Implementation Guide (Release 2.1.0)

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XML Format: MedicationRequest-enca-3

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<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="enca-3"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>id</b>: enca-3</p><p><b>meta</b>: </p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>medication</b>: <a name="med-1"> </a></p><blockquote><p><b>id</b>: med-1</p><p><b>meta</b>: </p><p><b>code</b>: <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1668240}">Zithromax 500 MG Injection</span></p><blockquote><p><b>ingredient</b></p><p><b>item</b>: <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1668240}">Zithromax (azithromycin) 500 MG Injection</span></p><p><b>isActive</b>: true</p><p><b>strength</b>: 500 mg/1 vial</p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 313002}">Sodium Chloride 9 MG/ML Injectable Solution</span></p><p><b>isActive</b>: true</p><p><b>strength</b>: 250 mL/1 IV Bag</p></blockquote></blockquote><p><b>subject</b>: <a href="Patient-test2.html">Brian Z. Generated Summary: id: test2; Medical Record Number: 1032702 (USUAL); active; Brian Z ; ph: 555-555-5555(HOME); gender: male; birthDate: 1964-01-05</a></p><p><b>encounter</b>: <a href="Encounter-A.html">Inpatient Encounter A. Generated Summary: id: A; status: finished; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}">inpatient encounter</span>; period: 2016-09-10 --&gt; 2016-09-12</a></p><p><b>authoredOn</b>: 2016-09-10</p><p><b>requester</b>: <span>Dr. B</span></p><p><b>reasonCode</b>: <span title="Codes: {http://snomed.info/sct 233604007}">Pneumonia (disorder)</span></p><p><b>dosageInstruction</b>: </p></div>
  </text>
  <contained>
    <Medication>
      <id value="med-1"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication"/>
      </meta>
      <code>
        <coding>
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
          <code value="1668240"/>
          <display value="Zithromax 500 MG Injection"/>
        </coding>
        <text value="Zithromax 500 MG Injection"/>
      </code>
      <ingredient>
        <itemCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="1668240"/>
            <display value="Zithromax 500 MG Injection"/>
          </coding>
          <text value="Zithromax (azithromycin) 500 MG Injection"/>
        </itemCodeableConcept>
        <isActive value="true"/>
        <strength>
          <numerator>
            <value value="500"/>
            <unit value="mg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/>
          </numerator>
          <denominator>
            <value value="1"/>
            <unit value="vial"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="{vial}"/>
          </denominator>
        </strength>
      </ingredient>
      <ingredient>
        <itemCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="313002"/>
            <display value="Sodium Chloride 9 MG/ML Injectable Solution"/>
          </coding>
          <text value="Sodium Chloride 9 MG/ML Injectable Solution"/>
        </itemCodeableConcept>
        <isActive value="true"/>
        <strength>
          <numerator>
            <value value="250"/>
            <unit value="mL"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mL"/>
          </numerator>
          <denominator>
            <value value="1"/>
            <unit value="IV Bag"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="{IV Bag}"/>
          </denominator>
        </strength>
      </ingredient>
    </Medication>
  </contained>
  <status value="completed"/>
  <intent value="order"/>
<!--  reference to contained medication  -->
  <medicationReference>
    <reference value="#med-1"/>
  </medicationReference>
  <subject>
    <reference value="Patient/test2"/>
    <display value="Brian Z"/>
  </subject>
  <encounter>
    <reference value="Encounter/A"/>
    <display value="Inpatient Encounter A"/>
  </encounter>
  <authoredOn value="2016-09-10"/>
  <requester>
    <display value="Dr. B"/>
  </requester>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="233604007"/>
      <display value="Pneumonia (disorder)"/>
    </coding>
  </reasonCode>
  <dosageInstruction>
    <sequence value="1"/>
    <text
          value="Azithromycin 500mg in 250 ml Normal Saline intravenously over 1hour every 24 hours"/>
    <timing>
      <repeat>
        <duration value="1"/>
        <durationUnit value="h"/>
        <frequency value="1"/>
        <period value="24"/>
        <periodUnit value="h"/>
      </repeat>
    </timing>
    <asNeededBoolean value="false"/>
    <route>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="47625008"/>
        <display value="INTRAVENOUS use"/>
        <userSelected value="false"/>
      </coding>
    </route>
    <method>
      <text value="1 hr infusion"/>
    </method>
    <doseAndRate>
      <doseQuantity>
        <value value="500"/>
        <unit value="mg"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mg"/>
      </doseQuantity>
    </doseAndRate>
  </dosageInstruction>
</MedicationRequest>