Medicationrequest0315.xml

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

<?xml version="1.0" encoding="UTF-8"?>

<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</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> </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> 

                <doseForm> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="385219001"/> 
                        <display value="Injection solution (qualifier value)"/> 
                    </coding> 
                </doseForm> 
                <ingredient> 
                    <item> 
<concept> 
                        <coding> 
                            <system value="http://snomed.info/sct"/> 
                            <code value="387106007"/> 
                            <display value="Lorazepam (substance)"/> 
                        </coding> 
                        </concept> 
                    </item> 
                    <strengthRatio> 
                        <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> 
                    </strengthRatio> 
                </ingredient> 
            
        </Medication> 
    </contained> 
    <identifier> 
        <use value="official"/> 
        <system value="http://www.bmc.nl/portal/prescriptions"/> 
        <value value="12345689"/> 
    </identifier> 
    <status value="active"/> 
    <intent value="order"/> 
    <medication>  <!--    Linked to a RESOURCE Medication    -->
    <reference> 
        <reference value="#med0313"/> 
        </reference> 
    </medication>  
    <subject>  <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/>         
    </subject> 
    <encounter>  <!--    Linked to a resource Encounter between patient and practitioner   -->
        <reference value="Encounter/f001"/> 
        <display value="encounter who leads to this prescription"/> 
    </encounter> 
    <authoredOn value="2015-01-15"/> 
    <requester> 
        <reference value="Practitioner/f007"/> 
        <display value="Patrick Pump"/> 
    </requester> 
    <reason> 
      <concept> 
        <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="84757009"/> 
            <display value="Epilepsy (disorder)"/> 
        </coding> 
      </concept> 
    </reason> 
    <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> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                </coding> 
            </type> 
            <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> 
        </doseAndRate> 

        
    </dosageInstruction> 
</MedicationRequest>