FHIR Release 3 (STU)
This page is part of the FHIR Specification (v3.0.2: STU 3). 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
Medicationrequest0321.xml

Pharmacy Work Group
Maturity Level: N/A
Ballot Status: Informative
Compartments: Encounter, Patient, Practitioner
Raw XML (canonical form)
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Order for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. Dosage includes additionalInstructions as text (id = "medrx0321")
<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0321"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : medrx0321</p> <p> <b> contained</b> : </p> <p> <b> identifier</b> : 12345689 (OFFICIAL)</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : order</p> <p> <b> medication</b> : Novolog 100u/ml. Generated Summary: id: med0307; Novolog 100u/ml <span> (Details : {http://hl7.org/fhir/sid/ndc code '0169-7501-11' = '0169-7501-11', given as
           'Novolog 100u/ml'})</span> ; isBrand; Injection solution (qualifier value) <span> (Details : {SNOMED CT code '385219001' = 'Injection solution', given as 'Injection solution
           (qualifier value)'})</span> </p> <p> <b> subject</b> : <a> Donald Duck</a> </p> <p> <b> authoredOn</b> : 15/01/2015</p> <h3> Requesters</h3> <table> <tr> <td> -</td> <td> <b> Agent</b> </td> <td> <b> OnBehalfOf</b> </td> </tr> <tr> <td> *</td> <td> <a> Patrick Pump</a> </td> <td> <a> Organization/f002</a> </td> </tr> </table> <p> <b> reasonCode</b> : Diabetes mellitus type 2 (disorder) <span> (Details : {SNOMED CT code '44054006' = 'Diabetes mellitus type II', given as 'Diabetes
           mellitus type 2 (disorder)'})</span> </p> <p> <b> note</b> : Check blood sugar levels before taking insulin</p> <p> <b> dosageInstruction</b> : , , </p> <h3> DispenseRequests</h3> <table> <tr> <td> -</td> <td> <b> ValidityPeriod</b> </td> <td> <b> NumberOfRepeatsAllowed</b> </td> <td> <b> Quantity</b> </td> <td> <b> ExpectedSupplyDuration</b> </td> </tr> <tr> <td> *</td> <td> 15/01/2015 --&gt; 15/01/2016</td> <td> 3</td> <td> 10 ml<span>  (Details: UCUM code ml = 'ml')</span> </td> <td> 30 days<span>  (Details: UCUM code d = 'd')</span> </td> </tr> </table> </div> </text> <contained> 
    <Medication> 
      <id value="med0307"/> 
      <code> 
        <coding> 
          <system value="http://hl7.org/fhir/sid/ndc"/> 
          <code value="0169-7501-11"/> 
          <display value="Novolog 100u/ml"/> 
        </coding> 
      </code> 
      <isBrand value="true"/> 
      <form> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="385219001"/> 
          <display value="Injection solution (qualifier value)"/> 
        </coding> 
      </form> 
      <ingredient> 
        <itemCodeableConcept> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="325072002"/> 
            <display value="Insulin Aspart (substance)"/> 
          </coding> 
        </itemCodeableConcept> 
        <amount> 
          <numerator> 
            <value value="100"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="U"/> 
          </numerator> 
          <denominator> 
            <value value="1"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="mL"/> 
          </denominator> 
        </amount> 
      </ingredient> 
      <package> 
        <container> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="415818006"/> 
            <display value="Vial"/> 
          </coding> 
        </container> 
        <content> 
          <itemCodeableConcept> 
            <coding> 
              <system value="http://snomed.info/sct"/> 
              <code value="325072002"/> 
              <display value="Insulin Aspart (substance)"/> 
            </coding> 
          </itemCodeableConcept> 
          <amount> 
            <value value="10"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="mL"/> 
          </amount> 
        </content> 
        <batch> 
          <lotNumber value="12345"/> 
          <expirationDate value="2019-10-31"/> 
        </batch> 
      </package> 
    </Medication> 
  </contained> 
  <identifier> 
    <use value="official"/> 
    <system value="http://www.bmc.nl/portal/prescriptions"/> 
    <value value="12345689"/> 
  </identifier> 
  <status value="active"/> 
  <intent value="order">
    </intent> 
  <medicationReference> 
    <reference value="#med0307"/> 
    <display value="Novolog 100u/ml"/> 
  </medicationReference> 
  <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> 
    <agent> 
      <reference value="Practitioner/f007"/> 
      <display value="Patrick Pump"/> 
    </agent> 
    <onBehalfOf> 
      <reference value="Organization/f002"/> 
    </onBehalfOf> 
  </requester> 
  <reasonCode> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="44054006"/> 
      <display value="Diabetes mellitus type 2 (disorder)"/> 
    </coding> 
  </reasonCode> 
  <note> 
    <text value="Check blood sugar levels before taking insulin"/> 
  </note> 
  <dosageInstruction> 
    <sequence value="2"/> 
    <text value="inject 10 units subcut 10 minutes before breakfast"/> 
    <timing> 
      <repeat> 
        <frequency value="1"/> 
        <period value="1"/> 
        <periodUnit value="d"/> 
        <when value="ACM"/> 
        <offset value="10"/> 
      </repeat> 
    </timing> 
    <doseQuantity> 
      <value value="10"/> 
      <unit value="U"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="U"/> 
    </doseQuantity> 
  </dosageInstruction> 
  <dosageInstruction> 
    <sequence value="2"/> 
    <text value="15 units before lunch"/> 
    <additionalInstruction> 
      <text value="Before Lunch"/> 
    </additionalInstruction> 
    <timing> 
      <repeat> 
        <frequency value="1"/> 
        <period value="1"/> 
        <periodUnit value="d"/> 
      </repeat> 
    </timing> 
    <doseQuantity> 
      <value value="15"/> 
      <unit value="U"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="U"/> 
    </doseQuantity> 
  </dosageInstruction> 
  <dosageInstruction> 
    <sequence value="1"/> 
    <text value="20 units before dinner"/> 
    <additionalInstruction> 
      <text value="Before Dinner"/> 
    </additionalInstruction> 
    <timing> 
      <repeat> 
        <frequency value="1"/> 
        <period value="1"/> 
        <periodUnit value="d"/> 
      </repeat> 
    </timing> 
    <doseQuantity> 
      <value value="20"/> 
      <unit value="U"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="U"/> 
    </doseQuantity> 
  </dosageInstruction> 
  <dispenseRequest> 
    <validityPeriod> 
      <start value="2015-01-15"/> 
      <end value="2016-01-15"/> 
    </validityPeriod> 
    <numberOfRepeatsAllowed value="3"/> 
    <quantity> 
      <value value="10"/> 
      <unit value="ml"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="ml"/> 
    </quantity> 
    <expectedSupplyDuration> 
      <value value="30"/> 
      <unit value="days"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="d"/> 
    </expectedSupplyDuration> 
  </dispenseRequest> 
</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.