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Example MedicationRequest/medrx0324 (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 using Medication Code for Rectal Suppository - Acetaminophen - completed with reasonCode, dispenseRequest and substitution (id = "medrx0324")

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

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0324"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationRequest</b> <a name="medrx0324"> </a> <a name="hcmedrx0324"> </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;medrx0324&quot; </p> </div> <p> <b> identifier</b> : <code> http://www.bmc.nl/portal/prescriptions</code> /12345689 (use: OFFICIAL)</p> <p> <b> status</b> : completed</p> <p> <b> intent</b> : order</p> <h3> Medications</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> Acetaminophen 240 mg rectal suppository <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #322254008)</span> </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 style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> Scarlet Fever (disorder) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #30242009)</span> </td> </tr> </table> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : Insert one suppository rectally twice daily as needed for fever to a maximim
           of 3 per day</p> <p> <b> additionalInstruction</b> : Do not take with any other paracetamol products (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #418637003)</span> </p> <p> <b> timing</b> : 2 per 1 days</p> <p> <b> asNeededFor</b> : Fever (finding) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #386661006)</span> </p> <blockquote> <p> <b> doseAndRate</b> </p> </blockquote> <p> <b> maxDosePerPeriod</b> : 720 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</span> /1 d<span style="background: LightGoldenRodYellow"> (Details: UCUM code d = 'd')</span> </p> </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> : 30 RECSUPP<span style="background: LightGoldenRodYellow"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code RECSUPP
             = 'Rectal Suppository')</span> </p> <h3> ExpectedSupplyDurations</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Value</b> </td> <td> <b> Unit</b> </td> <td> <b> System</b> </td> <td> <b> Code</b> </td> </tr> <tr> <td style="display: none">*</td> <td> 10</td> <td> days</td> <td> <a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ucum.html">Unified Code for Units of Measure (UCUM)</a> </td> <td> d</td> </tr> </table> </blockquote> <h3> Substitutions</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Allowed[x]</b> </td> <td> <b> Reason</b> </td> </tr> <tr> <td style="display: none">*</td> <td> true</td> <td> formulary policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActReason.html">ActReason</a> #FP)</span> </td> </tr> </table> </div> </text> <identifier> 
        <use value="official"/> 
        <system value="http://www.bmc.nl/portal/prescriptions"/> 
        <value value="12345689"/> 
    </identifier> 
    <status value="completed"/> 
    <intent value="order"/> 
    <medication> 
    <concept> 
        <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="322254008"/> 
        <display value="Acetaminophen 240 mg rectal suppository"/> 
        </coding> 
    </concept> 
    </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="30242009"/> 
            <display value="Scarlet Fever (disorder)"/> 
        </coding> 
      </concept> 
    </reason> 
    
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="Insert one suppository rectally twice daily as needed for fever to a maximim of
     3 per day"/> 
        <additionalInstruction> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="418637003"/> 
                <display value="Do not take with any other paracetamol products (qualifier value)"/> 
            </coding> 
        </additionalInstruction> 
        <timing> 
            <repeat> 
                <frequency value="2"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
    <asNeededFor> 
        <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="386661006"/> 
            <display value="Fever (finding)"/> 
        </coding> 
    </asNeededFor> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                </coding> 
            </type> 
            <doseQuantity> 
                <value value="240"/> 
                <unit value="mg"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="mg"/> 
            </doseQuantity> 
        </doseAndRate> 
        
        <maxDosePerPeriod> 
            <numerator> 
                <value value="720"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="mg"/> 
            </numerator> 
            <denominator> 
                <value value="1"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="d"/> 
            </denominator> 
        </maxDosePerPeriod> 
    </dosageInstruction> 
    
    <dispenseRequest> 
        <validityPeriod> 
            <start value="2015-01-15"/> 
            <end value="2016-01-15"/> 
        </validityPeriod> 
        <numberOfRepeatsAllowed value="3"/> 
        <quantity> 
            <value value="30"/> 
            <unit value="RECSUPP"/> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
            <code value="RECSUPP"/>  
        </quantity> 
        <expectedSupplyDuration> 
            <value value="10"/> 
            <unit value="days"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="d"/>  
        </expectedSupplyDuration> 
    </dispenseRequest>    
    <substitution> 
        <allowedBoolean value="true"/> 
        <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.