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
Pharmacy Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Encounter, Patient, Practitioner |
Raw XML (canonical form + also see XML Format Specification)
Fully populated example of a MedicationRequest - Chlorthalidone - active - with link to encounter, reasonReference, note, dispenseRequest, substitution and eventHistory (id = "medrx0311")
<?xml version="1.0" encoding="UTF-8"?> <MedicationRequest xmlns="http://hl7.org/fhir"> <id value="medrx0311"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : medrx0311</p> <p> <b> contained</b> : </p> <p> <b> identifier</b> : 12345689 (OFFICIAL)</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : order</p> <p> <b> medication</b> : id: med0316; Chlorthalidone 50mg tablet (product) <span> (Details : {SNOMED CT code '317935006' = 'Chlortalidone 50mg tablet', given as 'Chlorthalidone 50mg tablet (product)'})</span> ; Tablet dose form (qualifier value) <span> (Details : {SNOMED CT code '385055001' = 'Tablet', given as 'Tablet dose form (qualifier value)'})</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> reasonReference</b> : <a> condition for prescribing this medication</a> </p> <p> <b> note</b> : Chlorthalidone increases urniation so take it in the morning</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 --> 15/01/2016</td> <td> 1</td> <td> 30 TAB<span> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span> </td> <td> 30 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> continuing therapy <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'CT' = 'continuing therapy', given as 'continuing therapy'})</span> </td> </tr> </table> </div> </text> <contained> <Medication> <id value="med0316"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="317935006"/> <display value="Chlorthalidone 50mg tablet (product)"/> </coding> </code> <form> <coding> <system value="http://snomed.info/sct"/> <code value="385055001"/> <display value="Tablet dose form (qualifier value)"/> </coding> </form> </Medication> </contained> <identifier> <use value="official"/> <system value="http://www.bmc.nl/portal/prescriptions"/> <value value="12345689"/> </identifier> <status value="active"/> <intent value="order"> </intent> <medicationReference> <!-- Linked to a RESOURCE Medication --> <reference value="#med0316"/> </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> <reasonReference> <reference value="Condition/f201"/> <display value="condition for prescribing this medication"/> </reasonReference> <note> <text value="Chlorthalidone increases urniation so take it in the morning"/> </note> <dosageInstruction> <sequence value="1"/> <text value="One tablet daily"/> <additionalInstruction> <coding> <system value="http://snomed.info/sct"/> <code value="311504000"/> <display value="With or after food"/> </coding> </additionalInstruction> <timing> <code> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation"/> <code value="QD"/> <display value="QD"/> </coding> </code> </timing> <route> <coding> <system value="http://snomed.info/sct"/> <code value="26643006"/> <display value="Oral Route"/> </coding> </route> <method> <coding> <system value="http://snomed.info/sct"/> <code value="421521009"/> <display value="Swallow - dosing instruction imperative (qualifier value)"/> </coding> </method> <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> <numberOfRepeatsAllowed value="1"/> <quantity> <value value="30"/> <unit value="TAB"/> <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> <code value="TAB"/> </quantity> <expectedSupplyDuration> <value value="30"/> <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="CT"/> <display value="continuing therapy"/> </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.