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11.1.6 Resource MedicationRequest - Examples

ORAL DOSAGE FORMS

The following examples are MedicationRequest resources for Oral Dosage Forms that reference Medication Resources for generic formulations:

• Active Request with link to encounter, reasonCode, note multiple dosage lines, dispenseRequest and substitution - Azithromycin. Also includes non-clinical supportingInformation
• Request with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution
• Request for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod
• Request for Oral Drops - Nystatin Suspension - completed - with Dispense Request
• Request with Dosage with a Pre-Condition - Alprazolam - dosageInstructions includes boundsPeriod with periodMax and asNeededCodeableConcept
• Request for a Dosage that needs to be dispensed as different strength tablets - Warfarin - active

The following examples are MedicationRequest resources for Oral Dosage Forms that reference Medication Resources for manufactured products:

• Oral Chemotherapy Request - Myleran - completed - with reasonCode
• Request with as needed (PRN) dosage - Percocet - completed with link to encounter, dispenseRequest and substitution
• Request for as needed (PRN) dosage - Vicodin - completed with dosageInstruction with additionalInstruction (coded) and as needed with reason, dispenseRequest and substitution
• Oral Chemotherapy Request - Capecitabine - active medication with dosing by Body Surface Area (BSA) (mg/m2)
• Request for Over the Counter Medication - Tylenol PM - with dosage range as needed with pre-condition for use
• Request for a medication that includes the dosage of a prescription in text
• Fully populated example of a MedicationRequest - Chlorthalidone - active - with link to encounter, reasonReference, note, dispenseRequest, substitution and eventHistory

The following examples are MedicationRequest resources for Oral Dosage Forms that include a Medication Code

• Liquid Medication - Phenytoin with link to prior prescription
• Request with a single dosage line - Azithromycin - completed - with link to prior prescription and reason code
• Request - Levothyroxine - completed with reasonCode, dosageInstructions and dispenseRequest

INJECTABLE DOSAGE FORMS

The following examples of MedicationRequest resources for Injectable Dosage Forms that reference a Medication Resource for a generic formulation

• Request for an injectable medication - Lorazepam with Dosage Rate (as rateRange) - active - with link to encounter, reasonCode and dosageInstruction

The following examples of MedicationRequest resources for Injectable Dosage Forms that reference a Medication Resource for a manufactured product:

• Request for Intravenous Chemotherapy (inpatient Request) - Brentuximab Vedotin - completed
• Request for Intravenous Chemotherapy (inpatient Request) - Alemtuzumab - completed with multiple dosageInstruction lines
• Request for Intravenous Antibiotic - Vancomycin - active - with link to encounter, reasonCode, and note
• Request for Intravenous Antibiotic with a Dosage Rate (as RateQuantity) - Piperacillin - completed with reason code
• Request for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. Dosage includes additionalInstructions as text

The following examples of MedicationRequest resources for Injectable Dosage Forms that include a Medication Code:

• Request for Subcutaneous injection - Insulin - Lantus - completed, with reason code and dispense request

The following examples of MedicationRequest resources for Injectable Dosage Forms for Injectable Dosage Forms where the medication is a compounded (aka extemporaneous or magistral) product:

• Request for Intravenous Admixture with Dosage Rate (as rateRatio) - Potassium Chloride in D5W - completed with reason code
• Request for TPN Solution with Dosage Rate (as rateRatio) - completed

MISCELLAENOUS DOSAGE FORMS

The following examples of MedicationRequest resources including miscellaneous dosage forms:

• Request using Medication Code for Rectal Suppository - Acetaminophen - completed with reasonCode, dispenseRequest and substitution
• Request using Medication Code for Topical Ointment - Nystatin - on hold and with dispense request
• Request using Medication Code for Inhaler - Proventil - on hold with dispenseRequest and substitution
• Request using Medication Code for Patch - Fentanyl - active, with dispense request
• Medication Resource Reference - Nasal Spray - Nasonex
• Request referencing Medication Resource for Compounded Product - HC 1%, Salicylic Acid 5% in Glaxal Base - on hold with dispenseRequest
• Request referencing Medication Resource for Eye Drops - Timoptic - active - with link to encounter, dispenseRequest and substitution flag
• Request referencing Medication Resource for a Kit that contains 2 different dosage forms - Vagistat

MISCELLAENOUS DOSAGE INSTRUCTIONS

The following examples of MedicationRequest resources including miscellaneous dosage instructions:

• Request that includes a dosage instruction for a medication that is intended to be given once only as single dose
• Request for a medication that is intended to be given in the morning
• Request that includes a dosage instruction for a medication that is given on a specific day of the week
• Request that includes a dosage instruction for a medication that is given at a specific time of the day
• Request with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution
• Request for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod
• Request with Dosage with a Pre-Condition - Alprazolam - dosageInstructions includes boundsPeriod with periodMax and asNeededCodeableConcept
• Request for an injectable medication - Lorazepam with Dosage Rate (as rateRange) - active - with link to encounter, reasonCode and dosageInstruction
• Request for Intravenous Admixture with Dosage Rate (as rateRatio) - Potassium Chloride in D5W - completed with reason code
• Request for Intravenous Dopamine - Weight based calculation with rateQuantity
• Request for Intravenous Admixture Dopamine - with rateQuantity
• Request for Intravenous Admixture Dopamine - with doseQuantity and rateQuantity
• Request for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. Dosage includes additionalInstructions as text
• Request for Intravenous Antibiotic with a Dosage Rate (as RateQuantity) - Piperacillin - completed with reason code
• Oral Chemotherapy Request - Capecitabine - active medication with dosing by Body Surface Area (BSA) (mg/m2)
• Request for as needed (PRN) dosage - Vicodin - completed with dosageInstruction with additionalInstruction (coded) and as needed with reason, dispenseRequest and substitution

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.