Medicationrequest0336.json

Request for Intravenous Dopamine - Weight based calculation with rateQuantity

{
  "resourceType": "MedicationRequest",
  "id": "medrx0336",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0336</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>: Dopamine 400mg in 500mL D5W. Generated Summary: id: med0336; 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>supportingInformation</b>: <a>Observation/example</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>dosageInstruction</b>: </p></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0336",
      "doseForm": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385219001",
            "display": "Injection Solution (qualifier value)"
          }
        ],
        "text": "Injection Solution (qualifier value)"
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                "code": "1114879",
                "display": "Dopamine"
              }
            ]
          },
          "strengthRatio": {
            "numerator": {
              "value": 400,
              "system": "http://unitsofmeasure.org",
              "code": "mg"
            },
            "denominator": {
              "value": 500,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0264-7510-10",
                "display": "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",
  "medicationReference": {
    "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 (qualifier value)"
          }
        ]
      },
      "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"
          }
        }
      ]
    }
  ]
}