Release 5
MedicationsThis page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B R4 R3
| Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
Raw XML (canonical form + also see XML Format Specification)
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 "medrx0301" </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/5.1.0/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/5.1.0/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> "Donald DUCK"</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> "Simone HEPS"</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> "Carla Espinosa"</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 --> 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/5.1.0/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> "Good Health Clinic"</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/5.1.0/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/5.1.0/CodeSystem-v3-ParticipationType.html">ParticipationType</a> #AUT)</span> </td> <td> <a href="practitioner-example.html">Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</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> "Adam CAREFUL"</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.
FHIR ®© HL7.org 2011+. FHIR R5 hl7.fhir.core#5.0.0 generated on Sun, Mar 26, 2023 15:25+1100.
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