Medicationadministration0309.xml

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

<?xml version="1.0" encoding="UTF-8"?>

<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</b> </p> <p> <b> status</b> : completed</p> <h3> Medications</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> <p> <b> subject</b> : <a> Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald
           (OFFICIAL); gender: male</a> </p> <p> <b> occurence</b> : 16 Jan. 2015, 8:03:00 am --&gt; 16 Jan. 2015, 12:03:00 pm</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Function</b> </td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <span> Performer</span> </td> <td> <a> Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone
               Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate:
               1971-11-07</a> </td> </tr> </table> <p> <b> request</b> : <a> Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn:
           2015-01-15</a> </p> <p> <b> device</b> : <a> Generated Summary: id: 12345; status: active</a> </p> <h3> Dosages</h3> <table> <tr> <td> -</td> <td> <b> Text</b> </td> <td> <b> Site</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> <span> Structure of ligament of left superior vena cava</span> </td> <td> <span> Intravenous</span> </td> <td> <span> PICC line</span> </td> <td> 1000 mL</td> <td> 50 mL/1 h</td> </tr> </table> </div> </text> <contained> <Medication> 
    <id value="med0318"/> 
      <doseForm> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="385221006"/> 
          <display value="Injection emulsion"/> 
        </coding> 
      </doseForm> 
      <ingredient> 
        <item> 
        <concept> 
          <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> 
        </concept> 
        </item> 
      </ingredient> 
      <ingredient> 
        <item> 
        <concept> 
          <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> 
        </concept> 
        </item> 
      </ingredient> 
      <ingredient> 
        <item> 
        <concept> 
          <coding> 
            <system value="http://hl7.org/fhir/sid/ndc"/> 
            <code value="0338-0519-02"/> 
            <display value="Intralipid 20% IV Fat Emulsion"/> 
          </coding> 
        </concept> 
        </item> 
      </ingredient> 
    <batch> 
      <lotNumber value="123455"/> 
      <expirationDate value="2016-07-09"/> 
    </batch>     
  </Medication> 
  </contained> 
  <status value="completed"/> 
  <medication> 
    <reference> 
    <reference value="#med0318"/> 
    </reference> 
  </medication> 
 <subject> 
   <reference value="Patient/pat1"/> 
   <display value="Donald Duck"/>  
  </subject> 
  <occurencePeriod> 
  <start value="2015-01-15T22:03:00+01:00"/> 
   <end value="2015-01-16T02:03:00+01:00"/> 
</occurencePeriod> 
  <performer> 
    <function> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/med-admin-perform-function"/> 
        <code value="performer"/> 
        <display value="Performer"/> 
      </coding> 
    </function> 
    <actor> 
      <reference value="Practitioner/f007"/> 
      <display value="Patrick Pump"/> 
    </actor> 
  </performer> 
  <request> 
    <reference value="MedicationRequest/medrx0323"/> 
  </request> 
  <device> 
    <reference value="Device/f001"/> 
  </device> 
  <dosage> 
    <text value="1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours"/> 
    <site> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="6073002"/> 
        <display value="Structure of ligament of left superior vena cava"/> 
      </coding> 
    </site> 
    <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>