Medicationrequest0321.xml

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

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

<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</b> </p> <p> <b> id</b> : medrx0321</p> <p> <b> identifier</b> : id: 12345689 (OFFICIAL)</p> <p> <b> status</b> : active</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> 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> 2015-01-15 --&gt; 2016-01-15</td> <td> 3</td> <td> 10 ml</td> <td> 30 days</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> 
      <doseForm> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="385219001"/> 
          <display value="Injection solution (qualifier value)"/> 
        </coding> 
      </doseForm> 
      <ingredient> 
        <item> 
          <concept> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="325072002"/> 
            <display value="Insulin Aspart (substance)"/> 
          </coding> 
          </concept> 
        </item> 
        <strengthRatio> 
          <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> 
        </strengthRatio> 
      </ingredient> 
      <batch> 
        <lotNumber value="12345"/> 
        <expirationDate value="2019-10-31"/> 
      </batch> 
    </Medication> 
  </contained> 
  <identifier> 
    <use value="official"/> 
    <system value="http://www.bmc.nl/portal/prescriptions"/> 
    <value value="12345689"/> 
  </identifier> 
  <status value="active"/> 
  <intent value="order"/> 
  <medication> 
  <reference> 
    <reference value="#med0307"/> 
    <display value="Novolog 100u/ml"/> 
    </reference> 
  </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="44054006"/> 
        <display value="Diabetes mellitus type 2 (disorder)"/> 
      </coding> 
    </concept> 
  </reason> 
  <note> 
    <text value="Check blood sugar levels before taking insulin"/> 
  </note> 
  <dosageInstruction> 
    <sequence value="2"/> 
    <text value="inject 10 units subcut 10 minutes before breakfast"/> 
    <timing> 
      <repeat> 
        <frequency value="1"/> 
        <period value="1"/> 
        <periodUnit value="d"/> 
        <when value="ACM"/> 
        <offset value="10"/> 
      </repeat> 
    </timing> 
    <doseAndRate> 
      <type> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
          <code value="ordered"/> 
          <display value="Ordered"/> 
        </coding> 
      </type> 
      <doseQuantity> 
        <value value="10"/> 
        <unit value="U"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="U"/> 
      </doseQuantity> 
    </doseAndRate> 
    
  </dosageInstruction> 
  <dosageInstruction> 
    <sequence value="2"/> 
    <text value="15 units before lunch"/> 
    <additionalInstruction> 
      <text value="Before Lunch"/> 
    </additionalInstruction> 
    <timing> 
      <repeat> 
        <frequency value="1"/> 
        <period value="1"/> 
        <periodUnit value="d"/> 
      </repeat> 
    </timing> 
    <doseAndRate> 
      <type> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
          <code value="ordered"/> 
          <display value="Ordered"/> 
        </coding> 
      </type> 
      <doseQuantity> 
        <value value="15"/> 
        <unit value="U"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="U"/> 
      </doseQuantity> 
    </doseAndRate> 
    
  </dosageInstruction> 
  <dosageInstruction> 
    <sequence value="1"/> 
    <text value="20 units before dinner"/> 
    <additionalInstruction> 
      <text value="Before Dinner"/> 
    </additionalInstruction> 
    <timing> 
      <repeat> 
        <frequency value="1"/> 
        <period value="1"/> 
        <periodUnit value="d"/> 
      </repeat> 
    </timing> 
    <doseAndRate> 
      <type> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
          <code value="ordered"/> 
          <display value="Ordered"/> 
        </coding> 
      </type> <doseQuantity> 
        <value value="20"/> 
        <unit value="U"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="U"/> 
      </doseQuantity> 
    </doseAndRate> 
    
  </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>