Medicationrequest0321.xml

Order for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. DosageInstruction includes additionalInstructions as text (id = "medrx0321")

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0321"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0321</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>: Novolog 100u/ml. Generated Summary: id: med0307; Novolog 100u/ml <span>(Details : {http://hl7.org/fhir/sid/ndc code '0169-7501-11' = '0169-7501-11', given as
           'Novolog 100u/ml'})</span>; isBrand</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>: Diabetes mellitus type 2 (disorder) <span>(Details : {SNOMED CT code '44054006' = 'Type 2 diabetes mellitus', given as 'Diabetes
           mellitus type 2 (disorder)'})</span></p><p><b>note</b>: Check blood sugar levels before taking insulin</p><p><b>dosageInstruction</b>: , , </p><h3>DispenseRequests</h3><table><tr><td>-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td><td><b>ExpectedSupplyDuration</b></td></tr><tr><td>*</td><td>15/01/2015 --&gt; 15/01/2016</td><td>3</td><td>10 ml<span> (Details: UCUM code ml = 'ml')</span></td><td>30 days<span> (Details: UCUM code d = 'd')</span></td></tr></table></div></text><contained>
        <Medication>
            <id value="med0307"/>
            <code>
                <coding>
                    <system value="http://hl7.org/fhir/sid/ndc"/>
                    <code value="0169-7501-11"/>
                    <display value="Novolog 100u/ml"/>
                </coding>
            </code>
            <isBrand value="true"/>
            <product>
                <form>
                    <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="385219001"/>
                        <display value="Injection solution (qualifier value)"/>
                    </coding>
                </form>
                <ingredient>
                    <itemCodeableConcept>
                        <coding>
                            <system value="http://snomed.info/sct"/>
                            <code value="325072002"/>
                            <display value="Insulin Aspart (substance)"/>
                        </coding>
                    </itemCodeableConcept>
                    <amount>
                        <numerator>
                            <value value="100"/>
                            <system value="http://unitsofmeasure.org"/>
                            <code value="U"/>
                        </numerator>
                        <denominator>
                            <value value="1"/>
                            <system value="http://unitsofmeasure.org"/>
                            <code value="mL"/>
                        </denominator>
                    </amount>
                </ingredient>
                <batch>
                    <lotNumber value="12345"/>
                    <expirationDate value="2019-10-31"/>
                </batch>
            </product>
            <package>
                <container>
                    <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="415818006"/>
                        <display value="Vial"/>
                    </coding>
                </container>
                <content>
                    <itemCodeableConcept>
                        <coding>
                            <system value="http://snomed.info/sct"/>
                            <code value="325072002"/>
                            <display value="Insulin Aspart (substance)"/>
                        </coding>
                    </itemCodeableConcept>
                    <amount>
                        <value value="10"/>
                        <system value="http://unitsofmeasure.org"/>
                        <code value="mL"/>
                    </amount>
                </content>
            </package>
        </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="#med0307"/>
       <display value="Novolog 100u/ml"/>
   </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="44054006"/>
            <display value="Diabetes mellitus type 2 (disorder)"/>
        </coding>
    </reasonCode>
    <note>
        <text value="Check blood sugar levels before taking insulin"/>
    </note>
    <dosageInstruction>
        <sequence value="2"/>
        <text value="inject 10 units subcut before breakfast"/>
        <additionalInstructions>
            <text value="Before Breakfast"/>
        </additionalInstructions>
        <timing>
            <repeat>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="d"/>
            </repeat>
        </timing>
        <doseQuantity>
            <value value="10"/>
            <unit value="U"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="U"/>
        </doseQuantity>
    </dosageInstruction>
    <dosageInstruction>
        <sequence value="2"/>
        <text value="15 units before lunch"/>
        <additionalInstructions>
            <text value="Before Lunch"/>
        </additionalInstructions>
        <timing>
            <repeat>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="d"/>
            </repeat>
        </timing>
        <doseQuantity>
            <value value="15"/>
            <unit value="U"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="U"/>
        </doseQuantity>
    </dosageInstruction>
    <dosageInstruction>
        <sequence value="1"/>
        <text value="20 units before dinner"/>
        <additionalInstructions>
            <text value="Before Dinner"/>
        </additionalInstructions>
        <timing>
            <repeat>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="d"/>
            </repeat>
        </timing>
        <doseQuantity>
            <value value="20"/>
            <unit value="U"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="U"/>
        </doseQuantity>
    </dosageInstruction>
    <dispenseRequest>
        <validityPeriod>
            <start value="2015-01-15"/>
            <end value="2016-01-15"/>
        </validityPeriod>
        <numberOfRepeatsAllowed value="3"/>
        <quantity>
            <value value="10"/>
            <unit value="ml"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="ml"/> 
        </quantity>
        <expectedSupplyDuration>
            <value value="30"/>
            <unit value="days"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="d"/> 
        </expectedSupplyDuration>
    </dispenseRequest>   
</MedicationRequest>