Medicationrequest0319.xml

Order for Intravenous Antibiotic with a Dosage Rate - Piperacillin - completed with reason code (id = "medrx0319")

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0319"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0319</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>stage</b>: original-order <span>(Details : {[not stated] code 'original-order' = 'original-order)</span></p><p><b>medication</b>: Piperacillin/Tazobactam 4.5gm. Generated Summary: id: med0302; Zosyn (piperacillin/tazobactam)
         4.5gm injection <span>(Details : {http://hl7.org/fhir/sid/ndc code '0206-8862-02' = '0206-8862-02', given as
           'Zosyn (piperacillin/tazobactam) 4.5gm injection'})</span></p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>dateWritten</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Community acquired pneumonia (disorder) <span>(Details : {SNOMED CT code '385093006' = 'Community acquired pneumonia (disorder)', given
           as 'Community acquired pneumonia (disorder)'})</span></p><p><b>dosageInstruction</b>: </p></div></text><contained>
        <Medication>
            <id value="med0302"/>
            <code>
                <coding>
                    <system value="http://hl7.org/fhir/sid/ndc"/>
                    <code value="0206-8862-02"/>
                    <display value="Zosyn (piperacillin/tazobactam) 4.5gm injection"/>
                </coding>
            </code>
        </Medication>
    </contained>
    <identifier>
        <use value="official"/>
        <system value="http://www.bmc.nl/portal/prescriptions"/>
        <value value="12345689"/>
    </identifier>
    <status value="completed"/>
    <stage>
        <coding>
            <code value="original-order"/>
        </coding>
    </stage>
    <medicationReference>
        <reference value="#med0302"/>
        <display value="Piperacillin/Tazobactam 4.5gm"/>
    </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"/>
    <requester> 
        <reference value="Practitioner/f007"/>
        <display value="Patrick Pump"/>
    </requester>
    <reasonCode>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="385093006"/>
            <display value="Community acquired pneumonia (disorder)"/>
        </coding>
    </reasonCode>
    <dosageInstruction>
        <sequence value="1"/>
        <text value="4.5 grams in D5W 250 ml. IV every 6 hours.Infuse over 30 min at 8L/min "/>
        <timing>
            <repeat>
                <frequency value="1"/>
                <period value="6"/>
                <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="4.5"/>
            <unit value="g"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="g"/>
        </doseQuantity>
        <rateRatio>
            <numerator>
                <value value="8"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="ml"/>
            </numerator>
            <denominator>
                <value value="1"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="min"/>
            </denominator>
        </rateRatio>
    </dosageInstruction> 
</MedicationRequest>