Medicationrequest0318.xml

Order for Intravenous Antibiotic - Vancomycin - active - with link to encounter, reasonCode, and note (id = "medrx0318")

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0318"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0318</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>: id: med0301; Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE) <span>(Details : {http://hl7.org/fhir/sid/ndc code '0069-2587-10' = '0069-2587-10', given as
           'Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE)'})</span></p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>context</b>: <a>encounter who leads to this prescription</a></p><p><b>dateWritten</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Traveller's Diarrhea (disorder) <span>(Details : {SNOMED CT code '11840006' = 'Traveler's diarrhea', given as 'Traveller's Diarrhea
           (disorder)'})</span></p><p><b>note</b>: culture expected back in 12 hours - may switch depending on results</p><p><b>dosageInstruction</b>: </p></div></text><contained>
        <Medication>
            <id value="med0301"/>
            <code>
                <coding>
                    <system value="http://hl7.org/fhir/sid/ndc"/>
                    <code value="0069-2587-10"/>
                    <display value="Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE)"/>
                </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> <!--    Linked to a RESOURCE Medication    -->
        <reference value="#med0301"/>
    </medicationReference> 
    <patient> <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/>
        <display value="Donald Duck"/>            
    </patient>
    <context> <!--    Linked to a resource Encounter between patient and practitioner   -->
        <reference value="Encounter/f001"/>
        <display value="encounter who leads to this prescription"/>
    </context>
    <dateWritten value="2015-01-15"/>
    <requester> 
        <reference value="Practitioner/f007"/>
        <display value="Patrick Pump"/>
    </requester>
    <reasonCode>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="11840006"/>
            <display value="Traveller's Diarrhea (disorder)"/>
        </coding>
    </reasonCode>
    <note>
        <text value="culture expected back in 12 hours - may switch depending on results"/>
    </note>
    <dosageInstruction>
        <sequence value="1"/>
        <text value="500mg IV q6h x 3 days"/>
        <timing>
            <repeat>
                <frequency value="1"/>
                <period value="6"/>
                <periodUnit value="h"/>
            </repeat>
        </timing>
        <route>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="255560000"/>
                <display value="Intravenous"/>
            </coding>
        </route>
        <method>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="420620005"/>
                <display value="Push - dosing instruction imperative (qualifier value)"/>
            </coding>
        </method>
        <doseQuantity>
            <value value="500"/>
            <unit value="mg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/>
        </doseQuantity>
    </dosageInstruction>
</MedicationRequest>