{
  "resourceType": "MedicationRequest",
  "id": "mr-efferalgan-0831",
  "meta": {
    "versionId": "3",
    "lastUpdated": "2026-08-31T08:05:12+07:00"
  },
  "extension": [
    {
      "url": "http://icu.emr.local/StructureDefinition/hisTransmissionStatus",
      "valueCode": "accepted"
    },
    {
      "url": "http://icu.emr.local/StructureDefinition/hisTransmissionEvent",
      "extension": [
        { "url": "requestId", "valueString": "REQ-10241" },
        { "url": "sentAt", "valueInstant": "2026-08-31T08:03:40+07:00" },
        { "url": "respondedAt", "valueInstant": "2026-08-31T08:03:52+07:00" },
        { "url": "message", "valueString": "OK" }
      ]
    },
    {
      "url": "http://icu.emr.local/StructureDefinition/catalogSnapshot",
      "extension": [
        { "url": "catalogVersion", "valueString": "20260831-b1" },
        { "url": "sourceFile", "valueString": "2_品項主檔/藥品目錄.csv" },
        {
          "url": "sourceSHA256",
          "valueString": "b2e5a98840b15f71b7bcb49049fc65ec8117cf8ec5debffb3ac5688a527e6f8f"
        }
      ]
    },
    {
      "url": "http://icu.emr.local/StructureDefinition/doseSafetyDisplay",
      "valueCode": "insufficient",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/rendered-value",
            "valueString": "缺少可用資料或院方核准規則，禁止宣稱安全通過。此為畫面提示，非臨床判定。"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "system": "http://icu.emr.local/CodeSystem/his-prescription-number",
      "value": "HP-2026083100417"
    },
    {
      "system": "http://icu.emr.local/CodeSystem/his-medication-request-id",
      "value": "HMR-88301"
    }
  ],
  "status": "active",
  "intent": "order",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code": "inpatient"
        }
      ]
    }
  ],
  "medicationCodeableConcept": {
    "coding": [
      {
        "system": "http://icu.emr.local/CodeSystem/his-medication",
        "code": "50631",
        "display": "Efferalgan 300 mg (Paracetamol)",
        "extension": [
          {
            "url": "http://icu.emr.local/StructureDefinition/reviewTranslation",
            "valueString": "Efferalgan 300 mg（Paracetamol）／中文譯名待核定"
          }
        ]
      }
    ],
    "text": "Efferalgan 300 mg (Paracetamol)"
  },
  "subject": { "reference": "Patient/demo-a", "display": "虛構病人 A" },
  "encounter": { "reference": "Encounter/enc-a" },
  "authoredOn": "2026-08-31T08:05:00+07:00",
  "requester": { "reference": "PractitionerRole/doctor-d1", "display": "示範醫師・日班" },
  "supportingInformation": [
    {
      "reference": "Composition/demo-soap-0831/_history/1",
      "display": "病程來源（開立當下版本）"
    }
  ],
  "dosageInstruction": [
    {
      "text": "300 mg（1 錠），口服，BID（每日 2 次）",
      "timing": {
        "repeat": { "frequency": 2, "period": 1, "periodUnit": "d" },
        "code": {
          "coding": [
            { "system": "http://icu.emr.local/CodeSystem/tdl", "code": "TDL.1049", "display": "BID" }
          ]
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://icu.emr.local/CodeSystem/his-route",
            "code": "913",
            "display": "Uống"
          },
          { "system": "http://icu.emr.local/CodeSystem/tdl", "code": "TDL.0401" }
        ],
        "text": "Uống（口服）"
      },
      "doseAndRate": [
        {
          "doseQuantity": {
            "value": 300,
            "unit": "mg",
            "system": "http://unitsofmeasure.org",
            "code": "mg"
          }
        }
      ]
    }
  ],
  "dispenseRequest": {
    "validityPeriod": { "start": "2026-08-31T08:00:00+07:00" }
  }
}