Medicationrequest0306.xml

Oral Chemotherapy Order - Myleran - completed - with reasonCode (id = "medrx0306")

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0306"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0306</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>stage</b>: original-order <span>(Details : {[not stated] code 'original-order' = 'original-order)</span></p><p><b>medication</b>: Myleran 2mg tablet. Generated Summary: id: med0304; Myleran 2mg tablet, film coated
         <span>(Details : {http://hl7.org/fhir/sid/ndc code '76388-713-25' = '76388-713-25', given as
           'Myleran 2mg tablet, film coated'})</span></p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>dateWritten</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Chronic myeloid Leukemia (disorder) <span>(Details : {SNOMED CT code '92818009' = 'Chronic myeloid leukemia', given as 'Chronic
           myeloid Leukemia (disorder)'})</span></p><p><b>dosageInstruction</b>: </p></div></text><contained>
        <Medication>
            <id value="med0304"/>
            <code>
                <coding>
                    <system value="http://hl7.org/fhir/sid/ndc"/>
                    <code value="76388-713-25"/>
                    <display value="Myleran 2mg tablet, film coated"/>
                </coding>
            </code>
        </Medication>
    </contained>
    <identifier>
        <use value="official"/>
        <system value="http://www.bmc.nl/portal/prescriptions"/>
        <value value="12345689"/>
    </identifier>
    <status value="active"/>
    <stage>
        <coding>
            <code value="original-order"/>
        </coding>
    </stage>
    <medicationReference>
        <reference value="#med0304"/>
        <display value="Myleran 2mg tablet"/>
    </medicationReference>
    <patient>
        <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/>
        <display value="Donald Duck"/>   
    </patient>
    <dateWritten value="2015-01-15"/>
    <requester>
        <!--    Linked to the practitioner who treats patient    -->
        <reference value="Practitioner/f007"/>
        <display value="Patrick Pump"/>
    </requester>
    <reasonCode>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="92818009"/>
            <display value="Chronic myeloid Leukemia (disorder)"/>
        </coding>
    </reasonCode>
    <dosageInstruction>
        <sequence value="1"/>
        <text value="6 mg PO daily for remission induction; adjust dosage to white blood cell (WBC) count.
      With hold treatment if WBC is less than 15,000/µL; resume when WBC is greater than 50,000/µL"/>
        <timing>
            <repeat>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="d"/>
            </repeat>
        </timing>
        <route>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="26643006"/>
                <display value="Oral route (qualifier value)"/>
            </coding>
        </route>
        <doseQuantity>
            <value value="6"/>
            <unit value="mg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/>
        </doseQuantity>
    </dosageInstruction>
</MedicationRequest>