Linked to a RESOURCE Medication  \"><a name=\"med0322\"> </a></span><blockquote><p/><p><a name=\"med0322\"> </a></p><p><b>code</b>: Vagistat-3 <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>#0067-2091-03)</span></p></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>encounter</b>: <a href=\"encounter-example-f001-heart.html\">Encounter/f001: encounter who leads to this prescription</a></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>: Insert one suppository into the vagina daily at bedtime</p><p><b>timing</b>: Starting 2015-01-16, Once per 1 days, Until 2015-01-18</p><p><b>route</b>: Vaginal Route <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#16857009)</span></p><p><b>method</b>: Insert <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#421257003)</span></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>: Apply to vaginal area topically once daily</p><p><b>timing</b>: Starting 2015-01-16, Once per 1 days, Until 2015-01-18</p><p><b>route</b>: Topical Route <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#6064005)</span></p><p><b>method</b>: Apply - dosing instruction imperative (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#417924000)</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>: 1</p><p><b>quantity</b>: 1</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>3</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><p><b>dispenser</b>: <a href=\"organization-example-f001-burgers.html\">Organization/f001</a> &quot;Burgers University Medical Center&quot;</p></blockquote><h3>Substitutions</h3><table class=\"grid\"><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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html\">ActReason</a>#FP)</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"

  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0322",
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/sid/ndc",
        "code" : "0067-2091-03",
        "display" : "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.