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Medicationrequestexample1.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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Fully populated example of a MedicationRequest - Chlorthalidone - active - with link to encounter, reasonReference, note, dispenseRequest, substitution and eventHistory (id = "medrx0311")

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

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0311"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </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 &quot;medrx0311&quot; </p> </div> <p> <b> identifier</b> : id: 12345689 (OFFICIAL)</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : order</p> <p> <b> subject</b> : <a href="patient-pat1.html">Patient/pat1: Donald Duck</a>  &quot;Donald DUCK&quot;</p> <p> <b> encounter</b> : <a href="encounter-f001.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-f007.html">Practitioner/f007: Patrick Pump</a>  &quot;Simone HEPS&quot;</p> <p> <b> note</b> : Chlorthalidone increases urniation so take it in the morning</p> <blockquote> <p> <b> dose</b> </p> </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> : 30 TAB<span style="background: LightGoldenRodYellow"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span> </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> true</td> <td> continuing therapy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActReason.html">ActReason</a> #CT)</span> </td> </tr> </table> </div> </text> <contained> 
    <Medication> 
      <id value="med0316"/> 
      <code> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="317935006"/> 
          <display value="Chlorthalidone 50mg tablet (product)"/> 
        </coding> 
      </code> 
      <doseForm> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="385055001"/> 
          <display value="Tablet dose form (qualifier value)"/> 
        </coding> 
      </doseForm> 
    </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="#med0316"/> 
    </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> 
    <reference> 
      <reference value="Condition/f201"/> 
      <display value="condition for prescribing this medication"/> 
    </reference> 
  </reason> 
  <note> 
    <text value="Chlorthalidone increases urniation so take it in the morning"/> 
  </note> 
  <dose> 
  <dosageInstruction> 
    <sequence value="1"/> 
    <text value="One tablet daily"/> 
    <additionalInstruction> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="311504000"/> 
        <display value="With or after food"/> 
      </coding> 
    </additionalInstruction> 
    <timing> 
      <code> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation"/> 
          <code value="QD"/> 
          <display value="QD"/> 
        </coding> 
      </code> 
    </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> 
  </dose> 
  <dispenseRequest> 
    <validityPeriod> 
      <start value="2015-01-15"/> 
      <end value="2016-01-15"/> 
    </validityPeriod> 
    <numberOfRepeatsAllowed value="1"/> 
    <quantity> 
      <value value="30"/> 
      <unit value="TAB"/> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
      <code value="TAB"/> 
    </quantity> 
    <expectedSupplyDuration> 
      <value value="30"/> 
      <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="CT"/> 
        <display value="continuing therapy"/> 
      </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.