Implementation guide for interoperable medicines

This guidance is under active development by NHS England and content may be added or updated on a regular basis.

Chlorphenamine single bolus infusion

Clinical Scenario

TBC

Prescribing Event

<MedicationRequest xmlns="http://hl7.org/fhir">
<id value="34eb3c92-76e6-48c2-9691-aa1f0b58369b" />
<meta>
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest" />
</meta>
<medicationCodeableConcept>
<coding>
<system value="https://dmd.nhs.uk" />
<code value="9944001" />
<display value="Chlorphenamine" />
</coding>
</medicationCodeableConcept>
<subject>
<reference value="Patient/UKCore-Patient-RichardSmith-Example" />
</subject>
<reasonCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="39579001" />
<display value="Anaphylactic reaction" />
</coding>
</reasonCode>
<dosageInstruction>
<text value="Single bolus 10 milligram over 1 minute - Intravenous - up to a maximum of 40 milligram in 24 hours" />
<timing>
<repeat>
<duration value="1" />
<durationUnit value="min" />
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct" />
<code value="47625008" />
<display value="Intravenous" />
</coding>
</route>
<method>
<coding>
<system value="http://snomed.info/sct" />
<code value="397801003" />
<display value="Single bolus" />
</coding>
</method>
<doseAndRate>
<doseQuantity>
<value value="10" />
<unit value="milligram" />
<system value="http://unitsofmeasure.org" />
<code value="mg" />
</doseQuantity>
</doseAndRate>
<maxDosePerPeriod>
<numerator>
<value value="40" />
<unit value="milligram" />
<system value="http://unitsofmeasure.org" />
<code value="mg" />
</numerator>
<denominator>
<value value="24" />
<unit value="hour" />
<system value="http://unitsofmeasure.org" />
<code value="h" />
</denominator>
</maxDosePerPeriod>
</dosageInstruction>
</MedicationRequest>
{
"resourceType": "MedicationRequest",
"id": "34eb3c92-76e6-48c2-9691-aa1f0b58369b",
"meta": {
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest"
]
},
"subject": {
"reference": "Patient/UKCore-Patient-RichardSmith-Example"
},
"medicationCodeableConcept": {
"coding": [
{
"system": "https://dmd.nhs.uk",
"code": "9944001",
"display": "Chlorphenamine"
}
]
},
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "39579001",
"display": "Anaphylactic reaction"
}
]
}
],
"dosageInstruction": [
{
"text": "Single bolus 10 milligram over 1 minute - Intravenous - up to a maximum of 40 milligram in 24 hours",
"timing": {
"repeat": {
"duration": 1,
"durationUnit": "min"
}
},
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "397801003",
"display": "Single bolus"
}
]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous"
}
]
},
"doseAndRate": [
{
"doseQuantity": {
"value": 10,
"unit": "milligram",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
],
"maxDosePerPeriod": {
"numerator": {
"value": 40,
"unit": "milligram",
"system": "http://unitsofmeasure.org",
"code": "mg"
},
"denominator": {
"value": 24,
"unit": "hour",
"system": "http://unitsofmeasure.org",
"code": "h"
}
}
}
]
}
MedicationRequest.id[0]34eb3c92-76e6-48c2-9691-aa1f0b58369b
MedicationRequest.meta[0].profile[0]https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest
MedicationRequest.medication[0].coding[0].system[0]https://dmd.nhs.uk
MedicationRequest.medication[0].coding[0].code[0]9944001
MedicationRequest.medication[0].coding[0].display[0]Chlorphenamine
MedicationRequest.subject[0].reference[0]Patient/UKCore-Patient-RichardSmith-Example
MedicationRequest.reasonCode[0].coding[0].system[0]http://snomed.info/sct
MedicationRequest.reasonCode[0].coding[0].code[0]39579001
MedicationRequest.reasonCode[0].coding[0].display[0]Anaphylactic reaction
MedicationRequest.dosageInstruction[0].text[0]Single bolus 10 milligram over 1 minute - Intravenous - up to a maximum of 40 milligram in 24 hours
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].duration[0]1
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].durationUnit[0]min
MedicationRequest.dosageInstruction[0].route[0].coding[0].system[0]http://snomed.info/sct
MedicationRequest.dosageInstruction[0].route[0].coding[0].code[0]47625008
MedicationRequest.dosageInstruction[0].route[0].coding[0].display[0]Intravenous
MedicationRequest.dosageInstruction[0].method[0].coding[0].system[0]http://snomed.info/sct
MedicationRequest.dosageInstruction[0].method[0].coding[0].code[0]397801003
MedicationRequest.dosageInstruction[0].method[0].coding[0].display[0]Single bolus
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].value[0]10
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].unit[0]milligram
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].code[0]mg
MedicationRequest.dosageInstruction[0].maxDosePerPeriod[0].numerator[0].value[0]40
MedicationRequest.dosageInstruction[0].maxDosePerPeriod[0].numerator[0].unit[0]milligram
MedicationRequest.dosageInstruction[0].maxDosePerPeriod[0].numerator[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[0].maxDosePerPeriod[0].numerator[0].code[0]mg
MedicationRequest.dosageInstruction[0].maxDosePerPeriod[0].denominator[0].value[0]24
MedicationRequest.dosageInstruction[0].maxDosePerPeriod[0].denominator[0].unit[0]hour
MedicationRequest.dosageInstruction[0].maxDosePerPeriod[0].denominator[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[0].maxDosePerPeriod[0].denominator[0].code[0]h
MedicationRequest
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