Kenya ePrescription FHIR Implementation Guide
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: MedicationRequest – INVALID: Missing dispenseRequest; wrong medication and route bindings - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "example-medicationrequest-invalid",
  "meta" : {
    "profile" : [
      🔗 "https://nshr-uat.sha.go.ke/StructureDefinition/ke-medication-request"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest example-medicationrequest-invalid</b></p><a name=\"example-medicationrequest-invalid\"> </a><a name=\"hcexample-medicationrequest-invalid\"> </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-ke-medication-request.html\">Kenya eRx MedicationRequest</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-ns-prescription-identifier.html\" title=\"System-generated prescription number that uniquely identifies a MedicationRequest across all dispensing points. Format: RX-{YYYY}-{SITE}-{SEQ}.\">KenyaPrescriptionIdentifier</a>/RX-INVALID-001</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category outpatient}\">Outpatient</span></p><p><b>medication</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 J06.9}\">Acute upper respiratory infection</span></p><p><b>subject</b>: <a href=\"Patient-example-patient-amina.html\">Amina Hassan (official) Female, DoB: 1988-04-15 ( https://ilm-hie.dha.go.ke/fhir/NamingSystem/national-id#KenyaNationalId#29834765)</a></p><p><b>authoredOn</b>: 2025-06-15</p><p><b>requester</b>: <a href=\"Practitioner-example-practitioner-njoroge.html\">Practitioner Sarah Njoroge (official)</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Once per 1 day</p><p><b>route</b>: <span title=\"Codes:{http://example.org/wrong-routes by-mouth}\">By Mouth</span></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>500 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></blockquote></div>"
  },
  "identifier" : [
    {
      "system" : "https://ilm-hie.dha.go.ke/fhir/NamingSystem/prescription-identifier",
      "value" : "RX-INVALID-001"
    }
  ],
  "status" : "active",
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code" : "outpatient",
          "display" : "Outpatient"
        }
      ]
    }
  ],
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/sid/icd-10",
        "code" : "J06.9",
        "display" : "Acute upper respiratory infection"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/example-patient-amina"
  },
  "authoredOn" : "2025-06-15",
  "requester" : {
    🔗 "reference" : "Practitioner/example-practitioner-njoroge"
  },
  "dosageInstruction" : [
    {
      "timing" : {
        "repeat" : {
          "frequency" : 1,
          "period" : 1,
          "periodUnit" : "d"
        }
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://example.org/wrong-routes",
            "code" : "by-mouth",
            "display" : "By Mouth"
          }
        ]
      },
      "doseAndRate" : [
        {
          "doseQuantity" : {
            "value" : 500,
            "unit" : "mg",
            "system" : "http://unitsofmeasure.org",
            "code" : "mg"
          }
        }
      ]
    }
  ]
}