R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - 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/medrx0301 (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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Order with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution (id = "medrx0301")

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

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0301"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationRequest</b> <a name="medrx0301"> </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;medrx0301&quot; </p> </div> <p> <b> identifier</b> : id: 12345689 (use: OFFICIAL)</p> <p> <b> status</b> : completed</p> <p> <b> statusReason</b> : Try another treatment first <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/4.0.0/CodeSystem-medicationrequest-status-reason.html">MedicationRequest Status Reason Codes</a> #altchoice)</span> </p> <p> <b> intent</b> : order</p> <p> <b> category</b> : Inpatient <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/4.0.0/CodeSystem-medicationrequest-admin-location.html">Medication request  administration  location  codes</a> #inpatient)</span> </p> <h3> Medications</h3> <table class="grid"><tr> <td> -</td> <td> <b> Reference</b> </td> </tr> <tr> <td> *</td> <td> <span title="  Linked to a RESOURCE Medication  "><a name="med0310"> </a> </span> <blockquote> <p/>  <p> <a name="med0310"> </a> </p> <p> <b> code</b> : Oral Form Oxycodone (product) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #430127000)</span> </p> </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> encounter</b> : <a href="encounter-example-f201-20130404.html">Encounter/f201: encounter who leads to this prescription</a> </p> <p> <b> supportingInformation</b> : <a href="procedure-example-biopsy.html">Procedure/biopsy</a> </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> <p> <b> performerType</b> : Public Health Nurse <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #26369006)</span> </p> <p> <b> performer</b> : <a href="practitioner-example-f204-ce.html">Practitioner/f204: Carla Espinosa</a>  &quot;Carla Espinosa&quot;</p> <h3> Reasons</h3> <table class="grid"><tr> <td> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</td> <td> Rib Pain (finding) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #297217002)</span> </td> </tr> </table> <p> <b> insurance</b> : <a href="coverage-example.html">Coverage/9876B1</a> </p> <p> <b> note</b> : Patient told to take with food</p> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : one to two tablets every 4-6 hours as needed for rib pain</p> <p> <b> additionalInstruction</b> : Warning. May cause drowsiness. If affected do not drive or operate machinery.
           Avoid alcoholic drink (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #418914006)</span> </p> <p> <b> patientInstruction</b> : Take one to two tablets every four to six hours as needed for rib pain</p> <p> <b> timing</b> : Once per 4-6 hours</p> <p> <b> asNeededFor</b> : Rib Pain (finding) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #297217002)</span> </p> <p> <b> route</b> : Oral Route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #26643006)</span> </p> <p> <b> method</b> : Swallow - dosing instruction imperative (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #421521009)</span> </p> <blockquote> <p> <b> doseAndRate</b> </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> : 0</p> <p> <b> quantity</b> : 30 TAB<span style="background: LightGoldenRodYellow"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB
             = 'Tablet')</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/4.0.0/CodeSystem-v3-ucum.html">Unified Code for Units of Measure (UCUM)</a> </td> <td> d</td> </tr> </table> <p> <b> dispenser</b> : <a href="organization-example-good-health-care.html">Organization/2.16.840.1.113883.19.5</a>  &quot;Good Health Clinic&quot;</p> </blockquote> <h3> Substitutions</h3> <table class="grid"><tr> <td> -</td> <td> <b> Allowed[x]</b> </td> <td> <b> Reason</b> </td> </tr> <tr> <td> *</td> <td> true</td> <td> formulary policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/4.0.0/CodeSystem-v3-ActReason.html">ActReason</a> #FP)</span> </td> </tr> </table> <p> <b> eventHistory</b> : <a name="signature"> </a> </p> <blockquote> <p/>  <p> <a name="signature"> </a> </p> <p> <b> target</b> : <a href="servicerequest-example2.html">ServiceRequest/physiotherapy</a> </p> <p> <b> recorded</b> : 2 Feb 2017, 4:23:07 am</p> <h3> Agents</h3> <table class="grid"><tr> <td> -</td> <td> <b> Role</b> </td> <td> <b> Who</b> </td> </tr> <tr> <td> *</td> <td> author (originator) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/4.0.0/CodeSystem-v3-ParticipationType.html">ParticipationType</a> #AUT)</span> </td> <td> <a href="practitioner-example.html">Practitioner/example: Dr Adam Careful</a>  &quot;Adam CAREFUL&quot;</td> </tr> </table> <h3> Signatures</h3> <table class="grid"><tr> <td> -</td> <td> <b> Type</b> </td> <td> <b> When</b> </td> <td> <b> Who</b> </td> <td> <b> TargetFormat</b> </td> <td> <b> SigFormat</b> </td> <td> <b> Data</b> </td> </tr> <tr> <td> *</td> <td> Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1
               = 'Author's Signature', stated as 'Author's Signature')</td> <td> 2 Feb 2017, 4:23:07 am</td> <td> <a href="practitioner-example.html">Practitioner/example: Dr Adam Careful</a>  &quot;Adam CAREFUL&quot;</td> <td> application/fhir+xml</td> <td> application/signature+xml</td> <td> dGhpcyBibG9iIGlzIHNuaXBwZWQ=</td> </tr> </table> </blockquote> </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> 
    <contained> 
        <Provenance> 
            <id value="signature"/> 
            <target> 
                <reference value="ServiceRequest/physiotherapy"/> 
            </target> 
            <recorded value="2017-02-01T17:23:07Z"/> 
            <agent> 
                <role> 
                    <coding> 
                        <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> 
                        <code value="AUT"/> 
                    </coding> 
                </role> 
                <who> 
                    <reference value="Practitioner/example"/> 
                    <display value="Dr Adam Careful"/> 
                </who> 
            </agent> 
            <signature> 
                <type> 
                    <system value="urn:iso-astm:E1762-95:2013"/> 
                    <code value="1.2.840.10065.1.12.1.1"/> 
                    <display value="Author's Signature"/> 
                </type> 
                <when value="2017-02-01T17:23:07Z"/> 
        <who> 
                    <reference value="Practitioner/example"/> 
                    <display value="Dr Adam Careful"/> 
        </who> 
                <targetFormat value="application/fhir+xml"/> 
        <sigFormat value="application/signature+xml"/> 
                <data value="dGhpcyBibG9iIGlzIHNuaXBwZWQ="/> 
            </signature> 
        </Provenance> 
    </contained> 
    <identifier> 
        <use value="official"/> 
        <system value="http://www.bmc.nl/portal/prescriptions"/> 
        <value value="12345689"/> 
    </identifier> 
    <status value="completed"/> 
    <statusReason> 
        <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason"/> 
            <code value="altchoice"/> 
            <display value="Try another treatment first"/> 
        </coding> 
    </statusReason> 
    <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/f201"/> 
        <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> 
    <performerType> 
        <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="26369006"/> 
            <display value="Public Health Nurse"/> 
        </coding> 
    </performerType> 
    <performer> 
        <reference value="Practitioner/f204"/> 
        <display value="Carla Espinosa"/> 
    </performer> 
    <reason> 
      <concept> 
        <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="297217002"/> 
            <display value="Rib Pain (finding)"/> 
        </coding> 
      </concept> 
    </reason> 
    <insurance> 
        <reference value="Coverage/9876B1"/> 
    </insurance> 
    <note> 
        <text value="Patient told to take with food"/> 
    </note> 
    
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="one to two tablets every 4-6 hours as needed 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> 
        <patientInstruction value="Take one to two tablets every four to six hours as needed for rib pain"/> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="4"/> 
                <periodMax value="6"/> 
                <periodUnit value="h"/> 
            </repeat> 
        </timing> 
        <asNeededFor> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="297217002"/> 
                <display value="Rib Pain (finding)"/> 
            </coding> 
        </asNeededFor> 
        <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="0"/> 
        <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> 
        <dispenser> 
            <reference value="Organization/2.16.840.1.113883.19.5"/> 
        </dispenser> 
    </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> 
  
    <eventHistory> 
        <reference value="#signature"/> 
        <display value="Author's Signature"/> 
    </eventHistory> 
</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.