SIL HIE Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Example HIE MedicationRequest - XML Representation

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<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="HIEMedicationRequest-example"/>
  <meta>
    <profile
             value="https://nshr.dha.go.ke/fhir/StructureDefinition/hie-medicationrequest"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>MedicationRequest Summary</b></p><table><tbody><tr><td><b>Status</b></td><td>active</td></tr><tr><td><b>Intent</b></td><td>order</td></tr><tr><td><b>Priority</b></td><td>routine</td></tr><tr><td><b>Medication</b></td><td>Amoxicillin 500 mg capsule</td></tr><tr><td><b>Subject</b></td><td>Jane Patient (Patient/p-001)</td></tr><tr><td><b>Encounter</b></td><td>Ambulatory visit (Encounter/enc-001)</td></tr><tr><td><b>Authored</b></td><td>2025-11-16T10:05:00+03:00</td></tr><tr><td><b>Requester</b></td><td>Dr. John Clinician (Practitioner/pr-001)</td></tr><tr><td><b>Performer</b></td><td>Acme Community Pharmacy (Organization/pharm-001)</td></tr></tbody></table><p><b>Dosage</b></p><ul><li>500 mg, oral, every 8 hours, for 7 days</li></ul><p><b>Dispense</b></p><ul><li>Quantity: 21 capsules, 7 days supply, no repeats</li><li>Performer: Acme Community Pharmacy</li></ul><p><b>Reason</b></p><ul><li>Condition: Acute otitis media (Condition/cond-001)</li></ul><p><b>Coverage</b></p><ul><li>Primary coverage (Coverage/cov-001)</li></ul><p><b>Notes</b></p><ul><li>Take with water. Stop if rash or breathing difficulty.</li></ul></div>
  </text>
  <identifier>
    <use value="official"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="PLAC"/>
        <display value="Placer Identifier"/>
      </coding>
    </type>
    <system value="http://hospital.example.org/medrx"/>
    <value value="RX-2025-000567"/>
  </identifier>
  <status value="active"/>
  <intent value="order"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
      <code value="outpatient"/>
      <display value="Outpatient"/>
    </coding>
  </category>
  <priority value="routine"/>
  <medicationCodeableConcept>
    <coding>
      <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
      <code value="723"/>
      <display value="Amoxicillin 500 MG Oral Capsule"/>
    </coding>
    <text value="Amoxicillin 500 mg capsule"/>
  </medicationCodeableConcept>
  <subject>
    <reference value="Patient/p-001"/>
    <display value="Jane Patient"/>
  </subject>
  <encounter>
    <reference value="Encounter/enc-001"/>
    <display value="Ambulatory visit for ear pain"/>
  </encounter>
  <authoredOn value="2025-11-16T10:05:00+03:00"/>
  <requester>
    <reference value="Practitioner/pr-001"/>
    <display value="Dr. John Clinician"/>
  </requester>
  <performer>
    <reference value="Organization/pharm-001"/>
    <display value="Acme Community Pharmacy"/>
  </performer>
  <performerType>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/participant-role"/>
      <code value="performer"/>
      <display value="Performer"/>
    </coding>
  </performerType>
  <recorder>
    <reference value="Practitioner/pr-001"/>
    <display value="Dr. John Clinician"/>
  </recorder>
  <reasonReference>
    <reference value="Condition/cond-001"/>
    <display value="Acute otitis media"/>
  </reasonReference>
  <insurance>
    <reference value="Coverage/cov-001"/>
    <display value="Primary PPO coverage"/>
  </insurance>
  <note>
    <authorReference>
      <reference value="Practitioner/pr-001"/>
    </authorReference>
    <time value="2025-11-16T10:06:00+03:00"/>
    <text
          value="Counsel patient about allergy signs. Stop and seek care if rash or dyspnea."/>
  </note>
  <dosageInstruction>
    <sequence value="1"/>
    <text value="Take 1 capsule by mouth every 8 hours for 7 days"/>
    <additionalInstruction>
      <text value="Take with water"/>
    </additionalInstruction>
    <timing>
      <repeat>
        <frequency value="3"/>
        <period value="1"/>
        <periodUnit value="d"/>
      </repeat>
    </timing>
    <asNeededBoolean value="false"/>
    <route>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="26643006"/>
        <display value="Oral route"/>
      </coding>
    </route>
    <doseAndRate>
      <type>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
          <code value="ordered"/>
        </coding>
      </type>
      <doseQuantity>
        <value value="500"/>
        <unit value="mg"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mg"/>
      </doseQuantity>
    </doseAndRate>
  </dosageInstruction>
  <dispenseRequest>
    <numberOfRepeatsAllowed value="0"/>
    <quantity>
      <value value="21"/>
      <unit value="capsule"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="1"/>
    </quantity>
    <expectedSupplyDuration>
      <value value="7"/>
      <unit value="days"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="d"/>
    </expectedSupplyDuration>
    <performer>
      <reference value="Organization/pharm-001"/>
      <display value="Acme Community Pharmacy"/>
    </performer>
  </dispenseRequest>
  <substitution>
    <allowedBoolean value="true"/>
    <reason>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
        <code value="CT"/>
        <display value="Cost"/>
      </coding>
    </reason>
  </substitution>
</MedicationRequest>