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Packageil.hdp.fhir.r4
Resource TypeMedicationRequest
IdMedicationRequest-hdp-medication-request-metamizole.json
FHIR VersionR4

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Narrative

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

A request by a GP in an HMO setting for 10 drops of oral Optalgin (Metamizole) up to 3 times a day for the duration of two weeks due to a diagnosis of acute gangrenous tonsillitis.

Source1

{
  "resourceType": "MedicationRequest",
  "id": "hdp-medication-request-metamizole",
  "meta": {
    "profile": [
      "http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-medication-request"
    ],
    "security": [
      {
        "system": "http://fhir.health.gov.il/cs/il-hdp-information-buckets",
        "code": "medications",
        "display": "תרופות"
      }
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "id": "medication-request-metamizole"
    }
  ],
  "category": [
    {
      "coding": [
        {
          "code": "community-hmo",
          "system": "http://fhir.health.gov.il/cs/il-core-medication-request-category",
          "display": "Community Care/HMO"
        }
      ]
    }
  ],
  "medicationCodeableConcept": {
    "coding": [
      {
        "code": "22165008",
        "system": "http://snomed.info/sct",
        "display": "Metamizole sodium (substance)"
      }
    ]
  },
  "supportingInformation": [
    {
      "reference": "Observation/hight-measurement"
    }
  ],
  "reasonCode": [
    {
      "coding": [
        {
          "code": "652005",
          "system": "http://snomed.info/sct",
          "display": "Gangrenous tonsillitis"
        }
      ]
    }
  ],
  "courseOfTherapyType": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
        "code": "acute",
        "display": "Short course (acute) therapy"
      }
    ]
  },
  "dosageInstruction": [
    {
      "route": {
        "coding": [
          {
            "code": "26643006",
            "system": "http://snomed.info/sct",
            "display": "Oral route"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "code": "738995006",
            "system": "http://snomed.info/sct",
            "display": "Swallow (administration method)"
          }
        ]
      },
      "site": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode": "unknown"
          }
        ]
      },
      "doseAndRate": [
        {
          "doseQuantity": {
            "value": 10,
            "unit": "drop",
            "system": "http://unitsofmeasure.org"
          },
          "rateRatio": {
            "numerator": {
              "value": 10,
              "unit": "drop"
            },
            "denominator": {
              "value": 8,
              "unit": "hour"
            }
          }
        }
      ],
      "text": "10 טיפות כל 8 שעות עד 3 פעמים בבליעה דרך הפה"
    }
  ],
  "substitution": {
    "allowedBoolean": true
  },
  "status": "completed",
  "intent": "order",
  "subject": {
    "reference": "Patient/patient-immigrant"
  },
  "encounter": {
    "reference": "Encounter/community-consultation"
  },
  "authoredOn": "2022-12-10",
  "requester": {
    "reference": "Practitioner/practitioner-md"
  },
  "recorder": {
    "reference": "Practitioner/practitioner-md"
  }
}