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Packagehl7.fhir.us.mcode.r4
Resource TypeMedicationRequest
IdMedicationRequest-cancer-related-medication-request-cisplatin-stopped.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: MedicationRequest cancer-related-medication-request-cisplatin-stopped

Procedure Intent Extension: Curative - procedure intent

status: Stopped

statusReason: Treatment not tolerated (situation)

intent: Order

medication: cisplatin 1 MG/ML Injectable Solution

subject: John B. Anyperson Male, DoB: 1951-01-20 ( Medical Record Number: m123 (use: usual, ))

authoredOn: 2019-05-15

requester: Practitioner Kyle Anydoc

reasonCode: Non-small cell lung cancer (disorder)

note: Stopped due to blood in urine, possible kidney damage.

priorPrescription: MedicationRequest: extension = Curative - procedure intent; status = completed; intent = order; medication[x] = cisplatin 1 MG/ML Injectable Solution; authoredOn = 2019-04-01; reasonCode = Non-small cell lung cancer (disorder); note = Day 1 of NSCLC regimen: Cisplatin 75 mg/m2 day 1; docetaxel 75 mg/m2 day 1 every 21 days for 4 cycles.

Source1

{
  "resourceType": "MedicationRequest",
  "id": "cancer-related-medication-request-cisplatin-stopped",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "373808002",
            "display": "Curative - procedure intent"
          }
        ]
      }
    }
  ],
  "status": "stopped",
  "statusReason": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "407563006",
        "display": "Treatment not tolerated (situation)"
      }
    ]
  },
  "intent": "order",
  "medicationCodeableConcept": {
    "coding": [
      {
        "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
        "code": "309311",
        "display": "cisplatin 1 MG/ML Injectable Solution"
      }
    ]
  },
  "subject": {
    "reference": "Patient/cancer-patient-john-anyperson"
  },
  "authoredOn": "2019-05-15",
  "requester": {
    "reference": "Practitioner/us-core-practitioner-kyle-anydoc"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "254637007",
          "display": "Non-small cell lung cancer (disorder)"
        }
      ]
    }
  ],
  "note": [
    {
      "text": "Stopped due to blood in urine, possible kidney damage."
    }
  ],
  "priorPrescription": {
    "reference": "MedicationRequest/cancer-related-medication-request-cisplatin"
  }
}