Release 5 Preview #3

This page is part of the FHIR Specification (v4.5.0: R5 Preview #3). 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

Medicationrequest0313.xml

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

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

Jump past Narrative

Request with a single dosage line - Azithromycin - completed - with link to prior prescription and reason code (id = "medrx0313")

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

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0313"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> id</b> : medrx0313</p> <p> <b> identifier</b> : id: 12345689 (OFFICIAL)</p> <p> <b> status</b> : completed</p> <p> <b> intent</b> : order</p> <p> <b> medication</b> : </p> <p> <b> subject</b> : <a> Donald Duck. Generated Summary: id: pat1; Medical record number: 654321 (USUAL); active;
           Duck Donald (OFFICIAL); gender: male; </a> </p> <p> <b> authoredOn</b> : 2015-01-15</p> <p> <b> requester</b> : <a> Patrick Pump. Generated Summary: id: f007; id: 874635264 (OFFICIAL), id: 567IUI51C154
           (USUAL); Simone Heps (OFFICIAL); ph: 020556936(WORK), S.M.Heps@bmc.nl(WORK), fax: 0205669283(WORK);
           gender: female; birthDate: 1971-11-07</a> </p> <p> <b> reason</b> : </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> 2015-01-15 --&gt; 2016-01-15</td> <td> 5 Tab</td> <td> 5 days</td> </tr> </table> <p> <b> priorPrescription</b> : <a> Vancomycin IV. Generated Summary: id: medrx0318; id: 12345689 (OFFICIAL); status: active;
           intent: order; <span> #med0301</span> ; authoredOn: 2015-01-15; <span> Traveller's Diarrhea (disorder)</span> ; culture expected back in 12 hours - may switch depending on results; </a> </p> </div> </text> <identifier> 
        <use value="official"/> 
        <system value="http://www.bmc.nl/portal/prescriptions"/> 
        <value value="12345689"/> 
    </identifier> 
    <status value="completed"/> 
    <intent value="order"/> 
    <medication> 
    <concept> 
        <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="324252006"/> 
            <display value="Azithromycin 250mg capsule (product)"/> 
        </coding> 
    </concept> 
    </medication> 
    <subject>  <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/>            
    </subject> 
    <authoredOn value="2015-01-15"/> 
    <requester> 
        <reference value="Practitioner/f007"/> 
        <display value="Patrick Pump"/> 
    </requester> 
    <reason> 
      <concept> 
        <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="11840006"/> 
            <display value="Traveller's Diarrhea (disorder)"/> 
        </coding> 
      </concept> 
    </reason> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="500mg daily for 5 days"/> 
        <additionalInstruction> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="421984009"/> 
                <display value="Until finished - dosing instruction fragment (qualifier value)"/> 
            </coding> 
        </additionalInstruction> 
        <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> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                </coding> 
            </type> 
            <doseQuantity> 
                <value value="500"/> 
                <unit value="mg"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="mg"/> 
            </doseQuantity> 
        </doseAndRate> 
      
    </dosageInstruction>  
    <dispenseRequest> 
        <validityPeriod> 
            <start value="2015-01-15"/> 
            <end value="2016-01-15"/>  
        </validityPeriod> 
        <quantity> 
            <value value="5"/> 
            <unit value="Tab"/> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
            <code value="TAB"/>  
        </quantity> 
        <expectedSupplyDuration> 
            <value value="5"/> 
            <unit value="days"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="d"/> 
        </expectedSupplyDuration> 
    </dispenseRequest> 
    <priorPrescription> 
        <reference value="MedicationRequest/medrx0318"/> 
            <display value="Vancomycin IV"/> 
    </priorPrescription> 
</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.