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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)
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-ballot2 generated on Tue, Nov 5, 2024 18:02+0000.
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