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medication-prescribe

Metadata Value
specificationVersion 1.0
hookVersion 1.0

Workflow

The user is in the process of prescribing one or more new medications.

Context

The set of medications proposed or in progress of being prescribed. All FHIR resources in this context MUST be based on the same FHIR version. All FHIR resources in the medications object MUST have a status of draft.

Field Optionality Prefetch Token Type Description
userId REQUIRED Yes string The id of the current user.
For this hook, the user is expected to be of type Practitioner.
For example, Practitioner/123
patientId REQUIRED Yes string The FHIR Patient.id of the current patient in context
encounterId OPTIONAL Yes string The FHIR Encounter.id of the current encounter in context
medications REQUIRED No object DSTU2 - FHIR Bundle of draft MedicationOrder resources
STU3 - FHIR Bundle of draft MedicationRequest resources

Example (STU3)

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{
  "context":{
    "userId":"Practitioner/123",
    "patientId":"1288992",
    "encounterId":"89284",
    "medications":{
      "resourceType":"Bundle",
      "entry":[
        {
          "resource":{
            "resourceType":"MedicationRequest",
            "id":"smart-MedicationRequest-103",
            "meta":{
              "lastUpdated":"2018-04-30T13:25:40.845-04:00"
            },
            "text":{
              "status":"generated",
              "div":"<div xmlns=\"http://www.w3.org/1999/xhtml\">Amoxicillin 120 MG/ML / clavulanate potassium 8.58 MG/ML Oral Suspension (rxnorm: 617993)</div>"
            },
            "status":"draft",
            "intent":"order",
            "medicationCodeableConcept":{
              "coding":[
                {
                  "system":"http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code":"617993",
                  "display":"Amoxicillin 120 MG/ML / clavulanate potassium 8.58 MG/ML Oral Suspension"
                }
              ],
              "text":"Amoxicillin 120 MG/ML / clavulanate potassium 8.58 MG/ML Oral Suspension"
            },
            "subject":{
              "reference":"Patient/1288992"
            },
            "dosageInstruction":[
              {
                "text":"5 mL bid x 10 days",
                "timing":{
                  "repeat":{
                    "boundsPeriod":{
                      "start":"2005-01-04"
                    },
                    "frequency":2,
                    "period":1,
                    "periodUnit":"d"
                  }
                },
                "doseQuantity":{
                  "value":5,
                  "unit":"mL",
                  "system":"http://unitsofmeasure.org",
                  "code":"mL"
                }
              }
            ],
            "dispenseRequest":{
              "numberOfRepeatsAllowed":1,
              "quantity":{
                "value":1,
                "unit":"mL",
                "system":"http://unitsofmeasure.org",
                "code":"mL"
              },
              "expectedSupplyDuration":{
                "value":10,
                "unit":"days",
                "system":"http://unitsofmeasure.org",
                "code":"d"
              }
            }
          }
        },
        {
          "resource":{
            "resourceType":"MedicationRequest",
            "id":"smart-MedicationRequest-104",
            "meta":{
              "lastUpdated":"2018-04-30T13:26:48.124-04:00"
            },
            "text":{
              "status":"generated",
              "div":"<div xmlns=\"http://www.w3.org/1999/xhtml\">Azithromycin 20 MG/ML Oral Suspension [Zithromax] (rxnorm: 211307)</div>"
            },
            "status":"draft",
            "intent":"order",
            "medicationCodeableConcept":{
              "coding":[
                {
                  "system":"http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code":"211307",
                  "display":"Azithromycin 20 MG/ML Oral Suspension [Zithromax]"
                }
              ],
              "text":"Azithromycin 20 MG/ML Oral Suspension [Zithromax]"
            },
            "subject":{
              "reference":"Patient/1288992"
            },
            "dosageInstruction":[
              {
                "text":"15 mL daily x 3 days",
                "timing":{
                  "repeat":{
                    "boundsPeriod":{
                      "start":"2005-01-18"
                    },
                    "frequency":1,
                    "period":1,
                    "periodUnit":"d"
                  }
                },
                "doseQuantity":{
                  "value":15,
                  "unit":"mL",
                  "system":"http://unitsofmeasure.org",
                  "code":"mL"
                }
              }
            ],
            "dispenseRequest":{
              "numberOfRepeatsAllowed":1,
              "quantity":{
                "value":1,
                "unit":"mL",
                "system":"http://unitsofmeasure.org",
                "code":"mL"
              },
              "expectedSupplyDuration":{
                "value":3,
                "unit":"days",
                "system":"http://unitsofmeasure.org",
                "code":"d"
              }
            }
          }
        }
      ]
    }
  }
}

Example (DSTU2)

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{
  "context":{
    "userId":"Practitioner/123",
    "patientId":"1288992",
    "encounterId":"89284",
    "medications":{
      "resourceType":"Bundle",
      "entry":[
        {
          "resource":{
            "resourceType":"MedicationOrder",
            "id":"smart-MedicationOrder-103",
            "status":"draft",
            "patient":{
              "reference":"Patient/1288992"
            },
            "medicationCodeableConcept":{
              "coding":[
                {
                  "system":"http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code":"617993",
                  "display":"Amoxicillin 120 MG/ML / clavulanate potassium 8.58 MG/ML Oral Suspension"
                }
              ],
              "text":"Amoxicillin 120 MG/ML / clavulanate potassium 8.58 MG/ML Oral Suspension"
            },
            "dosageInstruction":[
              {
                "text":"5 mL bid x 10 days",
                "timing":{
                  "repeat":{
                    "boundsPeriod":{
                      "start":"2005-01-04"
                    },
                    "frequency":2,
                    "period":1,
                    "periodUnits":"d"
                  }
                },
                "doseQuantity":{
                  "value":5,
                  "unit":"mL",
                  "system":"http://unitsofmeasure.org",
                  "code":"mL"
                }
              }
            ],
            "dispenseRequest":{
              "numberOfRepeatsAllowed":1,
              "quantity":{
                "value":1,
                "unit":"mL",
                "system":"http://unitsofmeasure.org",
                "code":"mL"
              },
              "expectedSupplyDuration":{
                "value":10,
                "unit":"days",
                "system":"http://unitsofmeasure.org",
                "code":"d"
              }
            }
          }
        },
        {
          "resource":{
            "resourceType":"MedicationOrder",
            "id":"smart-MedicationOrder-104",
            "status":"draft",
            "patient":{
              "reference":"Patient/1288992"
            },
            "medicationCodeableConcept":{
              "coding":[
                {
                  "system":"http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code":"211307",
                  "display":"Azithromycin 20 MG/ML Oral Suspension [Zithromax]"
                }
              ],
              "text":"Azithromycin 20 MG/ML Oral Suspension [Zithromax]"
            },
            "dosageInstruction":[
              {
                "text":"15 mL daily x 3 days",
                "timing":{
                  "repeat":{
                    "boundsPeriod":{
                      "start":"2005-01-18"
                    },
                    "frequency":1,
                    "period":1,
                    "periodUnits":"d"
                  }
                },
                "doseQuantity":{
                  "value":15,
                  "unit":"mL",
                  "system":"http://unitsofmeasure.org",
                  "code":"mL"
                }
              }
            ],
            "dispenseRequest":{
              "numberOfRepeatsAllowed":1,
              "quantity":{
                "value":1,
                "unit":"mL",
                "system":"http://unitsofmeasure.org",
                "code":"mL"
              },
              "expectedSupplyDuration":{
                "value":3,
                "unit":"days",
                "system":"http://unitsofmeasure.org",
                "code":"d"
              }
            }
          }
        }
      ]
    }
  }
}

Change Log

Version Description
1.0 Initial Release