{ "resourceType" : "MedicationRequest", "id" : "example-medicationrequest-with-extensions", "meta" : { "profile" : ["https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-medication-request"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: MedicationRequest example-medicationrequest-with-extensions

Profile: Kenya eRx MedicationRequest

Prescription Digital Signature

Refill Authorization

Controlled Substance Schedule

Insurance Pre-Authorization

identifier: KenyaPrescriptionIdentifier/RX-2025-EXT-00001

status: Active

intent: Order

category: Outpatient

medication: Metformin 500 mg Oral Tablet

subject: James Otieno (official) Male, DoB: 1968-09-20 ( https://ilm-hie.dha.go.ke/fhir/NamingSystem/national-id#KenyaNationalId#10293847)

authoredOn: 2025-06-15

requester: Practitioner Sarah Njoroge (official)

dosageInstruction

text: Take 1 tablet (500 mg) by mouth twice daily with meals

timing: 2 per 1 day

route: Oral

DoseAndRates

-Dose[x]
*500 mg (Details: UCUM codemg = 'mg')

DispenseRequests

-NumberOfRepeatsAllowedQuantity
*360 tablet (Details: UCUM code1 = '1')

Substitutions

-Allowed[x]
*true
" }, "extension" : [{ "extension" : [{ "url" : "signatureType", "valueCoding" : { "system" : "urn:iso-astm:E1762-95:2013", "code" : "1.2.840.10065.1.12.1.1", "display" : "Author's Signature" } }, { "url" : "signatureValue", "valueBase64Binary" : "U0lHTkFUVVJFX1BMQUNFSE9MREVS" }, { "url" : "signedBy", "valueReference" : { "reference" : "Practitioner/example-practitioner-njoroge" } }, { "url" : "signedOn", "valueInstant" : "2025-06-15T09:30:00+03:00" }], "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/prescription-digital-signature" }, { "extension" : [{ "url" : "authorizedRefills", "valueUnsignedInt" : 3 }, { "url" : "remainingRefills", "valueUnsignedInt" : 3 }, { "url" : "earliestRefillDate", "valueDate" : "2025-07-15" }], "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/refill-authorization" }, { "extension" : [{ "url" : "isControlled", "valueBoolean" : false }], "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/controlled-substance-schedule" }, { "extension" : [{ "url" : "authorizationNumber", "valueString" : "SHA-2025-AUTH-001234" }, { "url" : "insurerName", "valueString" : "Social Health Authority (SHA)" }, { "url" : "validFrom", "valueDate" : "2025-06-15" }, { "url" : "validTo", "valueDate" : "2025-09-15" }], "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/insurance-pre-authorization" }], "identifier" : [{ "system" : "https://ilm-hie.dha.go.ke/fhir/NamingSystem/prescription-identifier", "value" : "RX-2025-EXT-00001" }], "status" : "active", "intent" : "order", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "outpatient", "display" : "Outpatient" }] }], "medicationCodeableConcept" : { "coding" : [{ "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/generic-products-cs", "code" : "GE10002", "display" : "Metformin 500 mg Oral Tablet" }] }, "subject" : { "reference" : "Patient/example-patient-otieno" }, "authoredOn" : "2025-06-15", "requester" : { "reference" : "Practitioner/example-practitioner-njoroge" }, "dosageInstruction" : [{ "text" : "Take 1 tablet (500 mg) by mouth twice daily with meals", "timing" : { "repeat" : { "frequency" : 2, "period" : 1, "periodUnit" : "d" } }, "route" : { "coding" : [{ "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/route-of-administration-cs", "code" : "RT10025", "display" : "Oral" }] }, "doseAndRate" : [{ "doseQuantity" : { "value" : 500, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } }] }], "dispenseRequest" : { "numberOfRepeatsAllowed" : 3, "quantity" : { "value" : 60, "unit" : "tablet", "system" : "http://unitsofmeasure.org", "code" : "1" } }, "substitution" : { "allowedBoolean" : true } }