R6 Ballot (2nd Draft)

Publish-box (todo)

Example MedicationAdministration/medadmin0309 (JSON)

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient

Raw JSON (canonical form + also see JSON Format Specification)

TPN Solution with a Device

{
  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0309",
  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0318",
    "doseForm" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "385221006",
        "display" : "Conventional release emulsion for injection (dose form)"
      }]
    },
    "ingredient" : [{
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/sid/ndc",
            "code" : "0338-1134-03",
            "display" : "CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package)"
          }],
          "text" : "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, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01) > 20 mL in 1 VIAL, SINGLE-DOSE (0409-5779-11) (package)"
          }],
          "text" : "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, 250 mL in 1 BAG (0338-0519-02) (package)"
          }],
          "text" : "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"
  },
  "occurrencePeriod" : {
    "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" : {
        "reference" : "Practitioner/f007",
        "display" : "Patrick Pump"
      }
    }
  }],
  "request" : {
    "reference" : "MedicationRequest/medrx0323"
  },
  "device" : [{
    "reference" : {
      "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.