MediRecords FHIR Implementation Guide
20221128 - ci-build


: MediRecords Prescription Example with medication dosage instruction - XML Representation

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<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="9bf648c6-20b9-11ec-9621-0242mr130001"/>
  <meta>
    <lastUpdated value="2021-12-21T01:43:30Z"/>
    <profile
             value="https://fhir.medirecords.com/StructureDefinition/mr-medication-request"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationRequest</b><a name="9bf648c6-20b9-11ec-9621-0242mr130001"> </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 "9bf648c6-20b9-11ec-9621-0242mr130001" Updated "2021-12-21 01:43:30+0000" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-mr-medication-request.html">MediRecords MedicationRequest</a></p></div><p><b>Prescription Type Extension</b>: Manual (Details: https://fhir.medirecords.com/CodeSystem/mr-prescription-type code 1 = 'Manual', stated as 'Manual')</p><p><b>identifier</b>: Local Prescription Number: 4010</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>priority</b>: routine</p><p><b>medication</b>: <a name="1"> </a></p><blockquote><p></p><p><a name="1"> </a></p><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>: Klacid Tablet 250mg <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-WC.html">WHO ATC</a>#J01FA09 "clarithromycin"; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#13738011000036100 "Klacid 250 mg tablet, 100")</span></p><p><b>form</b>: Tablet <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p></blockquote><p><b>subject</b>: <a href="Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> " GREY"</p><p><b>encounter</b>: <a href="Encounter-1e5cae20-85bf-11e8-b401-ffccd711ad9g.html">Encounter/1e5cae20-85bf-11e8-b401-ffccd711ad9g</a></p><p><b>authoredOn</b>: 2021-12-21 01:43:30+0000</p><p><b>requester</b>: <a href="Practitioner-6d6d7ce8-65c2-11e6-a20e-7b5deed40054.html">Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054</a> " SMITH"</p><p><b>reasonCode</b>: Idiopathic hypersomnia <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#3731000119107)</span></p><p><b>courseOfTherapyType</b>: continuous <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ([not stated]#continuous)</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 2 Twice a Day
Before meals
On alternate days</p><p><b>additionalInstruction</b>: Before meals <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#311501008 "Half to one hour before food")</span></p><p><b>timing</b>: Starting 2021-12-21, Do 2 per 1 days, Until 2022-02-09</p><p><b>asNeeded</b>: false</p><p><b>route</b>: Epidural route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#404820008)</span></p></blockquote><h3>DispenseRequests</h3><table class="grid"><tr><td>-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td>*</td><td>2021-12-21 --&gt; (ongoing)</td><td>0</td><td>100</td></tr></table><h3>Substitutions</h3><table class="grid"><tr><td>-</td><td><b>Allowed[x]</b></td></tr><tr><td>*</td><td>true</td></tr></table></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="1"/>
      <display value="Manual"/>
    </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>
  <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="2021-12-21T01:43:30Z"/>
  <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="2 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="2021-12-21"/>
          <end value="2022-02-09"/>
        </boundsPeriod>
        <frequency value="2"/>
        <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="2021-12-21"/>
    </validityPeriod>
    <numberOfRepeatsAllowed value="0"/>
    <quantity>
      <value value="100"/>
    </quantity>
  </dispenseRequest>
  <substitution>
    <allowedBoolean value="true"/>
  </substitution>
</MedicationRequest>