Medicationrequest0336.xml

Request for Intravenous Dopamine - Weight based calculation with rateQuantity (id = "medrx0336")

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

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0336"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> id</b> : medrx0336</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> supportingInformation</b> : <a> Generated Summary: id: example; <span> Vital Signs</span> ; <span> Body Weight</span> ; effective: 2016-03-28; 185 lbs</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> dosageInstruction</b> : </p> </div> </text> <contained> 
        <Medication> 
            <id value="med0336"/> 
                <doseForm> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="385219001"/> 
                        <display value="Injection Solution (qualifier value)"/> 
                    </coding> 
                    <text value="Injection Solution (qualifier value)"/> 
                </doseForm> 
                <ingredient> 
                    <item> 
                    <concept> 
                        <coding> 
                            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
                            <code value="1114879"/> 
                            <display value="Dopamine"/> 
                        </coding> 
                    </concept> 
                    </item> 
                    <strengthRatio> 
                        <numerator> 
                            <value value="400"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="mg"/> 
                        </numerator> 
                        <denominator> 
                            <value value="500"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="mL"/> 
                        </denominator> 
                    </strengthRatio> 
                </ingredient> 
                <ingredient> 
                    <item> 
                    <concept> 
                        <coding> 
                            <system value="http://hl7.org/fhir/sid/ndc"/> 
                            <code value="0264-7510-10"/> 
                            <display value="Dextrose 5% injection USP"/> 
                        </coding> 
                    </concept> 
                    </item> 
                    <strengthRatio> 
                        <numerator> 
                            <value value="5"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="g"/> 
                        </numerator> 
                        <denominator> 
                            <value value="100"/> 
                            <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="completed"/> 
    <intent value="order"/> 
    <medication>  <!--    Linked to a RESOURCE Medication    -->
    <reference> 
        <reference value="#med0336"/> 
        <display value="Dopamine 400mg in 500mL D5W"/> 
    </reference> 
    </medication>  
    <subject>  <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/>        
    </subject> 
    <supportingInformation> 
        <reference value="Observation/example"/> 
    </supportingInformation> 
    <authoredOn value="2015-01-15"/> 
    <requester> 
        <reference value="Practitioner/f007"/> 
        <display value="Patrick Pump"/> 
    </requester> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="Dopamine 4mcg/kg/min"/> 
        <timing> 
            <repeat> 
                <duration value="33.33"/> 
                <durationUnit value="h"/> 
            </repeat> 
        </timing> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="47625008"/> 
                <display value="Intravenous route (qualifier value)"/> 
            </coding> 
        </route> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                </coding> 
            </type> 
            <rateQuantity> 
                <value value="4"/> 
                <unit value="ug/kg/min"/> 
                <system value="http://unitsofmeasure.org"/> 
            </rateQuantity> 
        </doseAndRate> 
        
        
    </dosageInstruction>  
</MedicationRequest>