R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationrequest0322.xml

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

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Order for Intravenous Admixture - Potassium Chloride in D5W - completed with reason code (id = "medrx0322")

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0322"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : medrx0322</p> <p> <b> contained</b> : </p> <p> <b> identifier</b> : 12345689 (OFFICIAL)</p> <p> <b> status</b> : completed</p> <p> <b> intent</b> : order</p> <p> <b> medication</b> : Potassium Chloride 20mEq in 1L Normal Saline. Generated Summary: id: med0317; 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> authoredOn</b> : 15/01/2015</p> <p> <b> requester</b> : <a> Patrick Pump</a> </p> <p> <b> reasonCode</b> : Disorder of Electrolytes (disorder) <span> (Details : {SNOMED CT code '237840007' = 'Disorder of electrolytes', given as 'Disorder
           of Electrolytes (disorder)'})</span> </p> <p> <b> dosageInstruction</b> : </p> </div> </text> <contained> 
        <Medication> 
            <id value="med0317"/> 
                <form> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="385219001"/> 
                        <display value="Injection Solution (qualifier value)"/> 
                    </coding> 
                    <text value="Injection Solution (qualifier value)"/> 
                </form> 
                <ingredient> 
                    <itemCodeableConcept> 
                        <coding> 
                            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
                            <code value="204520"/> 
                            <display value="Potassium Chloride"/> 
                        </coding> 
                    </itemCodeableConcept> 
                    <amount> 
                        <numerator> 
                            <value value="2"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="mEq"/> 
                        </numerator> 
                        <denominator> 
                            <value value="1"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="mL"/> 
                        </denominator> 
                    </amount> 
                </ingredient> 
                <ingredient> 
                    <itemCodeableConcept> 
                        <coding> 
                            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
                            <code value="313002"/> 
                            <display value="Sodium Chloride 0.9% injectable solution"/> 
                        </coding> 
                    </itemCodeableConcept> 
                    <amount> 
                        <numerator> 
                            <value value="0.9"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="g"/> 
                        </numerator> 
                        <denominator> 
                            <value value="100"/> 
                            <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="completed"/> 
    <intent value="order">
    </intent> 
    <medicationReference>  <!--    Linked to a RESOURCE Medication    -->
        <reference value="#med0317"/> 
        <display value="Potassium Chloride 20mEq in 1L Normal Saline"/> 
    </medicationReference>  
    <subject>  <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/>        
    </subject> 
    <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="237840007"/> 
            <display value="Disorder of Electrolytes (disorder)"/> 
        </coding> 
    </reasonCode> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr"/> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="h"/> 
            </repeat> 
        </timing> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="47625008"/> 
                <display value="Intravenous route (qualifier value)"/> 
            </coding> 
        </route> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://hl7.org/fhir/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                </coding> 
            </type> 
            <doseQuantity> 
                <value value="20"/> 
                <unit value="mEq"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="mEq"/> 
            </doseQuantity> 
            <rateRatio> 
                <numerator> 
                    <value value="100"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="mL"/> 
                </numerator> 
                <denominator> 
                    <value value="1"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="h"/> 
                </denominator> 
            </rateRatio> 
        </doseAndRate> 
        
        
    </dosageInstruction>  
</MedicationRequest>

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.