Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

## US Core MedicationRequest

Page standards status: Informative

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Where a Health Plan has access to Prescription information, they SHALL make the information available using the US Core 3.1.1 MedicationRequest or US Core 6.1.0 MedicationRequest resource.

The essential fields (Must Support or Cardinality greater than 0..*) to be provided in the US Core 3.1.1 MedicationRequest or US Core 6.1.0 MedicationRequest resource are:

R4 Element | Name | Cardinality | Type
--- | --- | --- | ---
MedicationRequest.status | status | 1..1 | code
MedicationRequest.intent | intent | 1..1 | code
MedicationRequest.reported[x] | reported[x] | 0..1 |
MedicationRequest.medication[x] | medication[x] | 1..1 |
MedicationRequest.subject | subject | 1..1 | Reference(US Core Patient Profile)
MedicationRequest.encounter | encounter | 0..1 | Reference(Encounter)
MedicationRequest.authoredOn | authoredOn | 1..1 | dateTime
MedicationRequest.requester | requester | 1..1 | Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile)
MedicationRequest.dosageInstruction | dosageInstruction | 0..* | Dosage
MedicationRequest.dosageInstruction.text | text | 0..1 | String

Table Definition

#### Example MedicationRequest Resource

An example mapping of a MedicationRequest is shown below:

###

###

    {
      "resourceType": "MedicationRequest",
      "id": "medrx0303",
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative with Detailsid: medrx0303contained: identifier: 12345689 (OFFICIAL)status: activeintent: ordermedication: id: med0311; Prednisone 5mg tablet (Product) (Details : {SNOMED CT code '373994007' = 'Prednisone 5mg tablet', given as 'Prednisone 5mg tablet (Product)'})subject: Donald Duckencounter: encounter who leads to this prescriptionauthoredOn: 15/01/2015requester: Patrick PumpbasedOn: CarePlan/gpvisitgroupIdentifier: 983939393 (OFFICIAL)note: Patient told to take with fooddosageInstruction: , , DispenseRequests-ValidityPeriodNumberOfRepeatsAllowedQuantityExpectedSupplyDurationPerformer*15/01/2015 --> 15/01/2016151 TAB (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')21 days (Details: UCUM code d = 'd')Organization/f001Substitutions-Allowed[x]Reason*Therapeutic Brand (Details : {http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution code 'TB' = 'therapeutic brand', given as 'Therapeutic Brand'})formulary policy (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})</div>"
      },
      "contained": [
        {
          "resourceType": "Medication",
          "id": "med0311",
          "code": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "373994007",
                "display": "Prednisone 5mg tablet (Product)"
              }
            ]
          }
        }
      ],
      "identifier": [
        {
          "use": "official",
          "system": "http://www.bmc.nl/portal/prescriptions",
          "value": "12345689"
        }
      ],
      "status": "active",
      "intent": "order",
      "medicationReference": {
        "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"
      },
      "basedOn": [
        {
          "reference": "CarePlan/gpvisit"
        }
      ],
      "groupIdentifier": {
        "use": "official",
        "system": "http://www.bmc.nl/portal/prescriptions",
        "value": "983939393"
      },
      "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": "2015-01-20"
              },
              "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": "2015-01-30"
              },
              "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 31, 2015",
          "timing": {
            "repeat": {
              "boundsPeriod": {
                "start": "2015-01-31",
                "end": "2015-02-06"
              },
              "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"
        },
        "performer": {
          "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"
            }
          ]
        }
      }
    }

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