Medicationrequest0303.xml - FHIR v5.0.0-snapshot3

This is Snapshot #3 for FHIR R5, released to support Connectathon 32. For a full list of available versions, see the Directory of published versions.
Example MedicationRequest/medrx0303 (XML)

Pharmacy Work Group
Maturity Level: N/A
Standards Status: Informative
Compartments: Encounter, Patient, Practitioner
Raw XML (canonical form + also see XML Format Specification)
Jump past Narrative
Order for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod (id = "medrx0303")
<?xml version="1.0" encoding="UTF-8"?>

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0303"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationRequest</b> <a name="medrx0303"> </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;medrx0303&quot; </p> </div> <p> <b> identifier</b> : id: 12345689 (use: OFFICIAL)</p> <p> <b> basedOn</b> : <a href="careplan-example-GPVisit.html">CarePlan/gpvisit</a> </p> <p> <b> groupIdentifier</b> : id: 983939393 (use: 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> <span title="  Linked to a RESOURCE Medication  "><a name="med0311"> </a> </span> <blockquote> <p/>  <p> <a name="med0311"> </a> </p> <p> <b> code</b> : Prednisone 5mg tablet (Product) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #373994007)</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-f001-heart.html">Encounter/f001: encounter who leads to this prescription</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> note</b> : Patient told to take with food</p> <blockquote> <p> <b> dose</b> </p> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : Take 4 tablets daily for 7 days starting January 16, 2015</p> <p> <b> timing</b> : Starting 2015-01-16, Once per 1 days, Until 2015-01-22</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> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 2</p> <p> <b> text</b> : Take 2 tablets daily for 7 days starting January 23, 2015</p> <p> <b> timing</b> : Starting 2015-01-23, Once per 1 days, Until 2015-01-29</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> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 3</p> <p> <b> text</b> : Take 1 tablets daily for 7 days starting January 30, 2015</p> <p> <b> timing</b> : Starting 2015-01-30, Once per 1 days, Until 2015-02-05</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> </blockquote> <blockquote> <p> <b> dispenseRequest</b> </p> <p> <b> validityPeriod</b> : 2015-01-15 --&gt; 2016-01-15</p> <p> <b> numberOfRepeatsAllowed</b> : 1</p> <p> <b> quantity</b> : 51 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> 21</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-f001-burgers.html">Organization/f001</a>  &quot;Burgers University Medical Center&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> Therapeutic Brand <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/4.0.0/CodeSystem-v3-substanceAdminSubstitution.html">Substance Admin Substitution</a> #TB)</span> </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> </div> </text> <contained> 
      <Medication> 
          <id value="med0311"/> 
          <code> 
              <coding> 
                  <system value="http://snomed.info/sct"/> 
                  <code value="373994007"/> 
                  <display value="Prednisone 5mg tablet (Product)"/> 
              </coding> 
          </code> 
      </Medication> 
  </contained> 
    <identifier> 
        <use value="official"/> 
        <system value="http://www.bmc.nl/portal/prescriptions"/> 
        <value value="12345689"/> 
    </identifier> 
    <basedOn> 
        <reference value="CarePlan/gpvisit"/> 
    </basedOn> 
    <groupIdentifier> 
        <use value="official"/> 
        <system value="http://www.bmc.nl/portal/prescriptions"/> 
        <value value="983939393"/> 
    </groupIdentifier> 
    <status value="active"/> 
    <intent value="order"/> 
    <medication>      <!--    Linked to a RESOURCE Medication    -->
    <reference> 
           <reference value="#med0311"/> 
           </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> 
    <authoredOn value="2015-01-15"/> 
    <requester> 
        <reference value="Practitioner/f007"/> 
        <display value="Patrick Pump"/> 
    </requester> 


    <note> 
        <text value="Patient told to take with food"/> 
    </note> 
    <dose> 

    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="Take 4 tablets daily for 7 days starting January 16, 2015"/> 
        <timing> 
            <repeat> 
                <boundsPeriod> 
                    <start value="2015-01-16"/> 
                    <end value="2015-01-22"/> 
                </boundsPeriod> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </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> 
            <doseQuantity> 
                <value value="4"/> 
                <unit value="TAB"/> 
                <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
                <code value="TAB"/>  
            </doseQuantity> 
        </doseAndRate> 

    </dosageInstruction> 
    <dosageInstruction> 
        <sequence value="2"/> 
        <text value="Take 2 tablets daily for 7 days starting January 23, 2015"/> 
        <timing> 
            <repeat> 
                <boundsPeriod> 
                    <start value="2015-01-23"/> 
                    <end value="2015-01-29"/> 
                </boundsPeriod> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </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> 
            <doseQuantity> 
                <value value="2"/> 
                <unit value="TAB"/> 
                <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
                <code value="TAB"/>  
            </doseQuantity> 
        </doseAndRate> 

    </dosageInstruction> 
    <dosageInstruction> 
        <sequence value="3"/> 
        <text value="Take 1 tablets daily for 7 days starting January 30, 2015"/> 
        <timing> 
            <repeat> 
                <boundsPeriod> 
                    <start value="2015-01-30"/> 
                    <end value="2015-02-05"/> 
                </boundsPeriod> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </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> 
            <doseQuantity> 
                <value value="1"/> 
                <unit value="TAB"/> 
                <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
                <code value="TAB"/>  
            </doseQuantity> 
        </doseAndRate> 
        
    </dosageInstruction> 
        
    </dose> 
    <dispenseRequest> 
        <validityPeriod> 
            <start value="2015-01-15"/> 
            <end value="2016-01-15"/> 
        </validityPeriod> 
        <numberOfRepeatsAllowed value="1"/> 
        <quantity> 
            <value value="51"/> 
            <unit value="TAB"/> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
            <code value="TAB"/>  
        </quantity> 
        <expectedSupplyDuration> 
            <value value="21"/> 
            <unit value="days"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="d"/>  
        </expectedSupplyDuration> 
        <dispenser> 
            <reference value="Organization/f001"/> 
        </dispenser> 
    </dispenseRequest>    
    <substitution> 
        <allowedCodeableConcept> 
            <coding> 
                <system value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/> 
                <code value="TB"/> 
                <display value="Therapeutic Brand"/> 
            </coding> 
        </allowedCodeableConcept> 
        <reason> 
            <coding> 
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> 
                <code value="FP"/> 
                <display value="formulary policy"/>              
            </coding> 
        </reason> 
    </substitution> 
</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.