Request for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. Dosage includes additionalInstructions as text (id = "medrx0321")

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


  
  (Details : {http://hl7.org/fhir/sid/ndc code '0169-7501-11' = 'n/a', given as 'Novolog
           100u/ml'})(Details : {SNOMED CT code '385219001' = 'Injection solution', given as 'Injection solution
           (qualifier value)'})(Details : {SNOMED CT code '44054006' = 'Diabetes mellitus type II', given as 'Diabetes
           mellitus type 2 (disorder)'})
    
      
      
        
          
          
          
        
      
      
        
          
          
          
        
      
      
        
          
            
            
            
          
        
        
          
            
            
            
          
          
            
            
            
          
        
      
      
        
        
      
    
  
  
    
    
    
  
  
  
  
    
    
  
  
    
    
    
  
  
  
    
    
  
  
    
      
      
      
    
  
  
    
  
  
    
    
    
      
        
        
        
        
        
      
    
    
      
        
          
          
          
        
      
      
        
        
        
        
      
    
    
  
  
    
    
    
      
    
    
      
        
        
        
      
    
    
      
        
          
          
          
        
      
      
        
        
        
        
      
    
    
  
  
    
    
    
      
    
    
      
        
        
        
      
    
    
      
        
          
          
          
        
      
        
        
        
        
      
    
    
  
  
    
      
      
    
    
    
      
      
      
      
    
    
      
      
      
      
    
  

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0321"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationRequest</b> <a name="medrx0321"> </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;medrx0321&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> <a name="med0307"> </a> <blockquote> <p/>  <p> <a name="med0307"> </a> </p> <p> <b> code</b> : Novolog 100u/ml <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ndc.html">National drug codes</a> #0169-7501-11)</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> Insulin Aspart (substance) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #325072002)</span> </td> </tr> </table> <p> <b> strength</b> : 100 U<span style="background: LightGoldenRodYellow"> (Details: UCUM code U = 'U')</span> /1 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span> </p> </blockquote> <h3> Batches</h3> <table class="grid"><tr> <td> -</td> <td> <b> LotNumber</b> </td> <td> <b> ExpirationDate</b> </td> </tr> <tr> <td> *</td> <td> 12345</td> <td> 2019-10-31</td> </tr> </table> </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> 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> Diabetes mellitus type 2 (disorder) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #44054006)</span> </td> </tr> </table> <p> <b> note</b> : Check blood sugar levels before taking insulin</p> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 2</p> <p> <b> text</b> : inject 10 units subcut 10 minutes before breakfast</p> <p> <b> timing</b> : 10min , before breakfast</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> : 15 units before lunch</p> <p> <b> additionalInstruction</b> : Before Lunch <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span> </p> <p> <b> timing</b> : Once per 1 days</p> <blockquote> <p> <b> doseAndRate</b> </p> </blockquote> </blockquote> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : 20 units before dinner</p> <p> <b> additionalInstruction</b> : Before Dinner <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span> </p> <p> <b> timing</b> : Once per 1 days</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> : 3</p> <p> <b> quantity</b> : 10 ml<span style="background: LightGoldenRodYellow"> (Details: UCUM code ml = 'ml')</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> 30</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> </blockquote> </div> </text> <contained> 
    <Medication>       <id value="med0307"/>       <code>         <coding>           <system value="http://hl7.org/fhir/sid/ndc"/>           <code value="0169-7501-11"/>           <display value="Novolog 100u/ml"/>         </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="325072002"/>             <display value="Insulin Aspart (substance)"/>           </coding>           </concept>         </item>         <strengthRatio>           <numerator>             <value value="100"/>             <system value="http://unitsofmeasure.org"/>             <code value="U"/>           </numerator>           <denominator>             <value value="1"/>             <system value="http://unitsofmeasure.org"/>             <code value="mL"/>           </denominator>         </strengthRatio>       </ingredient>       <batch>         <lotNumber value="12345"/>         <expirationDate value="2019-10-31"/>       </batch>     </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>   <reference>     <reference value="#med0307"/>     <display value="Novolog 100u/ml"/>     </reference>   </medication>   <subject>         <!--    Linked to the resource patient who needs the medication    -->    <reference value="Patient/pat1"/>     <display value="Donald Duck"/>   </subject>   <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="44054006"/>         <display value="Diabetes mellitus type 2 (disorder)"/>       </coding>     </concept>   </reason>   <note>     <text value="Check blood sugar levels before taking insulin"/>   </note> 
  
  <dosageInstruction>     <sequence value="2"/>     <text value="inject 10 units subcut 10 minutes before breakfast"/>     <timing>       <repeat>         <frequency value="1"/>         <period value="1"/>         <periodUnit value="d"/>         <when value="ACM"/>         <offset value="10"/>       </repeat>     </timing>     <doseAndRate>       <type>         <coding>           <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>           <code value="ordered"/>           <display value="Ordered"/>         </coding>       </type>       <doseQuantity>         <value value="10"/>         <unit value="U"/>         <system value="http://unitsofmeasure.org"/>         <code value="U"/>       </doseQuantity>     </doseAndRate> 
    
  </dosageInstruction>   <dosageInstruction>     <sequence value="2"/>     <text value="15 units before lunch"/>     <additionalInstruction>       <text value="Before Lunch"/>     </additionalInstruction>     <timing>       <repeat>         <frequency value="1"/>         <period value="1"/>         <periodUnit value="d"/>       </repeat>     </timing>     <doseAndRate>       <type>         <coding>           <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>           <code value="ordered"/>           <display value="Ordered"/>         </coding>       </type>       <doseQuantity>         <value value="15"/>         <unit value="U"/>         <system value="http://unitsofmeasure.org"/>         <code value="U"/>       </doseQuantity>     </doseAndRate> 
    
  </dosageInstruction>   <dosageInstruction>     <sequence value="1"/>     <text value="20 units before dinner"/>     <additionalInstruction>       <text value="Before Dinner"/>     </additionalInstruction>     <timing>       <repeat>         <frequency value="1"/>         <period value="1"/>         <periodUnit value="d"/>       </repeat>     </timing>     <doseAndRate>       <type>         <coding>           <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>           <code value="ordered"/>           <display value="Ordered"/>         </coding>       </type> <doseQuantity>         <value value="20"/>         <unit value="U"/>         <system value="http://unitsofmeasure.org"/>         <code value="U"/>       </doseQuantity>     </doseAndRate> 
    
  </dosageInstruction> 
  
  <dispenseRequest>     <validityPeriod>       <start value="2015-01-15"/>       <end value="2016-01-15"/>     </validityPeriod>     <numberOfRepeatsAllowed value="3"/>     <quantity>       <value value="10"/>       <unit value="ml"/>       <system value="http://unitsofmeasure.org"/>       <code value="ml"/>     </quantity>     <expectedSupplyDuration>       <value value="30"/>       <unit value="days"/>       <system value="http://unitsofmeasure.org"/>       <code value="d"/>     </expectedSupplyDuration>   </dispenseRequest> 


</

MedicationRequest

>