Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-ballot - STU 2.2 - Ballot

Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions

## : Medication Request Example

Page standards status: Informative

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    <MedicationRequest xmlns="http://hl7.org/fhir">
      <id value="MedicationRequestExample"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-medicationrequest"/>
      </meta>
      <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 MedicationRequestExample</b></p><a name="MedicationRequestExample"> </a><a name="hcMedicationRequestExample"> </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><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-profile-medicationrequest.html">PAS Medication Request</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title="Codes:{http://hl7.org/fhir/sid/ndc 0777-3105-02}">Prozac, 100 CAPSULE in 1 BOTTLE (0777-3105-02) (package)</span></p><p><b>subject</b>: <a href="Patient-BeneficiaryExample.html">JESSE SMITH  Female, DoB: 1947-01-18 ( Member Number)</a></p><p><b>authoredOn</b>: 2005-06-02</p><p><b>requester</b>: <a href="Practitioner-ReferralPractitionerExample.html">Practitioner SUSAN WATSON </a></p><h3>DosageInstructions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Timing</b></td></tr><tr><td style="display: none">*</td><td></td></tr></table><h3>DispenseRequests</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Quantity</b></td></tr><tr><td style="display: none">*</td><td>300 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></div>
      </text>
      <status value="active"/>
      <intent value="order"/>
      <medicationCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/sid/ndc"/>
          <code value="0777-3105-02"/>
        </coding>
      </medicationCodeableConcept>
      <subject>🔗
        <reference value="Patient/BeneficiaryExample"/>
      </subject>
      <authoredOn value="2005-06-02"/>
      <requester>🔗
        <reference value="Practitioner/ReferralPractitionerExample"/>
      </requester>
      <dosageInstruction>
        <timing>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-timingcalendarpattern">
            <valueCodeableConcept>
              <coding>
                <system value="https://codesystem.x12.org/005010/678"/>
                <code value="L"/>
                <display value="Monday through Thursday"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-timingdeliverypattern">
            <valueCodeableConcept>
              <coding>
                <system value="https://codesystem.x12.org/005010/679"/>
                <code value="D"/>
                <display value="A.M."/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </timing>
      </dosageInstruction>
      <dispenseRequest>
        <quantity>
          <value value="300"/>
          <unit value="mg"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mg"/>
        </quantity>
      </dispenseRequest>
    </MedicationRequest>