PrescribeIT® Specification and Guide Version 5.0

 
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"/>
          <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"/>
          <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"/>
          <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"/>
          <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>
            <extension
                       url="http://prescribeit.ca/fhir/StructureDefinition/ext-task-multiple-response">
              <valueBoolean value="true"/>
            </extension>
            <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&#39;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>
            <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>
                <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din"/>
                <code value="02093146"/>
                <display value="NICODERM 21MG/24 HR PATCH"/>
              </coding>
              <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>
        <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"/>
          <value value="mi-c1-NICODERM-20160303"/>
        </identifier>
        <status value="active"/>
        <medicationReference>
          <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>
            <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"/>
            <system value="http://snomed.info/sct"/>
            <code value="419702001"/>
          </doseQuantity>
        </dosageInstruction>
        <dispenseRequest>
          <extension
                     url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-total-quantity">
            <valueQuantity>
              <value value="28"/>
              <unit value="Patch"/>
              <system value="http://snomed.info/sct"/>
              <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>
          <validityPeriod>
            <start value="2016-07-10T12:15:38.123-06:00"/>
          </validityPeriod>
          <quantity>
            <value value="28"/>
            <unit value="Patch"/>
            <system value="http://snomed.info/sct"/>
            <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>
        <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>
        <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"/>
          <value value="mi-c1-COMPOUND-20160303"/>
        </identifier>
        <status value="active"/>
        <medicationReference>
          <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>
            <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>
          <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>
          <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>
          <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>
        <category>
          <coding>
            <system value="http://hl7.org/fhir/v3/ActCode"/>
            <code value="ALLDONE"/>
            <display value="already performed"/>
          </coding>
          <text value="Plain text representation of the concept"/>
        </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://hl7.org/fhir/v3/ActCode"/>
              <code value="1"/>
              <display value="Therapy Appropriate"/>
            </coding>
            <text value="Plain text representation of the concept"/>
          </action>
        </mitigation>
      </DetectedIssue>
    </resource>
  </entry>
</Bundle>