# MedicationRequest example - Da Vinci - Coverage Requirements Discovery v2.2.1

## Example MedicationRequest: MedicationRequest example



## Resource Content

```json
{
  "resourceType" : "MedicationRequest",
  "id" : "example",
  "language" : "en",
  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0320",
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "1145423002",
        "display" : "Azithromycin 250 mg oral tablet"
      }]
    }
  }],
  "identifier" : [{
    "use" : "official",
    "system" : "http://example.org/portal/prescriptions",
    "value" : "12345689"
  }],
  "status" : "draft",
  "intent" : "order",
  "medicationReference" : {
    "reference" : "#med0320"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "authoredOn" : "2015-01-15",
  "requester" : {
    "reference" : "Practitioner/full"
  },
  "reasonCode" : [{
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "11840006",
      "display" : "Traveler's Diarrhea (disorder)"
    }]
  }],
  "insurance" : [{
    "reference" : "Coverage/example"
  }],
  "note" : [{
    "text" : "Patient told to take with food"
  }],
  "dosageInstruction" : [{
    "sequence" : 1,
    "text" : "Two tablets at once",
    "additionalInstruction" : [{
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "311504000",
        "display" : "With or after food"
      }]
    }],
    "timing" : {
      "repeat" : {
        "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" : 2,
    "text" : "One tablet daily for 4 days",
    "additionalInstruction" : [{
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "311504000",
        "display" : "With or after food"
      }]
    }],
    "timing" : {
      "repeat" : {
        "frequency" : 4,
        "period" : 1,
        "periodUnit" : "d"
      }
    },
    "route" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "26643006",
        "display" : "Oral Route"
      }]
    },
    "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" : 6,
      "unit" : "TAB",
      "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
      "code" : "TAB"
    },
    "expectedSupplyDuration" : {
      "value" : 5,
      "unit" : "days",
      "system" : "http://unitsofmeasure.org",
      "code" : "d"
    },
    "performer" : {
      "reference" : "http://example.org/fhir/Organization/somePharmacy"
    }
  },
  "substitution" : {
    "allowedBoolean" : true,
    "reason" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "FP",
        "display" : "formulary policy"
      }]
    }
  }
}

```
