Medicationrequest0315.json

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

{
  "resourceType": "MedicationRequest",
  "id": "medrx0315",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: medrx0315</p><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: </p><p><b>subject</b>: <a>Donald Duck. Generated Summary: id: pat1; Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male; </a></p><p><b>encounter</b>: <a>encounter who leads to this prescription. Generated Summary: id: f001; id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span>; 140 min; <span>Heart valve replacement</span></a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a>Patrick Pump. Generated Summary: id: f007; id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); ph: 020556936(WORK), S.M.Heps@bmc.nl(WORK), fax: 0205669283(WORK); gender: female; birthDate: 1971-11-07</a></p><p><b>reason</b>: </p><p><b>dosageInstruction</b>: </p></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0313",
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "400621001",
            "display": "Lorazepam 2mg/ml injection solution 1ml vial (product)"
          }
        ]
      },
      "doseForm": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385219001",
            "display": "Injection solution (qualifier value)"
          }
        ]
      },
      "ingredient": [
        {
          "item": {
            "concept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "387106007",
                  "display": "Lorazepam (substance)"
                }
              ]
            }
          },
          "strengthRatio": {
            "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",
  "intent": "order",
  "medication": {
    "reference": {
      "reference": "#med0313"
    }
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "encounter": {
    "reference": "Encounter/f001",
    "display": "encounter who leads to this prescription"
  },
  "authoredOn": "2015-01-15",
  "requester": {
    "reference": "Practitioner/f007",
    "display": "Patrick Pump"
  },
  "reason": [
    {
      "concept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "84757009",
            "display": "Epilepsy (disorder)"
          }
        ]
      }
    }
  ],
  "dosageInstruction": [
    {
      "sequence": 1,
      "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)"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "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"
            }
          }
        }
      ]
    }
  ]
}