Medicationrequest0315.xml

Order for an injectable medication - Lorazepam - active - with link to encounter, reasonCode and dosageInstruction (id = "medrx0315")

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0315"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : medrx0315</p> <p> <b> contained</b> : </p> <p> <b> identifier</b> : 12345689 (OFFICIAL)</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : order</p> <p> <b> medication</b> : id: med0313; Lorazepam 2mg/ml injection solution 1ml vial (product) <span> (Details : {SNOMED CT code '400621001' = 'Lorazepam 2mg/mL injection solution 1mL vial',
           given as 'Lorazepam 2mg/ml injection solution 1ml vial (product)'})</span> ; Injection solution (qualifier value) <span> (Details : {SNOMED CT code '385219001' = 'Injection solution', given as 'Injection solution
           (qualifier value)'})</span> </p> <p> <b> subject</b> : <a> Donald Duck</a> </p> <p> <b> context</b> : <a> encounter who leads to this prescription</a> </p> <p> <b> authoredOn</b> : 15/01/2015</p> <p> <b> requester</b> : <a> Patrick Pump</a> </p> <p> <b> reasonCode</b> : Epilepsy (disorder) <span> (Details : {SNOMED CT code '84757009' = 'Epilepsy', given as 'Epilepsy (disorder)'})</span> </p> <p> <b> dosageInstruction</b> : </p> </div> </text> <contained> 
        <Medication> 
            <id value="med0313"/> 
            <code> 
                <coding> 
                    <system value="http://snomed.info/sct"/> 
                    <code value="400621001"/> 
                    <display value="Lorazepam 2mg/ml injection solution 1ml vial (product)"/> 
                </coding> 
            </code> 

                <form> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="385219001"/> 
                        <display value="Injection solution (qualifier value)"/> 
                    </coding> 
                </form> 
                <ingredient> 
                    <itemCodeableConcept> 
                        <coding> 
                            <system value="http://snomed.info/sct"/> 
                            <code value="387106007"/> 
                            <display value="Lorazepam (substance)"/> 
                        </coding> 
                    </itemCodeableConcept> 
                    <amount> 
                        <numerator> 
                            <value value="2"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="mg"/> 
                        </numerator> 
                        <denominator> 
                            <value value="1"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="mL"/> 
                        </denominator> 
                    </amount> 
                </ingredient> 
            
        </Medication> 
    </contained> 
    <identifier> 
        <use value="official"/> 
        <system value="http://www.bmc.nl/portal/prescriptions"/> 
        <value value="12345689"/> 
    </identifier> 
    <status value="active"/> 
    <intent value="order">
    </intent> 
    <medicationReference>  <!--    Linked to a RESOURCE Medication    -->
        <reference value="#med0313"/> 
    </medicationReference>  
    <subject>  <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/>         
    </subject> 
    <context>  <!--    Linked to a resource Encounter between patient and practitioner   -->
        <reference value="Encounter/f001"/> 
        <display value="encounter who leads to this prescription"/> 
    </context> 
    <authoredOn value="2015-01-15"/> 
    <requester> 
        <reference value="Practitioner/f007"/> 
        <display value="Patrick Pump"/> 
    </requester> 
    <reasonCode> 
        <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="84757009"/> 
            <display value="Epilepsy (disorder)"/> 
        </coding> 
    </reasonCode> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed"/> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="15"/> 
                <periodUnit value="min"/> 
            </repeat> 
        </timing> 
        <asNeededBoolean value="true"/> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="255560000"/> 
                <display value="Intravenous"/> 
            </coding> 
        </route> 
        <method> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="420620005"/> 
                <display value="Push - dosing instruction imperative (qualifier value)"/> 
            </coding> 
        </method> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://hl7.org/fhir/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                </coding> 
            </type> 
            <doseRange> 
                <low> 
                    <value value="0.05"/> 
                    <unit value="mg/kg"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="mg/kg"/>  
                </low> 
                <high> 
                    <value value="0.1"/> 
                    <unit value="mg/kg"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="mg/kg"/>  
                </high> 
            </doseRange> 
            <rateRange> 
                <low> 
                    <value value="2"/> 
                    <unit value="min"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="min"/>  
                </low> 
                <high> 
                    <value value="5"/> 
                    <unit value="min"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="min"/>  
                </high> 
            </rateRange> 
        </doseAndRate> 

        
    </dosageInstruction> 
</MedicationRequest>