Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: R5 Ballot - see ballot notes). 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

Example MedicationRequest/medrx0329 (XML)

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

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

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Request referencing Medication Resource for Compounded Product - HC 1%, Salicylic Acid 5% in Glaxal Base - on hold with dispenseRequest (id = "medrx0329")

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

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0329"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationRequest</b> <a name="medrx0329"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border:
       1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MedicationRequest &quot;medrx0329&quot; </p> </div> <p> <b> identifier</b> : id: 12345689 (OFFICIAL)</p> <p> <b> status</b> : on-hold</p> <p> <b> intent</b> : order</p> <h3> Medications</h3> <table class="grid"><tr> <td> -</td> <td> <b> Reference</b> </td> </tr> <tr> <td> *</td> <td> <a name="med0319"> </a> <blockquote> <p/>  <p> <a name="med0319"> </a> </p> <p> <b> doseForm</b> : Ointment <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #385101003)</span> </p> <blockquote> <p> <b> ingredient</b> </p> <h3> Items</h3> <table class="grid"><tr> <td> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</td> <td> Salicyclic Acid (substance) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #387253001)</span> </td> </tr> </table> <p> <b> strength</b> : 5 g<span style="background: LightGoldenRodYellow"> (Details: UCUM code g = 'g')</span> /100 g<span style="background: LightGoldenRodYellow"> (Details: UCUM code g = 'g')</span> </p> </blockquote> <blockquote> <p> <b> ingredient</b> </p> <h3> Items</h3> <table class="grid"><tr> <td> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</td> <td> Salicyclic Acid (substance) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #396458002)</span> </td> </tr> </table> <p> <b> strength</b> : 1 g<span style="background: LightGoldenRodYellow"> (Details: UCUM code g = 'g')</span> /100 g<span style="background: LightGoldenRodYellow"> (Details: UCUM code g = 'g')</span> </p> </blockquote> <blockquote> <p> <b> ingredient</b> </p> <h3> Items</h3> <table class="grid"><tr> <td> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</td> <td> White Petrolatum (substance) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #126066007)</span> </td> </tr> </table> <p> <b> strength</b> : 94 g<span style="background: LightGoldenRodYellow"> (Details: UCUM code g = 'g')</span> /100 g<span style="background: LightGoldenRodYellow"> (Details: UCUM code g = 'g')</span> </p> </blockquote> </blockquote> </td> </tr> </table> <p> <b> subject</b> : <a href="patient-example-a.html">Patient/pat1: Donald Duck</a>  &quot;Donald DUCK&quot;</p> <p> <b> authoredOn</b> : 2015-01-15</p> <p> <b> requester</b> : <a href="practitioner-example-f007-sh.html">Practitioner/f007: Patrick Pump</a>  &quot;Simone HEPS&quot;</p> <blockquote> <p> <b> dose</b> </p> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : Apply twice daily to affected area on left arm</p> <p> <b> additionalInstruction</b> : Apply sparingly <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span> </p> <p> <b> timing</b> : Do 2 per 1 days</p> <p> <b> site</b> : Entire left upper arm (body structure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #72098002)</span> </p> <p> <b> route</b> : Topical (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #359540000)</span> </p> </blockquote> </blockquote> <blockquote> <p> <b> dispenseRequest</b> </p> <p> <b> validityPeriod</b> : 2015-01-15 --&gt; 2016-01-15</p> <p> <b> numberOfRepeatsAllowed</b> : 3</p> <p> <b> quantity</b> : 30 g<span style="background: LightGoldenRodYellow"> (Details: UCUM code g = 'g')</span> </p> <h3> ExpectedSupplyDurations</h3> <table class="grid"><tr> <td> -</td> <td> <b> Value</b> </td> <td> <b> Unit</b> </td> <td> <b> System</b> </td> <td> <b> Code</b> </td> </tr> <tr> <td> *</td> <td> 10</td> <td> days</td> <td> <a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ucum.html">Unified Code for Units of Measure (UCUM)</a> </td> <td> d</td> </tr> </table> </blockquote> </div> </text> <contained> 
        <Medication> 
            <id value="med0319"/> 
                <doseForm> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="385101003"/> 
                        <display value="Ointment"/> 
                    </coding> 
                    <text value="Ointment"/> 
                </doseForm> 
                <ingredient> 
                    <item> 
                        <concept> 
                        <coding> 
                            <system value="http://snomed.info/sct"/> 
                            <code value="387253001"/> 
                            <display value="Salicyclic Acid (substance)"/> 
                        </coding> 
                        </concept> 
                    </item> 
                    <strengthRatio> 
                        <numerator> 
                            <value value="5"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="g"/> 
                        </numerator> 
                        <denominator> 
                            <value value="100"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="g"/> 
                        </denominator> 
                    </strengthRatio> 
                </ingredient> 
                <ingredient> 
                    <item> 
                    <concept> 
                        <coding> 
                            <system value="http://snomed.info/sct"/> 
                            <code value="396458002"/> 
                            <display value="Salicyclic Acid (substance)"/> 
                        </coding> 
                    </concept> 
                    </item> 
                    <strengthRatio> 
                        <numerator> 
                            <value value="1"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="g"/> 
                        </numerator> 
                        <denominator> 
                            <value value="100"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="g"/> 
                        </denominator> 
                    </strengthRatio> 
                </ingredient> 
                <ingredient> 
                    <item> 
                    <concept> 
                        <coding> 
                            <system value="http://snomed.info/sct"/> 
                            <code value="126066007"/> 
                            <display value="White Petrolatum (substance)"/> 
                        </coding> 
                        </concept> 
                    </item> 
                    <strengthRatio> 
                        <numerator> 
                            <value value="94"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="g"/> 
                        </numerator> 
                        <denominator> 
                            <value value="100"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="g"/> 
                        </denominator> 
                    </strengthRatio> 
                </ingredient> 
            
        </Medication> 
    </contained> 
    <identifier> 
        <use value="official"/> 
        <system value="http://www.bmc.nl/portal/prescriptions"/> 
        <value value="12345689"/> 
    </identifier> 
    <status value="on-hold"/> 
    <intent value="order"/> 
   <medication> 
       <reference> 
       <reference value="#med0319"/> 
       </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> 
    <dose> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="Apply twice daily to affected area on left arm"/> 
        <additionalInstruction> 
            <text value="Apply sparingly"/> 
        </additionalInstruction> 
        <timing> 
            <repeat> 
                <frequency value="2"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
        <site> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="72098002"/> 
                <display value="Entire left upper arm (body structure)"/> 
            </coding> 
        </site> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="359540000"/> 
                <display value="Topical (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="1"/> 
                <unit value="ea"/> 
                <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
                <code value="OINT"/> 
            </doseQuantity> 
        </doseAndRate> 
        
    </dosageInstruction> 
    </dose> 
    <dispenseRequest> 
        <validityPeriod> 
            <start value="2015-01-15"/> 
            <end value="2016-01-15"/> 
        </validityPeriod> 
        <numberOfRepeatsAllowed value="3"/> 
        <quantity> 
            <value value="30"/> 
            <unit value="g"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="g"/>  
        </quantity> 
        <expectedSupplyDuration> 
            <value value="10"/> 
            <unit value="days"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="d"/>  
        </expectedSupplyDuration> 
    </dispenseRequest>    
</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.