Example to illustrate the option for Ciprofloxacin via IV when prescribing multiple routes.

Table View

MedicationRequest.id[0]UKCore-MedicationRequest-CiprofloxacinIV-Example
MedicationRequest.status[0]completed
MedicationRequest.intent[0]option
MedicationRequest.category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/medicationrequest-category
MedicationRequest.category[0].coding[0].code[0]inpatient
MedicationRequest.category[0].coding[0].display[0]Inpatient
MedicationRequest.medication[0].coding[0].system[0]https://dmd.nhs.uk
MedicationRequest.medication[0].coding[0].code[0]36141511000001100
MedicationRequest.medication[0].coding[0].display[0]Ciprofloxacin 400mg/200ml infusion bags
MedicationRequest.subject[0].reference[0]Patient/UKCore-Patient-RichardSmith-Example
MedicationRequest.authoredOn[0]2023-06-15T15:00:00.000Z
MedicationRequest.requester[0].reference[0]Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example
MedicationRequest.courseOfTherapyType[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy
MedicationRequest.courseOfTherapyType[0].coding[0].code[0]acute
MedicationRequest.courseOfTherapyType[0].coding[0].display[0]Short course (acute) therapy
MedicationRequest.dosageInstruction[0].text[0]Ciprofloxacin 400mg, twice daily.
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].frequency[0]2
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].period[0]1
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].periodUnit[0]d
MedicationRequest.dosageInstruction[0].route[0].coding[0].system[0]http://snomed.info/sct
MedicationRequest.dosageInstruction[0].route[0].coding[0].code[0]47625008
MedicationRequest.dosageInstruction[0].route[0].coding[0].display[0]Intravenous
MedicationRequest.dosageInstruction[0].method[0].coding[0].system[0]http://snomed.info/sct
MedicationRequest.dosageInstruction[0].method[0].coding[0].code[0]13283701000001109
MedicationRequest.dosageInstruction[0].method[0].coding[0].display[0]Infusion
MedicationRequest.dosageInstruction[0].doseAndRate[0].type[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/dose-rate-type
MedicationRequest.dosageInstruction[0].doseAndRate[0].type[0].coding[0].code[0]ordered
MedicationRequest.dosageInstruction[0].doseAndRate[0].type[0].coding[0].display[0]Ordered
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].value[0]400
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].unit[0]milligram
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].code[0]mg
MedicationRequest.substitution[0].allowed[0]False

XML View

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="UKCore-MedicationRequest-CiprofloxacinIV-Example" />
    <status value="completed" />
    <intent value="option" />
    <category>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category" />
            <code value="inpatient" />
            <display value="Inpatient" />
        </coding>
    </category>
    <medicationCodeableConcept>
        <coding>
            <system value="https://dmd.nhs.uk" />
            <code value="36141511000001100" />
            <display value="Ciprofloxacin 400mg/200ml infusion bags" />
        </coding>
    </medicationCodeableConcept>
    <subject>
        <reference value="Patient/UKCore-Patient-RichardSmith-Example" />
    </subject>
    <authoredOn value="2023-06-15T15:00:00.000Z" />
    <requester>
        <reference value="Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example" />
    </requester>
    <courseOfTherapyType>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy" />
            <code value="acute" />
            <display value="Short course (acute) therapy" />
        </coding>
    </courseOfTherapyType>
    <dosageInstruction>
        <text value="Ciprofloxacin 400mg, twice daily." />
        <timing>
            <repeat>
                <frequency value="2" />
                <period value="1" />
                <periodUnit value="d" />
            </repeat>
        </timing>
        <route>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="47625008" />
                <display value="Intravenous" />
            </coding>
        </route>
        <method>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="13283701000001109" />
                <display value="Infusion" />
            </coding>
        </method>
        <doseAndRate>
            <type>
                <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type" />
                    <code value="ordered" />
                    <display value="Ordered" />
                </coding>
            </type>
            <doseQuantity>
                <value value="400" />
                <unit value="milligram" />
                <system value="http://unitsofmeasure.org" />
                <code value="mg" />
            </doseQuantity>
        </doseAndRate>
    </dosageInstruction>
    <substitution>
        <allowedBoolean value="false" />
    </substitution>
</MedicationRequest>

JSON View

{
    "resourceType": "MedicationRequest",
    "id": "UKCore-MedicationRequest-CiprofloxacinIV-Example",
    "status": "completed",
    "intent": "option",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code": "inpatient",
                    "display": "Inpatient"
                }
            ]
        }
    ],
    "medicationCodeableConcept": {
        "coding":  [
            {
                "system": "https://dmd.nhs.uk",
                "code": "36141511000001100",
                "display": "Ciprofloxacin 400mg/200ml infusion bags"
            }
        ]
    },
    "subject": {
        "reference": "Patient/UKCore-Patient-RichardSmith-Example"
    },
    "authoredOn": "2023-06-15T15:00:00.000Z",
    "requester": {
        "reference": "Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example"
    },
    "courseOfTherapyType": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
                "code": "acute",
                "display": "Short course (acute) therapy"
            }
        ]
    },
    "dosageInstruction":  [
        {
            "text": "Ciprofloxacin 400mg, twice daily.",
            "timing": {
                "repeat": {
                    "frequency": 2,
                    "period": 1,
                    "periodUnit": "d"
                }
            },
            "route": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "47625008",
                        "display": "Intravenous"
                    }
                ]
            },
            "method": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "13283701000001109",
                        "display": "Infusion"
                    }
                ]
            },
            "doseAndRate":  [
                {
                    "type": {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                                "code": "ordered",
                                "display": "Ordered"
                            }
                        ]
                    },
                    "doseQuantity": {
                        "value": 400,
                        "unit": "milligram",
                        "system": "http://unitsofmeasure.org",
                        "code": "mg"
                    }
                }
            ]
        }
    ],
    "substitution": {
        "allowedBoolean": false
    }
}