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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)

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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"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationRequest</b> <a name="medrx0338"> </a> <a name="hcmedrx0338"> </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;medrx0338&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> Reference</b> </td> </tr> <tr> <td style="display: none">*</td> <td> <span title="  Linked to a RESOURCE Medication  "><a name="hcmed0338"> </a> </span> <blockquote> <p/>  <p> <a name="med0338"> </a> </p> <p> <a name="hcmed0338"> </a> </p> <p> <b> doseForm</b> : Solution for injection <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #385219001)</span> </p> <blockquote> <p> <b> ingredient</b> </p> <h3> Items</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> dopamine hydrochloride 40 MG/ML <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-rxNorm.html">RxNorm</a> #1114879)</span> </td> </tr> </table> <p> <b> strength</b> : 400 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</span> /500 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span> </p> </blockquote> <blockquote> <p> <b> ingredient</b> </p> <h3> Items</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> Dextrose 5% injection USP <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> #0264-7510-10 &quot;DEXTROSE, 24 CONTAINER in 1 CASE (0264-7510-10) &gt; 500 mL
                         in 1 CONTAINER (package)&quot;)</span> </td> </tr> </table> <p> <b> strength</b> : 5 g<span style="background: LightGoldenRodYellow"> (Details: UCUM code g = 'g')</span> /100 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span> </p> </blockquote> </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> supportingInformation</b> : <a href="observation-example.html">Observation/example</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> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : Dopamine 4mcg/kg/min</p> <p> <b> timing</b> : Duration 33.33?ngen-7?, Once</p> <p> <b> route</b> : Intravenous route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #47625008)</span> </p> <blockquote> <p> <b> doseAndRate</b> </p> </blockquote> </blockquote> <hr/>  <blockquote> <p> <b> Generated Narrative: Medication #med0338</b> <a name="med0338"> </a> <a name="hcmed0338"> </a> </p> <p> <b> doseForm</b> : Solution for injection <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #385219001)</span> </p> <blockquote> <p> <b> ingredient</b> </p> <h3> Items</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> dopamine hydrochloride 40 MG/ML <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-rxNorm.html">RxNorm</a> #1114879)</span> </td> </tr> </table> <p> <b> strength</b> : 400 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</span> /500 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span> </p> </blockquote> <blockquote> <p> <b> ingredient</b> </p> <h3> Items</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> Dextrose 5% injection USP <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> #0264-7510-10 &quot;DEXTROSE, 24 CONTAINER in 1 CASE (0264-7510-10) &gt; 500 mL
                   in 1 CONTAINER (package)&quot;)</span> </td> </tr> </table> <p> <b> strength</b> : 5 g<span style="background: LightGoldenRodYellow"> (Details: UCUM code g = 'g')</span> /100 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span> </p> </blockquote> </blockquote> </div> </text> <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.