Release 4 Snapshot 3: Connectathon 32 Base

This page is part of the Snapshot #3 for FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0 R5 , released to support Connectathon 32 . For a full list of available versions, see the Directory of published versions . Page versions: R4B R4

Extension-diagnosticreport-geneticsreferences.xml

Example MedicationRequest/medrx0315 (XML)

Orders and Observations Pharmacy Work Group Maturity Level : N/A Standards Status : Informative Compartments : Encounter , Patient , Practitioner

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

Jump past Narrative

References Request for an injectable medication - Lorazepam - active - with link to encounter, reasonCode and dosageInstruction (id = "medrx0315")

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


  
  
    
  
  
    
  
  
  
  
  
  
  
  
    
      
      
    
  
  Additional bibliographic reference information about genetics, medications, clinical trials,
   etc. associated with knowledge-based information on genetics/genetic condition.
  
  
    
    
    
  
  
  
  
    
    
  
  
  
  
  
    
      
      
      Additional bibliographic reference information about genetics, medications, clinical trials,
       etc. associated with knowledge-based information on genetics/genetic condition.
      
      
      
        
        
        
      
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      
        
          
          
        
        
        
      
      
      May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      
        
          
          
        
        
        
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      The definition may point directly to a computable or human-readable definition of the
       extensibility codes, or it may be a logical URI as declared in some other specification.
       The definition SHALL be a URI for the Structure Definition defining the extension.
      
      
      
        
        
        
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://
      hl7.org/fhir/extensibility.html) for a list).
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      
        
          
          
        
        
        
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      The definition may point directly to a computable or human-readable definition of the
       extensibility codes, or it may be a logical URI as declared in some other specification.
       The definition SHALL be a URI for the Structure Definition defining the extension.
      
      
      
        
        
        
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://
      hl7.org/fhir/extensibility.html) for a list).
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      
        
          
          
        
        
        
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      The definition may point directly to a computable or human-readable definition of the
       extensibility codes, or it may be a logical URI as declared in some other specification.
       The definition SHALL be a URI for the Structure Definition defining the extension.
      
      
      
        
        
        
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://
      hl7.org/fhir/extensibility.html) for a list).
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      The definition may point directly to a computable or human-readable definition of the
       extensibility codes, or it may be a logical URI as declared in some other specification.
       The definition SHALL be a URI for the Structure Definition defining the extension.
      
      
      
        
        
        
      
      
        
          
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://
      hl7.org/fhir/extensibility.html) for a list).
      
      
      
        
        
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
  
  
    
      
      
      Additional bibliographic reference information about genetics, medications, clinical trials,
       etc. associated with knowledge-based information on genetics/genetic condition.
      
      
    
    
      
      
      
      
      
      
      
        
      
    
    
      
      
    
    
      
      
        
      
      
    
    
      
      
      
        
      
    
    
      
      
      
      
      
      
      
        
      
    
    
      
      
    
    
      
      
        
      
      
    
    
      
      
      
        
      
    
    
      
      
      
      
      
      
      
        
      
    
    
      
      
    
    
      
      
        
      
      
    
    
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
    
    
      
      
      
    
  

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0315"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationRequest</b> <a name="medrx0315"> </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;medrx0315&quot; </p> </div> <p> <b> identifier</b> : id: 12345689 (use: OFFICIAL)</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : order</p> <h3> Medications</h3> <table class="grid"><tr> <td> -</td> <td> <b> Reference</b> </td> </tr> <tr> <td> *</td> <td> <span title="  Linked to a RESOURCE Medication  "><a name="med0313"> </a> </span> <blockquote> <p/>  <p> <a name="med0313"> </a> </p> <p> <b> code</b> : Lorazepam 2mg/ml injection solution 1ml vial (product) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #400621001)</span> </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> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</td> <td> Lorazepam (substance) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #387106007)</span> </td> </tr> </table> <p> <b> strength</b> : 2 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</span> /1 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> encounter</b> : <a href="encounter-example-f001-heart.html">Encounter/f001: encounter who leads to this prescription</a> </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> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</td> <td> Epilepsy (disorder) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #84757009)</span> </td> </tr> </table> <blockquote> <p> <b> dose</b> </p> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : 0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed</p> <p> <b> timing</b> : Once per 15 minutes</p> <p> <b> asNeeded</b> : true</p> <p> <b> route</b> : Intravenous <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #255560000)</span> </p> <p> <b> method</b> : Push - dosing instruction imperative (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #420620005)</span> </p> </blockquote> </blockquote> </div> </text> <contained> 
        <Medication> 
            <id value="med0313"/> 
            <code> 
                <coding> 
                    <system value="http://snomed.info/sct"/> 
                    <code value="400621001"/> 
                    <display value="Lorazepam 2mg/ml injection solution 1ml vial (product)"/> 
                </coding> 
            </code> 


                <doseForm> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="385219001"/> 
                        <display value="Injection solution (qualifier value)"/> 
                    </coding> 
                </doseForm> 
                <ingredient> 
                    <item> 
<concept> 
                        <coding> 
                            <system value="http://snomed.info/sct"/> 
                            <code value="387106007"/> 
                            <display value="Lorazepam (substance)"/> 
                        </coding> 
                        </concept> 
                    </item> 
                    <strengthRatio> 
                        <numerator> 
                            <value value="2"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="mg"/> 
                        </numerator> 
                        <denominator> 
                            <value value="1"/> 
                            <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="active"/> 
    <intent value="order"/> 
    <medication>      <!--    Linked to a RESOURCE Medication    -->
    <reference> 
        <reference value="#med0313"/> 
        </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> 
    <reason> 
      <concept> 
        <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="84757009"/> 
            <display value="Epilepsy (disorder)"/> 
        </coding> 
      </concept> 
    </reason> 
    <dose> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed"/> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="15"/> 
                <periodUnit value="min"/> 
            </repeat> 
        </timing> 
        <asNeeded value="true"/> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="255560000"/> 
                <display value="Intravenous"/> 
            </coding> 
        </route> 
        <method> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="420620005"/> 
                <display value="Push - 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> 
            <doseRange> 
                <low> 
                    <value value="0.05"/> 
                    <unit value="mg/kg"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="mg/kg"/>  
                </low> 
                <high> 
                    <value value="0.1"/> 
                    <unit value="mg/kg"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="mg/kg"/>  
                </high> 
            </doseRange> 
            <rateRange> 
                <low> 
                    <value value="2"/> 
                    <unit value="min"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="min"/>  
                </low> 
                <high> 
                    <value value="5"/> 
                    <unit value="min"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="min"/>  
                </high> 
            </rateRange> 
        </doseAndRate> 


        
    </dosageInstruction> 
    </dose> 


</
StructureDefinition


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.