3.121 E2 - 101 e161 Denied and e164 Under Review
Raw XML
<!-- This is an example of a Non-SAML Practitioner creator, recorded by a Medical Office Assistant, transmitting a 101 message (refuses to renew Nicoderm and indicates renewal of the Compound is pending) to a pharmacy -->
<!-- Real GUIDs should be used when composing messages. These (e.g. MessageHeaderGUID) have been put to allow readers to easily cross-reference FHIR resources within this example -->
<Bundle xmlns="http://hl7.org/fhir">
<!-- Note: This id will not be present when the message is submitted to the inbox. It will be assigned by the inbox as part of processing -->
<id value="example-e2-101-e161-e164"/>
<meta>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/profile-bundle-message"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/interaction-bundle-101"/>
<tag>
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion"/>
<code value="PrescribeIT5.0"/>
</tag>
</meta>
<type value="message"/>
<entry>
<fullUrl value="urn:uuid:54fc3e09-e279-4b74-a8ff-2649ec968641"/>
<resource>
<MessageHeader>
<id value="54fc3e09-e279-4b74-a8ff-2649ec968641"/>
<meta>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/interaction-messageheader-101"/>
</meta>
<timestamp value="2016-05-13T12:15:38.123-06:00"/>
<event>
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/sharedmessageevents"/>
<code value="101"/>
</event>
<source>
<extension
url="http://sharedhealth.exchange/fhir/StructureDefinition/ext-messageheader-application-id">
<valueUri value="urn:oid:1.2.3.4.5.9.8888"/>
</extension>
<extension
url="http://sharedhealth.exchange/fhir/StructureDefinition/ext-messageheader-conformance-version">
<valueString
value="Sending software version number that passed conformance"/>
</extension>
<name value="Sending application internal identifier"/>
<software value="Sending application software name"/>
<version value="Sending software version number"/>
<!-- Note that the endpoint has to be a URI. Could be urn:oid:1.2.3.4 -->
<endpoint
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000991"/>
</source>
<destination>
<endpoint
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000992"/>
</destination>
<data>
<reference value="Task/4460c21b-0fba-4c07-a6fc-4f4faee8e1d1"/>
</data>
<data>
<reference value="Task/75d00169-77ec-4ea0-832e-78576411e3a1"/>
</data>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:5d9588d8-3cd6-4b32-8fb7-ad13694e069d"/>
<resource>
<Patient>
<id value="5d9588d8-3cd6-4b32-8fb7-ad13694e069d"/>
<identifier>
<type>
<coding>
<system value="http://hl7.org/fhir/v2/0203"/>
<code value="JHN"/>
</coding>
<text value="OHIP"/>
</type>
<system value="urn:oid:2.16.840.1.113883.4.59"/>
<!-- OHIP identification system -->
<value value="1234567890"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://hl7.org/fhir/v2/0203"/>
<code value="MR"/>
</coding>
<text value="Local Patient ID"/>
</type>
<system value="urn:oid:1.2.3.4.5.9.8888.1"/>
<!-- Sending Application identification system Patient ID -->
<value value="134IDY41W988"/>
</identifier>
<name>
<use value="official"/>
<family value="Lerr Jr"/>
<given value="Todd"/>
<given value="G."/>
<prefix value="Mr"/>
<suffix value="DDS"/>
</name>
<telecom>
<system value="phone"/>
<value value="(555) 555-1212"/>
<use value="mobile"/>
</telecom>
<telecom>
<extension
url="http://sharedhealth.exchange/fhir/StructureDefinition/ext-contactpoint-confidential">
<valueBoolean value="true"/>
</extension>
<system value="phone"/>
<value value="(858) 429-5190"/>
<use value="home"/>
</telecom>
<gender value="male"/>
<birthDate value="2012-06-07"/>
<address>
<line value="123 North 102nd Street"/>
<line value="Apt 4d"/>
<city value="Harrisburg"/>
<state value="ON"/>
<postalCode value="M2N 7H6"/>
<country value="Canada"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Practitioner/1231231234"/>
<resource>
<Practitioner>
<id value="1231231234"/>
<identifier>
<type>
<coding>
<system value="http://hl7.org/fhir/v2/0203"/>
<code value="LN"/>
</coding>
<text value="License number"/>
</type>
<system value="urn:oid:2.16.840.1.113883.4.347"/>
<!-- License ID is part of the SAML token. If this is present it should have the same value as the SAML Token -->
<value value="License#"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://hl7.org/fhir/v2/0203"/>
<code value="PRN"/>
</coding>
</type>
<system
value="http://sharedhealth.exchange/fhir/NamingSystem/registry-id-practitioner"/>
<value value="1231231234"/>
</identifier>
<name>
<use value="official"/>
<family value="Creator"/>
<given value="Carl"/>
<prefix value="No"/>
<suffix value="SAML"/>
</name>
<telecom>
<system value="phone"/>
<value value="(123) 456-7890"/>
<use value="work"/>
</telecom>
<practitionerRole>
<organization>
<reference
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000991"/>
</organization>
</practitionerRole>
<communication>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en-CA"/>
</coding>
</communication>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:646b8a8d-9e24-4028-9c8b-12c199d39292"/>
<resource>
<Practitioner>
<id value="646b8a8d-9e24-4028-9c8b-12c199d39292"/>
<name>
<use value="official"/>
<family value="Recorder"/>
<given value="Rick"/>
</name>
<telecom>
<system value="phone"/>
<value value="(123) 456-7890"/>
<use value="work"/>
</telecom>
<practitionerRole>
<role>
<text value="Medical Office Assistant"/>
</role>
</practitionerRole>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000992"/>
<resource>
<Organization>
<id value="CPR1000992"/>
<identifier>
<system
value="http://sharedhealth.exchange/fhir/NamingSystem/registry-id-organization"/>
<value value="CPR1000992"/>
</identifier>
<name value="Simplicity #9999"/>
<telecom>
<system value="phone"/>
<value value="(123) 123-4567"/>
<use value="work"/>
</telecom>
<address>
<type value="both"/>
<line value="123 Some Street"/>
<city value="Hamilton"/>
<state value="ON"/>
<postalCode value="A1B 2C3"/>
<country value="Canada"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000991"/>
<resource>
<Organization>
<id value="CPR1000991"/>
<identifier>
<system
value="http://sharedhealth.exchange/fhir/NamingSystem/registry-id-organization"/>
<value value="CPR1000991"/>
</identifier>
<name value="PS Suite #8888"/>
<telecom>
<system value="phone"/>
<value value="(123) 123-4567"/>
<use value="work"/>
</telecom>
<address>
<type value="both"/>
<line value="456 Some Street"/>
<city value="Hamilton"/>
<state value="ON"/>
<postalCode value="A1B 2C4"/>
<country value="Canada"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4460c21b-0fba-4c07-a6fc-4f4faee8e1d1"/>
<resource>
<Task>
<id value="4460c21b-0fba-4c07-a6fc-4f4faee8e1d1"/>
<meta>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/task-e161-m"/>
</meta>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-Task.groupIdentifier">
<valueIdentifier>
<system value="urn:oid:1.2.3.4.5.6.3"/>
<value value="ri-Group-Identifier"/>
</valueIdentifier>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-Task.basedOn">
<valueReference>
<!-- PrescribeIT5.0 element -->
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-task-multiple-response">
<valueBoolean value="true"/>
</extension>
<!-- Contains the task.id for the task being responded to -->
<reference value="urn:uuid:38e5e519-3672-430a-a372-94efd93888a1"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-Task.reason">
<valueCodeableConcept>
<coding>
<!-- PrescribeIT5.0 code -->
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/canadianactreason"/>
<code value="FOLLOWPRES"/>
<display
value="Follow-up with patient's primary or alternate prescriber"/>
</coding>
</valueCodeableConcept>
</extension>
<!-- Conformance Rule: This must only be populated when the MOA is responding with either Task e161-m (Denied) or e164-m (Under Review). When this occurs, Task.creator must not reference the SAML Practitioner profile but rather the Shared Health Practitioner profile. -->
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-task-recorder">
<valueReference>
<reference value="Practitioner/646b8a8d-9e24-4028-9c8b-12c199d39292"/>
</valueReference>
</extension>
<type>
<coding>
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontasktype"/>
<code value="e161-m"/>
</coding>
</type>
<status value="rejected"/>
<subject>
<reference
value="MedicationOrder/86fd93e6-7427-4fda-9600-f6bfd241a12c"/>
</subject>
<for>
<reference value="Patient/5d9588d8-3cd6-4b32-8fb7-ad13694e069d"/>
</for>
<created value="2016-07-10T12:15:38.123-06:00"/>
<lastModified value="2016-07-10T12:15:38.123-06:00"/>
<creator>
<reference
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Practitioner/1231231234"/>
</creator>
<owner>
<reference
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000992"/>
</owner>
</Task>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:75d00169-77ec-4ea0-832e-78576411e3a1"/>
<resource>
<Task>
<id value="75d00169-77ec-4ea0-832e-78576411e3a1"/>
<meta>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/task-e164-m"/>
</meta>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-Task.groupIdentifier">
<valueIdentifier>
<system value="urn:oid:1.2.3.4.5.6.3"/>
<value value="ri-Group-Identifier"/>
</valueIdentifier>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-Task.basedOn">
<valueReference>
<!-- PrescribeIT5.0 element -->
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-task-multiple-response">
<valueBoolean value="true"/>
</extension>
<reference value="urn:uuid:38e5e519-3672-430a-a372-94efd93888a3"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-Task.reason">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/canadianactreason"/>
<code value="LABREV"/>
<display value="Will respond once lab work is reviewed"/>
</coding>
</valueCodeableConcept>
</extension>
<!-- Conformance Rule: This must only be populated when the MOA is responding with either Task e161-m (Denied) or e164-m (Under Review). When this occurs, Task.creator must not reference the SAML Practitioner profile but rather the Shared Health Practitioner profile. -->
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-task-recorder">
<valueReference>
<reference value="Practitioner/646b8a8d-9e24-4028-9c8b-12c199d39292"/>
</valueReference>
</extension>
<type>
<coding>
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontasktype"/>
<code value="e164-m"/>
</coding>
</type>
<status value="in-progress"/>
<subject>
<reference
value="MedicationOrder/8ecb3806-7e38-4924-a102-a0080fa880b3"/>
</subject>
<for>
<reference value="Patient/5d9588d8-3cd6-4b32-8fb7-ad13694e069d"/>
</for>
<created value="2016-07-10T12:15:38.123-06:00"/>
<lastModified value="2016-07-10T12:15:38.123-06:00"/>
<creator>
<reference
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Practitioner/1231231234"/>
</creator>
<owner>
<reference
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000992"/>
</owner>
</Task>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:86fd93e6-7427-4fda-9600-f6bfd241a12c"/>
<resource>
<MedicationOrder>
<id value="86fd93e6-7427-4fda-9600-f6bfd241a12c"/>
<contained>
<Medication>
<id value="med"/>
<code>
<coding>
<!-- If DIN is found on PrescriptionMedicinalProduct Concept Code, then system value="https://fhir.infoway-inforoute.ca/CodeSystem/canadianclinicaldrugdataset" -->
<system value="http://hl7.org/fhir/NamingSystem/ca-hc-din"/>
<code value="02093146"/>
<display value="NICODERM 21MG/24 HR PATCH"/>
</coding>
<!-- TEXT element is mandatory on the prescription -->
<text value="NICODERM 21MG/24 HR PATCH"/>
</code>
</Medication>
</contained>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.category">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontype"/>
<code value="medication"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-protocol">
<valueString
value="Identifies the Protocol, Order set, Guideline or other definition that guided the creation of this prescription"/>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-treatment-type">
<valueCode value="CHRON"/>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage">
<valueString
value="Apply 1 Patch 1 time per day for 28 days Site: Left arm"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo">
<valueReference>
<reference value="Observation/4fb26823-5296-4291-8bc4-82440fc0b343"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo">
<valueReference>
<reference value="Observation/f2a711d7-3476-40f4-93a9-118e7ca8ccc7"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo">
<valueReference>
<reference value="List/da9514da-c9fe-418b-9a3d-091f3cf708b7"/>
</valueReference>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-request-detectedissue">
<valueReference>
<reference
value="DetectedIssue/4899f3f8-7592-42f4-a325-cd11b4c42121"/>
</valueReference>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions">
<valueString
value="To convey explicit instructions to the Pharmacist related to this medication order"/>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-over-25-dur">
<valueBoolean value="false"/>
</extension>
<!-- Setting the flag to false is equivalent to omitting this extension -->
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-no-renewals">
<valueBoolean value="false"/>
</extension>
<identifier>
<type>
<coding>
<system value="http://hl7.org/fhir/identifier-type"/>
<code value="PLAC"/>
</coding>
</type>
<system value="urn:oid:1.2.3.4.5.9.8888.2"/>
<!-- OID Structure includes EMR application instance.branch assigned for MedOrder ID -->
<value value="mi-c1-NICODERM-20160303"/>
</identifier>
<status value="active"/>
<medicationReference>
<!-- This must match the Medication resource ID -->
<reference value="#med"/>
</medicationReference>
<patient>
<reference value="Patient/5d9588d8-3cd6-4b32-8fb7-ad13694e069d"/>
</patient>
<dateWritten value="2016-07-10T12:15:38.123-06:00"/>
<prescriber>
<reference
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Practitioner/1231231234"/>
</prescriber>
<dosageInstruction>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-Dosage.sequence">
<valueInteger value="1"/>
</extension>
<text value="Apply 1 Patch 1 time per day for 28 days Site: Left arm"/>
<timing>
<!-- Dose Timing data element must also be part of the ext-medication-rendered-dosage -->
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<asNeededBoolean value="true"/>
<siteCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/v3/ActSite"/>
<code value="LA"/>
</coding>
<text value="Left arm"/>
</siteCodeableConcept>
<doseQuantity>
<value value="1"/>
<unit value="Patch"/>
<!-- See Terminology Gateway for the SNOMED CT CA Edition system (i.e. not http://snomed.info/sct) -->
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/snomedctcaextension"/>
<code value="419702001"/>
</doseQuantity>
</dosageInstruction>
<dispenseRequest>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-total-quantity">
<valueQuantity>
<value value="28"/>
<unit value="Patch"/>
<!-- See Terminology Gateway for the SNOMED CT CA Edition system (i.e. not http://snomed.info/sct) -->
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/snomedctcaextension"/>
<code value="419702001"/>
</valueQuantity>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-total-days-supply">
<valueQuantity>
<value value="28"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueQuantity>
</extension>
<!-- Usage Notes: This integer does NOT include the original order dispense. -->
<validityPeriod>
<start value="2016-07-10T12:15:38.123-06:00"/>
</validityPeriod>
<quantity>
<value value="28"/>
<unit value="Patch"/>
<!-- See Terminology Gateway for the SNOMED CT CA Edition system (i.e. not http://snomed.info/sct) -->
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/snomedctcaextension"/>
<code value="419702001"/>
</quantity>
<expectedSupplyDuration>
<value value="28"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</expectedSupplyDuration>
</dispenseRequest>
</MedicationOrder>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:8ecb3806-7e38-4924-a102-a0080fa880b3"/>
<resource>
<MedicationOrder>
<id value="8ecb3806-7e38-4924-a102-a0080fa880b3"/>
<contained>
<Medication>
<id value="med"/>
<code>
<text
value="HYDROCORTISONE OINTMENT 0.5% WITH SALICYLIC ACID 1% and LCD 3%"/>
</code>
<product>
<form>
<coding>
<system value="http://hl7.org/fhir/v3/orderableDrugForm"/>
<code value="OINT"/>
</coding>
<text value="Ointment"/>
</form>
</product>
</Medication>
</contained>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.category">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontype"/>
<code value="compound"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-treatment-type">
<valueCode value="ACU"/>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage">
<valueString
value="Apply a thin layer 1 time per day for 30 days until rash clears. If the rash persists, continue applying for up to 40 days. Route: Topical"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo">
<valueReference>
<reference value="Observation/4fb26823-5296-4291-8bc4-82440fc0b343"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo">
<valueReference>
<reference value="Observation/f2a711d7-3476-40f4-93a9-118e7ca8ccc7"/>
</valueReference>
</extension>
<!-- Future <extension url="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo"> <valueReference> <reference value="List/da9514da-c9fe-418b-9a3d-091f3cf708b7"/> </valueReference> </extension> -->
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-request-detectedissue">
<valueReference>
<reference
value="DetectedIssue/4899f3f8-7592-42f4-a325-cd11b4c42121"/>
</valueReference>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-over-25-dur">
<valueBoolean value="false"/>
</extension>
<!-- setting this flag to false is equivalent to excluding this extension -->
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-monitored-drug">
<valueBoolean value="false"/>
</extension>
<identifier>
<type>
<coding>
<system value="http://hl7.org/fhir/identifier-type"/>
<code value="PLAC"/>
</coding>
</type>
<system value="urn:oid:1.2.3.4.5.9.8888.2"/>
<!-- OID Structure includes EMR application instance.branch assigned for MedOrder ID -->
<value value="mi-c1-COMPOUND-20160303"/>
</identifier>
<status value="active"/>
<medicationReference>
<!-- This must match the Medication resource ID -->
<reference value="#med"/>
</medicationReference>
<patient>
<reference value="Patient/5d9588d8-3cd6-4b32-8fb7-ad13694e069d"/>
</patient>
<dateWritten value="2016-07-10T12:15:38.123-06:00"/>
<prescriber>
<reference
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Practitioner/1231231234"/>
</prescriber>
<dosageInstruction>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-Dosage.sequence">
<valueInteger value="1"/>
</extension>
<text
value="Apply a thin layer 1 time per day for 30 days until rash clears. If the rash persists, continue applying for up to 40 days. Route: Topical"/>
<additionalInstructions>
<text
value="If the rash persists, continue applying for up to 40 days."/>
</additionalInstructions>
<timing>
<!-- Dose Timing data element must also be part of the ext-medication-rendered-dosage -->
<repeat>
<boundsRange>
<low>
<value value="30"/>
<unit value="day"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</low>
<high>
<value value="40"/>
<unit value="day"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</high>
</boundsRange>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://hl7.org/fhir/v3/RouteOfAdministration"/>
<code value="TOPICAL"/>
</coding>
<text value="Topical"/>
</route>
</dosageInstruction>
<dispenseRequest>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-total-quantity">
<valueQuantity>
<value value="50"/>
<unit value="g"/>
<system value="http://unitsofmeasure.org"/>
<code value="g"/>
</valueQuantity>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-total-days-supply">
<valueQuantity>
<value value="30"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueQuantity>
</extension>
<!-- This is ONLY populated if it is for trial, else it is assumed not to be eligble. -->
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-trial">
<valueBoolean value="false"/>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-first-fill">
<extension url="quantity">
<valueQuantity>
<value value="50"/>
<unit value="g"/>
<system value="http://unitsofmeasure.org"/>
<code value="g"/>
</valueQuantity>
</extension>
<extension url="expectedSupplyDuration">
<valueQuantity>
<value value="30"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueQuantity>
</extension>
</extension>
<validityPeriod>
<start value="2016-07-10T12:15:38.123-06:00"/>
</validityPeriod>
<quantity>
<value value="50"/>
<unit value="g"/>
<system value="http://unitsofmeasure.org"/>
<code value="g"/>
</quantity>
<expectedSupplyDuration>
<value value="30"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</expectedSupplyDuration>
</dispenseRequest>
</MedicationOrder>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4fb26823-5296-4291-8bc4-82440fc0b343"/>
<resource>
<Observation>
<id value="4fb26823-5296-4291-8bc4-82440fc0b343"/>
<status value="final"/>
<category>
<!-- This is mandatory in FHIR and must be included as shown -->
<coding>
<system value="http://hl7.org/fhir/observation-category"/>
<code value="vital-signs"/>
</coding>
</category>
<code>
<coding>
<system value="https://fhir.infoway-inforoute.ca/CodeSystem/pCLOCD"/>
<code value="8302-2"/>
</coding>
</code>
<subject>
<reference value="Patient/5d9588d8-3cd6-4b32-8fb7-ad13694e069d"/>
</subject>
<effectiveDateTime value="2016-03-16"/>
<valueQuantity>
<value value="180"/>
<system value="http://unitsofmeasure.org"/>
<code value="cm"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f2a711d7-3476-40f4-93a9-118e7ca8ccc7"/>
<resource>
<Observation>
<id value="f2a711d7-3476-40f4-93a9-118e7ca8ccc7"/>
<status value="final"/>
<category>
<!-- This is mandatory in FHIR and must be included as shown -->
<coding>
<system value="http://hl7.org/fhir/observation-category"/>
<code value="vital-signs"/>
</coding>
</category>
<code>
<coding>
<system value="https://fhir.infoway-inforoute.ca/CodeSystem/pCLOCD"/>
<code value="29463-7"/>
</coding>
</code>
<subject>
<reference value="Patient/5d9588d8-3cd6-4b32-8fb7-ad13694e069d"/>
</subject>
<effectiveDateTime value="2016-03-16"/>
<valueQuantity>
<value value="80"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:da9514da-c9fe-418b-9a3d-091f3cf708b7"/>
<resource>
<List>
<id value="da9514da-c9fe-418b-9a3d-091f3cf708b7"/>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">NSAID Intolerance|Severe Latex allergy|Penicillin allergy</div>
</text>
<status value="current"/>
<mode value="snapshot"/>
<code>
<coding>
<system value="http://hl7.org/fhir/list-example-use-codes"/>
<code value="allergies"/>
</coding>
</code>
<subject>
<reference value="Patient/5d9588d8-3cd6-4b32-8fb7-ad13694e069d"/>
<display value="Todd G. Lerr Jr"/>
</subject>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4899f3f8-7592-42f4-a325-cd11b4c42121"/>
<resource>
<DetectedIssue>
<id value="4899f3f8-7592-42f4-a325-cd11b4c42121"/>
<patient>
<reference value="Patient/5d9588d8-3cd6-4b32-8fb7-ad13694e069d"/>
</patient>
<!--
<text value="Plain text representation of the concept"/> -->
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="ALLDONE"/>
<display value="already performed"/>
</coding>
</category>
<implicated>
<reference
value="MedicationOrder/86fd93e6-7427-4fda-9600-f6bfd241a12c"/>
</implicated>
<detail
value="Aspirin contraindicated for patients intolerant of NSAIDs"/>
<mitigation>
<action>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="1"/>
<display value="Therapy Appropriate"/>
</coding>
<text value="Plain text representation of the concept"/>
</action>
</mitigation>
</DetectedIssue>
</resource>
</entry>
</Bundle>