MediRecords FHIR Implementation Guide
1.4.2 - release
<MedicationRequest xmlns="http://hl7.org/fhir">
<id value="878c8f4e-18f7-42c4-b1db-4de202c3283f"/>
<meta>
<lastUpdated value="2024-09-19T01:43:30Z"/>
<profile
value="https://fhir.medirecords.com/StructureDefinition/mr-medication-request-admission-iv"/>
</meta>
<text>
<status value="extensions"/>
<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: 32788511952 (, period: (?) --> 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>
</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>
</text>
<contained>
<Medication>
<id value="1"/>
<meta>
<profile
value="https://fhir.medirecords.com/StructureDefinition/mr-medication-admission-iv"/>
</meta>
<extension
url="http://hl7.org.au/fhir/StructureDefinition/medication-brand-name">
<valueString value="Baxter"/>
</extension>
<code>
<text value="Compound Sodium Lactate, 29 mmol/L, Baxter, 1000 mL"/>
</code>
<amount>
<numerator>
<value value="1000"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL"/>
</numerator>
<denominator>
<value value="1"/>
</denominator>
</amount>
<ingredient>
<extension
url="https://fhir.medirecords.com/StructureDefinition/mr-ingredient-strength-text">
<valueCodeableConcept>
<text value="29 mmol/L"/>
</valueCodeableConcept>
</extension>
<itemCodeableConcept>
<text value="Compound Sodium Lactate"/>
</itemCodeableConcept>
</ingredient>
</Medication>
</contained>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="inpatient"/>
<display value="Inpatient"/>
</coding>
<text value="PLANNED"/>
</category>
<medicationReference>
<reference value="#1"/>
</medicationReference>
<subject>🔗
<reference value="Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"/>
</subject>
<encounter>🔗
<reference value="Encounter/0291f306-e786-4ac4-be26-44b47714d85f"/>
</encounter>
<authoredOn value="2024-09-19T01:43:30Z"/>
<requester>🔗
<reference value="Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054"/>
</requester>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1601000119105"/>
</coding>
<text value="Moderate dehydration"/>
</reasonCode>
<note>
<text value="Check every 6 hours for fever"/>
</note>
<dosageInstruction>
<text
value="Intravenous, 166 mL/hr, 120 min Due Date: 2024-09-19 Due Time: 15:00"/>
<timing>
<repeat>
<boundsPeriod>
<start value="2024-09-01T11:00:00+11:00"/>
</boundsPeriod>
<duration value="120"/>
<durationUnit value="min"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="47625008"/>
<display value="Intravenous route"/>
</coding>
<text value="Intravenous"/>
</route>
<doseAndRate>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="261754007"/>
<display value="Continuous infusion"/>
</coding>
</type>
<doseQuantity>
<value value="1000"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL"/>
</doseQuantity>
<rateRatio>
<numerator>
<value value="166"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL"/>
</numerator>
<denominator>
<value value="1"/>
<system value="http://unitsofmeasure.org"/>
<code value="h"/>
</denominator>
</rateRatio>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>