R4 Ballot #2 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.5.0: R4 Ballot #2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationrequest0307.xml

Pharmacy Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Encounter, Patient, Practitioner

Raw XML (canonical form + also see XML Format Specification)

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Order with as needed (PRN) dosage - Percocet - completed with link to encounter, dispenseRequest and substitution (id = "medrx0307")

<?xml version="1.0" encoding="UTF-8"?>

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0307"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : medrx0307</p> <p> <b> contained</b> : </p> <p> <b> identifier</b> : 12345689 (OFFICIAL)</p> <p> <b> status</b> : completed</p> <p> <b> intent</b> : order</p> <p> <b> medication</b> : id: med0308; Percocet tablet <span> (Details : {http://hl7.org/fhir/sid/ndc code '16590-619-30' = '16590-619-30', given as
           'Percocet tablet'})</span> </p> <p> <b> subject</b> : <a> Donald Duck</a> </p> <p> <b> context</b> : <a> encounter who leads to this prescription</a> </p> <p> <b> authoredOn</b> : 15/01/2015</p> <p> <b> requester</b> : <a> Patrick Pump</a> </p> <p> <b> dosageInstruction</b> : </p> <h3> DispenseRequests</h3> <table> <tr> <td> -</td> <td> <b> ValidityPeriod</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> 30 TAB<span>  (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span> </td> <td> 10 days<span>  (Details: UCUM code d = 'd')</span> </td> </tr> </table> <h3> Substitutions</h3> <table> <tr> <td> -</td> <td> <b> Allowed</b> </td> <td> <b> Reason</b> </td> </tr> <tr> <td> *</td> <td> true</td> <td> formulary policy <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary
               policy', given as 'formulary policy'})</span> </td> </tr> </table> </div> </text> <contained> 
      <Medication> 
          <id value="med0308"/> 
          <code> 
              <coding> 
                  <system value="http://hl7.org/fhir/sid/ndc"/> 
                  <code value="16590-619-30"/> 
                  <display value="Percocet tablet"/> 
              </coding> 
          </code> 
      </Medication> 
  </contained> 
    <identifier> 
        <use value="official"/> 
        <system value="http://www.bmc.nl/portal/prescriptions"/> 
        <value value="12345689"/> 
    </identifier> 
    <status value="completed"/> 
    <intent value="order">
    </intent> 
    <medicationReference>  <!--    Linked to a RESOURCE Medication    -->
           <reference value="#med0308"/> 
    </medicationReference>  
    <subject>  <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/>        
    </subject> 
    <context>  <!--    Linked to a resource Encounter between patient and practitioner   -->
        <reference value="Encounter/f001"/> 
        <display value="encounter who leads to this prescription"/> 
    </context> 
    <authoredOn value="2015-01-15"/> 
    <requester> 
        <reference value="Practitioner/f007"/> 
        <display value="Patrick Pump"/> 
    </requester> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="1 tablet every four hours as needed for pain"/> 
        <additionalInstruction> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="418914006"/> 
                <display value="Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic
         drink (qualifier value)"/> 
            </coding> 
        </additionalInstruction> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="4"/> 
                <periodUnit value="h"/> 
            </repeat> 
        </timing> 
        <asNeededCodeableConcept> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="203082005"/> 
                <display value="Fibromyalgia (disorder)"/> 
            </coding> 
        </asNeededCodeableConcept> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="26643006"/> 
                <display value="Oral Route"/> 
            </coding> 
        </route> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                </coding> 
            </type> 
            <doseQuantity> 
                <value value="1"/> 
                <unit value="TAB"/> 
                <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
                <code value="TAB"/>  
            </doseQuantity> 
        </doseAndRate> 
        
    </dosageInstruction> 
    <dispenseRequest> 
        <validityPeriod> 
            <start value="2015-01-15"/> 
            <end value="2016-01-15"/> 
        </validityPeriod> 
        <quantity> 
            <value value="30"/> 
            <unit value="TAB"/> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
            <code value="TAB"/>  
        </quantity> 
        <expectedSupplyDuration> 
            <value value="10"/> 
            <unit value="days"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="d"/>  
        </expectedSupplyDuration> 
    </dispenseRequest>    
    <substitution> 
        <allowed value="true"/> 
        <reason> 
            <coding> 
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> 
                <code value="FP"/> 
                <display value="formulary policy"/>              
            </coding> 
        </reason> 
    </substitution> 
</MedicationRequest> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.