Medicationrequest0323.json

Request for TPN Solution - completed

{
  "resourceType": "MedicationRequest",
  "id": "medrx0323",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;medrx0323&quot; </p></div><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><div><p>Resource &quot;med0318&quot; </p></div><p><b>form</b>: Injection emulsion <span> (<a>SNOMED CT</a>#385221006)</span></p><blockquote><p><b>ingredient</b></p><p><b>item</b>: Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml <span> (<a>National drug codes</a>#0338-1134-03)</span></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: TPN Electrolytes SODIUM CHLORIDE, CALCIUM CHLORIDE, POTASSIUM CHLORIDE, MAGNESIUM CHLORIDE, and SODIUM ACETATE ANHYDROUS | INJECTION, SOLUTION, CONCENTRATE | 321 mg/20mL, 331 mg/20mL, 1491 mg/20mL, 508 mg/20mL, 2420 mg/20mL <span> (<a>National drug codes</a>#0409-5779-01)</span></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: Intralipid 20% IV Fat Emulsion <span> (<a>National drug codes</a>#0338-0519-02)</span></p></blockquote><h3>Batches</h3><table><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>123455</td><td>2016-07-09</td></tr></table></blockquote><p><b>subject</b>: <a>Patient/pat1: Donald Duck</a> &quot;Duck DONALD&quot;</p><p><b>encounter</b>: <a>Encounter/f001: encounter who leads to this prescription</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a>Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</p></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0318",
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385221006",
            "display": "Injection emulsion"
          }
        ]
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0338-1134-03",
                "display": "Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"
              }
            ]
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0409-5779-01",
                "display": "TPN Electrolytes SODIUM CHLORIDE, CALCIUM CHLORIDE, POTASSIUM CHLORIDE, MAGNESIUM CHLORIDE, and SODIUM ACETATE ANHYDROUS | INJECTION, SOLUTION, CONCENTRATE | 321 mg/20mL, 331 mg/20mL, 1491 mg/20mL, 508 mg/20mL, 2420 mg/20mL"
              }
            ]
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0338-0519-02",
                "display": "Intralipid 20% IV Fat Emulsion"
              }
            ]
          }
        }
      ],
      "batch": {
        "lotNumber": "123455",
        "expirationDate": "2016-07-09"
      }
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "status": "completed",
  "intent": "order",
  "medicationReference": {
    "reference": "#med0318"
  },
  "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"
  },
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours",
      "timing": {
        "event": [
          "2015-01-15T22:00:00+11:00"
        ],
        "repeat": {
          "frequency": 1,
          "period": 24,
          "periodUnit": "h"
        }
      },
      "site": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "6073002",
            "display": "Structure of ligament of left superior vena cava"
          }
        ]
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "255560000",
            "display": "Intravenous"
          }
        ]
      },
      "method": {
        "text": "PICC line"
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 1000,
            "unit": "mL",
            "system": "http://unitsofmeasure.org",
            "code": "mL"
          },
          "rateRatio": {
            "numerator": {
              "value": 50,
              "unit": "mL",
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            },
            "denominator": {
              "value": 1,
              "unit": "h",
              "system": "http://unitsofmeasure.org",
              "code": "h"
            }
          }
        }
      ]
    }
  ]
}