This page is part of the FHIR Specification ~~(v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always be available at this URL).~~ (v5.0.0-snapshot1: Release 5 Snapshot #1). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationrequest0316.json

Pharmacy Work Group

Maturity Level : N/A

Standards Status : Informative

Compartments : Encounter , Patient , Practitioner

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

Request for Intravenous Chemotherapy (inpatient order) - Brentuximab Vedotin - completed

{
  "resourceType": "MedicationRequest",
  "id": "medrx0316",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0316</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>medication</b>: id: med0306; Adcetris <span>(Details : {http://hl7.org/fhir/sid/ndc code '51144-050-01' = 'n/a', given as 'Adcetris'})</span>; Lyophilized powder for injectable solution (qualifier value)  <span>(Details : {SNOMED CT code '421637006' = 'Lyophilised powder for injectable solution', given as 'Lyophilized powder for injectable solution (qualifier value) '})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>encounter</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>instantiatesUri</b>: <a>http://www.bccancer.bc.ca/chemotherapy-protocols-site/Documents/Lymphoma-Myeloma/ULYBRENTUX%20Protocol_1Jun2017.pdf</a></p><p><b>dosageInstruction</b>: </p></div>"

    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;medrx0316&quot; </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>instantiatesUri</b>: <a>http://www.bccancer.bc.ca/chemotherapy-protocols-site/Documents/Lymphoma-Myeloma/ULYBRENTUX%20Protocol_1Jun2017.pdf</a></p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>subject</b>: <a>Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</p><p><b>encounter</b>: <a>Encounter/f001: encounter who leads to this prescription</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a>Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</p><blockquote><p><b>dose</b></p></blockquote></div>"

  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0306",
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/ndc",
            "code": "51144-050-01",
            "display": "Adcetris"
          }
        ]
      },
      "form": {

      "doseForm": {

        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "421637006",
            "display": "Lyophilized powder for injectable solution (qualifier value) "
          }
        ]
      },
      "batch": {
        "lotNumber": "12345",
        "expirationDate": "2019-10-31"
      }
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "instantiatesUri": [
    "http://www.bccancer.bc.ca/chemotherapy-protocols-site/Documents/Lymphoma-Myeloma/ULYBRENTUX%20Protocol_1Jun2017.pdf"
  ],

  "status": "completed",
  "intent": "order",
  "medicationReference": {
    "reference": "#med0306"

  "medication": {
    "reference": {
      "reference": "#med0306"
    }

  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "encounter": {
    "reference": "Encounter/f001",
    "display": "encounter who leads to this prescription"
  },
  "authoredOn": "2015-01-15",
  "requester": {
    "reference": "Practitioner/f007",
    "display": "Patrick Pump"
  },
  "instantiatesUri": [
    "http://www.bccancer.bc.ca/chemotherapy-protocols-site/Documents/Lymphoma-Myeloma/ULYBRENTUX%20Protocol_1Jun2017.pdf"
  ],
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "1.8 mg/kg IV infusion over 20 minutes every 3 weeks for 16 cycles",
      "timing": {
        "repeat": {
          "count": 16,
          "frequency": 1,
          "period": 3,
          "periodUnit": "wk"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "255560000",
            "display": "Intravenous"

  "dose": {
    "dosageInstruction": [
      {
        "sequence": 1,
        "text": "1.8 mg/kg IV infusion over 20 minutes every 3 weeks for 16 cycles",
        "timing": {
          "repeat": {
            "count": 16,
            "frequency": 1,
            "period": 3,
            "periodUnit": "wk"

          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 1.8,
            "unit": "mg/kg",
            "system": "http://unitsofmeasure.org",
            "code": "mg/kg"
          },
          "rateRatio": {
            "numerator": {

        },
        "route": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "255560000",
              "display": "Intravenous"
            }
          ]
        },
        "doseAndRate": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                  "code": "ordered",
                  "display": "Ordered"
                }
              ]
            },
            "doseQuantity": {

              "value": 1.8,
              "unit": "mg/kg",

              "system": "http://unitsofmeasure.org",
              "code": "mg/kg"
            },
            "denominator": {
              "value": 20,
              "system": "http://unitsofmeasure.org",
              "code": "min"

            "rateRatio": {
              "numerator": {
                "value": 1.8,
                "system": "http://unitsofmeasure.org",
                "code": "mg/kg"
              },
              "denominator": {
                "value": 20,
                "system": "http://unitsofmeasure.org",
                "code": "min"
              }

            }
          }
        ],
        "maxDosePerLifetime": {
          "value": 400,
          "unit": "mg",
          "system": "http://unitsofmeasure.org",
          "code": "mg"

        }
      ],
      "maxDosePerLifetime": {
        "value": 400,
        "unit": "mg",
        "system": "http://unitsofmeasure.org",
        "code": "mg"

      }
    }
  ]

    ]
  }

}

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.