Medicationrequestexample1.xml

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 with Details</b> </p> <p> <b> id</b> : medrx0311</p> <p> <b> contained</b> : </p> <p> <b> identifier</b> : 12345689 (OFFICIAL)</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : order</p> <p> <b> medication</b> : id: med0316; Chlorthalidone 50mg tablet (product) <span> (Details : {SNOMED CT code '317935006' = 'Chlortalidone 50mg tablet', given as 'Chlorthalidone
           50mg tablet (product)'})</span> ; Tablet dose form (qualifier value) <span> (Details : {SNOMED CT code '385055001' = 'Tablet', given as 'Tablet dose form (qualifier
           value)'})</span> </p> <p> <b> subject</b> : <a> Donald Duck</a> </p> <p> <b> encounter</b> : <a> encounter who leads to this prescription</a> </p> <p> <b> authoredOn</b> : Jan 15, 2015</p> <p> <b> requester</b> : <a> Patrick Pump</a> </p> <p> <b> reasonReference</b> : <a> condition for prescribing this medication</a> </p> <p> <b> note</b> : Chlorthalidone increases urniation so take it in the morning</p> <p> <b> dosageInstruction</b> : </p> <h3> DispenseRequests</h3> <table> <tr> <td> -</td> <td> <b> ValidityPeriod</b> </td> <td> <b> NumberOfRepeatsAllowed</b> </td> <td> <b> Quantity</b> </td> <td> <b> ExpectedSupplyDuration</b> </td> </tr> <tr> <td> *</td> <td> Jan 15, 2015 --&gt; Jan 15, 2016</td> <td> 1</td> <td> 30 TAB<span>  (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span> </td> <td> 30 days<span>  (Details: UCUM code d = 'd')</span> </td> </tr> </table> <h3> Substitutions</h3> <table> <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> (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'CT' = 'continuing
               therapy', given as 'continuing therapy'})</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> 
      <form> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="385055001"/> 
          <display value="Tablet dose form (qualifier value)"/> 
        </coding> 
      </form> 
    </Medication> 
  </contained> 
  <identifier> 
    <use value="official"/> 
    <system value="http://www.bmc.nl/portal/prescriptions"/> 
    <value value="12345689"/> 
  </identifier> 
<status value="active"/> 
  <intent value="order"/> 
  <medicationReference> 
    <!--    Linked to a RESOURCE Medication    -->
    <reference value="#med0316"/> 
  </medicationReference> 
  <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> 
  <reasonReference> 
    <reference value="Condition/f201"/> 
    <display value="condition for prescribing this medication"/> 
  </reasonReference> 
  <note> 
    <text value="Chlorthalidone increases urniation so take it in the morning"/> 
  </note> 
  <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> 
  <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>