R6 Ballot (2nd Draft)

Publish-box (todo)

Example MedicationRequest/medrx0322 (XML)

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

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

Request for Intravenous Admixture - Potassium Chloride in D5W - completed with reason code (id = "medrx0322")

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

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0322"/> 
  <contained> 
    <Medication> 
      <id value="med0317"/> 
      <doseForm> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="385219001"/> 
          <display value="Solution for injection"/> 
        </coding> 
        <text value="Solution for injection"/> 
      </doseForm> 
      <ingredient> 
        <item> 
          <concept> 
            <coding> 
              <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
              <code value="204520"/> 
              <display value="potassium chloride 2 MEQ/ML Injectable Solution"/> 
            </coding> 
            <text value="Potassium Chloride"/> 
          </concept> 
        </item> 
        <strengthRatio> 
          <numerator> 
            <value value="2"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="meq"/> 
          </numerator> 
          <denominator> 
            <value value="1"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="mL"/> 
          </denominator> 
        </strengthRatio> 
      </ingredient> 
      <ingredient> 
        <item> 
          <concept> 
            <coding> 
              <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
              <code value="313002"/> 
              <display value="sodium chloride 9 MG/ML Injectable Solution"/> 
            </coding> 
          </concept> 
        </item> 
        <strengthRatio> 
          <numerator> 
            <value value="0.9"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="g"/> 
          </numerator> 
          <denominator> 
            <value value="100"/> 
            <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="completed"/> 
  <intent value="order"/> 
  <medication> 
    <!--   Linked to a RESOURCE Medication   -->
    <reference> 
      <reference value="#med0317"/> 
      <display value="Potassium Chloride 20mEq in 1L Normal Saline"/> 
    </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="237840007"/> 
        <display value="Disorder of Electrolytes (disorder)"/> 
      </coding> 
    </concept> 
  </reason> 
  <dosageInstruction> 
    <sequence value="1"/> 
    <text value="KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr"/> 
    <timing> 
      <repeat> 
        <frequency value="1"/> 
        <period value="1"/> 
        <periodUnit value="h"/> 
      </repeat> 
    </timing> 
    <route> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="47625008"/> 
        <display value="Intravenous route"/> 
      </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="20"/> 
        <unit value="meq"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="meq"/> 
      </doseQuantity> 
      <rateRatio> 
        <numerator> 
          <value value="100"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="mL"/> 
        </numerator> 
        <denominator> 
          <value value="1"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="h"/> 
        </denominator> 
      </rateRatio> 
    </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.