MedicationsThis is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions
| Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Group, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
Order with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution
{
"resourceType" : "MedicationRequest",
"id" : "medrx0301",
"contained" : [{
"resourceType" : "Medication",
"id" : "med0310",
"code" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "430127000",
"display" : "Oxycodone-containing product in oral dose form"
}]
}
},
{
"resourceType" : "Provenance",
"id" : "signature",
"target" : [{
"reference" : "ServiceRequest/physiotherapy"
}],
"recorded" : "2017-02-01T17:23:07Z",
"agent" : [{
"role" : [{
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "AUT"
}]
}],
"who" : {
"reference" : "Practitioner/example",
"display" : "Dr Adam Careful"
}
}],
"signature" : [{
"type" : [{
"system" : "urn:iso-astm:E1762-95:2013",
"code" : "1.2.840.10065.1.12.1.1",
"display" : "Author's Signature"
}],
"when" : "2017-02-01T17:23:07Z",
"who" : {
"reference" : "Practitioner/example",
"display" : "Dr Adam Careful"
},
"targetFormat" : "application/fhir+xml",
"sigFormat" : "application/signature+xml",
"data" : "dGhpcyBibG9iIGlzIHNuaXBwZWQ="
}]
}],
"identifier" : [{
"use" : "official",
"system" : "http://www.bmc.nl/portal/prescriptions",
"value" : "12345689"
}],
"status" : "completed",
"statusReason" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
"code" : "altchoice",
"display" : "Try another treatment first"
}]
},
"intent" : "order",
"category" : [{
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-admin-location",
"code" : "inpatient",
"display" : "Inpatient"
}]
}],
"medication" : {
"reference" : {
"reference" : "#med0310"
}
},
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"encounter" : {
"reference" : "Encounter/f201",
"display" : "encounter who leads to this prescription"
},
"supportingInformation" : [{
"reference" : "Procedure/biopsy"
}],
"authoredOn" : "2015-01-15",
"requester" : {
"reference" : "Practitioner/f007",
"display" : "Patrick Pump"
},
"performerType" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "26369006",
"display" : "Public Health Nurse"
}]
},
"performer" : [{
"reference" : "Practitioner/f204",
"display" : "Carla Espinosa"
}],
"reason" : [{
"concept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "297217002",
"display" : "Rib Pain (finding)"
}]
}
}],
"insurance" : [{
"reference" : "Coverage/9876B1"
}],
"note" : [{
"text" : "Patient told to take with food"
}],
"dosageInstruction" : [{
"sequence" : 1,
"text" : "one to two tablets every 4-6 hours as needed for rib pain",
"additionalInstruction" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "418914006",
"display" : "Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)"
}]
}],
"patientInstruction" : "Take one to two tablets every four to six hours as needed for rib pain",
"timing" : {
"repeat" : {
"frequency" : 1,
"period" : 4,
"periodMax" : 6,
"periodUnit" : "h"
}
},
"asNeededFor" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "297217002",
"display" : "Rib Pain (finding)"
}]
}],
"route" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "26643006",
"display" : "Oral Route"
}]
},
"method" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "421521009",
"display" : "Swallow - dosing instruction imperative (qualifier value)"
}]
},
"doseAndRate" : [{
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}]
},
"doseRange" : {
"low" : {
"value" : 1,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
},
"high" : {
"value" : 2,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}
}]
}],
"dispenseRequest" : {
"validityPeriod" : {
"start" : "2015-01-15",
"end" : "2016-01-15"
},
"numberOfRepeatsAllowed" : 0,
"quantity" : {
"value" : 30,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
},
"expectedSupplyDuration" : {
"value" : 10,
"unit" : "days",
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"dispenser" : {
"reference" : "Organization/2.16.840.1.113883.19.5"
}
},
"substitution" : {
"allowedBoolean" : true,
"reason" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "FP",
"display" : "formulary policy"
}]
}
},
"eventHistory" : [{
"reference" : "#signature",
"display" : "Author's Signature"
}]
}
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.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot3 generated on Thu, Oct 30, 2025 02:57+0000.
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