R4 Draft for Comment

This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). 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

Medicationadministration0302.json

Pharmacy Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw JSON (canonical form)

Intravenous Admixture - Potassium Chloride in D5W

{
  "resourceType": "MedicationAdministration",
  "id": "medadmin0302",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medadmin0302</p><p><b>contained</b>: </p><p><b>partOf</b>: <a>Procedure/biopsy</a></p><p><b>status</b>: completed</p><p><b>category</b>: Inpatient <span>(Details : {http://hl7.org/fhir/medication-admin-category code 'inpatient' = 'Inpatient', given as 'Inpatient'})</span></p><p><b>medication</b>: id: med0317; Injection Solution (qualifier value) <span>(Details : {SNOMED CT code '385219001' = 'Injection solution', given as 'Injection Solution (qualifier value)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>context</b>: <a>encounter who leads to this prescription</a></p><p><b>effective</b>: 15/01/2015 4:30:00 AM --&gt; 15/01/2015 2:30:00 PM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Patrick Pump</a></td></tr></table><p><b>reasonCode</b>: Given as Ordered <span>(Details : {http://hl7.org/fhir/reason-medication-given code 'b' = 'Given as Ordered', given as 'Given as Ordered'})</span></p><p><b>request</b>: <a>MedicationRequest/medrx0322</a></p><h3>Dosages</h3><table><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>KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr</td><td>Structure of ligament of left superior vena cava <span>(Details : {SNOMED CT code '6073002' = 'Ligament of left superior vena cava', given as 'Structure of ligament of left superior vena cava'})</span></td><td>Intravenous route (qualifier value) <span>(Details : {SNOMED CT code '47625008' = 'Intravenous route', given as 'Intravenous route (qualifier value)'})</span></td><td>Continuous infusion <span>(Details )</span></td><td>20 meq<span> (Details: UCUM code meq = 'meq')</span></td><td>100 mL<span> (Details: UCUM code mL = 'mL')</span>/1 h<span> (Details: UCUM code h = 'h')</span></td></tr></table></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0317",
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385219001",
            "display": "Injection Solution (qualifier value)"
          }
        ],
        "text": "Injection Solution (qualifier value)"
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                "code": "204520",
                "display": "Potassium Chloride"
              }
            ]
          },
          "amount": {
            "numerator": {
              "value": 2,
              "system": "http://unitsofmeasure.org",
              "code": "meq"
            },
            "denominator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                "code": "313002",
                "display": "Sodium Chloride 0.9% injectable solution"
              }
            ]
          },
          "amount": {
            "numerator": {
              "value": 0.9,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            },
            "denominator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }
        }
      ]
    }
  ],
  "partOf": [
    {
      "reference": "Procedure/biopsy"
    }
  ],
  "status": "completed",
  "category": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/medication-admin-category",
        "code": "inpatient",
        "display": "Inpatient"
      }
    ]
  },
  "medicationReference": {
    "reference": "#med0317"
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "context": {
    "reference": "Encounter/f001",
    "display": "encounter who leads to this prescription"
  },
  "effectivePeriod": {
    "start": "2015-01-15T04:30:00+01:00",
    "end": "2015-01-15T14:30:00+01:00"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f007",
        "display": "Patrick Pump"
      }
    }
  ],
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/reason-medication-given",
          "code": "b",
          "display": "Given as Ordered"
        }
      ]
    }
  ],
  "request": {
    "reference": "MedicationRequest/medrx0322"
  },
  "dosage": {
    "text": "KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr",
    "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": "47625008",
          "display": "Intravenous route (qualifier value)"
        }
      ]
    },
    "method": {
      "text": "Continuous infusion"
    },
    "dose": {
      "value": 20,
      "unit": "meq",
      "system": "http://unitsofmeasure.org",
      "code": "meq"
    },
    "rateRatio": {
      "numerator": {
        "value": 100,
        "system": "http://unitsofmeasure.org",
        "code": "mL"
      },
      "denominator": {
        "value": 1,
        "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.