MediRecords FHIR Implementation Guide
20221128 - ci-build


: MediRecords Prescription Example with medication dosage instruction - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "9bf648c6-20b9-11ec-9621-0242mr130001",
  "meta" : {
    "lastUpdated" : "2021-12-21T01:43:30Z",
    "profile" : [
      "https://fhir.medirecords.com/StructureDefinition/mr-medication-request"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"9bf648c6-20b9-11ec-9621-0242mr130001\"> </a></p><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\">Resource MedicationRequest \"9bf648c6-20b9-11ec-9621-0242mr130001\" Updated \"2021-12-21 01:43:30+0000\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mr-medication-request.html\">MediRecords MedicationRequest</a></p></div><p><b>Prescription Type Extension</b>: Manual (Details: https://fhir.medirecords.com/CodeSystem/mr-prescription-type code 1 = 'Manual', stated as 'Manual')</p><p><b>identifier</b>: Local Prescription Number: 4010</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>priority</b>: routine</p><p><b>medication</b>: <a name=\"1\"> </a></p><blockquote><p></p><p><a name=\"1\"> </a></p><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>: Klacid Tablet 250mg <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-WC.html\">WHO ATC</a>#J01FA09 \"clarithromycin\"; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#13738011000036100 \"Klacid 250 mg tablet, 100\")</span></p><p><b>form</b>: Tablet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> \" GREY\"</p><p><b>encounter</b>: <a href=\"Encounter-1e5cae20-85bf-11e8-b401-ffccd711ad9g.html\">Encounter/1e5cae20-85bf-11e8-b401-ffccd711ad9g</a></p><p><b>authoredOn</b>: 2021-12-21 01:43:30+0000</p><p><b>requester</b>: <a href=\"Practitioner-6d6d7ce8-65c2-11e6-a20e-7b5deed40054.html\">Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054</a> \" SMITH\"</p><p><b>reasonCode</b>: Idiopathic hypersomnia <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#3731000119107)</span></p><p><b>courseOfTherapyType</b>: continuous <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#continuous)</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 2 Twice a Day\nBefore meals\nOn alternate days</p><p><b>additionalInstruction</b>: Before meals <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#311501008 \"Half to one hour before food\")</span></p><p><b>timing</b>: Starting 2021-12-21, Do 2 per 1 days, Until 2022-02-09</p><p><b>asNeeded</b>: false</p><p><b>route</b>: Epidural route <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#404820008)</span></p></blockquote><h3>DispenseRequests</h3><table class=\"grid\"><tr><td>-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td>*</td><td>2021-12-21 --&gt; (ongoing)</td><td>0</td><td>100</td></tr></table><h3>Substitutions</h3><table class=\"grid\"><tr><td>-</td><td><b>Allowed[x]</b></td></tr><tr><td>*</td><td>true</td></tr></table></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" : "1",
        "display" : "Manual"
      }
    }
  ],
  "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"
      }
    }
  ],
  "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" : "2021-12-21T01:43:30Z",
  "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" : "2 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" : "2021-12-21",
            "end" : "2022-02-09"
          },
          "frequency" : 2,
          "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" : "2021-12-21"
    },
    "numberOfRepeatsAllowed" : 0,
    "quantity" : {
      "value" : 100
    }
  },
  "substitution" : {
    "allowedBoolean" : true
  }
}