Da Vinci - Coverage Requirements Discovery, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-crd/ and changes regularly. See the Directory of published versions
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<MedicationRequest xmlns="http://hl7.org/fhir">
<id value="example"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationRequest example</b></p><a name="example"> </a><a name="hcexample"> </a><a name="example-en-US"> </a><p><b>identifier</b>: <code>http://www.bmc.nl/portal/prescriptions</code>/12345689 (use: official, )</p><p><b>status</b>: Draft</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href="#hcexample/med0320">Medication Azithromycin 250 mg oral tablet</a></p><p><b>subject</b>: <a href="Patient-example.html">Amy V. Shaw Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))</a></p><p><b>encounter</b>: <a href="Encounter-example.html">Encounter: identifier = http://www.amc.nl/zorgportal/identifiers/visits#v1451 (use: official, ); status = in-progress; class = ambulatory (ActCode#AMB); type = Patient-initiated encounter; priority = Non-urgent cardiological admission; reasonCode = Heart valve replacement</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href="Practitioner-full.html">Practitioner Bone </a></p><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 11840006}">Traveler's Diarrhea (disorder)</span></p><p><b>insurance</b>: <a href="Coverage-example.html">Coverage: identifier = Member Number; status = active; type = extended healthcare; dependent = 0; relationship = Self; period = 2011-05-23 --> 2012-05-23</a></p><p><b>note</b>: Patient told to take with food</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Two tablets at once</p><p><b>additionalInstruction</b>: <span title="Codes:{http://snomed.info/sct 311504000}">With or after food</span></p><p><b>timing</b>: Once per 1 days</p><p><b>route</b>: <span title="Codes:{http://snomed.info/sct 26643006}">Oral Route</span></p><p><b>method</b>: <span title="Codes:{http://snomed.info/sct 421521009}">Swallow - dosing instruction imperative (qualifier value)</span></p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type ordered}">Ordered</span></td><td>2 TAB<span style="background: LightGoldenRodYellow"> (Details: Orderable Drug Form codeTAB = 'Tablet')</span></td></tr></table></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 2</p><p><b>text</b>: One tablet daily for 4 days</p><p><b>additionalInstruction</b>: <span title="Codes:{http://snomed.info/sct 311504000}">With or after food</span></p><p><b>timing</b>: 4 per 1 days</p><p><b>route</b>: <span title="Codes:{http://snomed.info/sct 26643006}">Oral Route</span></p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type ordered}">Ordered</span></td><td>1 TAB<span style="background: LightGoldenRodYellow"> (Details: Orderable Drug Form codeTAB = 'Tablet')</span></td></tr></table></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --> 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 1</p><p><b>quantity</b>: 6 TAB<span style="background: LightGoldenRodYellow"> (Details: Orderable Drug Form codeTAB = 'Tablet')</span></p><h3>ExpectedSupplyDurations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td>5</td><td>days</td><td><a href="http://terminology.hl7.org/6.1.0/CodeSystem-v3-ucum.html">http://unitsofmeasure.org</a></td><td>d</td></tr></table></blockquote><h3>Substitutions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td style="display: none">*</td><td>true</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActReason FP}">formulary policy</span></td></tr></table><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Medication #med0320</b></p><a name="example/med0320"> </a><a name="hcexample/med0320"> </a><a name="example/med0320-en-US"> </a><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1145423002}">Azithromycin 250 mg oral tablet</span></p></blockquote></div>
</text>
<contained>
<Medication>
<id value="med0320"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1145423002"/>
<display value="Azithromycin 250 mg oral tablet"/>
</coding>
</code>
</Medication>
</contained>
<identifier>
<use value="official"/>
<system value="http://www.bmc.nl/portal/prescriptions"/>
<value value="12345689"/>
</identifier>
<status value="draft"/>
<intent value="order"/>
<medicationReference>
<reference value="#med0320"/>
</medicationReference>
<subject>🔗
<reference value="Patient/example"/>
</subject>
<encounter>🔗
<reference value="Encounter/example"/>
</encounter>
<authoredOn value="2015-01-15"/>
<requester>🔗
<reference value="Practitioner/full"/>
</requester>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="11840006"/>
<display value="Traveler's Diarrhea (disorder)"/>
</coding>
</reasonCode>
<insurance>🔗
<reference value="Coverage/example"/>
</insurance>
<note>
<text value="Patient told to take with food"/>
</note>
<dosageInstruction>
<sequence value="1"/>
<text value="Two tablets at once"/>
<additionalInstruction>
<coding>
<system value="http://snomed.info/sct"/>
<code value="311504000"/>
<display value="With or after food"/>
</coding>
</additionalInstruction>
<timing>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral Route"/>
</coding>
</route>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="421521009"/>
<display
value="Swallow - dosing instruction imperative (qualifier value)"/>
</coding>
</method>
<doseAndRate>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
<code value="ordered"/>
<display value="Ordered"/>
</coding>
</type>
<doseQuantity>
<value value="2"/>
<unit value="TAB"/>
<system
value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
<code value="TAB"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dosageInstruction>
<sequence value="2"/>
<text value="One tablet daily for 4 days"/>
<additionalInstruction>
<coding>
<system value="http://snomed.info/sct"/>
<code value="311504000"/>
<display value="With or after food"/>
</coding>
</additionalInstruction>
<timing>
<repeat>
<frequency value="4"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral Route"/>
</coding>
</route>
<doseAndRate>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
<code value="ordered"/>
<display value="Ordered"/>
</coding>
</type>
<doseQuantity>
<value value="1"/>
<unit value="TAB"/>
<system
value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
<code value="TAB"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<validityPeriod>
<start value="2015-01-15"/>
<end value="2016-01-15"/>
</validityPeriod>
<numberOfRepeatsAllowed value="1"/>
<quantity>
<value value="6"/>
<unit value="TAB"/>
<system
value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
<code value="TAB"/>
</quantity>
<expectedSupplyDuration>
<value value="5"/>
<unit value="days"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</expectedSupplyDuration>
</dispenseRequest>
<substitution>
<allowedBoolean value="true"/>
<reason>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="FP"/>
<display value="formulary policy"/>
</coding>
</reason>
</substitution>
</MedicationRequest>