Medicationadministration0309.json

TPN Solution with a Device

{
  "resourceType": "MedicationAdministration",
  "id": "medadmin0309",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;medadmin0309&quot; </p></div><p><b>status</b>: completed</p><p><b>medication</b>: <a> </a></p><blockquote><div><p>Resource &quot;med0318&quot; </p></div><p><b>form</b>: Injection emulsion <span> (<a>SNOMED CT</a>#385221006)</span></p><blockquote><p><b>ingredient</b></p><p><b>item</b>: Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml <span> (<a>National drug codes</a>#0338-1134-03)</span></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: 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> (<a>National drug codes</a>#0409-5779-01)</span></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: Intralipid 20% IV Fat Emulsion <span> (<a>National drug codes</a>#0338-0519-02)</span></p></blockquote><h3>Batches</h3><table><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><p><b>subject</b>: <a>Patient/pat1: Donald Duck</a> &quot;Duck DONALD&quot;</p><p><b>effective</b>: 2015-01-15T22:03:00+01:00 --&gt; 2015-01-16T02:03:00+01:00</p><h3>Performers</h3><table><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td>Performer <span> (<a>MedicationAdministration Performer Function Codes</a>#performer)</span></td><td><a>Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</td></tr></table><p><b>request</b>: <a>MedicationRequest/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</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> (<a>SNOMED CT</a>#6073002)</span></td><td>Intravenous <span> (<a>SNOMED CT</a>#255560000)</span></td><td>PICC line <span> ()</span></td><td>1000 mL<span> (Details: UCUM code mL = 'mL')</span></td><td>50 mL<span> (Details: UCUM code mL = 'mL')</span>/1 h<span> (Details: UCUM code h = 'h')</span></td></tr></table></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0318",
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385221006",
            "display": "Injection emulsion"
          }
        ]
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0338-1134-03",
                "display": "Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"
              }
            ]
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0409-5779-01",
                "display": "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"
              }
            ]
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0338-0519-02",
                "display": "Intralipid 20% IV Fat Emulsion"
              }
            ]
          }
        }
      ],
      "batch": {
        "lotNumber": "123455",
        "expirationDate": "2016-07-09"
      }
    }
  ],
  "status": "completed",
  "medicationReference": {
    "reference": "#med0318"
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "effectivePeriod": {
    "start": "2015-01-15T22:03:00+01:00",
    "end": "2015-01-16T02:03:00+01:00"
  },
  "performer": [
    {
      "function": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
            "code": "performer",
            "display": "Performer"
          }
        ]
      },
      "actor": {
        "reference": "Practitioner/f007",
        "display": "Patrick Pump"
      }
    }
  ],
  "request": {
    "reference": "MedicationRequest/medrx0323"
  },
  "device": [
    {
      "reference": "Device/f001"
    }
  ],
  "dosage": {
    "text": "1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours",
    "site": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "6073002",
          "display": "Structure of ligament of left superior vena cava"
        }
      ]
    },
    "route": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "255560000",
          "display": "Intravenous"
        }
      ]
    },
    "method": {
      "text": "PICC line"
    },
    "dose": {
      "value": 1000,
      "unit": "mL",
      "system": "http://unitsofmeasure.org",
      "code": "mL"
    },
    "rateRatio": {
      "numerator": {
        "value": 50,
        "unit": "mL",
        "system": "http://unitsofmeasure.org",
        "code": "mL"
      },
      "denominator": {
        "value": 1,
        "unit": "h",
        "system": "http://unitsofmeasure.org",
        "code": "h"
      }
    }
  }
}