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: Medication Request Example - Empagliflozin/Metformin - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "866d4b06-9199-41a1-9ea9-213212ea9512",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest 866d4b06-9199-41a1-9ea9-213212ea9512</b></p><a name=\"866d4b06-9199-41a1-9ea9-213212ea9512\"> </a><a name=\"hc866d4b06-9199-41a1-9ea9-213212ea9512\"> </a><p><b>identifier</b>: <code>https://shr.dha.go.ke/fhir/medication-request</code>/bcb292cb-0707-4b90-8c35-39a82ed0f389\u00a0(use:\u00a0official,\u00a0)</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title=\"Codes:{http://nhts.dha.go.ke/fhir/ValueSet/medication GE10887}\">Atorvastatin 20mg tablet</span></p><p><b>subject</b>: <a href=\"Patient/CR6164711105276-6\">Patient/CR6164711105276-6</a></p><p><b>authoredOn</b>: 2025-06-30</p><p><b>requester</b>: <a href=\"Practitioner/PUID-0001662-7\">Practitioner/PUID-0001662-7</a></p><p><b>reasonCode</b>: <span title=\"Codes:{https://nhts.dha.go.ke/terminology/icd11 I10}\">Essential (primary) hypertension</span></p><p><b>note</b>: </p><blockquote><div><p>Patient has reported nausea with higher doses in the past.</p>\n</div></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Take one tablet by mouth daily</p><p><b>timing</b>: Once per 1 day</p><p><b>route</b>: <span title=\"Codes:{https://nhts.dha.go.ke/terminology/v1/route RT10025}\">Oral</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type ordered}\">Ordered</span></td><td>20 milligram per dose<span style=\"background: LightGoldenRodYellow\"> (Details: unit  codeUM10229 = 'UM10229')</span></td></tr></table></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2025-03-28 --&gt; 2025-09-28</p><p><b>numberOfRepeatsAllowed</b>: 3</p><p><b>quantity</b>: 360 milligram per dose<span style=\"background: LightGoldenRodYellow\"> (Details: unit  codeUM10229 = 'UM10229')</span></p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>30</td><td>days</td><td><a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ucum.html\">http://unitsofmeasure.org</a></td><td>d</td></tr></table></blockquote><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActReason CT}\">Continuing therapy</span></td></tr></table></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "system" : "https://shr.dha.go.ke/fhir/medication-request",
      "value" : "bcb292cb-0707-4b90-8c35-39a82ed0f389"
    }
  ],
  "status" : "active",
  "intent" : "order",
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://nhts.dha.go.ke/fhir/ValueSet/medication",
        "code" : "GE10887",
        "display" : "Empagliflozin 5 mg/Metformin 500 mg Oral Tablet"
      }
    ],
    "text" : "Atorvastatin 20mg tablet"
  },
  "subject" : {
    "reference" : "Patient/CR6164711105276-6",
    "identifier" : {
      "use" : "official",
      "system" : "https://hie.dha.go.ke/client-registry",
      "value" : "CR6164711105276-6"
    }
  },
  "authoredOn" : "2025-06-30",
  "requester" : {
    "reference" : "Practitioner/PUID-0001662-7",
    "type" : "Practitioner",
    "identifier" : {
      "use" : "official",
      "system" : "https://hie.dha.go.ke/health-worker-registry",
      "value" : "PUID-0001662-7"
    }
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "https://nhts.dha.go.ke/terminology/icd11",
          "code" : "I10",
          "display" : "Essential (primary) hypertension"
        }
      ]
    }
  ],
  "note" : [
    {
      "text" : "Patient has reported nausea with higher doses in the past."
    }
  ],
  "dosageInstruction" : [
    {
      "text" : "Take one tablet by mouth daily",
      "timing" : {
        "repeat" : {
          "frequency" : 1,
          "period" : 1,
          "periodUnit" : "d"
        }
      },
      "route" : {
        "coding" : [
          {
            "system" : "https://nhts.dha.go.ke/terminology/v1/route",
            "code" : "RT10025",
            "display" : "Oral"
          }
        ]
      },
      "doseAndRate" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code" : "ordered",
                "display" : "Ordered"
              }
            ]
          },
          "doseQuantity" : {
            "value" : 20,
            "unit" : "milligram per dose",
            "system" : "https://nhts.dha.go.ke/terminology/v1/unit",
            "code" : "UM10229"
          }
        }
      ]
    }
  ],
  "dispenseRequest" : {
    "validityPeriod" : {
      "start" : "2025-03-28",
      "end" : "2025-09-28"
    },
    "numberOfRepeatsAllowed" : 3,
    "quantity" : {
      "value" : 360,
      "unit" : "milligram per dose",
      "system" : "https://nhts.dha.go.ke/terminology/v1/unit",
      "code" : "UM10229"
    },
    "expectedSupplyDuration" : {
      "value" : 30,
      "unit" : "days",
      "system" : "http://unitsofmeasure.org",
      "code" : "d"
    }
  },
  "substitution" : {
    "allowedBoolean" : true,
    "reason" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
          "code" : "CT",
          "display" : "Continuing therapy"
        }
      ]
    }
  }
}