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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