Medicationrequest0333.xml

Request for a medication that is intended to be given in the morning (id = "medrx0333")

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

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0333"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> id</b> : medrx0333</p> <p> <b> identifier</b> : id: 12345689 (OFFICIAL)</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : order</p> <p> <b> category</b> : <span> Inpatient</span> </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> encounter</b> : <a> encounter who leads to this prescription. Generated Summary: id: f001; id: v1451 (OFFICIAL);
           status: completed; <span> ambulatory</span> ; <span> Patient-initiated encounter</span> ; <span> Non-urgent cardiological admission</span> ; 140 min; <span> Heart valve replacement</span> </a> </p> <p> <b> supportingInformation</b> : <a> Generated Summary: id: biopsy; status: completed; <span> Diagnostic procedure</span> ; <span> Biopsy of suspected melanoma L) arm</span> ; occurrence: 2014-02-03; recorded: 2014-02-03; <span> Dark lesion l) forearm. getting darker last 3 months.</span> ; <span> Left forearm</span> ; <span> Ineffective airway clearance</span> ; <span> Review in clinic</span> ; Standard Biopsy; <span> 30-guage needle</span> </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> : Patient told to take with food</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> 1</td> <td> 30 TAB</td> <td> 10 days</td> </tr> </table> <h3> Substitutions</h3> <table> <tr> <td> -</td> <td> <b> Allowed[x]</b> </td> <td> <b> Reason</b> </td> </tr> <tr> <td> *</td> <td> true</td> <td> <span> formulary policy</span> </td> </tr> </table> </div> </text> <contained> 
      <Medication> 
          <id value="med0310"/> 
          <code> 
              <coding> 
                  <system value="http://snomed.info/sct"/> 
                  <code value="430127000"/> 
                  <display value="Oral Form Oxycodone (product)"/> 
              </coding> 
          </code> 
      </Medication> 
  </contained> 
    <identifier> 
        <use value="official"/> 
        <system value="http://www.bmc.nl/portal/prescriptions"/> 
        <value value="12345689"/> 
    </identifier> 
    <status value="active"/> 
    <intent value="order"/> 
    <category> 
        <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-admin-location"/> 
            <code value="inpatient"/> 
            <display value="Inpatient"/> 
        </coding> 
    </category> 
    <medication>  <!--    Linked to a RESOURCE Medication    -->
    <reference> 
           <reference value="#med0310"/> 
           </reference> 
    </medication>  
    <subject>  <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/>            
    </subject> 
    <encounter>  <!--    Linked to a resource Encounter between patient and practitioner   -->
        <reference value="Encounter/f001"/> 
        <display value="encounter who leads to this prescription"/> 
    </encounter> 
    <supportingInformation> 
        <reference value="Procedure/biopsy"/> 
    </supportingInformation> 
    <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="297217002"/> 
            <display value="Rib Pain (finding)"/> 
        </coding> 
      </concept> 
    </reason> 
    <note> 
        <text value="Patient told to take with food"/> 
    </note> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="one tablet one time daily in the morning for rib 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="1"/> 
                <periodUnit value="d"/> 
                <when value="MORN"/> 
            </repeat> 
        </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> 
            <doseRange> 
                <low> 
                    <value value="1"/> 
                    <unit value="TAB"/> 
                    <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
                    <code value="TAB"/>  
                </low> 
                <high> 
                    <value value="2"/> 
                    <unit value="TAB"/> 
                    <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
                    <code value="TAB"/>  
                </high> 
            </doseRange> 
        </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="10"/> 
            <unit value="days"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="d"/>  
        </expectedSupplyDuration> 
    </dispenseRequest>    
    <substitution> 
        <allowedBoolean value="true"/> 
        <reason> 
            <coding> 
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> 
                <code value="FP"/> 
                <display value="formulary policy"/>              
            </coding> 
        </reason> 
    </substitution> 
</MedicationRequest>