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Packagehie-fhir-ig-profile
Resource TypeMedicationRequest
IdMedicationRequest-HIEMedicationRequest-example.json
FHIR VersionR4B

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Narrative

Note: links and images are rebased to the (stated) source

MedicationRequest Summary

Statusactive
Intentorder
Priorityroutine
MedicationAmoxicillin 500 mg capsule
SubjectJane Patient (Patient/p-001)
EncounterAmbulatory visit (Encounter/enc-001)
Authored2025-11-16T10:05:00+03:00
RequesterDr. John Clinician (Practitioner/pr-001)
PerformerAcme Community Pharmacy (Organization/pharm-001)

Dosage

  • 500 mg, oral, every 8 hours, for 7 days

Dispense

  • Quantity: 21 capsules, 7 days supply, no repeats
  • Performer: Acme Community Pharmacy

Reason

  • Condition: Acute otitis media (Condition/cond-001)

Coverage

  • Primary coverage (Coverage/cov-001)

Notes

  • Take with water. Stop if rash or breathing difficulty.

Source1

{
  "resourceType": "MedicationRequest",
  "id": "HIEMedicationRequest-example",
  "meta": {
    "profile": [
      "https://nshr.dha.go.ke/fhir/StructureDefinition/medicationrequest"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "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"
        }
      ]
    }
  }
}