Medicationrequest0322.json

Request for Intravenous Admixture - Potassium Chloride in D5W - completed with reason code

{
  "resourceType": "MedicationRequest",
  "id": "medrx0322",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: medrx0322</p><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</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>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": "med0317",
      "doseForm": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385219001",
            "display": "Injection Solution (qualifier value)"
          }
        ],
        "text": "Injection Solution (qualifier value)"
      },
      "ingredient": [
        {
          "item": {
            "concept": {
              "coding": [
                {
                  "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code": "204520",
                  "display": "Potassium Chloride"
                }
              ]
            }
          },
          "strengthRatio": {
            "numerator": {
              "value": 2,
              "system": "http://unitsofmeasure.org",
              "code": "meq"
            },
            "denominator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }
        },
        {
          "item": {
            "concept": {
              "coding": [
                {
                  "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code": "313002",
                  "display": "Sodium Chloride 0.9% injectable solution"
                }
              ]
            }
          },
          "strengthRatio": {
            "numerator": {
              "value": 0.9,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            },
            "denominator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }
        }
      ]
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "status": "completed",
  "intent": "order",
  "medication": {
    "reference": {
      "reference": "#med0317",
      "display": "Potassium Chloride 20mEq in 1L Normal Saline"
    }
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "authoredOn": "2015-01-15",
  "requester": {
    "reference": "Practitioner/f007",
    "display": "Patrick Pump"
  },
  "reason": [
    {
      "concept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "237840007",
            "display": "Disorder of Electrolytes (disorder)"
          }
        ]
      }
    }
  ],
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 1,
          "periodUnit": "h"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "47625008",
            "display": "Intravenous route (qualifier value)"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 20,
            "unit": "meq",
            "system": "http://unitsofmeasure.org",
            "code": "meq"
          },
          "rateRatio": {
            "numerator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            },
            "denominator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "h"
            }
          }
        }
      ]
    }
  ]
}