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Resource "medrx0317" Version "1" (MedicationRequest)

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XML or JSON representation . provenance for this resource

Generated Narrative with Details

id: medrx0317

contained:

identifier: 12345689 (OFFICIAL)

status: completed

intent: order

medication: id: med0303; Alemtuzumab 10mg/ml (Lemtrada) (Details : {RxNorm code '1594660' = 'alemtuzumab 10 MG/ML [Lemtrada]', given as 'Alemtuzumab 10mg/ml (Lemtrada)'})

subject: Donald Duck

authoredOn: Jan 15, 2015

requester: Patrick Pump

reasonCode: Chronic Lymphoid Leukemia (disorder) (Details : {SNOMED CT code '92814006' = 'Chronic lymphoid leukemia', given as 'Chronic Lymphoid Leukemia (disorder)'})

dosageInstruction: , ,


{
  "resourceType" : "MedicationRequest",
  "id" : "medrx0317",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:36.489Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0317</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>medication</b>: id: med0303; Alemtuzumab 10mg/ml (Lemtrada) <span>(Details : {RxNorm code '1594660' = 'alemtuzumab 10 MG/ML [Lemtrada]', given as 'Alemtuzumab 10mg/ml (Lemtrada)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>authoredOn</b>: Jan 15, 2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Chronic Lymphoid Leukemia (disorder) <span>(Details : {SNOMED CT code '92814006' = 'Chronic lymphoid leukemia', given as 'Chronic Lymphoid Leukemia (disorder)'})</span></p><p><b>dosageInstruction</b>: , , </p></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "med0303",
      "code" : {
        "coding" : [
          {
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "1594660",
            "display" : "Alemtuzumab 10mg/ml (Lemtrada)"
          }
        ]
      }
    }
  ],
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://www.bmc.nl/portal/prescriptions",
      "value" : "12345689"
    }
  ],
  "status" : "completed",
  "intent" : "order",
  "medicationReference" : {
    "reference" : "#med0303"
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "authoredOn" : "2015-01-15",
  "requester" : {
    "reference" : "Practitioner/f007",
    "display" : "Patrick Pump"
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "92814006",
          "display" : "Chronic Lymphoid Leukemia (disorder)"
        }
      ]
    }
  ],
  "dosageInstruction" : [
    {
      "sequence" : 1,
      "text" : "Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk",
      "additionalInstruction" : [
        {
          "text" : "Rapidly increase dose until tolerated"
        },
        {
          "text" : "Administer on alternate days"
        }
      ],
      "timing" : {
        "repeat" : {
          "duration" : 12,
          "durationUnit" : "wk",
          "frequency" : 3,
          "period" : 1,
          "periodUnit" : "wk"
        }
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "47625008",
            "display" : "Intravenous route (qualifier value)"
          }
        ]
      },
      "method" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "422145002",
            "display" : "Inject - dosing instruction imperative (qualifier value)"
          }
        ]
      },
      "doseAndRate" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code" : "ordered",
                "display" : "Ordered"
              }
            ]
          },
          "doseQuantity" : {
            "value" : 3,
            "unit" : "mg",
            "system" : "http://unitsofmeasure.org",
            "code" : "mg"
          }
        }
      ]
    },
    {
      "sequence" : 2,
      "text" : "Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk",
      "additionalInstruction" : [
        {
          "text" : "Rapidly increase dose until tolerated"
        },
        {
          "text" : "Administer on alternate days"
        }
      ],
      "timing" : {
        "repeat" : {
          "duration" : 12,
          "durationUnit" : "wk",
          "frequency" : 3,
          "period" : 1,
          "periodUnit" : "wk"
        }
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "47625008",
            "display" : "Intravenous route (qualifier value)"
          }
        ]
      },
      "method" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "422145002",
            "display" : "Inject - dosing instruction imperative (qualifier value)"
          }
        ]
      },
      "doseAndRate" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code" : "ordered",
                "display" : "Ordered"
              }
            ]
          },
          "doseQuantity" : {
            "value" : 10,
            "unit" : "mg",
            "system" : "http://unitsofmeasure.org",
            "code" : "mg"
          }
        }
      ]
    },
    {
      "sequence" : 3,
      "text" : "Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk",
      "additionalInstruction" : [
        {
          "text" : "Rapidly increase dose until tolerated"
        },
        {
          "text" : "Administer on alternate days"
        }
      ],
      "timing" : {
        "repeat" : {
          "duration" : 12,
          "durationUnit" : "wk",
          "frequency" : 3,
          "period" : 1,
          "periodUnit" : "wk"
        }
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "47625008",
            "display" : "Intravenous route (qualifier value)"
          }
        ]
      },
      "method" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "422145002",
            "display" : "Inject - dosing instruction imperative (qualifier value)"
          }
        ]
      },
      "doseAndRate" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code" : "ordered",
                "display" : "Ordered"
              }
            ]
          },
          "doseQuantity" : {
            "value" : 30,
            "unit" : "mg",
            "system" : "http://unitsofmeasure.org",
            "code" : "mg"
          }
        }
      ]
    }
  ]
}