TPN Solution with a Device (id = "medadmin0309")

<?xml version="1.0" encoding="UTF-8"?>

<MedicationAdministration xmlns="http://hl7.org/fhir">
  <id value="medadmin0309"/> 
  <contained> 
    <Medication> 
      <id value="med0318"/> 
      <doseForm> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="385221006"/> 
          <display value="Conventional release emulsion for injection (dose form)"/> 
        </coding> 
      </doseForm> 
      <ingredient> 
        <item> 
          <concept> 
            <!--  Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"
              -->
            <coding> 
              <system value="http://hl7.org/fhir/sid/ndc"/> 
              <code value="0338-1134-03"/> 
              <display value="CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package)"/> 
            </coding> 
            <text value="Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"/> 
          </concept> 
        </item> 
      </ingredient> 
      <ingredient> 
        <item> 
          <concept> 
            <coding> 
              <system value="http://hl7.org/fhir/sid/ndc"/> 
              <code value="0409-5779-01"/> 
              <display value="TPN Electrolytes, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01) &gt; 20 mL in
               1 VIAL, SINGLE-DOSE (0409-5779-11) (package)"/> 
            </coding> 
            <text 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"/> 
          </concept> 
        </item> 
      </ingredient> 
      <ingredient> 
        <item> 
          <concept> 
            <coding> 
              <system value="http://hl7.org/fhir/sid/ndc"/> 
              <code value="0338-0519-02"/> 
              <display value="Intralipid, 250 mL in 1 BAG (0338-0519-02) (package)"/> 
            </coding> 
            <text value="Intralipid 20% IV Fat Emulsion"/> 
          </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> 
  <occurrencePeriod> 
    <start value="2015-01-15T22:03:00+01:00"/> 
    <end value="2015-01-16T02:03:00+01:00"/> 
  </occurrencePeriod> 
  <performer> 
    <function> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/med-admin-perform-function"/> 
        <code value="performer"/> 
        <display value="Performer"/> 
      </coding> 
    </function> 
    <actor> 
      <reference> 
        <reference value="Practitioner/f007"/> 
        <display value="Patrick Pump"/> 
      </reference> 
    </actor> 
  </performer> 
  <request> 
    <reference value="MedicationRequest/medrx0323"/> 
  </request> 
  <device> 
    <reference> 
      <reference value="Device/f001"/> 
    </reference> 
  </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>