Medications
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| 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 TPN Solution - completed
{
"resourceType": "MedicationRequest",
"id": "medrx0323",
"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 "medrx0323" </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=\"med0318\"> </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 "med0318" </p></div><p><b>form</b>: Injection emulsion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385221006)</span></p><blockquote><p><b>ingredient</b></p><p><b>item</b>: Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0338-1134-03)</span></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: 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 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0409-5779-01)</span></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: Intralipid 20% IV Fat Emulsion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0338-0519-02)</span></p></blockquote><h3>Batches</h3><table class=\"grid\"><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>123455</td><td>2016-07-09</td></tr></table></blockquote><p><b>subject</b>: <a href=\"patient-pat1.html\">Patient/pat1: Donald Duck</a> "Duck DONALD"</p><p><b>encounter</b>: <a href=\"encounter-f001.html\">Encounter/f001: encounter who leads to this prescription</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href=\"practitioner-f007.html\">Practitioner/f007: Patrick Pump</a> "Simone HEPS"</p></div>"
"resourceType" : "MedicationRequest",
"id" : "medrx0323",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"medrx0323\"> </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 "medrx0323" </p></div><p><b>identifier</b>: id: 12345689 (use: 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=\"med0318\"> </a></span><blockquote><p/><p><a name=\"med0318\"> </a></p><p><b>doseForm</b>: Injection emulsion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385221006)</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>Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0338-1134-03)</span></td></tr></table></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>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 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0409-5779-01)</span></td></tr></table></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>Intralipid 20% IV Fat Emulsion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0338-0519-02)</span></td></tr></table></blockquote><h3>Batches</h3><table class=\"grid\"><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>123455</td><td>2016-07-09</td></tr></table></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><p><b>encounter</b>: <a href=\"encounter-example-f001-heart.html\">Encounter/f001: encounter who leads to this prescription</a></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> "Simone HEPS"</p><blockquote><p><b>dose</b></p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours</p><p><b>timing</b>: Events: 2015-01-15T22:00:00+11:00, Once per 24 hours</p><p><b>site</b>: Structure of ligament of left superior vena cava <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#6073002)</span></p><p><b>route</b>: Intravenous <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255560000)</span></p><p><b>method</b>: PICC line <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote></blockquote></div>"
},
"contained": [
"contained" : [{
"resourceType" : "Medication",
"id" : "med0318",
"doseForm" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "385221006",
"display" : "Injection emulsion"
}]
},
"ingredient" : [{
"item" : {
"concept" : {
"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"
}]
}
}
},
{
"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 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"
}]
}
],
"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 20% IV Fat Emulsion"
}]
}
}
}],
"batch" : {
"lotNumber" : "123455",
"expirationDate" : "2016-07-09"
}
}],
"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"
"dose" : {
"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"
}
]
"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"
}
]
"route" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "255560000",
"display" : "Intravenous"
}]
},
"method": {
"text": "PICC line"
"method" : {
"text" : "PICC line"
},
"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"
"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"
},
"rateRatio": {
"numerator": {
"value": 50,
"unit": "mL",
"system": "http://unitsofmeasure.org",
"code": "mL"
},
"denominator": {
"value": 1,
"unit": "h",
"system": "http://unitsofmeasure.org",
"code": "h"
}
"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.
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FHIR
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hl7.fhir.r4b.core#4.3.0
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hl7.fhir.core#5.0.0-snapshot3
generated
on
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May
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Wed,
Dec
14,
2022
12:56+1000.
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