--- type: "examples" title: "MedicationRequest Examples" resource: "MedicationRequest" --- # MedicationRequest Examples - [medicationrequest-example](/medicationrequest-example-medicationrequest-example) — medicationrequest-example - [medicationrequest-examples-header](/medicationrequest-example-medicationrequest-examples-header) — medicationrequest-examples-header - [medicationrequest0349](/medicationrequest-example-medicationrequest0349) — medicationrequest0349 — Request to not perform due to allergy. - [medicationrequest0350](/medicationrequest-example-medicationrequest0350) — medicationrequest0350 — Request with 3 reasons to justify alternative. - [medrx002](/medicationrequest-example-medrx002) — medicationrequestexample2 — Order for a medication that includes the dosage of a prescription in text - [medrx003](/medicationrequest-example-medrx003) — medicationrequestexample3 — Request that uses both calculated and ordered dosage - [medrx004](/medicationrequest-example-medrx004) — medicationrequestexample4 — Request with multiple dosages and timings. - [medrx0301](/medicationrequest-example-medrx0301) — medicationrequest0301 — Order with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution - [medrx0302](/medicationrequest-example-medrx0302) — medicationrequest0302 — Active Order with link to encounter, reasonCode, note multiple dosage lines, dispenseRequest and substitution - Azithromycin - [medrx0303](/medicationrequest-example-medrx0303) — medicationrequest0303 — Order for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod - [medrx0304](/medicationrequest-example-medrx0304) — medicationrequest0304 — Order for Oral Drops - Nystatin Suspension - completed - with Dispense Request - [medrx0305](/medicationrequest-example-medrx0305) — medicationrequest0305 — Order with Dosage with a Pre-Condition - Alprazolam - dosageInstructions includes boundsPeriod with periodMax and asNeededCodeableConcept - [medrx0306](/medicationrequest-example-medrx0306) — medicationrequest0306 — Oral Chemotherapy Order - Myleran - completed - with reasonCode - [medrx0307](/medicationrequest-example-medrx0307) — medicationrequest0307 — Order with as needed (PRN) dosage - Percocet - completed with link to encounter, dispenseRequest and substitution - [medrx0308](/medicationrequest-example-medrx0308) — medicationrequest0308 — Order for as needed (PRN) dosage - Vicodin - completed with dosageInstruction with additionalInstruction (coded) and as needed with reason, dispenseRequest and substitution - [medrx0309](/medicationrequest-example-medrx0309) — medicationrequest0309 — Oral Chemotherapy Order - Capecitabine - active medication with dosing by Body Surface Area (BSA) (mg/m2) - [medrx0310](/medicationrequest-example-medrx0310) — medicationrequest0310 — Request for Over the Counter Medication - Tylenol PM - with dosage range as needed with pre-condition for use - [medrx0311](/medicationrequest-example-medrx0311) — medicationrequestexample1 — Fully populated example of a MedicationRequest - Chlorthalidone - active - with link to encounter, reasonReference, note, dispenseRequest, substitution and eventHistory - [medrx0312](/medicationrequest-example-medrx0312) — medicationrequest0312 — Liquid Medication - Phenytoin with link to prior prescription - [medrx0313](/medicationrequest-example-medrx0313) — medicationrequest0313 — Request with a single dosage line - Azithromycin - completed - with link to prior prescription and reason code - [medrx0314](/medicationrequest-example-medrx0314) — medicationrequest0314 — Request - Levothyroxine - completed with reasonCode, dosageInstructions and dispenseRequest - [medrx0315](/medicationrequest-example-medrx0315) — medicationrequest0315 — Request for an injectable medication - Lorazepam - active - with link to encounter, reasonCode and dosageInstruction - [medrx0316](/medicationrequest-example-medrx0316) — medicationrequest0316 — Request for Intravenous Chemotherapy (inpatient order) - Brentuximab Vedotin - completed - [medrx0317](/medicationrequest-example-medrx0317) — medicationrequest0317 — Request for Intravenous Chemotherapy (inpatient order) - Alemtuzumab - completed with multiple dosageInstruction lines - [medrx0318](/medicationrequest-example-medrx0318) — medicationrequest0318 — Request for Intravenous Antibiotic - Vancomycin - active - with link to encounter, reasonCode, and note - [medrx0319](/medicationrequest-example-medrx0319) — medicationrequest0319 — Request for Intravenous Antibiotic with a Dosage Rate - Piperacillin - completed with reason code - [medrx0320](/medicationrequest-example-medrx0320) — medicationrequest0320 — Request for Subcutaneous injection - Insulin - Lantus - completed, with reason code and dispense request - [medrx0321](/medicationrequest-example-medrx0321) — medicationrequest0321 — Request for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. Dosage includes additionalInstructions as text - [medrx0322](/medicationrequest-example-medrx0322) — medicationrequest0322 — Request for Intravenous Admixture - Potassium Chloride in D5W - completed with reason code - [medrx0323](/medicationrequest-example-medrx0323) — medicationrequest0323 — Request for TPN Solution - completed - [medrx0324](/medicationrequest-example-medrx0324) — medicationrequest0324 — Request using Medication Code for Rectal Suppository - Acetaminophen - completed with reasonCode, dispenseRequest and substitution - [medrx0325](/medicationrequest-example-medrx0325) — medicationrequest0325 — Request using Medication Code for Topical Ointment - Nystatin - on hold and with dispense request - [medrx0326](/medicationrequest-example-medrx0326) — medicationrequest0326 — Request using Medication Code for Inhaler - Proventil - on hold with dispenseRequest and substitution - [medrx0327](/medicationrequest-example-medrx0327) — medicationrequest0327 — Request using Medication Code for Patch - Fentanyl - active, with dispense request - [medrx0328](/medicationrequest-example-medrx0328) — medicationrequest0328 — Request referencing Medication Resource for Nasal Spray - Nasonex - [medrx0329](/medicationrequest-example-medrx0329) — medicationrequest0329 — Request referencing Medication Resource for Compounded Product - HC 1%, Salicylic Acid 5% in Glaxal Base - on hold with dispenseRequest - [medrx0330](/medicationrequest-example-medrx0330) — medicationrequest0330 — Request referencing Medication Resource for Eye Drops - Timoptic - active - with link to encounter, dispenseRequest and substitution flag - [medrx0331](/medicationrequest-example-medrx0331) — medicationrequest0331 — Request for a Dosage that needs to be dispensed as different strength tablets - Warfarin - active - [medrx0332](/medicationrequest-example-medrx0332) — medicationrequest0332 — Request for a medication that is intended to be given as a single, once only dose - [medrx0333](/medicationrequest-example-medrx0333) — medicationrequest0333 — Request for a medication that is intended to be given in the morning - [medrx0334](/medicationrequest-example-medrx0334) — medicationrequest0334 — Request for a medication that is intended to be given on a specific day - [medrx0335](/medicationrequest-example-medrx0335) — medicationrequest0335 — Request for a medication that is intended to be given at a specific time - [medrx0336](/medicationrequest-example-medrx0336) — medicationrequest0336 — Request for Intravenous Dopamine - Weight based calculation with rateQuantity - [medrx0337](/medicationrequest-example-medrx0337) — medicationrequest0337 — Request for Intravenous Admixture Dopamine - with rateQuantity - [medrx0338](/medicationrequest-example-medrx0338) — medicationrequest0338 — Request for Intravenous Admixture Dopamine - with doseQuantity and rateQuantity - [medrx0339](/medicationrequest-example-medrx0339) — medicationrequest0339 — Request for a product that contains multiple dosage forms - [medrx0343a](/medicationrequest-example-medrx0343a) — medicationrequest0343a — Request medication where there is an option of the route of administration - includes group identifier - [medrx0343b](/medicationrequest-example-medrx0343b) — medicationrequest0343b — Request medication where there is an option of the route of administration - includes group identifier