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 for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod
{
"resourceType" : "MedicationRequest",
"id" : "medrx0303",
"contained" : [{
"resourceType" : "Medication",
"id" : "med0311",
"code" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "373994007",
"display" : "Prednisone 5 mg oral tablet"
}]
}
}],
"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"
},
"status" : "active",
"intent" : "order",
"medication" : {
"reference" : {
"reference" : "#med0311"
}
},
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"encounter" : {
"reference" : "Encounter/f001",
"display" : "encounter who leads to this prescription"
},
"authoredOn" : "2015-01-15",
"requester" : {
"reference" : "Practitioner/f007",
"display" : "Patrick Pump"
},
"note" : [{
"text" : "Patient told to take with food"
}],
"dosageInstruction" : [{
"sequence" : 1,
"text" : "Take 4 tablets daily for 7 days starting January 16, 2015",
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2015-01-16",
"end" : "2015-01-22"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"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"
}]
},
"doseQuantity" : {
"value" : 4,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}]
},
{
"sequence" : 2,
"text" : "Take 2 tablets daily for 7 days starting January 23, 2015",
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2015-01-23",
"end" : "2015-01-29"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"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"
}]
},
"doseQuantity" : {
"value" : 2,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}]
},
{
"sequence" : 3,
"text" : "Take 1 tablets daily for 7 days starting January 30, 2015",
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2015-01-30",
"end" : "2015-02-05"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"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"
}]
},
"doseQuantity" : {
"value" : 1,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}]
}],
"dispenseRequest" : {
"validityPeriod" : {
"start" : "2015-01-15",
"end" : "2016-01-15"
},
"numberOfRepeatsAllowed" : 1,
"quantity" : {
"value" : 51,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
},
"expectedSupplyDuration" : {
"value" : 21,
"unit" : "days",
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"dispenser" : {
"reference" : "Organization/f001"
}
},
"substitution" : {
"allowedCodeableConcept" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
"code" : "TB",
"display" : "Therapeutic Brand"
}]
},
"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.
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