Medicationorder0322.xml

Order for Intravenous Admixture - Potassium Chloride in D5W - completed with reason code (id = "medrx0322")

<MedicationOrder xmlns="http://hl7.org/fhir">
  <id value="medrx0322"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0322</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>medication</b>: Potassium Chloride 20mEq in 1L Normal Saline. Generated Summary: id: med0317</p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>dateWritten</b>: 15/01/2015</p><p><b>prescriber</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Disorder of Electrolytes (disorder) <span>(Details : {SNOMED CT code '237840007' = 'Disorder of electrolytes', given as 'Disorder
           of Electrolytes (disorder)'})</span></p><h3>DosageInstructions</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>Timing</b></td><td><b>Route</b></td><td><b>Dose[x]</b></td><td><b>Rate[x]</b></td></tr><tr><td>*</td><td>KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr</td><td>Do Once per 1 hours</td><td>Intravenous route (qualifier value) <span>(Details : {SNOMED CT code '47625008' = 'Intravenous route (qualifier value)', given as
               'Intravenous route (qualifier value)'})</span></td><td>20 mEq<span> (Details: http://unitsofmeasure.org code mEq = 'mEq')</span></td><td>100 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="med0317"/>
            <product>
                <form>
                    <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="385219001"/>
                        <display value="Injection Solution (qualifier value)"/>
                    </coding>
                    <text value="Injection Solution (qualifier value)"/>
                </form>
                <ingredient>
                    <itemCodeableConcept>
                        <coding>
                            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
                            <code value="204520"/>
                            <display value="Potassium Chloride"/>
                        </coding>
                    </itemCodeableConcept>
                    <amount>
                        <numerator>
                            <value value="2"/>
                            <system value="http://unitsofmeasure.org"/>
                            <code value="mEq"/>
                        </numerator>
                        <denominator>
                            <value value="1"/>
                            <system value="http://unitsofmeasure.org"/>
                            <code value="mL"/>
                        </denominator>
                    </amount>
                </ingredient>
                <ingredient>
                    <itemCodeableConcept>
                        <coding>
                            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
                            <code value="313002"/>
                            <display value="Sodium Chloride 0.9% injectable solution"/>
                        </coding>
                    </itemCodeableConcept>
                    <amount>
                        <numerator>
                            <value value="0.9"/>
                            <system value="http://unitsofmeasure.org"/>
                            <code value="g"/>
                        </numerator>
                        <denominator>
                            <value value="100"/>
                            <system value="http://unitsofmeasure.org"/>
                            <code value="mL"/>
                        </denominator>
                    </amount>
                </ingredient>
            </product>
        </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="#med0317"/>
        <display value="Potassium Chloride 20mEq in 1L Normal Saline"/>
    </medicationReference> 
    <patient> <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/>
        <display value="Donald Duck"/>       
    </patient>
    <dateWritten value="2015-01-15"/>
    <prescriber> <!--    Linked to the practitioner who treats patient    -->
        <reference value="Practitioner/f007"/>
        <display value="Patrick Pump"/>
    </prescriber>
    <reasonCode>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="237840007"/>
            <display value="Disorder of Electrolytes (disorder)"/>
        </coding>
    </reasonCode>
    <dosageInstruction>
        <text value="KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr"/>
        <timing>
            <repeat>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="h"/>
            </repeat>
        </timing>
        <route>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="47625008"/>
                <display value="Intravenous route (qualifier value)"/>
            </coding>
        </route>
        <doseQuantity>
            <value value="20"/>
            <unit value="mEq"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mEq"/>
        </doseQuantity>
        <rateRatio>
            <numerator>
                <value value="100"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mL"/>
            </numerator>
            <denominator>
                <value value="1"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="h"/>
            </denominator>
        </rateRatio>
    </dosageInstruction> 
</MedicationOrder>