MediRecords FHIR Implementation Guide
1.4.2 - release
{
"resourceType" : "MedicationRequest",
"id" : "878c8f4e-18f7-42c4-b1db-4de202c3283f",
"meta" : {
"lastUpdated" : "2024-09-19T01:43:30Z",
"profile" : [
🔗 "https://fhir.medirecords.com/StructureDefinition/mr-medication-request-admission-iv"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest 878c8f4e-18f7-42c4-b1db-4de202c3283f</b></p><a name=\"878c8f4e-18f7-42c4-b1db-4de202c3283f\"> </a><a name=\"hc878c8f4e-18f7-42c4-b1db-4de202c3283f\"> </a><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\">Last updated: 2024-09-19 01:43:30+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mr-medication-request-admission-iv.html\">MR MedicationRequest Admission Intravenous</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">PLANNED</span></p><p><b>medication</b>: <a href=\"#hc878c8f4e-18f7-42c4-b1db-4de202c3283f/1\">Medication </a></p><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Mila Female, DoB: 1990-11-29 ( Medicare Number:\u00a032788511952\u00a0(,\u00a0period:\u00a0(?) --> 2025-02))</a></p><p><b>encounter</b>: <a href=\"Encounter-0291f306-e786-4ac4-be26-44b47714d85f.html\">Encounter: extension = 2023-10-20 01:00:00+0000,2023-12-22,Planned Encounter for a Patient who has been admitted to a Hospital,Public Transport (arrivalMode#P); identifier = Visit number: ADM-27; status = in-progress; class = inpatient encounter (ActCode#IMP); period = 2023-12-20 00:34:00+0000 --> (ongoing); reasonCode = Ischaemic foot</a></p><p><b>authoredOn</b>: 2024-09-19 01:43:30+0000</p><p><b>requester</b>: <a href=\"Practitioner-6d6d7ce8-65c2-11e6-a20e-7b5deed40054.html\">Practitioner John Smith </a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 1601000119105}\">Moderate dehydration</span></p><p><b>note</b>: </p><blockquote><div><p>Check every 6 hours for fever</p>\n</div></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Intravenous, 166 mL/hr, 120 min Due Date: 2024-09-19 Due Time: 15:00</p><p><b>timing</b>: Duration 120?? , Once</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 47625008}\">Intravenous</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td><td><b>Rate[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 261754007}\">Continuous infusion</span></td><td>1000 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemL = 'mL')</span></td><td>166 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemL = 'mL')</span>/1 h<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeh = 'h')</span></td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication #1</b></p><a name=\"878c8f4e-18f7-42c4-b1db-4de202c3283f/1\"> </a><a name=\"hc878c8f4e-18f7-42c4-b1db-4de202c3283f/1\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mr-medication-admission-iv.html\">MR Medication Admission Intravenous</a></p></div><p><b>Medication Brand Name</b>: Baxter</p><p><b>code</b>: <span title=\"Codes:\">Compound Sodium Lactate, 29 mmol/L, Baxter, 1000 mL</span></p><p><b>amount</b>: 1000 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemL = 'mL')</span>/1</p><h3>Ingredients</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Item[x]</b></td></tr><tr><td style=\"display: none\">*</td><td/><td><span title=\"Codes:\">Compound Sodium Lactate</span></td></tr></table></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Medication",
"id" : "1",
"meta" : {
"profile" : [
🔗 "https://fhir.medirecords.com/StructureDefinition/mr-medication-admission-iv"
]
},
"extension" : [
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/medication-brand-name",
"valueString" : "Baxter"
}
],
"code" : {
"text" : "Compound Sodium Lactate, 29 mmol/L, Baxter, 1000 mL"
},
"amount" : {
"numerator" : {
"value" : 1000,
"system" : "http://unitsofmeasure.org",
"code" : "mL"
},
"denominator" : {
"value" : 1
}
},
"ingredient" : [
{
"extension" : [
{
"url" : "https://fhir.medirecords.com/StructureDefinition/mr-ingredient-strength-text",
"valueCodeableConcept" : {
"text" : "29 mmol/L"
}
}
],
"itemCodeableConcept" : {
"text" : "Compound Sodium Lactate"
}
}
]
}
],
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code" : "inpatient",
"display" : "Inpatient"
}
],
"text" : "PLANNED"
}
],
"medicationReference" : {
"reference" : "#1"
},
"subject" : {
🔗 "reference" : "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"
},
"encounter" : {
🔗 "reference" : "Encounter/0291f306-e786-4ac4-be26-44b47714d85f"
},
"authoredOn" : "2024-09-19T01:43:30Z",
"requester" : {
🔗 "reference" : "Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1601000119105"
}
],
"text" : "Moderate dehydration"
}
],
"note" : [
{
"text" : "Check every 6 hours for fever"
}
],
"dosageInstruction" : [
{
"text" : "Intravenous, 166 mL/hr, 120 min Due Date: 2024-09-19 Due Time: 15:00",
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2024-09-01T11:00:00+11:00"
},
"duration" : 120,
"durationUnit" : "min"
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "47625008",
"display" : "Intravenous route"
}
],
"text" : "Intravenous"
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "261754007",
"display" : "Continuous infusion"
}
]
},
"doseQuantity" : {
"value" : 1000,
"system" : "http://unitsofmeasure.org",
"code" : "mL"
},
"rateRatio" : {
"numerator" : {
"value" : 166,
"system" : "http://unitsofmeasure.org",
"code" : "mL"
},
"denominator" : {
"value" : 1,
"system" : "http://unitsofmeasure.org",
"code" : "h"
}
}
}
]
}
]
}