Medicationrequest0316.json

Request for Intravenous Chemotherapy (inpatient order) - Brentuximab Vedotin - completed

{
  "resourceType": "MedicationRequest",
  "id": "medrx0316",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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>: <a> </a></p><blockquote><p><b>code</b>: <span>Adcetris</span></p><p><b>form</b>: <span>Lyophilized powder for injectable solution (qualifier value) </span></p><h3>Batches</h3><table><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>12345</td><td>2019-10-31</td></tr></table></blockquote><p><b>subject</b>: <a>Donald Duck. Generated Summary: 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: v1451 (OFFICIAL); status: finished; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span>; <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: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></p><p><b>instantiatesUri</b>: <a>http://www.bccancer.bc.ca/chemotherapy-protocols-site/Documents/Lymphoma-Myeloma/ULYBRENTUX%20Protocol_1Jun2017.pdf</a></p><h3>DosageInstructions</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0306",
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/ndc",
            "code": "51144-050-01",
            "display": "Adcetris"
          }
        ]
      },
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "421637006",
            "display": "Lyophilized powder for injectable solution (qualifier value) "
          }
        ]
      },
      "batch": {
        "lotNumber": "12345",
        "expirationDate": "2019-10-31"
      }
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "status": "completed",
  "intent": "order",
  "medicationReference": {
    "reference": "#med0306"
  },
  "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"
  },
  "instantiatesUri": [
    "http://www.bccancer.bc.ca/chemotherapy-protocols-site/Documents/Lymphoma-Myeloma/ULYBRENTUX%20Protocol_1Jun2017.pdf"
  ],
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "1.8 mg/kg IV infusion over 20 minutes every 3 weeks for 16 cycles",
      "timing": {
        "repeat": {
          "count": 16,
          "frequency": 1,
          "period": 3,
          "periodUnit": "wk"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "255560000",
            "display": "Intravenous"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 1.8,
            "unit": "mg/kg",
            "system": "http://unitsofmeasure.org",
            "code": "mg/kg"
          },
          "rateRatio": {
            "numerator": {
              "value": 1.8,
              "system": "http://unitsofmeasure.org",
              "code": "mg/kg"
            },
            "denominator": {
              "value": 20,
              "system": "http://unitsofmeasure.org",
              "code": "min"
            }
          }
        }
      ],
      "maxDosePerLifetime": {
        "value": 400,
        "unit": "mg",
        "system": "http://unitsofmeasure.org",
        "code": "mg"
      }
    }
  ]
}