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Example MedicationRequest/medrx0338 (XML)

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

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

Request for Intravenous Admixture Dopamine - with doseQuantity and rateQuantity (id = "medrx0338")

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

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0338"/> 
  <contained> 
    <Medication> 
      <id value="med0338"/> 
      <doseForm> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="385219001"/> 
          <display value="Solution for injection"/> 
        </coding> 
        <text value="Solution for injection"/> 
      </doseForm> 
      <ingredient> 
        <item> 
          <concept> 
            <coding> 
              <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
              <code value="1114879"/> 
              <display value="dopamine hydrochloride 40 MG/ML"/> 
            </coding> 
          </concept> 
        </item> 
        <strengthRatio> 
          <numerator> 
            <value value="400"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="mg"/> 
          </numerator> 
          <denominator> 
            <value value="500"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="mL"/> 
          </denominator> 
        </strengthRatio> 
      </ingredient> 
      <ingredient> 
        <item> 
          <concept> 
            <coding> 
              <system value="http://hl7.org/fhir/sid/ndc"/> 
              <code value="0264-7510-10"/> 
              <display value="DEXTROSE, 24 CONTAINER in 1 CASE (0264-7510-10) &gt; 500 mL in 1 CONTAINER (package)"/> 
            </coding> 
            <text value="Dextrose 5% injection USP"/> 
          </concept> 
        </item> 
        <strengthRatio> 
          <numerator> 
            <value value="5"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="g"/> 
          </numerator> 
          <denominator> 
            <value value="100"/> 
            <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="completed"/> 
  <intent value="order"/> 
  <medication> 
    <!--   Linked to a RESOURCE Medication   -->
    <reference> 
      <reference value="#med0338"/> 
      <display value="Dopamine 400mg in 500mL D5W"/> 
    </reference> 
  </medication> 
  <subject> 
    <!--   Linked to the resource patient who needs the medication   -->
    <reference value="Patient/pat1"/> 
    <display value="Donald Duck"/> 
  </subject> 
  <supportingInformation> 
    <reference value="Observation/example"/> 
  </supportingInformation> 
  <authoredOn value="2015-01-15"/> 
  <requester> 
    <reference value="Practitioner/f007"/> 
    <display value="Patrick Pump"/> 
  </requester> 
  <dosageInstruction> 
    <sequence value="1"/> 
    <text value="Dopamine 4mcg/kg/min"/> 
    <timing> 
      <repeat> 
        <duration value="33.33"/> 
        <durationUnit value="h"/> 
      </repeat> 
    </timing> 
    <route> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="47625008"/> 
        <display value="Intravenous route"/> 
      </coding> 
    </route> 
    <doseAndRate> 
      <type> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
          <code value="ordered"/> 
          <display value="Ordered"/> 
        </coding> 
      </type> 
      <doseQuantity> 
        <value value="400"/> 
        <unit value="mg"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mg"/> 
      </doseQuantity> 
      <rateQuantity> 
        <value value="7.5"/> 
        <unit value="ml/h"/> 
        <system value="http://unitsofmeasure.org"/> 
      </rateQuantity> 
    </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.