Kenya eClaims FHIR IG
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: Medication Request Example - Empagliflozin/Metformin - XML Representation

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<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="866d4b06-9199-41a1-9ea9-213212ea9512"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationRequest 866d4b06-9199-41a1-9ea9-213212ea9512</b></p><a name="866d4b06-9199-41a1-9ea9-213212ea9512"> </a><a name="hc866d4b06-9199-41a1-9ea9-213212ea9512"> </a><p><b>identifier</b>: <code>https://shr.dha.go.ke/fhir/medication-request</code>/bcb292cb-0707-4b90-8c35-39a82ed0f389 (use: official, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title="Codes:{http://nhts.dha.go.ke/fhir/ValueSet/medication GE10887}">Atorvastatin 20mg tablet</span></p><p><b>subject</b>: <a href="Patient/CR6164711105276-6">Patient/CR6164711105276-6</a></p><p><b>authoredOn</b>: 2025-06-30</p><p><b>requester</b>: <a href="Practitioner/PUID-0001662-7">Practitioner/PUID-0001662-7</a></p><p><b>reasonCode</b>: <span title="Codes:{https://nhts.dha.go.ke/terminology/icd11 I10}">Essential (primary) hypertension</span></p><p><b>note</b>: </p><blockquote><div><p>Patient has reported nausea with higher doses in the past.</p>
</div></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Take one tablet by mouth daily</p><p><b>timing</b>: Once per 1 day</p><p><b>route</b>: <span title="Codes:{https://nhts.dha.go.ke/terminology/v1/route RT10025}">Oral</span></p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type ordered}">Ordered</span></td><td>20 milligram per dose<span style="background: LightGoldenRodYellow"> (Details: unit  codeUM10229 = 'UM10229')</span></td></tr></table></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2025-03-28 --&gt; 2025-09-28</p><p><b>numberOfRepeatsAllowed</b>: 3</p><p><b>quantity</b>: 360 milligram per dose<span style="background: LightGoldenRodYellow"> (Details: unit  codeUM10229 = 'UM10229')</span></p><h3>ExpectedSupplyDurations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td>30</td><td>days</td><td><a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ucum.html">http://unitsofmeasure.org</a></td><td>d</td></tr></table></blockquote><h3>Substitutions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td style="display: none">*</td><td>true</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActReason CT}">Continuing therapy</span></td></tr></table></div>
  </text>
  <identifier>
    <use value="official"/>
    <system value="https://shr.dha.go.ke/fhir/medication-request"/>
    <value value="bcb292cb-0707-4b90-8c35-39a82ed0f389"/>
  </identifier>
  <status value="active"/>
  <intent value="order"/>
  <medicationCodeableConcept>
    <coding>
      <system value="http://nhts.dha.go.ke/fhir/ValueSet/medication"/>
      <code value="GE10887"/>
      <display value="Empagliflozin 5 mg/Metformin 500 mg Oral Tablet"/>
    </coding>
    <text value="Atorvastatin 20mg tablet"/>
  </medicationCodeableConcept>
  <subject>
    <reference value="Patient/CR6164711105276-6"/>
    <identifier>
      <use value="official"/>
      <system value="https://hie.dha.go.ke/client-registry"/>
      <value value="CR6164711105276-6"/>
    </identifier>
  </subject>
  <authoredOn value="2025-06-30"/>
  <requester>
    <reference value="Practitioner/PUID-0001662-7"/>
    <type value="Practitioner"/>
    <identifier>
      <use value="official"/>
      <system value="https://hie.dha.go.ke/health-worker-registry"/>
      <value value="PUID-0001662-7"/>
    </identifier>
  </requester>
  <reasonCode>
    <coding>
      <system value="https://nhts.dha.go.ke/terminology/icd11"/>
      <code value="I10"/>
      <display value="Essential (primary) hypertension"/>
    </coding>
  </reasonCode>
  <note>
    <text value="Patient has reported nausea with higher doses in the past."/>
  </note>
  <dosageInstruction>
    <text value="Take one tablet by mouth daily"/>
    <timing>
      <repeat>
        <frequency value="1"/>
        <period value="1"/>
        <periodUnit value="d"/>
      </repeat>
    </timing>
    <route>
      <coding>
        <system value="https://nhts.dha.go.ke/terminology/v1/route"/>
        <code value="RT10025"/>
        <display value="Oral"/>
      </coding>
    </route>
    <doseAndRate>
      <type>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
          <code value="ordered"/>
          <display value="Ordered"/>
        </coding>
      </type>
      <doseQuantity>
        <value value="20"/>
        <unit value="milligram per dose"/>
        <system value="https://nhts.dha.go.ke/terminology/v1/unit"/>
        <code value="UM10229"/>
      </doseQuantity>
    </doseAndRate>
  </dosageInstruction>
  <dispenseRequest>
    <validityPeriod>
      <start value="2025-03-28"/>
      <end value="2025-09-28"/>
    </validityPeriod>
    <numberOfRepeatsAllowed value="3"/>
    <quantity>
      <value value="360"/>
      <unit value="milligram per dose"/>
      <system value="https://nhts.dha.go.ke/terminology/v1/unit"/>
      <code value="UM10229"/>
    </quantity>
    <expectedSupplyDuration>
      <value value="30"/>
      <unit value="days"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="d"/>
    </expectedSupplyDuration>
  </dispenseRequest>
  <substitution>
    <allowedBoolean value="true"/>
    <reason>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
        <code value="CT"/>
        <display value="Continuing therapy"/>
      </coding>
    </reason>
  </substitution>
</MedicationRequest>