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.