SIL HIE Implementation Guide
0.1.0 - sil-hie-active

SIL HIE Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

: Example HIE MedicationRequest - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "HIEMedicationRequest-example",
  "meta" : {
    "profile" : [
      🔗 "https://nshr.dha.go.ke/fhir/StructureDefinition/hie-medicationrequest"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>MedicationRequest Summary</b></p><table><tbody><tr><td><b>Status</b></td><td>active</td></tr><tr><td><b>Intent</b></td><td>order</td></tr><tr><td><b>Priority</b></td><td>routine</td></tr><tr><td><b>Medication</b></td><td>Amoxicillin 500 mg capsule</td></tr><tr><td><b>Subject</b></td><td>Jane Patient (Patient/p-001)</td></tr><tr><td><b>Encounter</b></td><td>Ambulatory visit (Encounter/enc-001)</td></tr><tr><td><b>Authored</b></td><td>2025-11-16T10:05:00+03:00</td></tr><tr><td><b>Requester</b></td><td>Dr. John Clinician (Practitioner/pr-001)</td></tr><tr><td><b>Performer</b></td><td>Acme Community Pharmacy (Organization/pharm-001)</td></tr></tbody></table><p><b>Dosage</b></p><ul><li>500 mg, oral, every 8 hours, for 7 days</li></ul><p><b>Dispense</b></p><ul><li>Quantity: 21 capsules, 7 days supply, no repeats</li><li>Performer: Acme Community Pharmacy</li></ul><p><b>Reason</b></p><ul><li>Condition: Acute otitis media (Condition/cond-001)</li></ul><p><b>Coverage</b></p><ul><li>Primary coverage (Coverage/cov-001)</li></ul><p><b>Notes</b></p><ul><li>Take with water. Stop if rash or breathing difficulty.</li></ul></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PLAC",
            "display" : "Placer Identifier"
          }
        ]
      },
      "system" : "http://hospital.example.org/medrx",
      "value" : "RX-2025-000567"
    }
  ],
  "status" : "active",
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code" : "outpatient",
          "display" : "Outpatient"
        }
      ]
    }
  ],
  "priority" : "routine",
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
        "code" : "723",
        "display" : "Amoxicillin 500 MG Oral Capsule"
      }
    ],
    "text" : "Amoxicillin 500 mg capsule"
  },
  "subject" : {
    "reference" : "Patient/p-001",
    "display" : "Jane Patient"
  },
  "encounter" : {
    "reference" : "Encounter/enc-001",
    "display" : "Ambulatory visit for ear pain"
  },
  "authoredOn" : "2025-11-16T10:05:00+03:00",
  "requester" : {
    "reference" : "Practitioner/pr-001",
    "display" : "Dr. John Clinician"
  },
  "performer" : {
    "reference" : "Organization/pharm-001",
    "display" : "Acme Community Pharmacy"
  },
  "performerType" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/participant-role",
        "code" : "performer",
        "display" : "Performer"
      }
    ]
  },
  "recorder" : {
    "reference" : "Practitioner/pr-001",
    "display" : "Dr. John Clinician"
  },
  "reasonReference" : [
    {
      "reference" : "Condition/cond-001",
      "display" : "Acute otitis media"
    }
  ],
  "insurance" : [
    {
      "reference" : "Coverage/cov-001",
      "display" : "Primary PPO coverage"
    }
  ],
  "note" : [
    {
      "authorReference" : {
        "reference" : "Practitioner/pr-001"
      },
      "time" : "2025-11-16T10:06:00+03:00",
      "text" : "Counsel patient about allergy signs. Stop and seek care if rash or dyspnea."
    }
  ],
  "dosageInstruction" : [
    {
      "sequence" : 1,
      "text" : "Take 1 capsule by mouth every 8 hours for 7 days",
      "additionalInstruction" : [
        {
          "text" : "Take with water"
        }
      ],
      "timing" : {
        "repeat" : {
          "frequency" : 3,
          "period" : 1,
          "periodUnit" : "d"
        }
      },
      "asNeededBoolean" : false,
      "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"
              }
            ]
          },
          "doseQuantity" : {
            "value" : 500,
            "unit" : "mg",
            "system" : "http://unitsofmeasure.org",
            "code" : "mg"
          }
        }
      ]
    }
  ],
  "dispenseRequest" : {
    "numberOfRepeatsAllowed" : 0,
    "quantity" : {
      "value" : 21,
      "unit" : "capsule",
      "system" : "http://unitsofmeasure.org",
      "code" : "1"
    },
    "expectedSupplyDuration" : {
      "value" : 7,
      "unit" : "days",
      "system" : "http://unitsofmeasure.org",
      "code" : "d"
    },
    "performer" : {
      "reference" : "Organization/pharm-001",
      "display" : "Acme Community Pharmacy"
    }
  },
  "substitution" : {
    "allowedBoolean" : true,
    "reason" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
          "code" : "CT",
          "display" : "Cost"
        }
      ]
    }
  }
}