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Medicationrequest0339.xml

Example MedicationRequest/medrx0339 (XML)

Maturity Level : N/A
Responsible Owner: Pharmacy Work Group Standards Status : Informative Compartments : Encounter , Group , Patient , Practitioner

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

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Request for a product that contains multiple dosage forms (id = "medrx0339") 

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


    
    (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary
               policy', given as 'formulary policy'})
      
          
          
              
                  
                  
                  
              
          
      
  
    
        
        
        
    
    
    
    
           
     
    
        
                
    
    
        
        
        
    
    
        
        
    
    
        
    
    
        
        
        
    
    
        
        
        
            
                
                    
                    
                
                
                
                
            
        
        
            
                
                
                
            
        
        
            
                
                
                
            
        
        
            
                
                    
                    
                    
                
            
            
                
                
                
                 
            
        
    
    
        
        
        
            
                
                    
                    
                
                
                
                
            
        
        
            
                
                
                
            
        
        
            
                
                
                
            
        
        
            
                
                    
                    
                    
                
            
        
    
    
        
            
            
        
        
        
            
        
        
            
            
            
             
        
        
            
        
       
    
        
        
            
                
                
                             
            
        
    

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0339"/> 
  <contained> 
    <Medication> 
      <id value="med0322"/> 
      <code> 
        <coding> 
          <system value="http://hl7.org/fhir/sid/ndc"/> 
          <code value="0067-2091-03"/> 
          <display value="Vagistat-3, 1 KIT in 1 CARTON (0067-2091-03) * 3 SUPPOSITORY in 1 BLISTER PACK
           * 1 TUBE in 1 CARTON &gt; 9 g in 1 TUBE (package)"/> 
        </coding>         <text value="Vagistat-3"/>       </code>     </Medication>   </contained>   <identifier>     <use value="official"/>     <system value="http://www.bmc.nl/portal/prescriptions"/>     <value value="12345689"/>   </identifier>   <basedOn>     <reference value="CarePlan/gpvisit"/>   </basedOn>   <groupIdentifier>     <use value="official"/>     <system value="http://www.bmc.nl/portal/prescriptions"/>     <value value="983939393"/>   </groupIdentifier>   <status value="active"/>   <intent value="order"/>   <medication>     <!--   Linked to a RESOURCE Medication   -->    <reference>       <reference value="#med0322"/>     </reference>   </medication>   <subject>     <!--   Linked to the resource patient who needs the medication   -->    <reference value="Patient/pat1"/>     <display value="Donald Duck"/>   </subject>   <encounter>     <!--   Linked to a resource Encounter between patient and practitioner  -->    <reference value="Encounter/f001"/>     <display value="encounter who leads to this prescription"/>   </encounter>   <authoredOn value="2015-01-15"/>   <requester>     <reference value="Practitioner/f007"/>     <display value="Patrick Pump"/>   </requester>   <dosageInstruction>     <sequence value="1"/>     <text value="Insert one suppository into the vagina daily at bedtime"/>     <timing>       <repeat>         <boundsPeriod>           <start value="2015-01-16"/>           <end value="2015-01-18"/>         </boundsPeriod>         <frequency value="1"/>         <period value="1"/>         <periodUnit value="d"/>       </repeat>     </timing>     <route>       <coding>         <system value="http://snomed.info/sct"/>         <code value="16857009"/>         <display value="Vaginal Route"/>       </coding>     </route>     <method>       <coding>         <system value="http://snomed.info/sct"/>         <code value="421257003"/>         <display value="Insert"/>       </coding>     </method>     <doseAndRate>       <type>         <coding>           <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>           <code value="ordered"/>           <display value="Ordered"/>         </coding>       </type>       <doseQuantity>         <value value="1"/>         <unit value="VAGTAB"/>         <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>         <code value="VAGTAB"/>       </doseQuantity>     </doseAndRate>   </dosageInstruction>   <dosageInstruction>     <sequence value="1"/>     <text value="Apply to vaginal area topically once daily"/>     <timing>       <repeat>         <boundsPeriod>           <start value="2015-01-16"/>           <end value="2015-01-18"/>         </boundsPeriod>         <frequency value="1"/>         <period value="1"/>         <periodUnit value="d"/>       </repeat>     </timing>     <route>       <coding>         <system value="http://snomed.info/sct"/>         <code value="6064005"/>         <display value="Topical Route"/>       </coding>     </route>     <method>       <coding>         <system value="http://snomed.info/sct"/>         <code value="417924000"/>         <display value="Apply - dosing instruction imperative (qualifier value)"/>       </coding>     </method>     <doseAndRate>       <type>         <coding>           <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>           <code value="ordered"/>           <display value="Ordered"/>         </coding>       </type>     </doseAndRate>   </dosageInstruction>   <dispenseRequest>     <validityPeriod>       <start value="2015-01-15"/>       <end value="2016-01-15"/>     </validityPeriod>     <numberOfRepeatsAllowed value="1"/>     <quantity>       <value value="1"/>     </quantity>     <expectedSupplyDuration>       <value value="3"/>       <unit value="days"/>       <system value="http://unitsofmeasure.org"/>       <code value="d"/>     </expectedSupplyDuration>     <dispenser>       <reference value="Organization/f001"/>     </dispenser>   </dispenseRequest>   <substitution>     <allowedBoolean value="true"/>     <reason>       <coding>         <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>         <code value="FP"/>         <display value="formulary policy"/>       </coding>     </reason>   </substitution> 


</

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.