FHIR CI-Build

This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions

Example MedicationRequest/medrx0315 (XML)

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner

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

Jump past Narrative

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

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

<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> <a name="hcmedrx0315"> </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> : <code> http://www.bmc.nl/portal/prescriptions</code> /12345689 (use: OFFICIAL)</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : order</p> <h3> Medications</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Reference</b> </td> </tr> <tr> <td style="display: none">*</td> <td> <span title="  Linked to a RESOURCE Medication  "><a name="hcmed0313"> </a> </span> <blockquote> <p/>  <p> <a name="med0313"> </a> </p> <p> <a name="hcmed0313"> </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> : Solution for injection <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 style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</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 style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</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> 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> <p> <b> doseAndRate</b> </p> </blockquote> </blockquote> <hr/>  <blockquote> <p> <b> Generated Narrative: Medication #med0313</b> <a name="med0313"> </a> <a name="hcmed0313"> </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> : Solution for injection <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 style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</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> </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="Solution for injection"/> 
                    </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> 
    
    <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> 
    
</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.