Medicationorder0323.json

Order for TPN Solution - completed

{
  "resourceType": "MedicationOrder",
  "id": "medrx0323",
  "text": {
    "status": "generated",
    "div": "<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>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0318",
      "isBrand": false,
      "product": {
        "form": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "385221006",
              "display": "Injection emulsion"
            }
          ]
        },
        "ingredient": [
          {
            "itemCodeableConcept": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/sid/ndc",
                  "code": "0338-1134-03",
                  "display": "Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"
                }
              ]
            }
          },
          {
            "itemCodeableConcept": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/sid/ndc",
                  "code": "0409-5779-01",
                  "display": "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"
                }
              ]
            }
          },
          {
            "itemCodeableConcept": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/sid/ndc",
                  "code": "0338-0519-02",
                  "display": "Intralipid 20% IV Fat Emulsion"
                }
              ]
            }
          }
        ],
        "batch": [
          {
            "lotNumber": "123455",
            "expirationDate": "2016-07-09"
          }
        ]
      },
      "package": {
        "container": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "470037004",
              "display": "Intravenous Fluid container, single-use"
            }
          ]
        }
      }
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "status": "completed",
  "medicationReference": {
    "reference": "#med0318"
  },
  "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"
  },
  "dosageInstruction": [
    {
      "text": "1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours",
      "timing": {
        "event": [
          "2015-01-15T22:00:00+11:00"
        ],
        "repeat": {
          "frequency": 1,
          "period": 24,
          "periodUnit": "h"
        }
      },
      "siteCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "6073002",
            "display": "Structure of ligament of left superior vena cava"
          }
        ]
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "255560000",
            "display": "Intravenous"
          }
        ]
      },
      "method": {
        "text": "PICC line"
      },
      "doseQuantity": {
        "value": 1000,
        "unit": "mL",
        "system": "http://unitsofmeasure.org",
        "code": "mL"
      },
      "rateRatio": {
        "numerator": {
          "value": 50,
          "unit": "mL",
          "system": "http://unitsofmeasure.org",
          "code": "mL"
        },
        "denominator": {
          "value": 1,
          "unit": "h",
          "system": "http://unitsofmeasure.org",
          "code": "h"
        }
      }
    }
  ]
}