MediRecords FHIR Implementation Guide
1.4.2 - release


: MediRecords Admission Regular Prescription Ceased Example - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "4d597db6-4d61-4637-9db2-93ffff64ef19",
  "meta" : {
    "lastUpdated" : "2024-09-24T01:43:30Z",
    "profile" : [
      🔗 "https://fhir.medirecords.com/StructureDefinition/mr-medication-request-admission"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest 4d597db6-4d61-4637-9db2-93ffff64ef19</b></p><a name=\"4d597db6-4d61-4637-9db2-93ffff64ef19\"> </a><a name=\"hc4d597db6-4d61-4637-9db2-93ffff64ef19\"> </a><a name=\"4d597db6-4d61-4637-9db2-93ffff64ef19-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: 2024-09-24 01:43:30+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mr-medication-request-admission.html\">MR MedicationRequest Admission (Draft)</a></p></div><p><b>status</b>: Stopped</p><p><b>statusReason</b>: <span title=\"Codes:{http://snomed.info/sct 416093006}\">Drug-Allergy Interaction</span></p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">PLANNED</span></p><p><b>priority</b>: Routine</p><p><b>reported</b>: false</p><p><b>medication</b>: <a href=\"#hc4d597db6-4d61-4637-9db2-93ffff64ef19/1\">Medication Xycilan</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-0291f306-e786-4ac4-be26-44b47714d85f.html\">Encounter: extension = 2023-10-20 01:00:00+0000,2023-12-22,Planned Encounter for a Patient who has been admitted to a Hospital,Public Transport (arrivalMode#P); identifier = Visit number: ADM-27; status = in-progress; class = inpatient encounter (ActCode#IMP); period = 2023-12-20 00:34:00+0000 --&gt; (ongoing); reasonCode = Ischaemic foot</a></p><p><b>authoredOn</b>: 2024-09-19 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 233604007}\">Pneumonia</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 250mg Tablet \n Oral \n Dose 250mg \n Every 6 hours</p><p><b>timing</b>: Code , Once per 6 hours</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td></tr><tr><td style=\"display: none\">*</td><td/></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication  #1</b></p><a name=\"4d597db6-4d61-4637-9db2-93ffff64ef19/1\"> </a><a name=\"hc4d597db6-4d61-4637-9db2-93ffff64ef19/1\"> </a><a name=\"4d597db6-4d61-4637-9db2-93ffff64ef19/1-en-US\"> </a><p><b>Medication Strength</b>: 250mg</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 713931000168108}\">Xycilan</span></p><p><b>form</b>: <span title=\"Codes:{http://snomed.info/sct 1230388007}\">Tablet</span></p></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "1",
      "meta" : {
        "profile" : [
          🔗 "https://fhir.medirecords.com/StructureDefinition/mr-medication-admission"
        ]
      },
      "extension" : [
        {
          "url" : "http://hl7.org.au/fhir/StructureDefinition/medication-strength",
          "valueString" : "250mg"
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "713931000168108",
            "display" : "Xycilan"
          }
        ],
        "text" : "Xycilan"
      },
      "form" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "1230388007",
            "display" : "Coated tablet"
          }
        ],
        "text" : "Tablet"
      }
    }
  ],
  "status" : "stopped",
  "statusReason" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "416093006",
        "display" : "Allergic reaction to drug"
      }
    ],
    "text" : "Drug-Allergy Interaction"
  },
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code" : "inpatient",
          "display" : "Inpatient"
        }
      ],
      "text" : "PLANNED"
    }
  ],
  "priority" : "routine",
  "reportedBoolean" : false,
  "medicationReference" : {
    "reference" : "#1"
  },
  "subject" : {
    🔗 "reference" : "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/0291f306-e786-4ac4-be26-44b47714d85f"
  },
  "authoredOn" : "2024-09-19T01:43:30Z",
  "requester" : {
    🔗 "reference" : "Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054"
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "233604007",
          "display" : "Pneumonia"
        }
      ]
    }
  ],
  "dosageInstruction" : [
    {
      "text" : "250mg Tablet \n Oral \n Dose 250mg \n Every 6 hours",
      "timing" : {
        "repeat" : {
          "boundsPeriod" : {
            "start" : "2024-09-19",
            "end" : "2024-09-24"
          },
          "frequency" : 1,
          "period" : 6,
          "periodUnit" : "h",
          "timeOfDay" : [
            "12:00:00"
          ]
        },
        "code" : {
          "text" : "Every 6 hours"
        }
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "26643006",
            "display" : "Oral route"
          }
        ],
        "text" : "Oral"
      },
      "doseAndRate" : [
        {
          "extension" : [
            {
              "url" : "https://fhir.medirecords.com/StructureDefinition/mr-dose-string-extn",
              "valueString" : "50 mg"
            }
          ]
        }
      ]
    }
  ]
}