Medications
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| Responsible Owner: Pharmacy Work Group | Standards Status : Informative | Compartments : Encounter , Group , Patient , Practitioner |
Raw JSON ( canonical form + also see JSON Format Specification )
Request for TPN Solution - completed
{
"resourceType": "MedicationRequest",
"id": "medrx0323",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0323</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>: id: med0318; Injection emulsion <span>(Details : {SNOMED CT code '385221006' = 'Injection emulsion', given as 'Injection emulsion'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>encounter</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>dosageInstruction</b>: </p></div>"
},
"contained": [
"resourceType" : "MedicationRequest",
"id" : "medrx0323",
"contained" : [{
"resourceType" : "Medication",
"id" : "med0318",
"doseForm" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "385221006",
"display" : "Conventional release emulsion for injection (dose form)"
}]
},
"ingredient" : [{
"item" : {
"concept" : {
"coding" : [{
"system" : "http://hl7.org/fhir/sid/ndc",
"code" : "0338-1134-03",
"display" : "CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package)"
}]
}
}
},
{
"resourceType": "Medication",
"id": "med0318",
"form": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385221006",
"display": "Injection emulsion"
}
]
},
"ingredient": [
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/ndc",
"code": "0338-1134-03",
"display": "Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"
}
]
}
},
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/ndc",
"code": "0409-5779-01",
"display": "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"
}
]
}
},
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/ndc",
"code": "0338-0519-02",
"display": "Intralipid 20% IV Fat Emulsion"
}
]
}
"item" : {
"concept" : {
"coding" : [{
"system" : "http://hl7.org/fhir/sid/ndc",
"code" : "0409-5779-01",
"display" : "TPN Electrolytes, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01) > 20 mL in 1 VIAL, SINGLE-DOSE (0409-5779-11) (package)"
}]
}
],
"batch": {
"lotNumber": "123455",
"expirationDate": "2016-07-09"
}
}
],
"identifier": [
},
{
"use": "official",
"system": "http://www.bmc.nl/portal/prescriptions",
"value": "12345689"
"item" : {
"concept" : {
"coding" : [{
"system" : "http://hl7.org/fhir/sid/ndc",
"code" : "0338-0519-02",
"display" : "Intralipid, 250 mL in 1 BAG (0338-0519-02) (package)"
}],
"text" : "Intralipid 20% IV Fat Emulsion"
}
}
}]
}],
"identifier" : [{
"use" : "official",
"system" : "http://www.bmc.nl/portal/prescriptions",
"value" : "12345689"
}],
"status" : "completed",
"intent" : "order",
"medication" : {
"reference" : {
"reference" : "#med0318"
}
],
"status": "completed",
"intent": "order",
"medicationReference": {
"reference": "#med0318"
},
"subject": {
"reference": "Patient/pat1",
"display": "Donald Duck"
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"encounter": {
"reference": "Encounter/f001",
"display": "encounter who leads to this prescription"
"encounter" : {
"reference" : "Encounter/f001",
"display" : "encounter who leads to this prescription"
},
"authoredOn": "2015-01-15",
"requester": {
"reference": "Practitioner/f007",
"display": "Patrick Pump"
"authoredOn" : "2015-01-15",
"requester" : {
"reference" : "Practitioner/f007",
"display" : "Patrick Pump"
},
"dosageInstruction": [
{
"sequence": 1,
"text": "1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours",
"timing": {
"event": [
"2015-01-15T22:00:00+11:00"
],
"repeat": {
"frequency": 1,
"period": 24,
"periodUnit": "h"
}
},
"site": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "6073002",
"display": "Structure of ligament of left superior vena cava"
}
]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "255560000",
"display": "Intravenous"
}
]
"dosageInstruction" : [{
"sequence" : 1,
"text" : "1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours",
"timing" : {
"event" : ["2015-01-15T22:00:00+11:00"],
"repeat" : {
"frequency" : 1,
"period" : 24,
"periodUnit" : "h"
}
},
"site" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "6073002",
"display" : "Structure of ligament of left superior vena cava"
}]
},
"route" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "255560000",
"display" : "Intravenous"
}]
},
"method" : {
"text" : "PICC line"
},
"doseAndRate" : [{
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}]
},
"method": {
"text": "PICC line"
"doseQuantity" : {
"value" : 1000,
"unit" : "mL",
"system" : "http://unitsofmeasure.org",
"code" : "mL"
},
"doseAndRate": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
}
]
},
"doseQuantity": {
"value": 1000,
"unit": "mL",
"system": "http://unitsofmeasure.org",
"code": "mL"
},
"rateRatio": {
"numerator": {
"value": 50,
"unit": "mL",
"system": "http://unitsofmeasure.org",
"code": "mL"
},
"denominator": {
"value": 1,
"unit": "h",
"system": "http://unitsofmeasure.org",
"code": "h"
}
}
"rateRatio" : {
"numerator" : {
"value" : 50,
"unit" : "mL",
"system" : "http://unitsofmeasure.org",
"code" : "mL"
},
"denominator" : {
"value" : 1,
"unit" : "h",
"system" : "http://unitsofmeasure.org",
"code" : "h"
}
]
}
]
}
}]
}]
}
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.
FHIR
®©
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2011+.
FHIR
Release
4
(Technical
Correction
#1)
(v4.0.1)
R6
hl7.fhir.core#6.0.0-ballot3
generated
on
Fri,
Sun,
Nov
1,
2019
09:36+1100.
QA
Page
9,
2025
02:08+0000.
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