Release 4B 5 Ballot

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-ballot: R5 Ballot - STU see ballot notes ). 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.json

Example MedicationRequest/medrx0322 (JSON)

Pharmacy Work Group Maturity Level : N/A Standards Status : Informative Compartments : Encounter , Patient , Practitioner

Raw JSON ( canonical form + also see JSON Format Specification )

Request for Intravenous Admixture - Potassium Chloride in D5W - completed with reason code 

{
  "resourceType": "MedicationRequest",
  "id": "medrx0322",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource &quot;medrx0322&quot; </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>medication</b>: <a name=\"med0317\"> </a></p><blockquote><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource &quot;med0317&quot; </p></div><p><b>form</b>: Injection Solution (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385219001)</span></p><blockquote><p><b>ingredient</b></p><p><b>item</b>: Potassium Chloride <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#204520)</span></p><p><b>strength</b>: 2 meq<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code meq = 'meq')</span>/1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: Sodium Chloride 0.9% injectable solution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#313002)</span></p><p><b>strength</b>: 0.9 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span>/100 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p></blockquote></blockquote><p><b>subject</b>: <a href=\"patient-pat1.html\">Patient/pat1: Donald Duck</a> &quot;Duck DONALD&quot;</p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href=\"practitioner-f007.html\">Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</p><p><b>reasonCode</b>: Disorder of Electrolytes (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#237840007)</span></p></div>"

    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"medrx0322\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest &quot;medrx0322&quot; </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><span title=\"  Linked to a RESOURCE Medication  \"><a name=\"med0317\"> </a></span><blockquote><p/><p><a name=\"med0317\"> </a></p><p><b>doseForm</b>: Injection Solution (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385219001)</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Potassium Chloride <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#204520)</span></td></tr></table><p><b>strength</b>: 2 meq<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code meq = 'meq')</span>/1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p></blockquote><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Sodium Chloride 0.9% injectable solution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#313002)</span></td></tr></table><p><b>strength</b>: 0.9 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span>/100 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p></blockquote></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href=\"practitioner-example-f007-sh.html\">Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Disorder of Electrolytes (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#237840007)</span></td></tr></table><blockquote><p><b>dose</b></p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr</p><p><b>timing</b>: Do Once per 1 hours</p><p><b>route</b>: Intravenous route (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#47625008)</span></p></blockquote></blockquote></div>"

  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0317",
      "form": {

      "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": "204520",
                "display": "Potassium Chloride"
              }
            ]

          "item": {
            "concept": {
              "coding": [
                {
                  "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code": "204520",
                  "display": "Potassium Chloride"
                }
              ]
            }

          },
          "strength": {

          "strengthRatio": {

            "numerator": {
              "value": 2,
              "system": "http://unitsofmeasure.org",
              "code": "meq"
            },
            "denominator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                "code": "313002",
                "display": "Sodium Chloride 0.9% injectable solution"
              }
            ]

          "item": {
            "concept": {
              "coding": [
                {
                  "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code": "313002",
                  "display": "Sodium Chloride 0.9% injectable solution"
                }
              ]
            }

          },
          "strength": {

          "strengthRatio": {

            "numerator": {
              "value": 0.9,
              "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": "#med0317",
    "display": "Potassium Chloride 20mEq in 1L Normal Saline"

  "medication": {
    "reference": {
      "reference": "#med0317",
      "display": "Potassium Chloride 20mEq in 1L Normal Saline"
    }

  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "authoredOn": "2015-01-15",
  "requester": {
    "reference": "Practitioner/f007",
    "display": "Patrick Pump"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "237840007",
          "display": "Disorder of Electrolytes (disorder)"
        }
      ]
    }
  ],
  "dosageInstruction": [

  "reason": [

    {
      "sequence": 1,
      "text": "KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 1,
          "periodUnit": "h"
        }
      },
      "route": {

      "concept": {

        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "47625008",
            "display": "Intravenous route (qualifier value)"

            "code": "237840007",
            "display": "Disorder of Electrolytes (disorder)"

          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 20,
            "unit": "meq",
            "system": "http://unitsofmeasure.org",
            "code": "meq"
          },
          "rateRatio": {
            "numerator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "mL"

      }
    }
  ],
  "dose": {
    "dosageInstruction": [
      {
        "sequence": 1,
        "text": "KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr",
        "timing": {
          "repeat": {
            "frequency": 1,
            "period": 1,
            "periodUnit": "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"
                }
              ]

            },
            "denominator": {
              "value": 1,

            "doseQuantity": {
              "value": 20,
              "unit": "meq",

              "system": "http://unitsofmeasure.org",
              "code": "h"

              "code": "meq"
            },
            "rateRatio": {
              "numerator": {
                "value": 100,
                "system": "http://unitsofmeasure.org",
                "code": "mL"
              },
              "denominator": {
                "value": 1,
                "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.