Medicationrequest0306.xml

Oral Chemotherapy Order - Myleran - completed - with reasonCode (id = "medrx0306")

<?xml version="1.0" encoding="UTF-8"?>

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0306"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> identifier</b> : id: 12345689 (OFFICIAL)</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : order</p> <p> <b> medication</b> : <a>  </a> </p> <blockquote> <p> <b> code</b> : <span> Myleran 2mg tablet, film coated</span> </p> </blockquote> <p> <b> subject</b> : <a> Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald
           (OFFICIAL); gender: male</a> </p> <p> <b> authoredOn</b> : 2015-01-15</p> <p> <b> requester</b> : <a> Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone
           Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate:
           1971-11-07</a> </p> <p> <b> reasonCode</b> : <span> Chronic myeloid Leukemia (disorder)</span> </p> <h3> DosageInstructions</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> </div> </text> <contained> 
        <Medication> 
            <id value="med0304"/> 
            <code> 
                <coding> 
                    <system value="http://hl7.org/fhir/sid/ndc"/> 
                    <code value="76388-713-25"/> 
                    <display value="Myleran 2mg tablet, film coated"/> 
                </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"/> 
    <medicationReference> 
        <reference value="#med0304"/> 
        <display value="Myleran 2mg tablet"/> 
    </medicationReference> 
    <subject> 
        <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/>    
    </subject> 
    <authoredOn value="2015-01-15"/> 
    <requester> 
        <!--    Linked to the practitioner who treats patient    -->
        <reference value="Practitioner/f007"/> 
        <display value="Patrick Pump"/> 
        </requester> 
    <reasonCode> 
        <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="92818009"/> 
            <display value="Chronic myeloid Leukemia (disorder)"/> 
        </coding> 
    </reasonCode> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="6 mg PO daily for remission induction; adjust dosage to white blood cell (WBC) count.
      With hold treatment if WBC is less than 15,000/µL; resume when WBC is greater than 50,000/µL"/> 
        <timing> 
            <repeat> 
                <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 (qualifier value)"/> 
            </coding> 
        </route> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                </coding> 
            </type> 
            <doseQuantity> 
                <value value="6"/> 
                <unit value="mg"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="mg"/> 
            </doseQuantity> 
        </doseAndRate> 

    </dosageInstruction> 
</MedicationRequest>