Medicationrequest0318.json

Request for Intravenous Antibiotic - Vancomycin - active - with link to encounter, reasonCode, and note

{
  "resourceType": "MedicationRequest",
  "id": "medrx0318",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;medrx0318&quot; </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>subject</b>: <a>Patient/pat1: Donald Duck</a> &quot;Donald DUCK&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><p><b>note</b>: culture expected back in 12 hours - may switch depending on results</p><blockquote><p><b>dose</b></p></blockquote></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0301",
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/ndc",
            "code": "0409-6531-02",
            "display": "Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE)"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "status": "active",
  "intent": "order",
  "medication": {
    "reference": {
      "reference": "#med0301"
    }
  },
  "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"
  },
  "reason": [
    {
      "concept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "11840006",
            "display": "Traveller's Diarrhea (disorder)"
          }
        ]
      }
    }
  ],
  "note": [
    {
      "text": "culture expected back in 12 hours - may switch depending on results"
    }
  ],
  "dose": {
    "dosageInstruction": [
      {
        "sequence": 1,
        "text": "500mg IV q6h x 3 days",
        "timing": {
          "event": [
            "2020-01-01"
          ],
          "repeat": {
            "boundsPeriod": {
              "start": "2020-01-01",
              "end": "2020-01-10"
            },
            "frequency": 1,
            "period": 6,
            "periodUnit": "h"
          }
        },
        "route": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "255560000",
              "display": "Intravenous"
            }
          ]
        },
        "method": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "420620005",
              "display": "Push - dosing instruction imperative (qualifier value)"
            }
          ]
        },
        "doseAndRate": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                  "code": "ordered",
                  "display": "Ordered"
                }
              ]
            },
            "doseQuantity": {
              "value": 500,
              "unit": "mg",
              "system": "http://unitsofmeasure.org",
              "code": "mg"
            }
          }
        ]
      }
    ]
  }
}