Universal API Implementation Guide
1.1.20 - ci-build
Universal API Implementation Guide - Local Development build (v1.1.20) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
<MedicationRequest xmlns="http://hl7.org/fhir">
<id value="b715be5a-fd4e-4328-98d5-46de079bb717"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-medicationrequest"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationRequest b715be5a-fd4e-4328-98d5-46de079bb717</b></p><a name="b715be5a-fd4e-4328-98d5-46de079bb717"> </a><a name="hcb715be5a-fd4e-4328-98d5-46de079bb717"> </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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-medicationrequest.html">UAPI MedicationRequest</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title="Codes:{https://fhir.developer.gene.com/CodeSystem/uapi-product-name susvimo}">Susvimo</span></p><p><b>subject</b>: <a href="Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-1b315218-49b7-4264-816e-05d4b92ecbaa">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>requester</b>: <a href="Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-78ef1b71-b14a-44a1-a1e8-c9c9efcc157c">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>courseOfTherapyType</b>: <span title="Codes:">Implant Kit</span></p><p><b>insurance</b>: <a href="Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-2722d5ae-1658-4d7f-8f64-de1299a1fb7f">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>note</b>: </p><blockquote><div><p>Once every 24 weeks</p>
</div></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Once per 24 weeks</p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>2 mg</td></tr></table></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>UAPI MedicationRequest Dispenser Instructions</b>: </p><blockquote><div><p>Dispense Instruction: Quantity 1 of Box B: Ocular Implant with Insertion Tool Assembly and Quantity 1 of BOM 1 - 1 single dose vial and 1 initial fill needle</p>
</div></blockquote><blockquote><p><b>UAPI MedicationRequest Dispense Quantity Detailed Breakdown</b></p><ul><li>dispenseQuantity: 1</li><li>dispenseUnit: Box B: Ocular Implant with Insertion Tool Assembly</li></ul></blockquote><blockquote><p><b>UAPI MedicationRequest Dispense Quantity Detailed Breakdown</b></p><ul><li>dispenseQuantity: 1</li><li>dispenseUnit: BOM 1 - 1 single dose vial and 1 initial fill needle</li></ul></blockquote><blockquote><p><b>UAPI MedicationRequest Dispense Quantity Detailed Breakdown</b></p><ul><li>dispenseQuantity: 0</li><li>dispenseUnit: BOM 2 - 1 single dose vial and 1 refill needle</li></ul></blockquote><p><b>numberOfRepeatsAllowed</b>: 1</p></blockquote></div>
</text>
<status value="active"/>
<intent value="order"/>
<medicationCodeableConcept>
<coding>
<system
value="https://fhir.developer.gene.com/CodeSystem/uapi-product-name"/>
<code value="susvimo"/>
<display value="Susvimo"/>
</coding>
</medicationCodeableConcept>
<subject>
<reference value="urn:uuid:1b315218-49b7-4264-816e-05d4b92ecbaa"/>
<type value="Patient"/>
</subject>
<requester>
<reference value="urn:uuid:78ef1b71-b14a-44a1-a1e8-c9c9efcc157c"/>
<type value="Practitioner"/>
</requester>
<courseOfTherapyType>
<text value="Implant Kit"/>
</courseOfTherapyType>
<insurance>
<reference value="urn:uuid:2722d5ae-1658-4d7f-8f64-de1299a1fb7f"/>
<type value="Coverage"/>
</insurance>
<note>
<text value="Once every 24 weeks"/>
</note>
<dosageInstruction>
<timing>
<repeat>
<frequency value="1"/>
<period value="24"/>
<periodUnit value="wk"/>
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="2"/>
<unit value="mg"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<extension
url="https://fhir.developer.gene.com/StructureDefinition/dispenser-instruction">
<valueAnnotation>
<text
value="Dispense Instruction: Quantity 1 of Box B: Ocular Implant with Insertion Tool Assembly and Quantity 1 of BOM 1 - 1 single dose vial and 1 initial fill needle"/>
</valueAnnotation>
</extension>
<extension
url="https://fhir.developer.gene.com/StructureDefinition/dispense-quantity-detail">
<extension url="dispenseQuantity">
<valueQuantity>
<value value="1"/>
</valueQuantity>
</extension>
<extension url="dispenseUnit">
<valueString
value="Box B: Ocular Implant with Insertion Tool Assembly"/>
</extension>
</extension>
<extension
url="https://fhir.developer.gene.com/StructureDefinition/dispense-quantity-detail">
<extension url="dispenseQuantity">
<valueQuantity>
<value value="1"/>
</valueQuantity>
</extension>
<extension url="dispenseUnit">
<valueString
value="BOM 1 - 1 single dose vial and 1 initial fill needle"/>
</extension>
</extension>
<extension
url="https://fhir.developer.gene.com/StructureDefinition/dispense-quantity-detail">
<extension url="dispenseQuantity">
<valueQuantity>
<value value="0"/>
</valueQuantity>
</extension>
<extension url="dispenseUnit">
<valueString value="BOM 2 - 1 single dose vial and 1 refill needle"/>
</extension>
</extension>
<numberOfRepeatsAllowed value="1"/>
</dispenseRequest>
</MedicationRequest>