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: MedicationAdministration</b> <a name="medadmin0309"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border:
       1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MedicationAdministration &quot;medadmin0309&quot; </p> </div> <p> <b> status</b> : completed</p> <h3> Medications</h3> <table class="grid"><tr> <td> -</td> <td> <b> Reference</b> </td> </tr> <tr> <td> *</td> <td> <a name="med0318"> </a> <blockquote> <p/>  <p> <a name="med0318"> </a> </p> <p> <b> doseForm</b> : Injection emulsion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #385221006)</span> </p> <blockquote> <p> <b> ingredient</b> </p> <h3> Items</h3> <table class="grid"><tr> <td> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</td> <td> Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml
                       <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ndc.html">National drug codes</a> #0338-1134-03)</span> </td> </tr> </table> </blockquote> <blockquote> <p> <b> ingredient</b> </p> <h3> Items</h3> <table class="grid"><tr> <td> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</td> <td> 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 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ndc.html">National drug codes</a> #0409-5779-01)</span> </td> </tr> </table> </blockquote> <blockquote> <p> <b> ingredient</b> </p> <h3> Items</h3> <table class="grid"><tr> <td> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</td> <td> Intralipid 20% IV Fat Emulsion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ndc.html">National drug codes</a> #0338-0519-02)</span> </td> </tr> </table> </blockquote> <h3> Batches</h3> <table class="grid"><tr> <td> -</td> <td> <b> LotNumber</b> </td> <td> <b> ExpirationDate</b> </td> </tr> <tr> <td> *</td> <td> 123455</td> <td> 2016-07-09</td> </tr> </table> </blockquote> </td> </tr> </table> <p> <b> subject</b> : <a href="patient-example-a.html">Patient/pat1: Donald Duck</a>  &quot;Donald DUCK&quot;</p> <p> <b> occurence</b> : 2015-01-15T22:03:00+01:00 --&gt; 2015-01-16T02:03:00+01:00</p> <h3> Performers</h3> <table class="grid"><tr> <td> -</td> <td> <b> Function</b> </td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> Performer <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-med-admin-perform-function.html">MedicationAdministration Performer Function Codes</a> #performer)</span> </td> <td> <a href="practitioner-example-f007-sh.html">Practitioner/f007: Patrick Pump</a>  &quot;Simone HEPS&quot;</td> </tr> </table> <p> <b> request</b> : <a href="medicationrequest0323.html">MedicationRequest/medrx0323</a> </p> <p> <b> device</b> : <a href="device-example-f001-feedingtube.html">Device/f001</a> </p> <h3> Dosages</h3> <table class="grid"><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> Structure of ligament of left superior vena cava <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #6073002)</span> </td> <td> Intravenous <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #255560000)</span> </td> <td> PICC line <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span> </td> <td> 1000 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span> </td> <td> 50 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span> /1 h<span style="background: LightGoldenRodYellow"> (Details: UCUM code h = 'h')</span> </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>