<?xml version="1.0" encoding="UTF-8"?><MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0315"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationRequest</b><a name="medrx0315"> </a></p><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">Resource MedicationRequest &quot;medrx0315&quot; </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><h3>Medications</h3><table class="grid"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><span title="  Linked to a RESOURCE Medication  "><a name="med0313"> </a></span><blockquote><p/><p><a name="med0313"> </a></p><p><b>code</b>: Lorazepam 2mg/ml injection solution 1ml vial (product) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#400621001)</span></p><p><b>doseForm</b>: Injection solution (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#385219001)</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class="grid"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Lorazepam (substance) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#387106007)</span></td></tr></table><p><b>strength</b>: 2 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</span>/1 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span></p></blockquote></blockquote></td></tr></table><p><b>subject</b>: <a href="patient-example-a.html">Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</p><p><b>encounter</b>: <a href="encounter-example-f001-heart.html">Encounter/f001: encounter who leads to this prescription</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href="practitioner-example-f007-sh.html">Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</p><h3>Reasons</h3><table class="grid"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Epilepsy (disorder) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#84757009)</span></td></tr></table><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed</p><p><b>timing</b>: Once per 15 minutes</p><p><b>asNeeded</b>: true</p><p><b>route</b>: Intravenous <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#255560000)</span></p><p><b>method</b>: Push - dosing instruction imperative (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#420620005)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></div></text><contained>
        <Medication>
            <id value="med0313"/>
            <code>
                <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="400621001"/>
                    <display value="Lorazepam 2mg/ml injection solution 1ml vial (product)"/>
                </coding>
            </code>

                <doseForm>
                    <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="385219001"/>
                        <display value="Injection solution (qualifier value)"/>
                    </coding>
                </doseForm>
                <ingredient>
                    <item>
<concept>
                        <coding>
                            <system value="http://snomed.info/sct"/>
                            <code value="387106007"/>
                            <display value="Lorazepam (substance)"/>
                        </coding>
                        </concept>
                    </item>
                    <strengthRatio>
                        <numerator>
                            <value value="2"/>
                            <system value="http://unitsofmeasure.org"/>
                            <code value="mg"/>
                        </numerator>
                        <denominator>
                            <value value="1"/>
                            <system value="http://unitsofmeasure.org"/>
                            <code value="mL"/>
                        </denominator>
                    </strengthRatio>
                </ingredient>
            
        </Medication>
    </contained>
    <identifier>
        <use value="official"/>
        <system value="http://www.bmc.nl/portal/prescriptions"/>
        <value value="12345689"/>
    </identifier>
    <status value="active"/>
    <intent value="order"/>
    <medication>     <!--   Linked to a RESOURCE Medication   -->
    <reference>
        <reference value="#med0313"/>
        </reference>
    </medication> 
    <subject>     <!--   Linked to the resource patient who needs the medication   -->
        <reference value="Patient/pat1"/>
        <display value="Donald Duck"/>        
    </subject>
    <encounter>     <!--   Linked to a resource Encounter between patient and practitioner  -->
        <reference value="Encounter/f001"/>
        <display value="encounter who leads to this prescription"/>
    </encounter>
    <authoredOn value="2015-01-15"/>
    <requester>
        <reference value="Practitioner/f007"/>
        <display value="Patrick Pump"/>
    </requester>
    <reason>
      <concept>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="84757009"/>
            <display value="Epilepsy (disorder)"/>
        </coding>
      </concept>
    </reason>
    
    <dosageInstruction>
        <sequence value="1"/>
        <text value="0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed"/>
        <timing>
            <repeat>
                <frequency value="1"/>
                <period value="15"/>
                <periodUnit value="min"/>
            </repeat>
        </timing>
        <asNeeded value="true"/>
        <route>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="255560000"/>
                <display value="Intravenous"/>
            </coding>
        </route>
        <method>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="420620005"/>
                <display value="Push - dosing instruction imperative (qualifier value)"/>
            </coding>
        </method>
        <doseAndRate>
            <type>
                <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
                    <code value="ordered"/>
                    <display value="Ordered"/>
                </coding>
            </type>
            <doseRange>
                <low>
                    <value value="0.05"/>
                    <unit value="mg/kg"/>
                    <system value="http://unitsofmeasure.org"/>
                    <code value="mg/kg"/> 
                </low>
                <high>
                    <value value="0.1"/>
                    <unit value="mg/kg"/>
                    <system value="http://unitsofmeasure.org"/>
                    <code value="mg/kg"/> 
                </high>
            </doseRange>
            <rateRange>
                <low>
                    <value value="2"/>
                    <unit value="min"/>
                    <system value="http://unitsofmeasure.org"/>
                    <code value="min"/> 
                </low>
                <high>
                    <value value="5"/>
                    <unit value="min"/>
                    <system value="http://unitsofmeasure.org"/>
                    <code value="min"/> 
                </high>
            </rateRange>
        </doseAndRate>

        
    </dosageInstruction>
    
</MedicationRequest>