CIBMTR Reporting Implementation Guide
0.1.8 - Trial Use 1

This page is part of the CIBMTR Reporting Implementation Guide (v0.1.8: Release Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: MedicationRequest-Etoposide-Example - XML Representation

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<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="MedicationRequest-Etoposide-Example"/>
  <meta>
    <profile
             value="http://fhir.nmdp.org/ig/cibmtr-reporting/StructureDefinition/cibmtr-medication-request"/>
    <security>
      <system
              value="http://terminology.cibmtr.org/codesystem/transplant-center"/>
      <code value="rc_99999"/>
      <display value="99999 My Transplant Center"/>
    </security>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationRequest MedicationRequest-Etoposide-Example</b></p><a name="MedicationRequest-Etoposide-Example"> </a><a name="hcMedicationRequest-Etoposide-Example"> </a><a name="MedicationRequest-Etoposide-Example-en-US"> </a><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href="Medication-Medication-Etoposide-Example.html">etoposide (VEPESID) chemo IVPB</a></p><p><b>subject</b>: <a href="Patient-PatientExample6.html"> Female, DoB Unknown ( http://terminology.cibmtr.org/identifier/CRID#123456)</a></p><p><b>authoredOn</b>: 2020-07-21 14:17:00+0000</p><p><b>requester</b>: unknown</p><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 363346000}, {http://hl7.org/fhir/sid/icd-10-cm C80.1}">Cancer (CMS/HCC)</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 68 mg (100 mg/m2 x 0.68 m2 Treatment plan actual BSA), Intravenous, for 60 Minutes, Every 24 hours, First dose on Tue 11/19/13 at 0000, For 5 doses
Give after CISplatin and  mannitol.</p><p><b>timing</b>: Code , Count 5  times, Duration 60hours , Once per 24 hours</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title="Codes:{http://snomed.info/sct 418114005}">Intravenous central route (qualifier value)</span></p><blockquote><p><b>doseAndRate</b></p><p><b>type</b>: <span title="Codes:">admin-amount</span></p><p><b>dose</b>: 68 milligram<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</span></p></blockquote><blockquote><p><b>doseAndRate</b></p><p><b>type</b>: <span title="Codes:">ordered</span></p><p><b>dose</b>: 100 milligram per square meter<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/m2 = 'mg/m2')</span></p></blockquote></blockquote></div>
  </text>
  <status value="active"/>
  <intent value="order"/>
  <medicationReference>🔗 
    <reference value="Medication/Medication-Etoposide-Example"/>
    <display value="etoposide (VEPESID) chemo IVPB"/>
  </medicationReference>
  <subject>🔗 
    <reference value="Patient/PatientExample6"/>
  </subject>
  <authoredOn value="2020-07-21T14:17:00Z"/>
  <requester>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
      <valueCode value="unknown"/>
    </extension>
    <display value="unknown"/>
  </requester>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="363346000"/>
      <display value="Malignant neoplastic disease (disorder)"/>
    </coding>
    <coding>
      <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
      <code value="C80.1"/>
      <display value="Malignant (primary) neoplasm, unspecified"/>
    </coding>
    <text value="Cancer (CMS/HCC)"/>
  </reasonCode>
  <dosageInstruction>
    <text
          value="68 mg (100 mg/m2 x 0.68 m2 Treatment plan actual BSA), Intravenous, for 60 Minutes, Every 24 hours, First dose on Tue 11/19/13 at 0000, For 5 doses
Give after CISplatin and  mannitol."/>
    <timing>
      <repeat>
        <boundsPeriod>
          <start value="2020-07-22T16:58:05Z"/>
          <end value="2020-07-22T16:58:05Z"/>
        </boundsPeriod>
        <count value="5"/>
        <duration value="60"/>
        <durationUnit value="min"/>
        <frequency value="1"/>
        <period value="24"/>
        <periodUnit value="h"/>
      </repeat>
      <code>
        <text value="Every 24 hours"/>
      </code>
    </timing>
    <asNeededBoolean value="false"/>
    <route>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="418114005"/>
        <display value="Intravenous central route (qualifier value)"/>
      </coding>
    </route>
    <doseAndRate>
      <type>
        <text value="admin-amount"/>
      </type>
      <doseQuantity>
        <value value="68"/>
        <unit value="milligram"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mg"/>
      </doseQuantity>
    </doseAndRate>
    <doseAndRate>
      <type>
        <text value="ordered"/>
      </type>
      <doseQuantity>
        <value value="100"/>
        <unit value="milligram per square meter"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mg/m2"/>
      </doseQuantity>
    </doseAndRate>
  </dosageInstruction>
</MedicationRequest>