Medicationexample15.xml

Oral Chemotherapy Example - Manufactured Product - Xeloda - includes a reference to a substance in ingredient element (id = "medexample015")

<Medication xmlns="http://hl7.org/fhir">
  <id value="medexample015"/>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medexample015</p><p><b>contained</b>: , </p><p><b>code</b>: Capecitabine 500mg oral tablet (Xeloda) <span>(Details : {RxNorm code '213293' = '213293', given as 'Capecitabine 500mg oral tablet
           (Xeloda)'})</span></p><p><b>isBrand</b>: true</p><p><b>manufacturer</b>: id: org2; name: Gene Inc</p><blockquote><p><b>product</b></p><p><b>form</b>: Tablet dose form (qualifier value) <span>(Details : {SNOMED CT code '385055001' = 'Tablet dose form (qualifier value)', given as
             'Tablet dose form (qualifier value)'})</span></p><h3>Ingredients</h3><table><tr><td>-</td><td><b>Item[x]</b></td><td><b>Amount</b></td></tr><tr><td>*</td><td>id: sub04; Capecitabine (substance) <span>(Details : {SNOMED CT code '386906001' = 'Capecitabine (substance)', given as 'Capecitabine
                 (substance)'})</span></td><td>500 mg<span> (Details: UCUM code mg = 'mg')</span>/1 TAB<span> (Details: http://hl7.org/fhir/v3/orderableDrugForm code TAB = 'Tablet')</span></td></tr></table><h3>Batches</h3><table><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>9494788</td><td>22/05/2017</td></tr></table></blockquote><blockquote><p><b>package</b></p><p><b>container</b>: Bottle - unit of produce usage (qualifier value) <span>(Details : {SNOMED CT code '419672006' = 'Bottle - unit of product usage (qualifier value)',
             given as 'Bottle - unit of produce usage (qualifier value)'})</span></p><h3>Contents</h3><table><tr><td>-</td><td><b>Item[x]</b></td></tr><tr><td>*</td><td>Capecitabine 500mg tablets (product) <span>(Details : {SNOMED CT code '134622004' = 'Capecitabine 500mg tablet (product)', given
                 as 'Capecitabine 500mg tablets (product)'})</span></td></tr></table></blockquote></div></text><contained>
    <Organization>
      <id value="org2"/>
      <name value="Gene Inc"/>
    </Organization>
  </contained>
  <contained>
    <Substance>
      <id value="sub04"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="386906001"/>
          <display value="Capecitabine (substance)"/>
        </coding>
      </code>
    </Substance>
  </contained>
  <code>
    <coding>
      <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
      <code value="213293"/>
      <display value="Capecitabine 500mg oral tablet (Xeloda)"/>
    </coding>
  </code>
  <isBrand value="true"/>
  <manufacturer>
      <reference value="#org2"/>
  </manufacturer>
  <product>
    <form>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="385055001"/>
        <display value="Tablet dose form (qualifier value)"/>
      </coding>
    </form>
    <ingredient>
      <itemReference>
        <reference value="#sub04"/>
      </itemReference>
      <amount>
        <numerator>
          <value value="500"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mg"/>
        </numerator>
        <denominator>
          <value value="1"/>
          <system value="http://hl7.org/fhir/v3/orderableDrugForm"/>
          <code value="TAB"/>
        </denominator>
      </amount>
    </ingredient>
    <batch>
      <lotNumber value="9494788"/>
      <expirationDate value="2017-05-22"/>
    </batch>
  </product>
  <package>
    <container>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="419672006"/>
        <display value="Bottle - unit of produce usage (qualifier value)"/>
      </coding>
    </container>
    <content>
      <itemCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <!--    need to include code for capecitabine 500mg capsule    -->
          <code value="134622004"/>
          <display value="Capecitabine 500mg tablets (product)"/>
        </coding>
      </itemCodeableConcept>
    </content>
  </package>
</Medication>