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Medicationrequest0315.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 an injectable medication - Lorazepam - active - with link to encounter, reasonCode and dosageInstruction
{
  "resourceType": "MedicationRequest",
  "id": "medrx0315",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0315</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: id: med0313; Lorazepam 2mg/ml injection solution 1ml vial (product) <span>(Details : {SNOMED CT code '400621001' = 'Lorazepam 2mg/mL injection solution 1mL vial', given as 'Lorazepam 2mg/ml injection solution 1ml vial (product)'})</span>; 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>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>reasonCode</b>: Epilepsy (disorder) <span>(Details : {SNOMED CT code '84757009' = 'Epilepsy', given as 'Epilepsy (disorder)'})</span></p><p><b>dosageInstruction</b>: </p></div>"

    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;medrx0315&quot; </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>subject</b>: <a>Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</p><p><b>encounter</b>: <a>Encounter/f001: encounter who leads to this prescription</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a>Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</p><blockquote><p><b>dose</b></p></blockquote></div>"

  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0313",
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "400621001",
            "display": "Lorazepam 2mg/ml injection solution 1ml vial (product)"
          }
        ]
      },
      "form": {

      "doseForm": {

        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385219001",
            "display": "Injection solution (qualifier value)"
          }
        ]
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "387106007",
                "display": "Lorazepam (substance)"
              }
            ]

          "item": {
            "concept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "387106007",
                  "display": "Lorazepam (substance)"
                }
              ]
            }

          },
          "strength": {

          "strengthRatio": {

            "numerator": {
              "value": 2,
              "system": "http://unitsofmeasure.org",
              "code": "mg"
            },
            "denominator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }
        }
      ]
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "status": "active",
  "intent": "order",
  "medicationReference": {
    "reference": "#med0313"

  "medication": {
    "reference": {
      "reference": "#med0313"
    }

  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "encounter": {
    "reference": "Encounter/f001",
    "display": "encounter who leads to this prescription"
  },
  "authoredOn": "2015-01-15",
  "requester": {
    "reference": "Practitioner/f007",
    "display": "Patrick Pump"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "84757009",
          "display": "Epilepsy (disorder)"
        }
      ]
    }
  ],
  "dosageInstruction": [

  "reason": [

    {
      "sequence": 1,
      "text": "0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 15,
          "periodUnit": "min"
        }
      },
      "asNeededBoolean": true,
      "route": {

      "concept": {

        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "255560000",
            "display": "Intravenous"

            "code": "84757009",
            "display": "Epilepsy (disorder)"

          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "420620005",
            "display": "Push - dosing instruction imperative (qualifier value)"

      }
    }
  ],
  "dose": {
    "dosageInstruction": [
      {
        "sequence": 1,
        "text": "0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed",
        "timing": {
          "repeat": {
            "frequency": 1,
            "period": 15,
            "periodUnit": "min"

          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseRange": {
            "low": {
              "value": 0.05,
              "unit": "mg/kg",
              "system": "http://unitsofmeasure.org",
              "code": "mg/kg"
            },
            "high": {
              "value": 0.1,
              "unit": "mg/kg",
              "system": "http://unitsofmeasure.org",
              "code": "mg/kg"

        },
        "asNeededBoolean": true,
        "route": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "255560000",
              "display": "Intravenous"

            }
          },
          "rateRange": {
            "low": {
              "value": 2,
              "unit": "min",
              "system": "http://unitsofmeasure.org",
              "code": "min"

          ]
        },
        "method": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "420620005",
              "display": "Push - dosing instruction imperative (qualifier value)"
            }
          ]
        },
        "doseAndRate": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                  "code": "ordered",
                  "display": "Ordered"
                }
              ]

            },
            "high": {
              "value": 5,
              "unit": "min",
              "system": "http://unitsofmeasure.org",
              "code": "min"

            "doseRange": {
              "low": {
                "value": 0.05,
                "unit": "mg/kg",
                "system": "http://unitsofmeasure.org",
                "code": "mg/kg"
              },
              "high": {
                "value": 0.1,
                "unit": "mg/kg",
                "system": "http://unitsofmeasure.org",
                "code": "mg/kg"
              }
            },
            "rateRange": {
              "low": {
                "value": 2,
                "unit": "min",
                "system": "http://unitsofmeasure.org",
                "code": "min"
              },
              "high": {
                "value": 5,
                "unit": "min",
                "system": "http://unitsofmeasure.org",
                "code": "min"
              }

            }
          }
        }
      ]
    }
  ]

        ]
      }
    ]
  }

}
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.