This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v1.16.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
{
"resourceType" : "MedicationRequest",
"id" : "cancer-related-medication-request-cyclophosphamide-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Treatment Intent</b>: <span title=\"Codes: {http://snomed.info/sct 373808002}\">Curative - procedure intent (qualifier value)</span></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/medicationrequest-category outpatient}\">Outpatient</span></p><p><b>medication</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 3002}\">cyclophosphamide</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Generated Summary: Medical Record Number: MRN1234 (USUAL); Jenny M ; gender: female; birthDate: 1965-01-01</a></p><p><b>authoredOn</b>: 2018-04-12</p><p><b>requester</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Generated Summary: id: 9988776655; Owen Oncologist ; gender: male</a></p><p><b>reasonReference</b>: <a href=\"Condition-primary-cancer-condition-jenny-m.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical remission}\">Remission</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>; <span title=\"Codes: {http://snomed.info/sct 353431000119107}\">Primary malignant neoplasm of female left breast (disorder)</span>; onset: 2018-03-16</a></p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373808002",
"display" : "Curative - procedure intent (qualifier value)"
}
]
}
}
],
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code" : "outpatient"
}
]
}
],
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "3002",
"display" : "cyclophosphamide"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"authoredOn" : "2018-04-12",
"requester" : {
"reference" : "Practitioner/us-core-practitioner-owen-oncologist"
},
"reasonReference" : [
{
"reference" : "Condition/primary-cancer-condition-jenny-m"
}
],
"dosageInstruction" : [
{
"text" : "cyclophosphamide (600 mg/m² IV), 932.59mg",
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2018-04-01"
}
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "47625008",
"display" : "Intravenous route (qualifier value)"
}
]
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 932.59,
"unit" : "mg",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
}
}
],
"maxDosePerPeriod" : {
"numerator" : {
"value" : 1
},
"denominator" : {
"value" : 3,
"unit" : "week",
"system" : "http://unitsofmeasure.org",
"code" : "wk"
}
}
}
]
}