Medicationrequest0315.xml

Order for an injectable medication - Lorazepam - active - with link to encounter, reasonCode and dosageInstruction (id = "medrx0315")

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0315"/>
    <text><status value="generated"/><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>stage</b>: original-order <span>(Details : {[not stated] code 'original-order' = 'original-order)</span></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>context</b>: <a>encounter who leads to this prescription</a></p><p><b>dateWritten</b>: 15/01/2015</p><p><b>requester</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><p><b>dosageInstruction</b>: </p></div></text><contained>
        <Medication>
            <id value="med0313"/>
            <code>
                <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="400621001"/>
                    <display value="Lorazepam 2mg/ml injection solution 1ml vial (product)"/>
                </coding>
            </code>
            <isBrand value="false"/>
            <product>
                <form>
                    <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="385219001"/>
                        <display value="Injection solution (qualifier value)"/>
                    </coding>
                </form>
                <ingredient>
                    <itemCodeableConcept>
                        <coding>
                            <system value="http://snomed.info/sct"/>
                            <code value="387106007"/>
                            <display value="Lorazepam (substance)"/>
                        </coding>
                    </itemCodeableConcept>
                    <amount>
                        <numerator>
                            <value value="2"/>
                            <system value="http://unitsofmeasure.org"/>
                            <code value="mg"/>
                        </numerator>
                        <denominator>
                            <value value="1"/>
                            <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="active"/>
    <stage>
        <coding>
            <code value="original-order"/>
        </coding>
    </stage>
    <medicationReference> <!--    Linked to a RESOURCE Medication    -->
        <reference value="#med0313"/>
    </medicationReference> 
    <patient> <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/>
        <display value="Donald Duck"/>        
    </patient>
    <context> <!--    Linked to a resource Encounter between patient and practitioner   -->
        <reference value="Encounter/f001"/>
        <display value="encounter who leads to this prescription"/>
    </context>
    <dateWritten value="2015-01-15"/>
    <requester> <!--    Linked to the practitioner who treats patient    -->
        <reference value="Practitioner/f007"/>
        <display value="Patrick Pump"/>
    </requester>
    <reasonCode>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="84757009"/>
            <display value="Epilepsy (disorder)"/>
        </coding>
    </reasonCode>
    <dosageInstruction>
        <sequence value="1"/>
        <text value="0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed"/>
        <timing>
            <repeat>
                <frequency value="1"/>
                <period value="15"/>
                <periodUnit value="min"/>
            </repeat>
        </timing>
        <asNeededBoolean value="true"/>
        <route>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="255560000"/>
                <display value="Intravenous"/>
            </coding>
        </route>
        <method>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="420620005"/>
                <display value="Push - dosing instruction imperative (qualifier value)"/>
            </coding>
        </method>
        <doseRange>
            <low>
                <value value="0.05"/>
                <unit value="mg/kg"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mg/kg"/> 
            </low>
            <high>
                <value value="0.1"/>
                <unit value="mg/kg"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mg/kg"/> 
            </high>
        </doseRange>
        <rateRange>
            <low>
                <value value="2"/>
                <unit value="min"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="min"/> 
            </low>
            <high>
                <value value="5"/>
                <unit value="min"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="min"/> 
            </high>
        </rateRange>
    </dosageInstruction>
</MedicationRequest>