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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    {
      "resourceType" : "MedicationRequest",
      "id" : "MedicationRequestExample",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-medicationrequest"
        ]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "status" : "active",
      "intent" : "order",
      "medicationCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/sid/ndc",
            "code" : "0777-3105-02"
          }
        ]
      },
      "subject" : {
        🔗 "reference" : "Patient/BeneficiaryExample"
      },
      "authoredOn" : "2005-06-02",
      "requester" : {
        🔗 "reference" : "Practitioner/ReferralPractitionerExample"
      },
      "dosageInstruction" : [
        {
          "timing" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-timingcalendarpattern",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "https://codesystem.x12.org/005010/678",
                      "code" : "L",
                      "display" : "Monday through Thursday"
                    }
                  ]
                }
              },
              {
                "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-timingdeliverypattern",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "https://codesystem.x12.org/005010/679",
                      "code" : "D",
                      "display" : "A.M."
                    }
                  ]
                }
              }
            ]
          }
        }
      ],
      "dispenseRequest" : {
        "quantity" : {
          "value" : 300,
          "unit" : "mg",
          "system" : "http://unitsofmeasure.org",
          "code" : "mg"
        }
      }
    }