R6 Ballot (1st Draft)

This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions

Example MedicationRequest/medrx0322 (XML)

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

Raw XML (canonical form + also see XML Format Specification)

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Request for Intravenous Admixture - Potassium Chloride in D5W - completed with reason code (id = "medrx0322")

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

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0322"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationRequest</b> <a name="medrx0322"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border:
       1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MedicationRequest &quot;medrx0322&quot; </p> </div> <p> <b> identifier</b> : id: 12345689 (use: OFFICIAL)</p> <p> <b> status</b> : completed</p> <p> <b> intent</b> : order</p> <h3> Medications</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Reference</b> </td> </tr> <tr> <td style="display: none">*</td> <td> <span title="  Linked to a RESOURCE Medication  "><a name="med0317"> </a> </span> <blockquote> <p/>  <p> <a name="med0317"> </a> </p> <p> <b> doseForm</b> : Injection Solution (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #385219001)</span> </p> <blockquote> <p> <b> ingredient</b> </p> <h3> Items</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> Potassium Chloride <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.4.0/CodeSystem-v3-rxNorm.html">RxNorm</a> #204520 &quot;potassium chloride 2 MEQ/ML Injectable Solution&quot;)</span> </td> </tr> </table> <p> <b> strength</b> : 2 meq<span style="background: LightGoldenRodYellow"> (Details: UCUM code meq = 'meq')</span> /1 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span> </p> </blockquote> <blockquote> <p> <b> ingredient</b> </p> <h3> Items</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> sodium chloride 9 MG/ML Injectable Solution <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.4.0/CodeSystem-v3-rxNorm.html">RxNorm</a> #313002)</span> </td> </tr> </table> <p> <b> strength</b> : 0.9 g<span style="background: LightGoldenRodYellow"> (Details: UCUM code g = 'g')</span> /100 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span> </p> </blockquote> </blockquote> </td> </tr> </table> <p> <b> subject</b> : <a href="patient-example-a.html">Patient/pat1: Donald Duck</a>  &quot;Donald DUCK&quot;</p> <p> <b> authoredOn</b> : 2015-01-15</p> <p> <b> requester</b> : <a href="practitioner-example-f007-sh.html">Practitioner/f007: Patrick Pump</a>  &quot;Simone HEPS&quot;</p> <h3> Reasons</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> Disorder of Electrolytes (disorder) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #237840007)</span> </td> </tr> </table> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr</p> <p> <b> timing</b> : Once per 1 hours</p> <p> <b> route</b> : Intravenous route (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #47625008)</span> </p> <blockquote> <p> <b> doseAndRate</b> </p> </blockquote> </blockquote> </div> </text> <contained> 
        <Medication> 
            <id value="med0317"/> 
            <doseForm> 
                <coding> 
                    <system value="http://snomed.info/sct"/> 
                    <code value="385219001"/> 
                    <display value="Injection Solution (qualifier value)"/> 
                </coding> 
                <text value="Injection Solution (qualifier value)"/> 
            </doseForm> 
            <ingredient> 
                <item> 
                    <concept> 
                        <coding> 
                            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
                            <code value="204520"/> 
                            <display value="potassium chloride 2 MEQ/ML Injectable Solution"/> 
                        </coding> 
                        <text value="Potassium Chloride"/> 
                    </concept> 
                </item> 
                <strengthRatio> 
                    <numerator> 
                        <value value="2"/> 
                        <system value="http://unitsofmeasure.org"/> 
                        <code value="meq"/> 
                    </numerator> 
                    <denominator> 
                        <value value="1"/> 
                        <system value="http://unitsofmeasure.org"/> 
                        <code value="mL"/> 
                    </denominator> 
                </strengthRatio> 
            </ingredient> 
            <ingredient> 
                <item> 
                    <concept> 
                        <coding> 
                            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
                            <code value="313002"/> 
                            <display value="sodium chloride 9 MG/ML Injectable Solution"/> 
                        </coding> 
                    </concept> 
                </item> 
                <strengthRatio> 
                    <numerator> 
                        <value value="0.9"/> 
                        <system value="http://unitsofmeasure.org"/> 
                        <code value="g"/> 
                    </numerator> 
                    <denominator> 
                        <value value="100"/> 
                        <system value="http://unitsofmeasure.org"/> 
                        <code value="mL"/> 
                    </denominator> 
                </strengthRatio> 
            </ingredient> 

        </Medication> 
    </contained> 
    <identifier> 
        <use value="official"/> 
        <system value="http://www.bmc.nl/portal/prescriptions"/> 
        <value value="12345689"/> 
    </identifier> 
    <status value="completed"/> 
    <intent value="order"/> 
    <medication>             <!--    Linked to a RESOURCE Medication    -->
        <reference> 
            <reference value="#med0317"/> 
            <display value="Potassium Chloride 20mEq in 1L Normal Saline"/> 
        </reference> 
    </medication> 
    <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> 
        <reference value="Practitioner/f007"/> 
        <display value="Patrick Pump"/> 
    </requester> 
    <reason> 
        <concept> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="237840007"/> 
                <display value="Disorder of Electrolytes (disorder)"/> 
            </coding> 
        </concept> 
    </reason> 

    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr"/> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="h"/> 
            </repeat> 
        </timing> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="47625008"/> 
                <display value="Intravenous 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="20"/> 
                <unit value="meq"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="meq"/> 
            </doseQuantity> 
            <rateRatio> 
                <numerator> 
                    <value value="100"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="mL"/> 
                </numerator> 
                <denominator> 
                    <value value="1"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="h"/> 
                </denominator> 
            </rateRatio> 
        </doseAndRate> 


    </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.