Medicationrequest0319.json

Request for Intravenous Antibiotic with a Dosage Rate - Piperacillin - completed with reason code

{
  "resourceType": "MedicationRequest",
  "id": "medrx0319",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0319</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>: Piperacillin/Tazobactam 4.5gm. Generated Summary: id: med0302; Zosyn (piperacillin/tazobactam) 4.5gm injection <span>(Details : {http://hl7.org/fhir/sid/ndc code '0206-8862-02' = 'n/a', given as 'Zosyn (piperacillin/tazobactam) 4.5gm injection'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>authoredOn</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Community acquired pneumonia (disorder) <span>(Details : {SNOMED CT code '385093006' = 'Community acquired pneumonia', given as 'Community acquired pneumonia (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 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;medrx0319&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=\"med0302\"> </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;med0302&quot; </p></div><p><b>code</b>: Zosyn (piperacillin/tazobactam) 4.5gm injection <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>#0206-8862-02)</span></p></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>: Community acquired pneumonia (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385093006)</span></p></div>"

  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0302",
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/ndc",
            "code": "0206-8862-02",
            "display": "Zosyn (piperacillin/tazobactam) 4.5gm injection"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "status": "completed",
  "intent": "order",
  "medicationReference": {
    "reference": "#med0302",
    "display": "Piperacillin/Tazobactam 4.5gm"
  },
  "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": "385093006",
          "display": "Community acquired pneumonia (disorder)"
        }
      ]
    }
  ],
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "4.5 grams in D5W 250 ml. IV every 6 hours.Infuse over 30 min at 8L/min ",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 6,
          "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"
              }
            ]
          },
          "doseQuantity": {
            "value": 4.5,
            "unit": "g",
            "system": "http://unitsofmeasure.org",
            "code": "g"
          },
          "rateQuantity": {
            "value": 50,
            "system": "http://unitsofmeasure.org",
            "code": "ml/hr"

            "code": "ml/h"

          }
        }
      ]
    }
  ]
}