This page is part of the Data Exchange Profiles for 2022 CDC Clinical Practice Guideline for Prescribing Opioids (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

• Narrative Content
• XML
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: Amphetamine MedicationRequest Example - XML Representation

Page standards status: Informative

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<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="amphetamine"/>
  <meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
      <valueString value="Amphetamine MedicationRequest Example"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/instance-description">
      <valueMarkdown
                     value="This is an amphetamine MedicationRequest example for the *Amphetamine MedicationRequest Profile*."/>
    </extension>
    <profile
             value="http://hl7.org/fhir/us/cdc-opioid-cpg/StructureDefinition/AmphetamineMedicationRequest"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationRequest amphetamine</b></p><a name="amphetamine"> </a><a name="hcamphetamine"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-AmphetamineMedicationRequest.html">Amphetamine MedicationRequest Profile</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href="Medication-amphetamine.html">Medication benzphetamine hydrochloride 25 MG Oral Tablet</a></p><p><b>subject</b>: <a href="Patient-opioid-review-useful.html">Johnny Appleseed  Male, DoB: 1983-01-10 ( Medical Record Number: 12345 (use: usual, ))</a></p><p><b>authoredOn</b>: 2025-07-21</p><p><b>requester</b>: <a href="Practitioner-example.html">Practitioner Ronald Bone </a></p><p><b>courseOfTherapyType</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy continuous}">Continuous long term therapy</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Once per 1.0 days</p><p><b>asNeeded</b>: false</p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>1 TAB<span style="background: LightGoldenRodYellow"> (Details: Orderable Drug Form  codeTAB = 'Tablet')</span></td></tr></table></blockquote><h3>DispenseRequests</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td></tr><tr><td style="display: none">*</td><td>2025-07-21 00:00:00-0700 --&gt; 2025-08-22 00:00:00-0700</td><td>1</td></tr></table></div>
  </text>
  <status value="active"/>
  <intent value="order"/>
  <medicationReference>🔗 
    <reference value="Medication/amphetamine"/>
  </medicationReference>
  <subject>🔗 
    <reference value="Patient/opioid-review-useful"/>
  </subject>
  <authoredOn value="2025-07-21"/>
  <requester>🔗 
    <reference value="Practitioner/example"/>
  </requester>
  <courseOfTherapyType>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy"/>
      <code value="continuous"/>
    </coding>
  </courseOfTherapyType>
  <dosageInstruction>
    <timing>
      <repeat>
        <frequency value="1"/>
        <period value="1.0"/>
        <periodUnit value="d"/>
      </repeat>
    </timing>
    <asNeededBoolean value="false"/>
    <doseAndRate>
      <doseQuantity>
        <value value="1"/>
        <unit value="TAB"/>
        <system
                value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
        <code value="TAB"/>
      </doseQuantity>
    </doseAndRate>
  </dosageInstruction>
  <dispenseRequest>
    <validityPeriod>
      <start value="2025-07-21T00:00:00-07:00"/>
      <end value="2025-08-22T00:00:00-07:00"/>
    </validityPeriod>
    <numberOfRepeatsAllowed value="1"/>
  </dispenseRequest>
</MedicationRequest>