Medicationrequest0318.xml

Order for Intravenous Antibiotic - Vancomycin - active - with link to encounter, reasonCode, and note (id = "medrx0318")

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0318"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : medrx0318</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: med0301; Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE) <span> (Details : {http://hl7.org/fhir/sid/ndc code '0069-2587-10' = '0069-2587-10', given as
           'Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE)'})</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> reasonCode</b> : Traveller's Diarrhea (disorder) <span> (Details : {SNOMED CT code '11840006' = 'Traveler's diarrhea', given as 'Traveller's Diarrhea
           (disorder)'})</span> </p> <p> <b> note</b> : culture expected back in 12 hours - may switch depending on results</p> <p> <b> dosageInstruction</b> : </p> </div> </text> <contained> 
        <Medication> 
            <id value="med0301"/> 
            <code> 
                <coding> 
                    <system value="http://hl7.org/fhir/sid/ndc"/> 
                    <code value="0069-2587-10"/> 
                    <display value="Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE)"/> 
                </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="#med0301"/> 
    </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> 
    <reasonCode> 
        <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="11840006"/> 
            <display value="Traveller's Diarrhea (disorder)"/> 
        </coding> 
    </reasonCode> 
    <note> 
        <text value="culture expected back in 12 hours - may switch depending on results"/> 
    </note> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="500mg IV q6h x 3 days"/> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="6"/> 
                <periodUnit value="h"/> 
            </repeat> 
        </timing> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="255560000"/> 
                <display value="Intravenous"/> 
            </coding> 
        </route> 
        <method> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="420620005"/> 
                <display value="Push - dosing instruction imperative (qualifier value)"/> 
            </coding> 
        </method> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://hl7.org/fhir/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                </coding> 
            </type> 
            <doseQuantity> 
                <value value="500"/> 
                <unit value="mg"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="mg"/> 
            </doseQuantity> 
        </doseAndRate> 

    </dosageInstruction> 
</MedicationRequest>