R6 Ballot (2nd Draft)

Publish-box (todo)

Example MedicationRequest/medrx0315 (XML)

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

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

Request for an injectable medication - Lorazepam - active - with link to encounter, reasonCode and dosageInstruction (id = "medrx0315")

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

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0315"/> 
  <contained> 
    <Medication> 
      <id value="med0313"/> 
      <code> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="400621001"/> 
          <display value="Lorazepam 2mg/ml injection solution 1ml vial (product)"/> 
        </coding> 
      </code> 
      <doseForm> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="385219001"/> 
          <display value="Solution for injection"/> 
        </coding> 
      </doseForm> 
      <ingredient> 
        <item> 
          <concept> 
            <coding> 
              <system value="http://snomed.info/sct"/> 
              <code value="387106007"/> 
              <display value="Lorazepam (substance)"/> 
            </coding> 
          </concept> 
        </item> 
        <strengthRatio> 
          <numerator> 
            <value value="2"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="mg"/> 
          </numerator> 
          <denominator> 
            <value value="1"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="mL"/> 
          </denominator> 
        </strengthRatio> 
      </ingredient> 
    </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> 
    <!--   Linked to a RESOURCE Medication   -->
    <reference> 
      <reference value="#med0313"/> 
    </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> 
  <reason> 
    <concept> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="84757009"/> 
        <display value="Epilepsy (disorder)"/> 
      </coding> 
    </concept> 
  </reason> 
  <dosageInstruction> 
    <sequence value="1"/> 
    <text value="0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed"/> 
    <timing> 
      <repeat> 
        <frequency value="1"/> 
        <period value="15"/> 
        <periodUnit value="min"/> 
      </repeat> 
    </timing> 
    <asNeeded value="true"/> 
    <route> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="255560000"/> 
        <display value="Intravenous"/> 
      </coding> 
    </route> 
    <method> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="420620005"/> 
        <display value="Push - 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="0.05"/> 
          <unit value="mg/kg"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="mg/kg"/> 
        </low> 
        <high> 
          <value value="0.1"/> 
          <unit value="mg/kg"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="mg/kg"/> 
        </high> 
      </doseRange> 
      <rateRange> 
        <low> 
          <value value="2"/> 
          <unit value="min"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="min"/> 
        </low> 
        <high> 
          <value value="5"/> 
          <unit value="min"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="min"/> 
        </high> 
      </rateRange> 
    </doseAndRate> 
  </dosageInstruction> 
</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.