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: MedicationRequest</b><a name=\"medrx0318\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest "medrx0318" </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><span title=\" Linked to a RESOURCE Medication \"><a name=\"med0301\"> </a></span><blockquote><p/><p><a name=\"med0301\"> </a></p><p><b>code</b>: Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0409-6531-02)</span></p></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><p><b>encounter</b>: <a href=\"encounter-example-f001-heart.html\">Encounter/f001: encounter who leads to this prescription</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href=\"practitioner-example-f007-sh.html\">Practitioner/f007: Patrick Pump</a> "Simone HEPS"</p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Traveller's Diarrhea (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#11840006)</span></td></tr></table><p><b>note</b>: culture expected back in 12 hours - may switch depending on results</p><blockquote><p><b>dose</b></p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 500mg IV q6h x 3 days</p><p><b>timing</b>: Events: 2020-01-01, Starting 2020-01-01, Once per 6 hours, Until 2020-01-10</p><p><b>route</b>: Intravenous <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255560000)</span></p><p><b>method</b>: Push - dosing instruction imperative (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#420620005)</span></p></blockquote></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"
}
}]
}]
}
}
Usage note: every effort has been made to ensure that the
examples are correct and useful, but they are not a normative part
of the specification.