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Source1

{
  "resourceType": "MedicationRequest",
  "id": "CML.MED.ORDER.5479777",
  "meta": {
    "security": [
      {
        "system": "http://fhir.health.gov.il/cs/il-hdp-information-buckets",
        "code": "medications",
        "display": "תרופות"
      }
    ],
    "profile": [
      "http://fhir.ashmc.co.il/StructureDefinition/med-order-cml"
    ]
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "Cocktail",
      "identifier": [
        {
          "system": "http://fhir.ashmc.co.il/identifier/cocktail-order-cml",
          "value": "CML.COCKTAIL.ORDER.5479777"
        }
      ],
      "code": {
        "text": "SOL ROPIVACAINE 200MG/100ML NAROPIN 10 cc(ml) + INJ FENTANYL 0.1MG/2ML 20 mg"
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://fhir.ashmc.co.il/cs/cml-med-code",
                "code": "LOCAL-CODE"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "386969005",
                "display": "Ropivacaine"
              }
            ],
            "text": "Ropivacaine 200mg/100mL (Naropin)"
          },
          "strength": {
            "numerator": {
              "value": 200,
              "unit": "mg",
              "system": "http://unitsofmeasure.org",
              "code": "mg"
            },
            "denominator": {
              "value": 1,
              "unit": "Hour",
              "system": "http://unitsofmeasure.org",
              "code": "h"
            }
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://fhir.ashmc.co.il/cs/cml-med-code",
                "code": "LOCAL-CODE"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "373492002",
                "display": "Fentanyl"
              }
            ],
            "text": "Fentanyl 0.1mg/2mL"
          },
          "strength": {
            "numerator": {
              "value": 20,
              "unit": "mcg",
              "system": "http://unitsofmeasure.org",
              "code": "ug"
            },
            "denominator": {
              "value": 1,
              "unit": "Hour",
              "system": "http://unitsofmeasure.org",
              "code": "h"
            }
          }
        }
      ]
    }
  ],
  "extension": [
    {
      "url": "http://fhir.ashmc.co.il/StructureDefinition/ext-confirmed-by",
      "valueReference": {
        "reference": "Practitioner/ashmc-dr-cohen"
      }
    },
    {
      "url": "http://fhir.ashmc.co.il/StructureDefinition/ext-order-type",
      "valueCode": "once"
    },
    {
      "url": "http://fhir.ashmc.co.il/StructureDefinition/ext-protocol-name",
      "valueString": "Epidural analgesia"
    },
    {
      "url": "http://fhir.health.gov.il/StructureDefinition/ext-medication-recorded-time",
      "valueDateTime": "2025-03-16T11:00:00+02:00"
    }
  ],
  "identifier": [
    {
      "type": {
        "coding": [
          {
            "system": "http://fhir.health.gov.il/cs/il-core-identifier-type",
            "code": "strong-id",
            "display": "Strong Identifier"
          }
        ]
      },
      "system": "http://fhir.ashmc.co.il/identifier/med-order-cml",
      "value": "5479777-768131"
    }
  ],
  "category": [
    {
      "coding": [
        {
          "system": "http://fhir.health.gov.il/cs/il-core-medication-request-category",
          "code": "outpatient",
          "display": "Outpatient"
        }
      ]
    }
  ],
  "medicationReference": {
    "reference": "#Cocktail"
  },
  "courseOfTherapyType": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
        "code": "acute",
        "display": "Short course (acute) therapy"
      }
    ]
  },
  "dosageInstruction": [
    {
      "extension": [
        {
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://fhir.ashmc.co.il/cs/wayOfGiving",
                "code": "LOCAL-CODE"
              }
            ]
          },
          "url": "http://fhir.ashmc.co.il/StructureDefinition/dosageWayOfGiving"
        }
      ],
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "404820008",
            "display": "Epidural route"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "422145002",
            "display": "Inject"
          }
        ]
      },
      "doseAndRate": [
        {
          "rateQuantity": {
            "value": 8,
            "unit": "cc/hour",
            "system": "http://unitsofmeasure.org",
            "code": "mL/h"
          }
        }
      ],
      "text": "Epidural Ropivacaine/Fentanyl cocktail, continuous infusion"
    }
  ],
  "intent": "order",
  "status": "active",
  "subject": {
    "reference": "Patient/ashmc-patient-001"
  },
  "encounter": {
    "reference": "Encounter/AshdodEncounterSubExample"
  },
  "authoredOn": "2025-03-16T11:00:00+02:00",
  "requester": {
    "reference": "Practitioner/ashmc-dr-cohen"
  }
}