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Example MedicationRequest/medrx0318 (XML)

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

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

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Request for Intravenous Antibiotic - Vancomycin - active - with link to encounter, reasonCode, and note (id = "medrx0318")

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

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0318"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationRequest</b> <a name="medrx0318"> </a> <a name="hcmedrx0318"> </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;medrx0318&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="hcmed0301"> </a> </span> <blockquote> <p/>  <p> <a name="med0301"> </a> </p> <p> <a name="hcmed0301"> </a> </p> <p> <b> code</b> : Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ndc.html">National drug codes</a> #0409-6531-02 &quot;Vancomycin Hydrochloride, 10 VIAL in 1 TRAY (0409-6531-02)
                   &gt; 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL (0409-6531-12) (package)&quot;)</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> <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> Traveler's diarrhea (disorder) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #11840006)</span> </td> </tr> </table> <p> <b> note</b> : culture expected back in 12 hours - may switch depending on results</p> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : 500mg IV q6h x 3 days</p> <p> <b> timing</b> : Events: 2020-01-01, Starting 2020-01-01, Once per 6 hours, Until 2020-01-10</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 #med0301</b> <a name="med0301"> </a> <a name="hcmed0301"> </a> </p> <p> <b> code</b> : Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ndc.html">National drug codes</a> #0409-6531-02 &quot;Vancomycin Hydrochloride, 10 VIAL in 1 TRAY (0409-6531-02)
             &gt; 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL (0409-6531-12) (package)&quot;)</span> </p> </blockquote> </div> </text> <contained> 
        <Medication> 
            <id value="med0301"/> 
            <code> 
                <coding> 
                    <system value="http://hl7.org/fhir/sid/ndc"/> 
                    <code value="0409-6531-02"/> 
                    <display value="Vancomycin Hydrochloride, 10 VIAL in 1 TRAY (0409-6531-02) &gt; 1 INJECTION, POWDER,
           LYOPHILIZED, FOR SOLUTION in 1 VIAL (0409-6531-12) (package)"/> 
                        <!--    Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE)"    -->
                </coding> 
                <text value="Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE)"/> 
            </code> 
        </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="#med0301"/> 
        </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="11840006"/> 
                <display value="Traveler's diarrhea (disorder)"/> 
            </coding> 
        </concept> 
    </reason> 
    <note> 
        <text value="culture expected back in 12 hours - may switch depending on results"/> 
    </note> 

    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="500mg IV q6h x 3 days"/> 
        <timing> 
            <event value="2020-01-01"/> 
            <repeat> 
                <boundsPeriod> 
                    <start value="2020-01-01"/> 
                    <end value="2020-01-10"/> 
                </boundsPeriod> 
                <frequency value="1"/> 
                <period value="6"/> 
                <periodUnit value="h"/> 
            </repeat> 
        </timing> 
        <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> 
            <doseQuantity> 
                <value value="500"/> 
                <unit value="mg"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="mg"/> 
            </doseQuantity> 
        </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.