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Example MedicationRequest/medrx0322 (JSON)

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: 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: MedicationRequest</b><a name=\"medrx0322\"> </a><a name=\"hcmedrx0322\"> </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>: <code>http://www.bmc.nl/portal/prescriptions</code>/12345689\u00a0(use:\u00a0OFFICIAL)</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><h3>Medications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"  Linked to a RESOURCE Medication  \"><a name=\"hcmed0317\"> </a></span><blockquote><p/><p><a name=\"med0317\"> </a></p><p><a name=\"hcmed0317\"> </a></p><p><b>doseForm</b>: Solution for injection <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 style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>Potassium Chloride <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#204520 &quot;potassium chloride 2 MEQ/ML Injectable Solution&quot;)</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 style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>sodium chloride 9 MG/ML Injectable Solution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/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 style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</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>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>: Once per 1 hours</p><p><b>route</b>: Intravenous route <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#47625008)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><hr/><blockquote><p><b>Generated Narrative: Medication #med0317</b><a name=\"med0317\"> </a><a name=\"hcmed0317\"> </a></p><p><b>doseForm</b>: Solution for injection <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 style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>Potassium Chloride <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#204520 &quot;potassium chloride 2 MEQ/ML Injectable Solution&quot;)</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 style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>sodium chloride 9 MG/ML Injectable Solution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/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></div>"
  },
  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0317",
    "doseForm" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "385219001",
        "display" : "Solution for injection"
      }],
      "text" : "Solution for injection"
    },
    "ingredient" : [{
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "204520",
            "display" : "potassium chloride 2 MEQ/ML Injectable Solution"
          }],
          "text" : "Potassium Chloride"
        }
      },
      "strengthRatio" : {
        "numerator" : {
          "value" : 2,
          "system" : "http://unitsofmeasure.org",
          "code" : "meq"
        },
        "denominator" : {
          "value" : 1,
          "system" : "http://unitsofmeasure.org",
          "code" : "mL"
        }
      }
    },
    {
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "313002",
            "display" : "sodium chloride 9 MG/ML Injectable Solution"
          }]
        }
      },
      "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",
  "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"
  },
  "reason" : [{
    "concept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "237840007",
        "display" : "Disorder of Electrolytes (disorder)"
      }]
    }
  }],
  "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"
      }]
    },
    "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"
        },
        "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.