Release 4B 5

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0: R5 - STU ). The This is the current published version which supercedes in it's permanent home (it will always be available at this version is 5.0.0 . URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R5 R4B R4 R3

Medicationrequest0303.xml

Example MedicationRequest/medrx0303 (XML)

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

Order for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod (id = "medrx0303")

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


    
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<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0303"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationRequest</b> <a name="medrx0303"> </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;medrx0303&quot; </p> </div> <p> <b> identifier</b> : id: 12345689 (use: OFFICIAL)</p> <p> <b> basedOn</b> : <a href="careplan-example-GPVisit.html">CarePlan/gpvisit</a> </p> <p> <b> groupIdentifier</b> : id: 983939393 (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="med0311"> </a> </span> <blockquote> <p/>  <p> <a name="med0311"> </a> </p> <p> <b> code</b> : Prednisone 5mg tablet (Product) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #373994007)</span> </p> </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> <p> <b> note</b> : Patient told to take with food</p> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : Take 4 tablets daily for 7 days starting January 16, 2015</p> <p> <b> timing</b> : Starting 2015-01-16, Once per 1 days, Until 2015-01-22</p> <p> <b> route</b> : Oral Route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #26643006)</span> </p> <p> <b> method</b> : Swallow - dosing instruction imperative (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #421521009)</span> </p> <blockquote> <p> <b> doseAndRate</b> </p> </blockquote> </blockquote> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 2</p> <p> <b> text</b> : Take 2 tablets daily for 7 days starting January 23, 2015</p> <p> <b> timing</b> : Starting 2015-01-23, Once per 1 days, Until 2015-01-29</p> <p> <b> route</b> : Oral Route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #26643006)</span> </p> <p> <b> method</b> : Swallow - dosing instruction imperative (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #421521009)</span> </p> <blockquote> <p> <b> doseAndRate</b> </p> </blockquote> </blockquote> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 3</p> <p> <b> text</b> : Take 1 tablets daily for 7 days starting January 30, 2015</p> <p> <b> timing</b> : Starting 2015-01-30, Once per 1 days, Until 2015-02-05</p> <p> <b> route</b> : Oral Route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #26643006)</span> </p> <p> <b> method</b> : Swallow - dosing instruction imperative (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #421521009)</span> </p> <blockquote> <p> <b> doseAndRate</b> </p> </blockquote> </blockquote> <blockquote> <p> <b> dispenseRequest</b> </p> <p> <b> validityPeriod</b> : 2015-01-15 --&gt; 2016-01-15</p> <p> <b> numberOfRepeatsAllowed</b> : 1</p> <p> <b> quantity</b> : 51 TAB<span style="background: LightGoldenRodYellow"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB
             = 'Tablet')</span> </p> <h3> ExpectedSupplyDurations</h3> <table class="grid"><tr> <td> -</td> <td> <b> Value</b> </td> <td> <b> Unit</b> </td> <td> <b> System</b> </td> <td> <b> Code</b> </td> </tr> <tr> <td> *</td> <td> 21</td> <td> days</td> <td> <a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ucum.html">Unified Code for Units of Measure (UCUM)</a> </td> <td> d</td> </tr> </table> <p> <b> dispenser</b> : <a href="organization-example-f001-burgers.html">Organization/f001</a>  &quot;Burgers University Medical Center&quot;</p> </blockquote> <h3> Substitutions</h3> <table class="grid"><tr> <td> -</td> <td> <b> Allowed[x]</b> </td> <td> <b> Reason</b> </td> </tr> <tr> <td> *</td> <td> Therapeutic Brand <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-substanceAdminSubstitution.html">Substance Admin Substitution</a> #TB)</span> </td> <td> formulary policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html">ActReason</a> #FP)</span> </td> </tr> </table> </div> </text> <contained> 
      <Medication>           <id value="med0311"/>           <code>               <coding>                   <system value="http://snomed.info/sct"/>                   <code value="373994007"/>                   <display value="Prednisone 5mg tablet (Product)"/>               </coding>           </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="#med0311"/>            </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>     <note>         <text value="Patient told to take with food"/>     </note> 
    
    <dosageInstruction>         <sequence value="1"/>         <text value="Take 4 tablets daily for 7 days starting January 16, 2015"/>         <timing>             <repeat>                 <boundsPeriod>                     <start value="2015-01-16"/>                     <end value="2015-01-22"/>                 </boundsPeriod>                 <frequency value="1"/>                 <period value="1"/>                 <periodUnit value="d"/>             </repeat>         </timing>         <route>             <coding>                 <system value="http://snomed.info/sct"/>                 <code value="26643006"/>                 <display value="Oral Route"/>             </coding>         </route>         <method>             <coding>                 <system value="http://snomed.info/sct"/>                 <code value="421521009"/>                 <display value="Swallow - 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>             <doseQuantity>                 <value value="4"/>                 <unit value="TAB"/>                 <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>                 <code value="TAB"/>              </doseQuantity>         </doseAndRate>     </dosageInstruction>     <dosageInstruction>         <sequence value="2"/>         <text value="Take 2 tablets daily for 7 days starting January 23, 2015"/>         <timing>             <repeat>                 <boundsPeriod>                     <start value="2015-01-23"/>                     <end value="2015-01-29"/>                 </boundsPeriod>                 <frequency value="1"/>                 <period value="1"/>                 <periodUnit value="d"/>             </repeat>         </timing>         <route>             <coding>                 <system value="http://snomed.info/sct"/>                 <code value="26643006"/>                 <display value="Oral Route"/>             </coding>         </route>         <method>             <coding>                 <system value="http://snomed.info/sct"/>                 <code value="421521009"/>                 <display value="Swallow - 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>             <doseQuantity>                 <value value="2"/>                 <unit value="TAB"/>                 <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>                 <code value="TAB"/>              </doseQuantity>         </doseAndRate>     </dosageInstruction>     <dosageInstruction>         <sequence value="3"/>         <text value="Take 1 tablets daily for 7 days starting January 30, 2015"/>         <timing>             <repeat>                 <boundsPeriod>                     <start value="2015-01-30"/>                     <end value="2015-02-05"/>                 </boundsPeriod>                 <frequency value="1"/>                 <period value="1"/>                 <periodUnit value="d"/>             </repeat>         </timing>         <route>             <coding>                 <system value="http://snomed.info/sct"/>                 <code value="26643006"/>                 <display value="Oral Route"/>             </coding>         </route>         <method>             <coding>                 <system value="http://snomed.info/sct"/>                 <code value="421521009"/>                 <display value="Swallow - 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>             <doseQuantity>                 <value value="1"/>                 <unit value="TAB"/>                 <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>                 <code value="TAB"/>              </doseQuantity>         </doseAndRate> 
        
    </dosageInstruction> 
        
    
    <dispenseRequest>         <validityPeriod>             <start value="2015-01-15"/>             <end value="2016-01-15"/>         </validityPeriod>         <numberOfRepeatsAllowed value="1"/>         <quantity>             <value value="51"/>             <unit value="TAB"/>             <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>             <code value="TAB"/>          </quantity>         <expectedSupplyDuration>             <value value="21"/>             <unit value="days"/>             <system value="http://unitsofmeasure.org"/>             <code value="d"/>          </expectedSupplyDuration>         <dispenser>             <reference value="Organization/f001"/>         </dispenser>     </dispenseRequest>        <substitution>         <allowedCodeableConcept>             <coding>                 <system value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>                 <code value="TB"/>                 <display value="Therapeutic Brand"/>             </coding>         </allowedCodeableConcept>         <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.