Medicationrequest0323.xml

Request for TPN Solution - completed (id = "medrx0323")

<?xml version="1.0" encoding="UTF-8"?>

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0323"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> identifier</b> : id: 12345689 (OFFICIAL)</p> <p> <b> status</b> : completed</p> <p> <b> intent</b> : order</p> <h3> Medications</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> <p> <b> subject</b> : <a> Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald
           (OFFICIAL); gender: male</a> </p> <p> <b> encounter</b> : <a> encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status:
           completed; <span> ambulatory</span> ; <span> Patient-initiated encounter</span> ; <span> Non-urgent cardiological admission</span> </a> </p> <p> <b> authoredOn</b> : 2015-01-15</p> <p> <b> requester</b> : <a> Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone
           Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate:
           1971-11-07</a> </p> <h3> DosageInstructions</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> </div> </text> <contained> 
        <Medication> 
            <id value="med0318"/> 
                <doseForm> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="385221006"/> 
                        <display value="Injection emulsion"/> 
                    </coding> 
                </doseForm> 
                <ingredient> 
                    <item> 
                        <concept> 
                        <coding> 
                            <system value="http://hl7.org/fhir/sid/ndc"/> 
                            <code value="0338-1134-03"/> 
                            <display value="Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"/> 
                        </coding> 
                        </concept> 
                    </item> 
                </ingredient> 
                <ingredient> 
                    <item> 
                        <concept> 
                        <coding> 
                            <system value="http://hl7.org/fhir/sid/ndc"/> 
                            <code value="0409-5779-01"/> 
                            <display value="TPN Electrolytes SODIUM CHLORIDE, CALCIUM CHLORIDE, POTASSIUM CHLORIDE, MAGNESIUM CHLORIDE,
               and SODIUM ACETATE ANHYDROUS | INJECTION, SOLUTION, CONCENTRATE | 321 mg/20mL, 331 mg/20mL,
               1491 mg/20mL, 508 mg/20mL, 2420 mg/20mL"/> 
                        </coding> 
                        </concept> 
                    </item> 
                </ingredient> 
                <ingredient> 
                    <item> 
                    <concept> 
                        <coding> 
                            <system value="http://hl7.org/fhir/sid/ndc"/> 
                            <code value="0338-0519-02"/> 
                            <display value="Intralipid 20% IV Fat Emulsion"/> 
                        </coding> 
                    </concept> 
                    </item> 
                </ingredient> 
            <batch> 
                <lotNumber value="123455"/> 
                <expirationDate value="2016-07-09"/> 
            </batch>               
        </Medication> 
    </contained> 
    <identifier> 
        <use value="official"/> 
        <system value="http://www.bmc.nl/portal/prescriptions"/> 
        <value value="12345689"/> 
    </identifier> 
    <status value="completed"/> 
    <intent value="order"/> 
    <medication>  <!--    Linked to a RESOURCE Medication    -->
        <reference> 
        <reference value="#med0318"/> 
        </reference> 
    </medication>  
    <subject>  <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/>          
    </subject> 
    <encounter>  <!--    Linked to a resource Encounter between patient and practitioner   -->
        <reference value="Encounter/f001"/> 
        <display value="encounter who leads to this prescription"/> 
    </encounter> 
    <authoredOn value="2015-01-15"/> 
    <requester> 
        <reference value="Practitioner/f007"/> 
        <display value="Patrick Pump"/> 
    </requester> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours"/> 
        <timing> 
            <event value="2015-01-15T22:00:00+11:00"/> 
            <repeat> 
                <frequency value="1"/> 
                <period value="24"/> 
                <periodUnit value="h"/> 
            </repeat> 
        </timing> 
        <site> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="6073002"/> 
                <display value="Structure of ligament of left superior vena cava"/> 
            </coding> 
        </site> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="255560000"/> 
                <display value="Intravenous"/> 
            </coding> 
        </route> 
        <method> 
            <text value="PICC line"/> 
        </method> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                </coding> 
            </type> 
            <doseQuantity> 
                <value value="1000"/> 
                <unit value="mL"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="mL"/>  
            </doseQuantity> 
            <rateRatio> 
                <numerator> 
                    <value value="50"/> 
                    <unit value="mL"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="mL"/>  
                </numerator> 
                <denominator> 
                    <value value="1"/> 
                    <unit value="h"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="h"/>  
                </denominator> 
            </rateRatio> 
        </doseAndRate> 
        
        
    </dosageInstruction> 
</MedicationRequest>