MediRecords FHIR Implementation Guide
1.4.1 - release
<MedicationRequest xmlns="http://hl7.org/fhir">
<id value="761c4102-3aa8-4b6c-9733-b0b2ef29c1d0"/>
<meta>
<lastUpdated value="2024-10-11T01:43:30Z"/>
<profile
value="https://fhir.medirecords.com/StructureDefinition/mr-medication-request"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationRequest 761c4102-3aa8-4b6c-9733-b0b2ef29c1d0</b></p><a name="761c4102-3aa8-4b6c-9733-b0b2ef29c1d0"> </a><a name="hc761c4102-3aa8-4b6c-9733-b0b2ef29c1d0"> </a><a name="761c4102-3aa8-4b6c-9733-b0b2ef29c1d0-en-US"> </a><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">Last updated: 2024-10-11 01:43:30+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-mr-medication-request.html">MR MedicationRequest</a></p></div><p><b>Prescription Type Extension</b>: <a href="CodeSystem-mr-prescription-type.html#mr-prescription-type-3">Prescription Type CodeSystem 3</a>: Paperless</p><p><b>identifier</b>: Local Prescription Number/4010, Electronic Transfer of Prescription Identifier/274FD93371GFV3V3J4</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>priority</b>: Routine</p><p><b>medication</b>: <a href="#hc761c4102-3aa8-4b6c-9733-b0b2ef29c1d0/1">Medication clarithromycin</a></p><p><b>subject</b>: <a href="Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html">Mila Female, DoB: 1990-11-29 ( Medicare Number: 32788511952 (, period: (?) --> 2025-02))</a></p><p><b>encounter</b>: <a href="Encounter-1e5cae20-85bf-11e8-b401-ffccd711ad9g.html">Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2021-10-25 01:43:30+0000 --> 2021-10-25 02:21:30+0000; reasonCode = </a></p><p><b>authoredOn</b>: 2024-10-11 01:43:30+0000</p><p><b>requester</b>: <a href="Practitioner-6d6d7ce8-65c2-11e6-a20e-7b5deed40054.html">Practitioner John Smith </a></p><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 3731000119107}">Idiopathic hypersomnia</span></p><p><b>courseOfTherapyType</b>: <span title="Codes:">continuous</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 3 Twice a Day
Before meals
On alternate days</p><p><b>additionalInstruction</b>: <span title="Codes:{http://snomed.info/sct 311501008}">Before meals</span></p><p><b>timing</b>: 3 per 1 days</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title="Codes:{http://snomed.info/sct 404820008}">Epidural route</span></p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>2</td></tr></table></blockquote><h3>DispenseRequests</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td style="display: none">*</td><td>2024-10-11 --> (ongoing)</td><td>0</td><td>100</td></tr></table><h3>Substitutions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Allowed[x]</b></td></tr><tr><td style="display: none">*</td><td>true</td></tr></table><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Medication #1</b></p><a name="761c4102-3aa8-4b6c-9733-b0b2ef29c1d0/1"> </a><a name="hc761c4102-3aa8-4b6c-9733-b0b2ef29c1d0/1"> </a><a name="761c4102-3aa8-4b6c-9733-b0b2ef29c1d0/1-en-US"> </a><p><b>Medication Strength</b>: 250mg</p><p><b>Medication Generic Drug Name</b>: Clarithromycin</p><p><b>Medication Brand Name</b>: Klacid</p><p><b>MediRecords Medication Pack Size</b>: 1x100</p><p><b>Extemporaneous compounded medicines indicator extension</b>: false</p><p><b>code</b>: <span title="Codes:{http://www.whocc.no/atc J01FA09}, {http://snomed.info/sct 13738011000036100}">Klacid Tablet 250mg</span></p><p><b>form</b>: <span title="Codes:">Tablet</span></p></blockquote></div>
</text>
<contained>
<Medication>
<id value="1"/>
<meta>
<profile
value="https://fhir.medirecords.com/StructureDefinition/mr-medication"/>
</meta>
<extension
url="http://hl7.org.au/fhir/StructureDefinition/medication-strength">
<valueString value="250mg"/>
</extension>
<extension
url="http://hl7.org.au/fhir/StructureDefinition/medication-generic-name">
<valueString value="Clarithromycin"/>
</extension>
<extension
url="http://hl7.org.au/fhir/StructureDefinition/medication-brand-name">
<valueString value="Klacid"/>
</extension>
<extension
url="https://fhir.medirecords.com/StructureDefinition/mr-medication-pack-size">
<valueString value="1x100"/>
</extension>
<extension
url="https://fhir.medirecords.com/StructureDefinition/mr-medication-extemporaneous">
<valueBoolean value="false"/>
</extension>
<code>
<coding>
<system value="http://www.whocc.no/atc"/>
<code value="J01FA09"/>
<display value="clarithromycin"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="13738011000036100"/>
<display value="Klacid 250 mg tablet, 100"/>
</coding>
<text value="Klacid Tablet 250mg"/>
</code>
<form>
<text value="Tablet"/>
</form>
</Medication>
</contained>
<extension
url="https://fhir.medirecords.com/StructureDefinition/mr-prescription-type">
<valueCoding>
<system
value="https://fhir.medirecords.com/CodeSystem/mr-prescription-type"/>
<code value="3"/>
<display value="Paperless"/>
</valueCoding>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
<code value="LPN"/>
</coding>
</type>
<system value="urn:uuid:c388353b-cf5e-4269-8c25-928f430fd01c"/>
<value value="4010"/>
<assigner>
<display value="FHIR tenant"/>
</assigner>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
<code value="ETP"/>
<display value="Electronic Transfer of Prescription Identifier"/>
</coding>
</type>
<system value="http://fhir.erx.com.au/NamingSystem/identifiers#org-scid"/>
<value value="274FD93371GFV3V3J4"/>
<assigner>
<display value="eRx"/>
</assigner>
</identifier>
<status value="active"/>
<intent value="order"/>
<priority value="routine"/>
<medicationReference>
<reference value="#1"/>
</medicationReference>
<subject>🔗
<reference value="Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"/>
</subject>
<encounter>🔗
<reference value="Encounter/1e5cae20-85bf-11e8-b401-ffccd711ad9g"/>
</encounter>
<authoredOn value="2024-10-11T01:43:30Z"/>
<requester>🔗
<reference value="Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054"/>
</requester>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="3731000119107"/>
<display value="Idiopathic hypersomnia"/>
</coding>
</reasonCode>
<courseOfTherapyType>
<coding>
<code value="continuous"/>
</coding>
</courseOfTherapyType>
<dosageInstruction>
<text value="3 Twice a Day
Before meals
On alternate days"/>
<additionalInstruction>
<coding>
<system value="http://snomed.info/sct"/>
<code value="311501008"/>
<display value="Half to one hour before food"/>
</coding>
<text value="Before meals"/>
</additionalInstruction>
<timing>
<repeat>
<boundsPeriod>
<start value="2024-10-11"/>
<end value="2024-11-14"/>
</boundsPeriod>
<frequency value="3"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<asNeededBoolean value="false"/>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="404820008"/>
<display value="Epidural route"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="2"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<validityPeriod>
<start value="2024-10-11"/>
</validityPeriod>
<numberOfRepeatsAllowed value="0"/>
<quantity>
<value value="100"/>
</quantity>
</dispenseRequest>
<substitution>
<allowedBoolean value="true"/>
</substitution>
</MedicationRequest>