STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Medicationorder0315.json

Raw JSON (canonical form)

Order for an injectable medication - Lorazepam - active - with link to encounter, reasonCode and dosageInstruction

{
  "resourceType": "MedicationOrder",
  "id": "medrx0315",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0315</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>medication</b>: id: med0313; Lorazepam 2mg/ml injection solution 1ml vial (product) <span>(Details : {SNOMED CT code '400621001' = 'Lorazepam 2mg/mL injection solution 1mL vial (product)', given as 'Lorazepam 2mg/ml injection solution 1ml vial (product)'})</span>; </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><p><b>reasonCode</b>: Epilepsy (disorder) <span>(Details : {SNOMED CT code '84757009' = 'Epilepsy', given as 'Epilepsy (disorder)'})</span></p><h3>DosageInstructions</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>Timing</b></td><td><b>AsNeeded[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>0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed</td><td>Do Once per 15 minutes</td><td>true</td><td>Intravenous <span>(Details : {SNOMED CT code '255560000' = 'Intravenous (qualifier value)', given as 'Intravenous'})</span></td><td>Push - dosing instruction imperative (qualifier value) <span>(Details : {SNOMED CT code '420620005' = 'Push - dosing instruction imperative (qualifier value)', given as 'Push - dosing instruction imperative (qualifier value)'})</span></td><td>0.05-0.1 mg/kg</td><td>2-5 min</td></tr></table></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0313",
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "400621001",
            "display": "Lorazepam 2mg/ml injection solution 1ml vial (product)"
          }
        ]
      },
      "isBrand": false,
      "product": {
        "form": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "385219001",
              "display": "Injection solution (qualifier value)"
            }
          ]
        },
        "ingredient": [
          {
            "itemCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "387106007",
                  "display": "Lorazepam (substance)"
                }
              ]
            },
            "amount": {
              "numerator": {
                "value": 2,
                "system": "http://unitsofmeasure.org",
                "code": "mg"
              },
              "denominator": {
                "value": 1,
                "system": "http://unitsofmeasure.org",
                "code": "mL"
              }
            }
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "status": "active",
  "medicationReference": {
    "reference": "#med0313"
  },
  "patient": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "encounter": {
    "reference": "Encounter/f001",
    "display": "encounter who leads to this prescription"
  },
  "dateWritten": "2015-01-15",
  "prescriber": {
    "reference": "Practitioner/f007",
    "display": "Patrick Pump"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "84757009",
          "display": "Epilepsy (disorder)"
        }
      ]
    }
  ],
  "dosageInstruction": [
    {
      "text": "0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 15,
          "periodUnit": "min"
        }
      },
      "asNeededBoolean": true,
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "255560000",
            "display": "Intravenous"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "420620005",
            "display": "Push - dosing instruction imperative (qualifier value)"
          }
        ]
      },
      "doseRange": {
        "low": {
          "value": 0.05,
          "unit": "mg/kg",
          "system": "http://unitsofmeasure.org",
          "code": "mg/kg"
        },
        "high": {
          "value": 0.1,
          "unit": "mg/kg",
          "system": "http://unitsofmeasure.org",
          "code": "mg/kg"
        }
      },
      "rateRange": {
        "low": {
          "value": 2,
          "unit": "min",
          "system": "http://unitsofmeasure.org",
          "code": "min"
        },
        "high": {
          "value": 5,
          "unit": "min",
          "system": "http://unitsofmeasure.org",
          "code": "min"
        }
      }
    }
  ]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.