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Packagehl7.fhir.us.mcode.r4
Resource TypeMedicationRequest
IdMedicationRequest-cancer-related-medication-request-paclitaxel-jenny-m.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-paclitaxel-jenny-m

Procedure Intent Extension: Curative - procedure intent (qualifier value)

status: Active

intent: Order

category: Outpatient

medication: PACLitaxel

subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))

authoredOn: 2018-04-12

requester: Practitioner Owen Oncologist

reasonReference: Condition Primary malignant neoplasm of female left breast (disorder)

dosageInstruction

text: PACLitaxel (175 mg/m² IV), 272.01mg

timing: Once

route: Intravenous route (qualifier value)

DoseAndRates

-Dose[x]
*272.01 mg (Details: UCUM codemg = 'mg')

maxDosePerPeriod: 1/3 week (Details: UCUM codewk = 'wk')

Source1

{
  "resourceType": "MedicationRequest",
  "id": "cancer-related-medication-request-paclitaxel-jenny-m",
  "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 (qualifier value)"
          }
        ]
      }
    }
  ],
  "status": "active",
  "intent": "order",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code": "outpatient"
        }
      ]
    }
  ],
  "medicationCodeableConcept": {
    "coding": [
      {
        "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
        "code": "56946",
        "display": "PACLitaxel"
      }
    ]
  },
  "subject": {
    "reference": "Patient/cancer-patient-jenny-m"
  },
  "authoredOn": "2018-04-12",
  "requester": {
    "reference": "Practitioner/us-core-practitioner-owen-oncologist"
  },
  "reasonReference": [
    {
      "reference": "Condition/primary-cancer-condition-jenny-m"
    }
  ],
  "dosageInstruction": [
    {
      "text": "PACLitaxel (175 mg/m² IV), 272.01mg",
      "timing": {
        "repeat": {
          "boundsPeriod": {
            "start": "2018-04-12"
          }
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "47625008",
            "display": "Intravenous route (qualifier value)"
          }
        ]
      },
      "doseAndRate": [
        {
          "doseQuantity": {
            "value": 272.01,
            "unit": "mg",
            "system": "http://unitsofmeasure.org",
            "code": "mg"
          }
        }
      ],
      "maxDosePerPeriod": {
        "numerator": {
          "value": 1
        },
        "denominator": {
          "value": 3,
          "unit": "week",
          "system": "http://unitsofmeasure.org",
          "code": "wk"
        }
      }
    }
  ]
}