R4 Draft for Comment

This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). 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

Medicationrequest0303.xml

Pharmacy Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Encounter, Patient, Practitioner

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Order for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod (id = "medrx0303")

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0303"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : medrx0303</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> : id: med0311; Prednisone 5mg tablet (Product) <span> (Details : {SNOMED CT code '373994007' = 'Prednisone 5mg tablet', given as 'Prednisone
           5mg tablet (Product)'})</span> </p> <p> <b> subject</b> : <a> Donald Duck</a> </p> <p> <b> context</b> : <a> encounter who leads to this prescription</a> </p> <p> <b> authoredOn</b> : 15/01/2015</p> <p> <b> requester</b> : <a> Patrick Pump</a> </p> <p> <b> basedOn</b> : <a> CarePlan/gpvisit</a> </p> <p> <b> groupIdentifier</b> : 983939393 (OFFICIAL)</p> <p> <b> note</b> : Patient told to take with food</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> <td> <b> Performer</b> </td> </tr> <tr> <td> *</td> <td> 15/01/2015 --&gt; 15/01/2016</td> <td> 1</td> <td> 51 TAB<span>  (Details: http://hl7.org/fhir/v3/orderableDrugForm code TAB = 'Tablet')</span> </td> <td> 21 days<span>  (Details: UCUM code d = 'd')</span> </td> <td> <a> Organization/f001</a> </td> </tr> </table> <h3> Substitutions</h3> <table> <tr> <td> -</td> <td> <b> Allowed</b> </td> <td> <b> Reason</b> </td> </tr> <tr> <td> *</td> <td> true</td> <td> formulary policy <span> (Details : {http://hl7.org/fhir/v3/ActReason code 'FP' = 'formulary policy', given as
               'formulary policy'})</span> </td> </tr> </table> </div> </text> <contained> 
      <Medication> 
          <id value="med0311"/> 
          <code> 
              <coding> 
                  <system value="http://snomed.info/sct"/> 
                  <code value="373994007"/> 
                  <display value="Prednisone 5mg tablet (Product)"/> 
              </coding> 
          </code> 
      </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>  <!--    Linked to a RESOURCE Medication    -->
           <reference value="#med0311"/> 
    </medicationReference>  
    <subject>  <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/>         
    </subject> 
    <context>  <!--    Linked to a resource Encounter between patient and practitioner   -->
        <reference value="Encounter/f001"/> 
        <display value="encounter who leads to this prescription"/> 
    </context> 
    <authoredOn value="2015-01-15"/> 
    <requester> 
        <reference value="Practitioner/f007"/> 
        <display value="Patrick Pump"/> 
    </requester> 
    <basedOn> 
        <reference value="CarePlan/gpvisit"/> 
    </basedOn> 
    <groupIdentifier> 
        <use value="official"/> 
        <system value="http://www.bmc.nl/portal/prescriptions"/> 
        <value value="983939393"/> 
    </groupIdentifier> 
    <note> 
        <text value="Patient told to take with food"/> 
    </note> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="Take 4 tablets daily for 7 days starting January 16, 2015"/> 
        <timing> 
            <repeat> 
                <boundsPeriod> 
                    <start value="2015-01-16"/> 
                    <end value="2015-01-20"/> 
                </boundsPeriod> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="26643006"/> 
                <display value="Oral Route"/> 
            </coding> 
        </route> 
        <method> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="421521009"/> 
                <display value="Swallow - dosing instruction imperative (qualifier value)"/> 
            </coding> 
        </method> 
        <doseQuantity> 
            <value value="4"/> 
            <unit value="TAB"/> 
            <system value="http://hl7.org/fhir/v3/orderableDrugForm"/> 
            <code value="TAB"/>  
        </doseQuantity> 
    </dosageInstruction> 
    <dosageInstruction> 
        <sequence value="2"/> 
        <text value="Take 2 tablets daily for 7 days starting January 23, 2015"/> 
        <timing> 
            <repeat> 
                <boundsPeriod> 
                    <start value="2015-01-23"/> 
                    <end value="2015-01-30"/> 
                </boundsPeriod> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="26643006"/> 
                <display value="Oral Route"/> 
            </coding> 
        </route> 
        <method> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="421521009"/> 
                <display value="Swallow - dosing instruction imperative (qualifier value)"/> 
            </coding> 
        </method> 
        <doseQuantity> 
            <value value="2"/> 
            <unit value="TAB"/> 
            <system value="http://hl7.org/fhir/v3/orderableDrugForm"/> 
            <code value="TAB"/>  
        </doseQuantity> 
    </dosageInstruction> 
    <dosageInstruction> 
        <sequence value="3"/> 
        <text value="Take 1 tablets daily for 7 days starting January 31, 2015"/> 
        <timing> 
            <repeat> 
                <boundsPeriod> 
                    <start value="2015-01-31"/> 
                    <end value="2015-02-06"/> 
                </boundsPeriod> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="26643006"/> 
                <display value="Oral Route"/> 
            </coding> 
        </route> 
        <method> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="421521009"/> 
                <display value="Swallow - dosing instruction imperative (qualifier value)"/> 
            </coding> 
        </method> 
        <doseQuantity> 
            <value value="1"/> 
            <unit value="TAB"/> 
            <system value="http://hl7.org/fhir/v3/orderableDrugForm"/> 
            <code value="TAB"/>  
        </doseQuantity> 
    </dosageInstruction> 
    <dispenseRequest> 
        <validityPeriod> 
            <start value="2015-01-15"/> 
            <end value="2016-01-15"/> 
        </validityPeriod> 
        <numberOfRepeatsAllowed value="1"/> 
        <quantity> 
            <value value="51"/> 
            <unit value="TAB"/> 
            <system value="http://hl7.org/fhir/v3/orderableDrugForm"/> 
            <code value="TAB"/>  
        </quantity> 
        <expectedSupplyDuration> 
            <value value="21"/> 
            <unit value="days"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="d"/>  
        </expectedSupplyDuration> 
        <performer> 
            <reference value="Organization/f001"/> 
        </performer> 
    </dispenseRequest>    
    <substitution> 
        <allowed value="true"/> 
        <reason> 
            <coding> 
                <system value="http://hl7.org/fhir/v3/ActReason"/> 
                <code value="FP"/> 
                <display value="formulary policy"/>              
            </coding> 
        </reason> 
    </substitution> 
</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.