This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3
Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw JSON (canonical form + also see JSON Format Specification)
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: 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 "medadmin0309" </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> "Donald DUCK"</p><p><b>occurence</b>: 2015-01-15T22:03:00+01:00 --> 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> "Simone HEPS"</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>" }, "contained": [ { "resourceType": "Medication", "id": "med0318", "doseForm": { "coding": [ { "system": "http://snomed.info/sct", "code": "385221006", "display": "Injection emulsion" } ] }, "ingredient": [ { "item": { "concept": { "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" } ] } } }, { "item": { "concept": { "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" } ] } } }, { "item": { "concept": { "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", "medication": { "reference": { "reference": "#med0318" } }, "subject": { "reference": "Patient/pat1", "display": "Donald Duck" }, "occurencePeriod": { "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" } } } }
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.