{
  "resourceType" : "ActivityDefinition",
  "id" : "atrius-ad-med-iv-crystalloid",
  "meta" : {
    "profile" : ["https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-medication-order-activitydefinition|0.1.0"]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n\n<td class=\"content-container\">0.1.0</td>\n\n\n</tr>\n\n\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n\n<td class=\"content-container\">urn:oid:1.3.6.1.4.1.66219.1.11.14</td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n\n\n<td class=\"content-container\">Draft</td>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n\n\n<td class=\"content-container\">true</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Subject Type</th>\n\n\n\n<td class=\"content-container\">Patient\n</td>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Topic</th>\n\n\n\n<td class=\"content-container\">\n    treatment from <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-definition-topic.html\">http://terminology.hl7.org/CodeSystem/definition-topic</a> \n\n\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n\n<td class=\"content-container\">Atrius</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward Contact</th>\n\n\n\n<td class=\"content-container\">Atrius</td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\"><div><p>Rapid crystalloid bolus for sepsis-induced hypoperfusion (hypotension or lactate above 2 mmol/L).</p>\n</div></td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Copyright</th>\n\n\n\n<td class=\"content-container\"><div><p>© Atrius. Illustrative catalog entry; adapt dosing and formulary to local policy.</p>\n</div></td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Resource Kind</th>\n\n\n\n<td class=\"content-container\">MedicationRequest</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Resource Profile</th>\n\n\n\n<td class=\"content-container\"><a href=\"StructureDefinition-atrius-in-medicationrequest.html\">Atrius India Core MedicationRequest</a> version: 0.1.0</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Intent</th>\n\n\n\n<td class=\"content-container\">Order</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Priority</th>\n\n\n\n<td class=\"content-container\">STAT</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Product</th>\n\n\n\n<td class=\"content-container\">\n    Sodium chloride 9 mg/mL solution for infusion\n\n\n</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Dosage</th>\n\n\n\n<td class=\"content-container\">No display for Dosage </td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.5.4 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
  },
  "url" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-iv-crystalloid",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:1.3.6.1.4.1.66219.1.11.14"
  }],
  "version" : "0.1.0",
  "name" : "AtriusMedIVCrystalloid",
  "status" : "draft",
  "experimental" : true,
  "subjectCodeableConcept" : {
    "coding" : [{
      "system" : "http://hl7.org/fhir/resource-types",
      "version" : "4.0.1",
      "code" : "Patient",
      "display" : "Patient",
      "userSelected" : false
    }],
    "text" : "Patient"
  },
  "date" : "2026-09-21T19:22:21+05:30",
  "publisher" : "Atrius",
  "contact" : [{
    "name" : "Atrius",
    "telecom" : [{
      "system" : "url",
      "value" : "https://atrius.in"
    }]
  }],
  "description" : "Rapid crystalloid bolus for sepsis-induced hypoperfusion (hypotension or lactate above 2 mmol/L).",
  "usage" : "30 mL/kg within the first 3 hours for hypotension or lactate >= 4 mmol/L; reassess volume status after each bolus.",
  "copyright" : "© Atrius. Illustrative catalog entry; adapt dosing and formulary to local policy.",
  "topic" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/definition-topic",
      "code" : "treatment"
    }]
  }],
  "kind" : "MedicationRequest",
  "profile" : "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-medicationrequest|0.1.0",
  "intent" : "order",
  "priority" : "stat",
  "doNotPerform" : false,
  "productCodeableConcept" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "1263456009",
      "display" : "Sodium chloride 9 mg/mL solution for infusion"
    }]
  },
  "dosage" : [{
    "text" : "30 mL/kg IV rapid infusion, reassess after bolus",
    "route" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "47625008",
        "display" : "Intravenous route"
      }]
    },
    "doseAndRate" : [{
      "doseQuantity" : {
        "value" : 30,
        "unit" : "mL/kg",
        "system" : "http://unitsofmeasure.org",
        "code" : "mL/kg"
      }
    }]
  }]
}