Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). 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/medrx0321 (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 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: MedicationRequest</b> <a name="medrx0321"> </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;medrx0321&quot; </p> </div> <p> <b> identifier</b> : id: 12345689 (OFFICIAL)</p> <p> <b> status</b> : active</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="med0307"> </a> <blockquote> <p/>  <p> <a name="med0307"> </a> </p> <p> <b> code</b> : Novolog 100u/ml <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ndc.html">National drug codes</a> #0169-7501-11)</span> </p> <p> <b> doseForm</b> : Injection solution (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #385219001)</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> Insulin Aspart (substance) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #325072002)</span> </td> </tr> </table> <p> <b> strength</b> : 100 U<span style="background: LightGoldenRodYellow"> (Details: UCUM code U = 'U')</span> /1 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span> </p> </blockquote> <h3> Batches</h3> <table class="grid"><tr> <td> -</td> <td> <b> LotNumber</b> </td> <td> <b> ExpirationDate</b> </td> </tr> <tr> <td> *</td> <td> 12345</td> <td> 2019-10-31</td> </tr> </table> </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> <h3> Reasons</h3> <table class="grid"><tr> <td> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</td> <td> Diabetes mellitus type 2 (disorder) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #44054006)</span> </td> </tr> </table> <p> <b> note</b> : Check blood sugar levels before taking insulin</p> <blockquote> <p> <b> dose</b> </p> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 2</p> <p> <b> text</b> : inject 10 units subcut 10 minutes before breakfast</p> <p> <b> timing</b> : Do 10min , before breakfast</p> </blockquote> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 2</p> <p> <b> text</b> : 15 units before lunch</p> <p> <b> additionalInstruction</b> : Before Lunch <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span> </p> <p> <b> timing</b> : Do Once per 1 days</p> </blockquote> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : 20 units before dinner</p> <p> <b> additionalInstruction</b> : Before Dinner <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span> </p> <p> <b> timing</b> : Do Once per 1 days</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> : 10 ml<span style="background: LightGoldenRodYellow"> (Details: UCUM code ml = 'ml')</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> 30</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="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> 
  <dose> 
  <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> 
  </dose> 
  <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>

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.