Medicationadministration0302.xml

Intravenous Admixture - Potassium Chloride in D5W (id = "medadmin0302")

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

<MedicationAdministration xmlns="http://hl7.org/fhir"> 
  <id value="medadmin0302"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> id</b> : medadmin0302</p> <p> <b> partOf</b> : <a> Generated Summary: id: biopsy; status: completed; <span> Diagnostic procedure</span> ; <span> Biopsy of suspected melanoma L) arm</span> ; occurrence: 2014-02-03; recorded: 2014-02-03; <span> Dark lesion l) forearm. getting darker last 3 months.</span> ; <span> Left forearm</span> ; <span> Ineffective airway clearance</span> ; <span> Review in clinic</span> ; Standard Biopsy; <span> 30-guage needle</span> </a> </p> <p> <b> status</b> : completed</p> <p> <b> category</b> : <span> Inpatient</span> </p> <p> <b> medication</b> : </p> <p> <b> subject</b> : <a> Donald Duck. Generated Summary: id: pat1; Medical record number: 654321 (USUAL); active;
           Duck Donald (OFFICIAL); gender: male; </a> </p> <p> <b> encounter</b> : <a> encounter who leads to this prescription. Generated Summary: id: f001; id: v1451 (OFFICIAL);
           status: completed; <span> ambulatory</span> ; <span> Patient-initiated encounter</span> ; <span> Non-urgent cardiological admission</span> ; 140 min; <span> Heart valve replacement</span> </a> </p> <p> <b> occurence</b> : 15/01/2015 2:30:00 PM --&gt; 16/01/2015 12:30:00 AM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Patrick Pump. Generated Summary: id: f007; id: 874635264 (OFFICIAL), id: 567IUI51C154
               (USUAL); Simone Heps (OFFICIAL); ph: 020556936(WORK), S.M.Heps@bmc.nl(WORK), fax: 0205669283(WORK);
               gender: female; birthDate: 1971-11-07</a> </td> </tr> </table> <p> <b> reason</b> : </p> <p> <b> request</b> : <a> Generated Summary: id: medrx0322; id: 12345689 (OFFICIAL); status: completed; intent:
           order; <span> Potassium Chloride 20mEq in 1L Normal Saline</span> ; authoredOn: 2015-01-15; <span> Disorder of Electrolytes (disorder)</span> ; </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> <span> Structure of ligament of left superior vena cava</span> </td> <td> <span> Intravenous route (qualifier value)</span> </td> <td> <span> Continuous infusion</span> </td> <td> 20 meq</td> <td> 100 mL/1 h</td> </tr> </table> </div> </text> <contained> 
    <Medication> 
      <id value="med0317"/> 
        <doseForm> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="385219001"/> 
            <display value="Injection Solution (qualifier value)"/> 
          </coding> 
          <text value="Injection Solution (qualifier value)"/> 
        </doseForm> 
        <ingredient> 
          <item> 
            <concept> 
            <coding> 
              <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
              <code value="204520"/> 
              <display value="Potassium Chloride"/> 
            </coding> 
            </concept> 
          </item> 
          <strengthRatio> 
            <numerator> 
              <value value="2"/> 
              <system value="http://unitsofmeasure.org"/> 
              <code value="meq"/> 
            </numerator> 
            <denominator> 
              <value value="1"/> 
              <system value="http://unitsofmeasure.org"/> 
              <code value="mL"/> 
            </denominator> 
          </strengthRatio> 
        </ingredient> 
        <ingredient> 
          <item> 
          <concept> 
            <coding> 
              <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
              <code value="313002"/> 
              <display value="Sodium Chloride 0.9% injectable solution"/> 
            </coding> 
          </concept> 
          </item> 
          <strengthRatio> 
            <numerator> 
              <value value="0.9"/> 
              <system value="http://unitsofmeasure.org"/> 
              <code value="g"/> 
            </numerator> 
            <denominator> 
              <value value="100"/> 
              <system value="http://unitsofmeasure.org"/> 
              <code value="mL"/> 
            </denominator> 
          </strengthRatio> 
        </ingredient>    
    </Medication> 
  </contained> 
  <partOf> 
    <reference value="Procedure/biopsy"/> 
  </partOf> 
  <status value="completed"/> 
  <category> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/medication-admin-category"/> 
      <code value="inpatient"/> 
      <display value="Inpatient"/> 
    </coding> 
  </category> 
  <medication> 
    <reference> 
    <reference value="#med0317"/>  
    </reference> 
  </medication> 
 <subject> 
   <reference value="Patient/pat1"/> 
   <display value="Donald Duck"/>  
  </subject> 
  <encounter>  
    <reference value="Encounter/f001"/> 
    <display value="encounter who leads to this prescription"/> 
  </encounter> 
 <occurencePeriod> 
  <start value="2015-01-15T04:30:00+01:00"/> 
   <end value="2015-01-15T14:30:00+01:00"/> 
</occurencePeriod> 
  <performer> 
    <actor> 
    <reference value="Practitioner/f007"/> 
    <display value="Patrick Pump"/> 
    </actor> 
  </performer> 
  <reason> 
    <concept> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/reason-medication-given"/> 
        <code value="b"/> 
        <display value="Given as Ordered"/> 
      </coding> 
    </concept> 
  </reason> 
  <request> 
    <reference value="MedicationRequest/medrx0322"/> 
  </request> 
  <dosage> 
    <text value="KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr"/> 
    <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="47625008"/> 
        <display value="Intravenous route (qualifier value)"/> 
      </coding> 
    </route> 
    <method> 
      <text value="Continuous infusion"/> 
    </method> 
    <dose> 
      <value value="20"/> 
      <unit value="meq"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="meq"/> 
    </dose> 
    <rateRatio> 
      <numerator> 
        <value value="100"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mL"/> 
      </numerator> 
      <denominator> 
        <value value="1"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="h"/> 
      </denominator> 
    </rateRatio> 
  </dosage> 
</MedicationAdministration>