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
{
"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"
}
]
}
}
}