Da Vinci - Coverage Requirements Discovery
2.2.1 - STU 2.2

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 2.2.1 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

## : MedicationRequest example

Page standards status: Informative

Raw xml | Download

    <MedicationRequest xmlns="http://hl7.org/fhir">
      <id value="example"/>
      <language value="en"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><p class="res-header-id"><b>Generated Narrative: MedicationRequest example</b></p><a name="example"> </a><a name="hcexample"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: en</p></div><p><b>identifier</b>: <code>http://example.org/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://example.org/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 --&gt; 2012-05-23</a></p><p><b>note</b>: </p><blockquote><div><p>Patient told to take with food</p>
    </div></blockquote><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 day</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 day</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 --&gt; 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://hl7.org/fhir/uv/xver-r5.r4/0.1.0/CodeSystem-v3-ucum.html">http://unitsofmeasure.org</a></td><td>d</td></tr></table><p><b>performer</b>: <a href="http://example.org/fhir/Organization/somePharmacy">http://example.org/fhir/Organization/somePharmacy</a></p></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><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://example.org/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>
        <performer>
          <reference value="http://example.org/fhir/Organization/somePharmacy"/>
        </performer>
      </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>