Medicationorder0323.xml

Order for TPN Solution - completed (id = "medrx0323")

<MedicationOrder xmlns="http://hl7.org/fhir">
  <id value="medrx0323"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0323</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>medication</b>: id: med0318; </p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription</a></p><p><b>dateWritten</b>: 15/01/2015</p><p><b>prescriber</b>: <a>Patrick Pump</a></p><h3>DosageInstructions</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>Timing</b></td><td><b>Site[x]</b></td><td><b>Route</b></td><td><b>Method</b></td><td><b>Dose[x]</b></td><td><b>Rate[x]</b></td></tr><tr><td>*</td><td>1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours</td><td>Events: 15/01/2015 10:00:00 PM, Do Once per 24 hours</td><td>Structure of ligament of left superior vena cava <span>(Details : {SNOMED CT code '6073002' = 'Structure of ligament of left superior vena cava',
               given as 'Structure of ligament of left superior vena cava'})</span></td><td>Intravenous <span>(Details : {SNOMED CT code '255560000' = 'Intravenous (qualifier value)', given as 'Intravenous'})</span></td><td>PICC line <span>(Details )</span></td><td>1000 mL<span> (Details: http://unitsofmeasure.org code mL = 'mL')</span></td><td>50 mL<span> (Details: http://unitsofmeasure.org code mL = 'mL')</span>/1 h<span> (Details: http://unitsofmeasure.org code h = 'h')</span></td></tr></table></div></text><contained>
        <Medication>
            <id value="med0318"/>
            <isBrand value="false"/>
            <product>
                <form>
                    <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="385221006"/>
                        <display value="Injection emulsion"/>
                    </coding>
                </form>
                <ingredient>
                    <itemCodeableConcept>
                        <coding>
                            <system value="http://hl7.org/fhir/sid/ndc"/>
                            <code value="0338-1134-03"/>
                            <display value="Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"/>
                        </coding>
                    </itemCodeableConcept>
                </ingredient>
                <ingredient>
                    <itemCodeableConcept>
                        <coding>
                            <system value="http://hl7.org/fhir/sid/ndc"/>
                            <code value="0409-5779-01"/>
                            <display value="TPN Electrolytes SODIUM CHLORIDE, CALCIUM CHLORIDE, POTASSIUM CHLORIDE, MAGNESIUM CHLORIDE,
               and SODIUM ACETATE ANHYDROUS | INJECTION, SOLUTION, CONCENTRATE | 321 mg/20mL, 331 mg/20mL,
               1491 mg/20mL, 508 mg/20mL, 2420 mg/20mL"/>
                        </coding>
                    </itemCodeableConcept>
                </ingredient>
                <ingredient>
                    <itemCodeableConcept>
                        <coding>
                            <system value="http://hl7.org/fhir/sid/ndc"/>
                            <code value="0338-0519-02"/>
                            <display value="Intralipid 20% IV Fat Emulsion"/>
                        </coding>
                    </itemCodeableConcept>
                </ingredient>
                <batch>
                    <lotNumber value="123455"/>
                    <expirationDate value="2016-07-09"/>
                </batch>
            </product>
            <package>
                <container>
                    <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="470037004"/>
                        <display value="Intravenous Fluid container, single-use"/>
                    </coding>
                </container>
            </package>
        </Medication>
    </contained>
    <identifier>
        <use value="official"/>
        <system value="http://www.bmc.nl/portal/prescriptions"/>
        <value value="12345689"/>
    </identifier>
    <status value="completed"/>
    <medicationReference> <!--    Linked to a RESOURCE Medication    -->
        <reference value="#med0318"/>
    </medicationReference> 
    <patient> <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/>
        <display value="Donald Duck"/>         
    </patient>
    <encounter> <!--    Linked to a resource Encounter between patient and practitioner   -->
        <reference value="Encounter/f001"/>
        <display value="encounter who leads to this prescription"/>
    </encounter>
    <dateWritten value="2015-01-15"/>
    <prescriber> <!--    Linked to the practitioner who treats patient    -->
        <reference value="Practitioner/f007"/>
        <display value="Patrick Pump"/>
    </prescriber>
    <dosageInstruction>
        <text value="1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours"/>
        <timing>
            <event value="2015-01-15T22:00:00+11:00"/>
            <repeat>
                <frequency value="1"/>
                <period value="24"/>
                <periodUnit value="h"/>
            </repeat>
        </timing>
        <siteCodeableConcept>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="6073002"/>
                <display value="Structure of ligament of left superior vena cava"/>
            </coding>
        </siteCodeableConcept>
        <route>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="255560000"/>
                <display value="Intravenous"/>
            </coding>
        </route>
        <method>
            <text value="PICC line"/>
        </method>
        <doseQuantity>
            <value value="1000"/>
            <unit value="mL"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mL"/> 
        </doseQuantity>
        <rateRatio>
            <numerator>
                <value value="50"/>
                <unit value="mL"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mL"/> 
            </numerator>
            <denominator>
                <value value="1"/>
                <unit value="h"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="h"/> 
            </denominator>
        </rateRatio>
    </dosageInstruction>
</MedicationOrder>