This page is part of the FHIR Specification (v0.01: Historical Archive Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

<Prescription xmlns="http://www.hl7.org/fhir">
  <id>1.2.36.146595217.4.19.1.3141</id>

  <identifier>
    <type>
      <code>MR</code>
      <system>urn:hl7-org:sid/v2-0203</system>
    </type>
    <identifier>
      <system>oid:0.1.2.3.4.5.6.7</system>
      <id>123456</id>
    </identifier>
  </identifier>

  <status>active</status>

  <patient>
    <type>Patient</type>
    <id>23453</id>
  </patient>

  <prescriber>
    <type>Agent</type>
    <id>567</id>
  </prescriber>

  <prescribed>2011-03-04T11:45:33+01:00</prescribed>

  <dispense>
    <repeats>2</repeats>
    <quantity>
      <value>50</value>
      <units>ml</units>
    </quantity>
    <dispenser>
      <type>Organization</type>
      <id>567111</id>
    </dispenser>
  </dispense>

  <medicine>
    <description>Penicillin VK oral suspension, 125mg/5ml</description>
    <activeIngredient>
      <productCode>
        <code>XXXXX</code>
        <system>urn:hl7.org:sid/atc</system>
        <display>Penicillin</display>
      </productCode>
      <quantity>
        <numerator>
          <value>125</value>
          <code>mg</code>
          <system>urn:hl7-org:sid/ucum</system>
        </numerator>
        <denominator>
          <value>5</value>
          <code>ml</code>
          <system>urn:hl7-org:sid/ucum</system>
        </denominator>
      </quantity>
    </activeIngredient>
    <inactiveIngredient>
      <productCode>
        <code>YYYYY</code>
        <system>urn:hl7.org:sid/atc</system>
        <display>Water</display>
      </productCode>
      <quantity>
        <numerator>
          <value>5</value>
          <code>ml</code>
          <system>urn:hl7-org:sid/ucum</system>
        </numerator>
      </quantity>
    </inactiveIngredient>
  </medicine>

  <administrationRequest>
    <description>250 mg po tid x 10 days</description>
   
    <totalPeriodicDosis>
      <numerator>
        <value>750</value>
        <code>mg</code>
        <system>urn:hl7-org:sid/ucum</system>
      </numerator>
      <denominator>
        <value>1</value>
        <code>d</code>
        <system>urn:hl7-org:sid/ucum</system>
      </denominator>
    </totalPeriodicDosis>
    
    <duration>
      <value>10</value>
      <code>d</code>
      <system>urn:hl7-org:sid/ucum</system>
    </duration>
    
    <dosageInstruction>
      <route>
        <coding>
          <code>363743006</code>
          <system>http://snomed.info</system>
          <display>oral administration of treatment</display>
        </coding>          
      </route>
      <doseQuantity>
        <value>250</value>
        <code>mg</code>
        <system>urn:hl7-org:sid/ucum</system>
      </doseQuantity>
      <schedule>
        <repeat>
          <frequency>3</frequency>
          <duration>
            <value>1</value>
            <units>day</units>
            <code>d</code>
            <system>urn:hl7-org:sid/ucum</system>
          </duration>
        </repeat>
      </schedule>
    </dosageInstruction>
  </administrationRequest>

  <reason>
    <coding>
      <code>G44.1</code>
      <system>urn:hl7-org:sid/icd-10</system>
    </coding>
    <text>general headache</text>
  </reason>
  
  <text>
    <status>generated</status>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>Penicillin VK oral suspension, 125mg/5ml, 250 mg po tid x 10 days</p>
    </div>
  </text>
</Prescription>