MediRecords FHIR Implementation Guide
1.4.1 - release


: MediRecords Prescription with a Delivery Service Prescribing Identifier Example - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "761c4102-3aa8-4b6c-9733-b0b2ef29c1d0",
  "meta" : {
    "lastUpdated" : "2024-10-11T01:43:30Z",
    "profile" : [
      🔗 "https://fhir.medirecords.com/StructureDefinition/mr-medication-request"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest 761c4102-3aa8-4b6c-9733-b0b2ef29c1d0</b></p><a name=\"761c4102-3aa8-4b6c-9733-b0b2ef29c1d0\"> </a><a name=\"hc761c4102-3aa8-4b6c-9733-b0b2ef29c1d0\"> </a><a name=\"761c4102-3aa8-4b6c-9733-b0b2ef29c1d0-en-US\"> </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\">Last updated: 2024-10-11 01:43:30+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mr-medication-request.html\">MR MedicationRequest</a></p></div><p><b>Prescription Type Extension</b>: <a href=\"CodeSystem-mr-prescription-type.html#mr-prescription-type-3\">Prescription Type CodeSystem 3</a>: Paperless</p><p><b>identifier</b>: Local Prescription Number/4010, Electronic Transfer of Prescription Identifier/274FD93371GFV3V3J4</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>priority</b>: Routine</p><p><b>medication</b>: <a href=\"#hc761c4102-3aa8-4b6c-9733-b0b2ef29c1d0/1\">Medication clarithromycin</a></p><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Mila Female, DoB: 1990-11-29 ( Medicare Number:\u00a032788511952\u00a0(,\u00a0period:\u00a0(?) --&gt; 2025-02))</a></p><p><b>encounter</b>: <a href=\"Encounter-1e5cae20-85bf-11e8-b401-ffccd711ad9g.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2021-10-25 01:43:30+0000 --&gt; 2021-10-25 02:21:30+0000; reasonCode = </a></p><p><b>authoredOn</b>: 2024-10-11 01:43:30+0000</p><p><b>requester</b>: <a href=\"Practitioner-6d6d7ce8-65c2-11e6-a20e-7b5deed40054.html\">Practitioner John Smith </a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 3731000119107}\">Idiopathic hypersomnia</span></p><p><b>courseOfTherapyType</b>: <span title=\"Codes:\">continuous</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 3 Twice a Day\nBefore meals\nOn alternate days</p><p><b>additionalInstruction</b>: <span title=\"Codes:{http://snomed.info/sct 311501008}\">Before meals</span></p><p><b>timing</b>: 3 per 1 days</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 404820008}\">Epidural route</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2</td></tr></table></blockquote><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>2024-10-11 --&gt; (ongoing)</td><td>0</td><td>100</td></tr></table><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Allowed[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication  #1</b></p><a name=\"761c4102-3aa8-4b6c-9733-b0b2ef29c1d0/1\"> </a><a name=\"hc761c4102-3aa8-4b6c-9733-b0b2ef29c1d0/1\"> </a><a name=\"761c4102-3aa8-4b6c-9733-b0b2ef29c1d0/1-en-US\"> </a><p><b>Medication Strength</b>: 250mg</p><p><b>Medication Generic Drug Name</b>: Clarithromycin</p><p><b>Medication Brand Name</b>: Klacid</p><p><b>MediRecords Medication Pack Size</b>: 1x100</p><p><b>Extemporaneous compounded medicines indicator extension</b>: false</p><p><b>code</b>: <span title=\"Codes:{http://www.whocc.no/atc J01FA09}, {http://snomed.info/sct 13738011000036100}\">Klacid Tablet 250mg</span></p><p><b>form</b>: <span title=\"Codes:\">Tablet</span></p></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "1",
      "meta" : {
        "profile" : [
          🔗 "https://fhir.medirecords.com/StructureDefinition/mr-medication"
        ]
      },
      "extension" : [
        {
          "url" : "http://hl7.org.au/fhir/StructureDefinition/medication-strength",
          "valueString" : "250mg"
        },
        {
          "url" : "http://hl7.org.au/fhir/StructureDefinition/medication-generic-name",
          "valueString" : "Clarithromycin"
        },
        {
          "url" : "http://hl7.org.au/fhir/StructureDefinition/medication-brand-name",
          "valueString" : "Klacid"
        },
        {
          "url" : "https://fhir.medirecords.com/StructureDefinition/mr-medication-pack-size",
          "valueString" : "1x100"
        },
        {
          "url" : "https://fhir.medirecords.com/StructureDefinition/mr-medication-extemporaneous",
          "valueBoolean" : false
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://www.whocc.no/atc",
            "code" : "J01FA09",
            "display" : "clarithromycin"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "13738011000036100",
            "display" : "Klacid 250 mg tablet, 100"
          }
        ],
        "text" : "Klacid Tablet 250mg"
      },
      "form" : {
        "text" : "Tablet"
      }
    }
  ],
  "extension" : [
    {
      "url" : "https://fhir.medirecords.com/StructureDefinition/mr-prescription-type",
      "valueCoding" : {
        "system" : "https://fhir.medirecords.com/CodeSystem/mr-prescription-type",
        "code" : "3",
        "display" : "Paperless"
      }
    }
  ],
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
            "code" : "LPN"
          }
        ]
      },
      "system" : "urn:uuid:c388353b-cf5e-4269-8c25-928f430fd01c",
      "value" : "4010",
      "assigner" : {
        "display" : "FHIR tenant"
      }
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
            "code" : "ETP",
            "display" : "Electronic Transfer of Prescription Identifier"
          }
        ]
      },
      "system" : "http://fhir.erx.com.au/NamingSystem/identifiers#org-scid",
      "value" : "274FD93371GFV3V3J4",
      "assigner" : {
        "display" : "eRx"
      }
    }
  ],
  "status" : "active",
  "intent" : "order",
  "priority" : "routine",
  "medicationReference" : {
    "reference" : "#1"
  },
  "subject" : {
    🔗 "reference" : "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/1e5cae20-85bf-11e8-b401-ffccd711ad9g"
  },
  "authoredOn" : "2024-10-11T01:43:30Z",
  "requester" : {
    🔗 "reference" : "Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054"
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "3731000119107",
          "display" : "Idiopathic hypersomnia"
        }
      ]
    }
  ],
  "courseOfTherapyType" : {
    "coding" : [
      {
        "code" : "continuous"
      }
    ]
  },
  "dosageInstruction" : [
    {
      "text" : "3 Twice a Day\nBefore meals\nOn alternate days",
      "additionalInstruction" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "311501008",
              "display" : "Half to one hour before food"
            }
          ],
          "text" : "Before meals"
        }
      ],
      "timing" : {
        "repeat" : {
          "boundsPeriod" : {
            "start" : "2024-10-11",
            "end" : "2024-11-14"
          },
          "frequency" : 3,
          "period" : 1,
          "periodUnit" : "d"
        }
      },
      "asNeededBoolean" : false,
      "route" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "404820008",
            "display" : "Epidural route"
          }
        ]
      },
      "doseAndRate" : [
        {
          "doseQuantity" : {
            "value" : 2
          }
        }
      ]
    }
  ],
  "dispenseRequest" : {
    "validityPeriod" : {
      "start" : "2024-10-11"
    },
    "numberOfRepeatsAllowed" : 0,
    "quantity" : {
      "value" : 100
    }
  },
  "substitution" : {
    "allowedBoolean" : true
  }
}