Request for Intravenous Dopamine - Weight based calculation with rateQuantity
{
"resourceType" : "MedicationRequest",
"id" : "medrx0336",
"contained" : [{
"resourceType" : "Medication",
"id" : "med0336",
"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" : "1114879",
"display" : "dopamine hydrochloride 40 MG/ML"
}]
}
},
"strengthRatio" : {
"numerator" : {
"value" : 400,
"system" : "http://unitsofmeasure.org",
"code" : "mg"
},
"denominator" : {
"value" : 500,
"system" : "http://unitsofmeasure.org",
"code" : "mL"
}
}
},
{
"item" : {
"concept" : {
"coding" : [{
"system" : "http://hl7.org/fhir/sid/ndc",
"code" : "0264-7510-10",
"display" : "DEXTROSE, 24 CONTAINER in 1 CASE (0264-7510-10) > 500 mL in 1 CONTAINER (package)"
}],
"text" : "Dextrose 5% injection USP"
}
},
"strengthRatio" : {
"numerator" : {
"value" : 5,
"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" : "#med0336",
"display" : "Dopamine 400mg in 500mL D5W"
}
},
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"supportingInformation" : [{
"reference" : "Observation/example"
}],
"authoredOn" : "2015-01-15",
"requester" : {
"reference" : "Practitioner/f007",
"display" : "Patrick Pump"
},
"dosageInstruction" : [{
"sequence" : 1,
"text" : "Dopamine 4mcg/kg/min",
"timing" : {
"repeat" : {
"duration" : 33.33,
"durationUnit" : "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"
}]
},
"rateQuantity" : {
"value" : 4,
"unit" : "ug/kg/min",
"system" : "http://unitsofmeasure.org"
}
}]
}]
}
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.