Medicationadministration0309.xml

TPN Solution with a Device (id = "medadmin0309")

<MedicationAdministration xmlns="http://hl7.org/fhir"> 
  <id value="medadmin0309"/>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medadmin0309</p><p><b>contained</b>: </p><p><b>status</b>: completed</p><p><b>medication</b>: id: med0318; </p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>effectiveTime</b>: 15/01/2015 10:03:00 PM --&gt; 16/01/2015 2:03:00 AM</p><p><b>performer</b>: <a>Patrick Pump</a></p><p><b>prescription</b>: <a>MedicationOrder/medrx0323</a></p><p><b>device</b>: <a>Device/f001</a></p><h3>Dosages</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>Site[x]</b></td><td><b>Route</b></td><td><b>Method</b></td><td><b>Dose</b></td><td><b>Rate[x]</b></td></tr><tr><td>*</td><td>1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours</td><td>Structure of ligament of left superior vena cava <span>(Details : {SNOMED CT code '6073002' = 'Structure of ligament of left superior vena cava',
               given as 'Structure of ligament of left superior vena cava'})</span></td><td>Intravenous <span>(Details : {SNOMED CT code '255560000' = 'Intravenous (qualifier value)', given as 'Intravenous'})</span></td><td>PICC line <span>(Details )</span></td><td>1000 mL<span> (Details: http://unitsofmeasure.org code mL = 'mL')</span></td><td>50 mL<span> (Details: http://unitsofmeasure.org code mL = 'mL')</span>/1 h<span> (Details: http://unitsofmeasure.org code h = 'h')</span></td></tr></table></div></text><contained><Medication>
    <id value="med0318"/>
    <isBrand value="false"/>
    <product>
      <form>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="385221006"/>
          <display value="Injection emulsion"/>
        </coding>
      </form>
      <ingredient>
        <itemCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/sid/ndc"/>
            <code value="0338-1134-03"/>
            <display value="Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"/>
          </coding>
        </itemCodeableConcept>
      </ingredient>
      <ingredient>
        <itemCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/sid/ndc"/>
            <code value="0409-5779-01"/>
            <display value="TPN Electrolytes SODIUM CHLORIDE, CALCIUM CHLORIDE, POTASSIUM CHLORIDE, MAGNESIUM CHLORIDE,
               and SODIUM ACETATE ANHYDROUS | INJECTION, SOLUTION, CONCENTRATE | 321 mg/20mL, 331 mg/20mL,
               1491 mg/20mL, 508 mg/20mL, 2420 mg/20mL"/>
          </coding>
        </itemCodeableConcept>
      </ingredient>
      <ingredient>
        <itemCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/sid/ndc"/>
            <code value="0338-0519-02"/>
            <display value="Intralipid 20% IV Fat Emulsion"/>
          </coding>
        </itemCodeableConcept>
      </ingredient>
      <batch>
        <lotNumber value="123455"/>
        <expirationDate value="2016-07-09"/>
      </batch>
    </product>
    <package>
      <container>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="470037004"/>
          <display value="Intravenous Fluid container, single-use"/>
        </coding>
      </container>
    </package>
  </Medication>
  </contained>
  <status value="completed"/>
  <medicationReference>
    <reference value="#med0318"/>
  </medicationReference>
 <patient>
   <reference value="Patient/pat1"/>
   <display value="Donald Duck"/> 
  </patient>
 <effectiveTimePeriod>
  <start value="2015-01-15T22:03:00+01:00"/>
   <end value="2015-01-16T02:03:00+01:00"/>
</effectiveTimePeriod>
  <performer>
    <reference value="Practitioner/f007"/>
    <display value="Patrick Pump"/>
  </performer>
  <prescription>
    <reference value="MedicationOrder/medrx0323"/>
  </prescription>
  <device>
    <reference value="Device/f001"/>
  </device>
  <dosage>
    <text value="1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours"/>
    <siteCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="6073002"/>
        <display value="Structure of ligament of left superior vena cava"/>
      </coding>
    </siteCodeableConcept>
    <route>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="255560000"/>
        <display value="Intravenous"/>
      </coding>
    </route>
    <method>
      <text value="PICC line"/>
    </method>
    <dose>
      <value value="1000"/>
      <unit value="mL"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mL"/> 
    </dose>
    <rateRatio>
      <numerator>
        <value value="50"/>
        <unit value="mL"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mL"/> 
      </numerator>
      <denominator>
        <value value="1"/>
        <unit value="h"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="h"/> 
      </denominator>
    </rateRatio>
  </dosage>
</MedicationAdministration>