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Packagehl7.fhir.us.meds
Resource TypeMedicationRequest
IdMedicationRequest-enca-3.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative

id: enca-3

meta:

status: completed

intent: order

medication:

id: med-1

meta:

code: Zithromax 500 MG Injection

ingredient

item: Zithromax (azithromycin) 500 MG Injection

isActive: true

strength: 500 mg/1 vial

ingredient

item: Sodium Chloride 9 MG/ML Injectable Solution

isActive: true

strength: 250 mL/1 IV Bag

subject: Brian Z. Generated Summary: id: test2; Medical Record Number: 1032702 (USUAL); active; Brian Z ; ph: 555-555-5555(HOME); gender: male; birthDate: 1964-01-05

encounter: Inpatient Encounter A. Generated Summary: id: A; status: finished; inpatient encounter; period: 2016-09-10 --> 2016-09-12

authoredOn: 2016-09-10

requester: Dr. B

reasonCode: Pneumonia (disorder)

dosageInstruction:


Source1

{
  "resourceType": "MedicationRequest",
  "id": "enca-3",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med-1",
      "meta": {
        "profile": [
          "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication"
        ]
      },
      "code": {
        "coding": [
          {
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code": "1668240",
            "display": "Zithromax 500 MG Injection"
          }
        ],
        "text": "Zithromax 500 MG Injection"
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                "code": "1668240",
                "display": "Zithromax 500 MG Injection"
              }
            ],
            "text": "Zithromax (azithromycin) 500 MG Injection"
          },
          "isActive": true,
          "strength": {
            "numerator": {
              "value": 500,
              "unit": "mg",
              "system": "http://unitsofmeasure.org",
              "code": "mg"
            },
            "denominator": {
              "value": 1,
              "unit": "vial",
              "system": "http://unitsofmeasure.org",
              "code": "{vial}"
            }
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                "code": "313002",
                "display": "Sodium Chloride 9 MG/ML Injectable Solution"
              }
            ],
            "text": "Sodium Chloride 9 MG/ML Injectable Solution"
          },
          "isActive": true,
          "strength": {
            "numerator": {
              "value": 250,
              "unit": "mL",
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            },
            "denominator": {
              "value": 1,
              "unit": "IV Bag",
              "system": "http://unitsofmeasure.org",
              "code": "{IV Bag}"
            }
          }
        }
      ]
    }
  ],
  "status": "completed",
  "intent": "order",
  "medicationReference": {
    "reference": "#med-1"
  },
  "subject": {
    "reference": "Patient/test2",
    "display": "Brian Z"
  },
  "encounter": {
    "reference": "Encounter/A",
    "display": "Inpatient Encounter A"
  },
  "authoredOn": "2016-09-10",
  "requester": {
    "display": "Dr. B"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "233604007",
          "display": "Pneumonia (disorder)"
        }
      ]
    }
  ],
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "Azithromycin 500mg in 250 ml Normal Saline intravenously over 1hour every 24 hours",
      "timing": {
        "repeat": {
          "duration": 1,
          "durationUnit": "h",
          "frequency": 1,
          "period": 24,
          "periodUnit": "h"
        }
      },
      "asNeededBoolean": false,
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "47625008",
            "display": "INTRAVENOUS use",
            "userSelected": false
          }
        ]
      },
      "method": {
        "text": "1 hr infusion"
      },
      "doseAndRate": [
        {
          "doseQuantity": {
            "value": 500,
            "unit": "mg",
            "system": "http://unitsofmeasure.org",
            "code": "mg"
          }
        }
      ]
    }
  ]
}