Medicationrequest0339.json

Request for a product that contains multiple dosage forms

{
  "resourceType": "MedicationRequest",
  "id": "medrx0339",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a> </a></p><blockquote><p><b>code</b>: <span>Vagistat-3</span></p></blockquote><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: finished; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span>; <span>Heart valve replacement</span></a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></p><p><b>basedOn</b>: <a>Generated Summary: status: active; intent: plan; period: 1 Jan. 2013, 9:30:00 pm --&gt; (ongoing)</a></p><p><b>groupIdentifier</b>: id: 983939393 (OFFICIAL)</p><h3>DosageInstructions</h3><table><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --&gt; 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 1</p><p><b>quantity</b>: 1</p><h3>ExpectedSupplyDurations</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>performer</b>: <a>Generated Summary: id: 91654 (OFFICIAL), id: 17-0112278 (USUAL); <span>University Medical Hospital</span>; name: Burgers University Medical Center; Phone: 022-655 2300</a></p></blockquote><h3>Substitutions</h3><table><tr><td>-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td><span>formulary policy</span></td></tr></table></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0322",
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/ndc",
            "code": "0067-2091-03",
            "display": "Vagistat-3"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "status": "active",
  "intent": "order",
  "medicationReference": {
    "reference": "#med0322"
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "encounter": {
    "reference": "Encounter/f001",
    "display": "encounter who leads to this prescription"
  },
  "authoredOn": "2015-01-15",
  "requester": {
    "reference": "Practitioner/f007",
    "display": "Patrick Pump"
  },
  "basedOn": [
    {
      "reference": "CarePlan/gpvisit"
    }
  ],
  "groupIdentifier": {
    "use": "official",
    "system": "http://www.bmc.nl/portal/prescriptions",
    "value": "983939393"
  },
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "Insert one suppository into the vagina daily at bedtime",
      "timing": {
        "repeat": {
          "boundsPeriod": {
            "start": "2015-01-16",
            "end": "2015-01-18"
          },
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "16857009",
            "display": "Vaginal Route"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "421257003",
            "display": "Insert"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 1,
            "unit": "VAGTAB",
            "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
            "code": "VAGTAB"
          }
        }
      ]
    },
    {
      "sequence": 1,
      "text": "Apply to vaginal area topically once daily",
      "timing": {
        "repeat": {
          "boundsPeriod": {
            "start": "2015-01-16",
            "end": "2015-01-18"
          },
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "6064005",
            "display": "Topical Route"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "417924000",
            "display": "Apply - dosing instruction imperative (qualifier value)"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          }
        }
      ]
    }
  ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2015-01-15",
      "end": "2016-01-15"
    },
    "numberOfRepeatsAllowed": 1,
    "quantity": {
      "value": 1
    },
    "expectedSupplyDuration": {
      "value": 3,
      "unit": "days",
      "system": "http://unitsofmeasure.org",
      "code": "d"
    },
    "performer": {
      "reference": "Organization/f001"
    }
  },
  "substitution": {
    "allowedBoolean": true,
    "reason": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
          "code": "FP",
          "display": "formulary policy"
        }
      ]
    }
  }
}