HL7 Europe Medication Prescription and Dispense
0.1.0-ballot - ballot 150

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## : 300A-multiitem-prescription-with-orchestration - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="300A-multiitem-prescription-with-orchestration"/>
      <type value="collection"/>
      <entry>
        <fullUrl
                 value="https://example.com/RequestOrchestration/300B-RequestOrchestration"/>
        <resource>
          <RequestOrchestration>
            <id value="300B-RequestOrchestration"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestOrchestration_300B-RequestOrchestration"> </a><p class="res-header-id"><b>Generated Narrative: RequestOrchestration 300B-RequestOrchestration</b></p><a name="300B-RequestOrchestration"> </a><a name="hc300B-RequestOrchestration"> </a><a name="300B-RequestOrchestration-en-US"> </a><p><b>groupIdentifier</b>: 300</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>subject</b>: <a href="Patient-patient1.html">Thomas Engine  Male, DoB: 1950-09-15 ( 12345)</a></p><blockquote><p><b>action</b></p><p><b>resource</b>: <a href="MedicationRequest-300C-2-medication-prescription-request1.html">MedicationRequest: identifier = 300-1/2; groupIdentifier = 300; status = active; intent = option; authoredOn = 2024-10-06</a></p></blockquote><blockquote><p><b>action</b></p><p><b>resource</b>: <a href="MedicationRequest-300C-2-medication-prescription-request2.html">MedicationRequest: identifier = 300-2/2; groupIdentifier = 300; status = active; intent = option; authoredOn = 2024-10-06</a></p></blockquote></div>
            </text>
            <groupIdentifier>
              <value value="300"/>
            </groupIdentifier>
            <status value="active"/>
            <intent value="order"/>
            <subject>🔗
              <reference value="Patient/patient1"/>
            </subject>
            <action>
              <resource>🔗
                <reference
                           value="MedicationRequest/300C-2-medication-prescription-request1"/>
              </resource>
            </action>
            <action>
              <resource>🔗
                <reference
                           value="MedicationRequest/300C-2-medication-prescription-request2"/>
              </resource>
            </action>
          </RequestOrchestration>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://example.com/MedicationRequest/300C-2-medication-prescription-request1"/>
        <resource>
          <MedicationRequest>
            <id value="300C-2-medication-prescription-request1"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_300C-2-medication-prescription-request1"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest 300C-2-medication-prescription-request1</b></p><a name="300C-2-medication-prescription-request1"> </a><a name="hc300C-2-medication-prescription-request1"> </a><a name="300C-2-medication-prescription-request1-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-MedicationRequest-eu-mpd.html">MedicationRequest: MPD</a></p></div><p><b>identifier</b>: 300-1/2</p><p><b>groupIdentifier</b>: 300</p><p><b>status</b>: Active</p><p><b>intent</b>: Option</p><h3>Medications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Reference</b></td></tr><tr><td style="display: none">*</td><td><a href="Medication-02A2-CanifugCremolumPessaryItem.html">Medication: extension = Pessary; doseForm = Pessary; totalVolume = 6 Pessary</a></td></tr></table><p><b>subject</b>: <a href="Patient-patient1.html">Thomas Engine  Male, DoB: 1950-09-15 ( 12345)</a></p><p><b>authoredOn</b>: 2024-10-06</p><p><b>requester</b>: <a href="PractitionerRole-doctor1.html">PractitionerRole Clinical oncologist</a></p><h3>Reasons</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 72934000}">Candidiasis of vagina</span></td></tr></table><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Late Evening, Once per 1 day</p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>1 Pessary<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT  code733007009 = 'Pessary (unit of presentation)')</span></td></tr></table></blockquote><h3>DispenseRequests</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td style="display: none">*</td><td>2024-10-06 --&gt; 2024-12-06</td><td>1</td><td>6 Pessary<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT  code733007009 = 'Pessary (unit of presentation)')</span></td></tr></table></div>
            </text>
            <identifier>
              <value value="300-1/2"/>
            </identifier>
            <groupIdentifier>
              <value value="300"/>
            </groupIdentifier>
            <status value="active"/>
            <intent value="option"/>
            <medication>
              <reference>🔗
                <reference value="Medication/02A2-CanifugCremolumPessaryItem"/>
              </reference>
            </medication>
            <subject>🔗
              <reference value="Patient/patient1"/>
            </subject>
            <authoredOn value="2024-10-06"/>
            <requester>🔗
              <reference value="PractitionerRole/doctor1"/>
            </requester>
            <reason>
              <concept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="72934000"/>
                  <display value="Candidiasis of vagina"/>
                </coding>
              </concept>
            </reason>
            <dosageInstruction>
              <timing>
                <repeat>
                  <boundsDuration>
                    <value value="6"/>
                    <unit value="day"/>
                    <system value="http://unitsofmeasure.org"/>
                    <code value="d"/>
                  </boundsDuration>
                  <frequency value="1"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                  <when value="EVE.late"/>
                </repeat>
              </timing>
              <doseAndRate>
                <doseQuantity>
                  <value value="1"/>
                  <unit value="Pessary"/>
                  <system value="http://snomed.info/sct"/>
                  <code value="733007009"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
            <dispenseRequest>
              <validityPeriod>
                <start value="2024-10-06"/>
                <end value="2024-12-06"/>
              </validityPeriod>
              <numberOfRepeatsAllowed value="1"/>
              <quantity>
                <value value="6"/>
                <unit value="Pessary"/>
                <system value="http://snomed.info/sct"/>
                <code value="733007009"/>
              </quantity>
            </dispenseRequest>
          </MedicationRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://example.com/MedicationRequest/300C-2-medication-prescription-request2"/>
        <resource>
          <MedicationRequest>
            <id value="300C-2-medication-prescription-request2"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_300C-2-medication-prescription-request2"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest 300C-2-medication-prescription-request2</b></p><a name="300C-2-medication-prescription-request2"> </a><a name="hc300C-2-medication-prescription-request2"> </a><a name="300C-2-medication-prescription-request2-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-MedicationRequest-eu-mpd.html">MedicationRequest: MPD</a></p></div><p><b>identifier</b>: 300-2/2</p><p><b>groupIdentifier</b>: 300</p><p><b>status</b>: Active</p><p><b>intent</b>: Option</p><h3>Medications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Reference</b></td></tr><tr><td style="display: none">*</td><td><a href="Medication-02A1-CanifugCremolumCreamItem.html">Medication: extension = Tube,20 gram; doseForm = Vaginal cream; totalVolume = 1 Tube</a></td></tr></table><p><b>subject</b>: <a href="Patient-patient1.html">Thomas Engine  Male, DoB: 1950-09-15 ( 12345)</a></p><p><b>authoredOn</b>: 2024-10-06</p><p><b>requester</b>: <a href="PractitionerRole-doctor1.html">PractitionerRole Clinical oncologist</a></p><h3>Reasons</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 72934000}">Candidiasis of vagina</span></td></tr></table><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: 2 per 1 day</p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>1 Application - unit of product usage<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT  code413568008 = 'Application')</span></td></tr></table></blockquote><h3>DispenseRequests</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td style="display: none">*</td><td>2024-10-06 --&gt; 2024-12-06</td><td>1</td><td>20 gram(s)<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeg = 'g')</span></td></tr></table></div>
            </text>
            <identifier>
              <value value="300-2/2"/>
            </identifier>
            <groupIdentifier>
              <value value="300"/>
            </groupIdentifier>
            <status value="active"/>
            <intent value="option"/>
            <medication>
              <reference>🔗
                <reference value="Medication/02A1-CanifugCremolumCreamItem"/>
              </reference>
            </medication>
            <subject>🔗
              <reference value="Patient/patient1"/>
            </subject>
            <authoredOn value="2024-10-06"/>
            <requester>🔗
              <reference value="PractitionerRole/doctor1"/>
            </requester>
            <reason>
              <concept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="72934000"/>
                  <display value="Candidiasis of vagina"/>
                </coding>
              </concept>
            </reason>
            <dosageInstruction>
              <timing>
                <repeat>
                  <boundsDuration>
                    <value value="6"/>
                    <unit value="day"/>
                    <system value="http://unitsofmeasure.org"/>
                    <code value="d"/>
                  </boundsDuration>
                  <frequency value="2"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                </repeat>
              </timing>
              <doseAndRate>
                <doseQuantity>
                  <value value="1"/>
                  <unit value="Application - unit of product usage"/>
                  <system value="http://snomed.info/sct"/>
                  <code value="413568008"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
            <dispenseRequest>
              <validityPeriod>
                <start value="2024-10-06"/>
                <end value="2024-12-06"/>
              </validityPeriod>
              <numberOfRepeatsAllowed value="1"/>
              <quantity>
                <value value="20"/>
                <unit value="gram(s)"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="g"/>
              </quantity>
            </dispenseRequest>
          </MedicationRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl value="https://example.com/PractitionerRole/doctor1"/>
        <resource>
          <PractitionerRole>
            <id value="doctor1"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_doctor1"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole doctor1</b></p><a name="doctor1"> </a><a name="hcdoctor1"> </a><a name="doctor1-en-US"> </a><p><b>practitioner</b>: <a href="Practitioner-practitioner1.html">Dr Meryl Ärztin</a></p><p><b>organization</b>: <a href="Organization-organization1.html">Dr Ärztin Private Practice</a></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 309295000}">Clinical oncologist</span></p></div>
            </text>
            <practitioner>🔗
              <reference value="Practitioner/practitioner1"/>
              <display value="Dr Meryl Ärztin"/>
            </practitioner>
            <organization>🔗
              <reference value="Organization/organization1"/>
              <display value="Dr Ärztin Private Practice"/>
            </organization>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="309295000"/>
                <display value="Clinical oncologist"/>
              </coding>
            </code>
          </PractitionerRole>
        </resource>
      </entry>
      <entry>
        <fullUrl value="https://example.com/Patient/patient1"/>
        <resource>
          <Patient>
            <id value="patient1"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient1"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient1</b></p><a name="patient1"> </a><a name="hcpatient1"> </a><a name="patient1-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.eu/fhir/base-r5/0.1.0-ballot/StructureDefinition-patient-eu-core.html">Patient (EU core)</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Thomas Engine  Male, DoB: 1950-09-15 ( 12345)</p><hr/></div>
            </text>
            <identifier>
              <value value="12345"/>
            </identifier>
            <name>
              <family value="Engine"/>
              <given value="Thomas"/>
            </name>
            <gender value="male"/>
            <birthDate value="1950-09-15"/>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://example.com/Medication/02A2-CanifugCremolumPessaryItem"/>
        <resource>
          <Medication>
            <id value="02A2-CanifugCremolumPessaryItem"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd"/>
            </meta>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_02A2-CanifugCremolumPessaryItem"> </a><p class="res-header-id"><b>Generated Narrative: Medication 02A2-CanifugCremolumPessaryItem</b></p><a name="02A2-CanifugCremolumPessaryItem"> </a><a name="hc02A2-CanifugCremolumPessaryItem"> </a><a name="02A2-CanifugCremolumPessaryItem-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Medication-eu-mpd.html">Medication: MPD</a></p></div><p><b>Medication - Unit of presentation</b>: <span title="Codes:{http://standardterms.edqm.eu 15039000}">Pessary</span></p><p><b>doseForm</b>: <span title="Codes:{http://standardterms.edqm.eu 10909000}">Pessary</span></p><p><b>totalVolume</b>: 6 Pessary<span style="background: LightGoldenRodYellow"> (Details: standardterms.edqm.eu  code15039000 = 'Pessary')</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 387325003}">Clotrimazole</span></td></tr></table><p><b>isActive</b>: true</p><p><b>strength</b>: 100 milligram<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</span>/1 Pessary<span style="background: LightGoldenRodYellow"> (Details: standardterms.edqm.eu  code15039000 = 'Pessary')</span></p></blockquote></div>
            </text>
            <extension
                       url="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation">
              <valueCodeableConcept>
                <coding>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="15039000"/>
                  <display value="Pessary"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <doseForm>
              <coding>
                <system value="http://standardterms.edqm.eu"/>
                <code value="10909000"/>
                <display value="Pessary"/>
              </coding>
            </doseForm>
            <totalVolume>
              <value value="6"/>
              <unit value="Pessary"/>
              <system value="http://standardterms.edqm.eu"/>
              <code value="15039000"/>
            </totalVolume>
            <ingredient>
              <item>
                <concept>
                  <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="387325003"/>
                    <display value="Clotrimazole"/>
                  </coding>
                </concept>
              </item>
              <isActive value="true"/>
              <strengthRatio>
                <numerator>
                  <value value="100"/>
                  <unit value="milligram"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg"/>
                </numerator>
                <denominator>
                  <value value="1"/>
                  <unit value="Pessary"/>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="15039000"/>
                </denominator>
              </strengthRatio>
            </ingredient>
          </Medication>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://example.com/Medication/02A1-CanifugCremolumCreamItem"/>
        <resource>
          <Medication>
            <id value="02A1-CanifugCremolumCreamItem"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd"/>
            </meta>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_02A1-CanifugCremolumCreamItem"> </a><p class="res-header-id"><b>Generated Narrative: Medication 02A1-CanifugCremolumCreamItem</b></p><a name="02A1-CanifugCremolumCreamItem"> </a><a name="hc02A1-CanifugCremolumCreamItem"> </a><a name="02A1-CanifugCremolumCreamItem-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Medication-eu-mpd.html">Medication: MPD</a></p></div><p><b>Medication - Unit of presentation</b>: <span title="Codes:{http://standardterms.edqm.eu 15058000}">Tube</span></p><p><b>Medication - Size of Item</b>: 20 gram<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeg = 'g')</span></p><p><b>doseForm</b>: <span title="Codes:{http://standardterms.edqm.eu 10901000}">Vaginal cream</span></p><p><b>totalVolume</b>: 1 Tube<span style="background: LightGoldenRodYellow"> (Details: standardterms.edqm.eu  code15058000 = 'Tube')</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 387325003}">Clotrimazole</span></td></tr></table><p><b>isActive</b>: true</p><p><b>strength</b>: 10 milligram<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</span>/1 gram<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeg = 'g')</span></p></blockquote></div>
            </text>
            <extension
                       url="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation">
              <valueCodeableConcept>
                <coding>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="15058000"/>
                  <display value="Tube"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem">
              <valueQuantity>
                <value value="20"/>
                <unit value="gram"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="g"/>
              </valueQuantity>
            </extension>
            <doseForm>
              <coding>
                <system value="http://standardterms.edqm.eu"/>
                <code value="10901000"/>
                <display value="Vaginal cream"/>
              </coding>
            </doseForm>
            <totalVolume>
              <value value="1"/>
              <unit value="Tube"/>
              <system value="http://standardterms.edqm.eu"/>
              <code value="15058000"/>
            </totalVolume>
            <ingredient>
              <item>
                <concept>
                  <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="387325003"/>
                    <display value="Clotrimazole"/>
                  </coding>
                </concept>
              </item>
              <isActive value="true"/>
              <strengthRatio>
                <numerator>
                  <value value="10"/>
                  <unit value="milligram"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg"/>
                </numerator>
                <denominator>
                  <value value="1"/>
                  <unit value="gram"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="g"/>
                </denominator>
              </strengthRatio>
            </ingredient>
          </Medication>
        </resource>
      </entry>
    </Bundle>