Request for TPN Solution - completed (id = "medrx0323")

<?xml version="1.0" encoding="UTF-8"?>

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0323"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationRequest</b> <a name="medrx0323"> </a> <a name="hcmedrx0323"> </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;medrx0323&quot; </p> </div> <p> <b> identifier</b> : <code> http://www.bmc.nl/portal/prescriptions</code> /12345689 (use: OFFICIAL)</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="hcmed0318"> </a> </span> <blockquote> <p/>  <p> <a name="med0318"> </a> </p> <p> <a name="hcmed0318"> </a> </p> <p> <b> doseForm</b> : Conventional release emulsion for injection (dose form) <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 style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/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 style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> TPN Electrolytes, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01) &gt; 20 mL in
                       1 VIAL, SINGLE-DOSE (0409-5779-11) (package) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/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 style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> Intralipid 20% IV Fat Emulsion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ndc.html">National drug codes</a> #0338-0519-02 &quot;Intralipid, 250 mL in 1 BAG (0338-0519-02) (package)&quot;)</span> </td> </tr> </table> </blockquote> <h3> Batches</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> LotNumber</b> </td> <td> <b> ExpirationDate</b> </td> </tr> <tr> <td style="display: none">*</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>  &quot;Donald DUCK&quot;</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>  &quot;Simone HEPS&quot;</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> <p> <b> doseAndRate</b> </p> </blockquote> </blockquote> <hr/>  <blockquote> <p> <b> Generated Narrative: Medication #med0318</b> <a name="med0318"> </a> <a name="hcmed0318"> </a> </p> <p> <b> doseForm</b> : Conventional release emulsion for injection (dose form) <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 style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/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 style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> TPN Electrolytes, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01) &gt; 20 mL in
                 1 VIAL, SINGLE-DOSE (0409-5779-11) (package) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/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 style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> Intralipid 20% IV Fat Emulsion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ndc.html">National drug codes</a> #0338-0519-02 &quot;Intralipid, 250 mL in 1 BAG (0338-0519-02) (package)&quot;)</span> </td> </tr> </table> </blockquote> <h3> Batches</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> LotNumber</b> </td> <td> <b> ExpirationDate</b> </td> </tr> <tr> <td style="display: none">*</td> <td> 123455</td> <td> 2016-07-09</td> </tr> </table> </blockquote> </div> </text> <contained> 
        <Medication> 
            <id value="med0318"/> 
                <doseForm> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="385221006"/> 
                        <display value="Conventional release emulsion for injection (dose form)"/> 
                    </coding> 
                </doseForm> 
                <ingredient> 
                    <item> 
                        <concept> 
                        <coding> 
                            <system value="http://hl7.org/fhir/sid/ndc"/> 
                            <code value="0338-1134-03"/> 
                            <display value="CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package)"/>      <!--   Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"
                 -->
                        </coding> 
                        </concept> 
                    </item> 
                </ingredient> 
                <ingredient> 
                    <item> 
                        <concept> 
                        <coding> 
                            <system value="http://hl7.org/fhir/sid/ndc"/> 
                            <code value="0409-5779-01"/> 
                            <display value="TPN Electrolytes, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01) &gt; 20 mL in
               1 VIAL, SINGLE-DOSE (0409-5779-11) (package)"/> 
                        </coding> 
                        </concept> 
                    </item> 
                </ingredient> 
                <ingredient> 
                    <item> 
                    <concept> 
                        <coding> 
                            <system value="http://hl7.org/fhir/sid/ndc"/> 
                            <code value="0338-0519-02"/> 
                            <display value="Intralipid, 250 mL in 1 BAG (0338-0519-02) (package)"/> 
                        </coding> 
                        <text value="Intralipid 20% IV Fat Emulsion"/> 
                    </concept> 
                    </item> 
                </ingredient> 
            <batch> 
                <lotNumber value="123455"/> 
                <expirationDate value="2016-07-09"/> 
            </batch>               
        </Medication> 
    </contained> 
    <identifier> 
        <use value="official"/> 
        <system value="http://www.bmc.nl/portal/prescriptions"/> 
        <value value="12345689"/> 
    </identifier> 
    <status value="completed"/> 
    <intent value="order"/> 
    <medication>      <!--    Linked to a RESOURCE Medication    -->
        <reference> 
        <reference value="#med0318"/> 
        </reference> 
    </medication>  
    <subject>      <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/>          
    </subject> 
    <encounter>      <!--    Linked to a resource Encounter between patient and practitioner   -->
        <reference value="Encounter/f001"/> 
        <display value="encounter who leads to this prescription"/> 
    </encounter> 
    <authoredOn value="2015-01-15"/> 
    <requester> 
        <reference value="Practitioner/f007"/> 
        <display value="Patrick Pump"/> 
    </requester> 
    
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours"/> 
        <timing> 
            <event value="2015-01-15T22:00:00+11:00"/> 
            <repeat> 
                <frequency value="1"/> 
                <period value="24"/> 
                <periodUnit value="h"/> 
            </repeat> 
        </timing> 
        <site> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="6073002"/> 
                <display value="Structure of ligament of left superior vena cava"/> 
            </coding> 
        </site> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="255560000"/> 
                <display value="Intravenous"/> 
            </coding> 
        </route> 
        <method> 
            <text value="PICC line"/> 
        </method> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                </coding> 
            </type> 
            <doseQuantity> 
                <value value="1000"/> 
                <unit value="mL"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="mL"/>  
            </doseQuantity> 
            <rateRatio> 
                <numerator> 
                    <value value="50"/> 
                    <unit value="mL"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="mL"/>  
                </numerator> 
                <denominator> 
                    <value value="1"/> 
                    <unit value="h"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="h"/>  
                </denominator> 
            </rateRatio> 
        </doseAndRate> 
        
        
    </dosageInstruction> 
    
</MedicationRequest>