R6 Ballot (2nd Draft)

Publish-box (todo)

Example MedicationRequest/medrx0322 (JSON)

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner

Raw JSON (canonical form + also see JSON Format Specification)

Request for Intravenous Admixture - Potassium Chloride in D5W - completed with reason code

{
  "resourceType" : "MedicationRequest",
  "id" : "medrx0322",
  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0317",
    "doseForm" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "385219001",
        "display" : "Solution for injection"
      }],
      "text" : "Solution for injection"
    },
    "ingredient" : [{
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "204520",
            "display" : "potassium chloride 2 MEQ/ML Injectable Solution"
          }],
          "text" : "Potassium Chloride"
        }
      },
      "strengthRatio" : {
        "numerator" : {
          "value" : 2,
          "system" : "http://unitsofmeasure.org",
          "code" : "meq"
        },
        "denominator" : {
          "value" : 1,
          "system" : "http://unitsofmeasure.org",
          "code" : "mL"
        }
      }
    },
    {
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "313002",
            "display" : "sodium chloride 9 MG/ML Injectable Solution"
          }]
        }
      },
      "strengthRatio" : {
        "numerator" : {
          "value" : 0.9,
          "system" : "http://unitsofmeasure.org",
          "code" : "g"
        },
        "denominator" : {
          "value" : 100,
          "system" : "http://unitsofmeasure.org",
          "code" : "mL"
        }
      }
    }]
  }],
  "identifier" : [{
    "use" : "official",
    "system" : "http://www.bmc.nl/portal/prescriptions",
    "value" : "12345689"
  }],
  "status" : "completed",
  "intent" : "order",
  "medication" : {
    "reference" : {
      "reference" : "#med0317",
      "display" : "Potassium Chloride 20mEq in 1L Normal Saline"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "authoredOn" : "2015-01-15",
  "requester" : {
    "reference" : "Practitioner/f007",
    "display" : "Patrick Pump"
  },
  "reason" : [{
    "concept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "237840007",
        "display" : "Disorder of Electrolytes (disorder)"
      }]
    }
  }],
  "dosageInstruction" : [{
    "sequence" : 1,
    "text" : "KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr",
    "timing" : {
      "repeat" : {
        "frequency" : 1,
        "period" : 1,
        "periodUnit" : "h"
      }
    },
    "route" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "47625008",
        "display" : "Intravenous route"
      }]
    },
    "doseAndRate" : [{
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code" : "ordered",
          "display" : "Ordered"
        }]
      },
      "doseQuantity" : {
        "value" : 20,
        "unit" : "meq",
        "system" : "http://unitsofmeasure.org",
        "code" : "meq"
      },
      "rateRatio" : {
        "numerator" : {
          "value" : 100,
          "system" : "http://unitsofmeasure.org",
          "code" : "mL"
        },
        "denominator" : {
          "value" : 1,
          "system" : "http://unitsofmeasure.org",
          "code" : "h"
        }
      }
    }]
  }]
}

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.