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

Medicationrequest0316.xml

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

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Order for Intravenous Chemotherapy (inpatient order) - Brentuximab Vedotin - completed (id = "medrx0316")

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0316"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : medrx0316</p> <p> <b> contained</b> : </p> <p> <b> identifier</b> : 12345689 (OFFICIAL)</p> <p> <b> status</b> : completed</p> <p> <b> intent</b> : order</p> <p> <b> medication</b> : id: med0306; Adcetris <span> (Details : {http://hl7.org/fhir/sid/ndc code '51144-050-01' = '51144-050-01', given as
           'Adcetris'})</span> ; Lyophilized powder for injectable solution (qualifier value)  <span> (Details : {SNOMED CT code '421637006' = 'Lyophilised powder for injectable solution',
           given as 'Lyophilized powder for injectable solution (qualifier value) '})</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> dosageInstruction</b> : </p> </div> </text> <contained> 
        <Medication> 
            <id value="med0306"/> 
            <code> 
                <coding> 
                    <system value="http://hl7.org/fhir/sid/ndc"/> 
                    <code value="51144-050-01"/> 
                    <display value="Adcetris"/> 
                </coding> 
            </code> 
                <form> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="421637006"/> 
                        <display value="Lyophilized powder for injectable solution (qualifier value) "/> 
                    </coding> 
                </form> 
            <batch> 
                <lotNumber value="12345"/> 
                <expirationDate value="2019-10-31"/> 
            </batch> 
        </Medication> 
    </contained> 
    <identifier> 
        <use value="official"/> 
        <system value="http://www.bmc.nl/portal/prescriptions"/> 
        <value value="12345689"/> 
    </identifier> 
    <status value="completed"/> 
    <intent value="order">
    </intent> 
    <medicationReference>  <!--    Linked to a RESOURCE Medication    -->
        <reference value="#med0306"/> 
    </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> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="1.8 mg/kg IV infusion over 20 minutes every 3 weeks for 16 cycles"/> 
        <timing> 
            <repeat> 
                <count value="16"/> 
                <frequency value="1"/> 
                <period value="3"/> 
                <periodUnit value="wk"/> 
            </repeat> 
        </timing> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="255560000"/> 
                <display value="Intravenous"/> 
            </coding> 
        </route> 
        <doseQuantity> 
            <value value="1.8"/> 
            <unit value="mg/kg"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="mg/kg"/>  
        </doseQuantity> 
        <maxDosePerLifetime> 
            <value value="400"/> 
            <unit value="mg"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="mg"/>  
        </maxDosePerLifetime> 
        <rateRatio> 
            <numerator>  
                <value value="1.8"/>  
                <system value="http://unitsofmeasure.org"/>  
                <code value="mg/kg"/>  
            </numerator>  
            <denominator>  
                <value value="20"/>  
                <system value="http://unitsofmeasure.org"/>  
                <code value="min"/>  
            </denominator>  
        </rateRatio> 
    </dosageInstruction> 
</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.