Release 4B
MedicationsThis page is part of the FHIR Specification (v4.3.0: R4B - STU). 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</b></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 "medadmin0309" </p></div><p><b>status</b>: completed</p><p><b>medication</b>: <a name=\"med0318\"> </a></p><blockquote><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 "med0318" </p></div><p><b>form</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><p><b>item</b>: 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></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 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></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: 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></p></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><p><b>subject</b>: <a href=\"patient-pat1.html\">Patient/pat1: Donald Duck</a> "Duck DONALD"</p><p><b>effective</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=\"codesystem-med-admin-perform-function.html\">MedicationAdministration Performer Function Codes</a>#performer)</span></td><td><a href=\"practitioner-f007.html\">Practitioner/f007: Patrick Pump</a> "Simone HEPS"</td></tr></table><p><b>request</b>: <a href=\"medicationrequest-medrx0323.html\">MedicationRequest/medrx0323</a></p><p><b>device</b>: <a href=\"device-f001.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",
"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"
}
}
}
}
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.
FHIR ®© HL7.org 2011+. FHIR Release 4B (v4.3.0) hl7.fhir.r4b.core#4.3.0 generated on Sat, May 28, 2022 12:56+1000.
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