US Meds Implementation Guide STU2 Ballot (version 1.1.0)

This page is part of the US-Medication FHIR IG (v1.1.0: STU 2 Ballot 1) based on FHIR R3. The current version which supercedes this version is 1.2.0. For a full list of available versions, see the Directory of published versions

Example: MedicationRequest-enca-3

Formats: Narrative, XML, JSON, Turtle

Raw xml


<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="enca-3"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: enca-3</p><p><b>meta</b>: </p><p><b>contained</b>: </p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>medication</b>: unknown resource contained</p><p><b>subject</b>: <a href="Patient-test2.html">Brian Z. Generated Summary: id: test2; Medical Record Number = 1032702 (USUAL); active; Brian Z ; ph: 555-555-5555(HOME); gender: male; birthDate: 05/01/1964</a></p><p><b>context</b>: <a href="Encounter-A.html">Inpatient Encounter A. Generated Summary: id: A; status: finished; <span title="{http://hl7.org/fhir/v3/ActCode IMP}">inpatient encounter</span>; period: 10/09/2016 12:00:00 AM --&gt; 12/09/2016 12:00:00 AM</a></p><p><b>authoredOn</b>: 10/09/2016</p><h3>Requesters</h3><table class="grid"><tr><td>-</td><td><b>Agent</b></td></tr><tr><td>*</td><td>Dr. B</td></tr></table><p><b>reasonCode</b>: Pneumonia (disorder) <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '233604007' = 'Pneumonia', given as 'Pneumonia (disorder)'})</span></p><p><b>dosageInstruction</b>: </p></div>
  </text>
  <contained>
    <Medication>
      <id value="med-1"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication"/>
      </meta>
      <code>
        <text value="Azithromycin 500mg in 250 ml Normal Saline"/>
      </code>
      <ingredient>
        <itemCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="1668240"/>
            <display value="Zithromax 500 MG Injection"/>
          </coding>
          <text value="Zithromax (azithromycin) 500 MG Injection"/>
        </itemCodeableConcept>
        <isActive value="true"/>
        <amount>
          <numerator>
            <value value="500"/>
            <unit value="mg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/>
          </numerator>
          <denominator>
            <value value="1"/>
            <unit value="vial"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="{vial}"/>
          </denominator>
        </amount>
      </ingredient>
      <ingredient>
        <itemCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="313002"/>
            <display value="Sodium Chloride 0.9% injectable solution"/>
          </coding>
          <text value="Normal Saline"/>
        </itemCodeableConcept>
        <isActive value="true"/>
        <amount>
          <numerator>
            <value value="250"/>
            <unit value="mL"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mL"/>
          </numerator>
          <denominator>
            <value value="1"/>
            <unit value="IV Bag"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="{IV Bag}"/>
          </denominator>
        </amount>
      </ingredient>
    </Medication>
  </contained>
  <status value="completed"/>
  <intent value="order"/>
<!--  reference to contained medication  -->
  <medicationReference>
    <reference value="#med-1"/>
  </medicationReference>
  <subject>
    <reference value="Patient/test2"/>
    <display value="Brian Z"/>
  </subject>
  <context>
    <reference value="Encounter/A"/>
    <display value="Inpatient Encounter A"/>
  </context>
  <authoredOn value="2016-09-10"/>
  <requester>
    <agent>
      <display value="Dr. B"/>
    </agent>
  </requester>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="233604007"/>
      <display value="Pneumonia (disorder)"/>
    </coding>
  </reasonCode>
  <dosageInstruction>
    <sequence value="1"/>
    <text
          value="Azithromycin 500mg in 250 ml Normal Saline intravenously over 1hour every 24 hours"/>
    <timing>
      <repeat>
        <duration value="1"/>
        <durationUnit value="h"/>
        <frequency value="1"/>
        <period value="24"/>
        <periodUnit value="h"/>
      </repeat>
    </timing>
    <asNeededBoolean value="false"/>
    <route>
      <coding>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C38276"/>
        <display value="INTRAVENOUS"/>
      </coding>
    </route>
    <method>
      <text value="1 hr infusion"/>
    </method>
    <doseQuantity>
      <value value="500"/>
      <unit value="mg"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mg"/>
    </doseQuantity>
  </dosageInstruction>
</MedicationRequest>