This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3
Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
Request for an injectable medication - Lorazepam - active - with link to encounter, reasonCode and dosageInstruction
{ "resourceType" : "MedicationRequest", "id" : "medrx0315", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"medrx0315\"> </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 "medrx0315" </p></div><p><b>identifier</b>: id:\u00a012345689\u00a0(use:\u00a0OFFICIAL)</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=\"med0313\"> </a></span><blockquote><p/><p><a name=\"med0313\"> </a></p><p><b>code</b>: Lorazepam 2mg/ml injection solution 1ml vial (product) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#400621001)</span></p><p><b>doseForm</b>: Injection solution (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385219001)</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Lorazepam (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#387106007)</span></td></tr></table><p><b>strength</b>: 2 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p></blockquote></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>Epilepsy (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#84757009)</span></td></tr></table><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed</p><p><b>timing</b>: Once per 15 minutes</p><p><b>asNeeded</b>: true</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><p><b>doseAndRate</b></p></blockquote></blockquote></div>" }, "contained" : [{ "resourceType" : "Medication", "id" : "med0313", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "400621001", "display" : "Lorazepam 2mg/ml injection solution 1ml vial (product)" }] }, "doseForm" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "385219001", "display" : "Injection solution (qualifier value)" }] }, "ingredient" : [{ "item" : { "concept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "387106007", "display" : "Lorazepam (substance)" }] } }, "strengthRatio" : { "numerator" : { "value" : 2, "system" : "http://unitsofmeasure.org", "code" : "mg" }, "denominator" : { "value" : 1, "system" : "http://unitsofmeasure.org", "code" : "mL" } } }] }], "identifier" : [{ "use" : "official", "system" : "http://www.bmc.nl/portal/prescriptions", "value" : "12345689" }], "status" : "active", "intent" : "order", "medication" : { "reference" : { "reference" : "#med0313" } }, "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" : "84757009", "display" : "Epilepsy (disorder)" }] } }], "dosageInstruction" : [{ "sequence" : 1, "text" : "0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed", "timing" : { "repeat" : { "frequency" : 1, "period" : 15, "periodUnit" : "min" } }, "asNeeded" : true, "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" }] }, "doseRange" : { "low" : { "value" : 0.05, "unit" : "mg/kg", "system" : "http://unitsofmeasure.org", "code" : "mg/kg" }, "high" : { "value" : 0.1, "unit" : "mg/kg", "system" : "http://unitsofmeasure.org", "code" : "mg/kg" } }, "rateRange" : { "low" : { "value" : 2, "unit" : "min", "system" : "http://unitsofmeasure.org", "code" : "min" }, "high" : { "value" : 5, "unit" : "min", "system" : "http://unitsofmeasure.org", "code" : "min" } } }] }] }
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.
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