Medicationadministration0301.json

Intravenous Antibiotic - Vancomycin

{
  "resourceType": "MedicationAdministration",
  "id": "medadmin0301",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: in-progress</p><p><b>medication</b>: <a> </a></p><blockquote><p><b>code</b>: <span>Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE)</span></p></blockquote><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>context</b>: <a>encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: finished; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span>; <span>Heart valve replacement</span></a></p><p><b>effective</b>: 16 Jan. 2015, 12:30:00 am --&gt; (ongoing)</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></td></tr></table><p><b>reasonCode</b>: <span>Given as Ordered</span></p><p><b>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: active; intent: order; ?ngen-3; authoredOn: 2015-01-15; <span>Traveller's Diarrhea (disorder)</span>; culture expected back in 12 hours - may switch depending on results</a></p><h3>Dosages</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Method</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td>500mg IV q6h x 3 days</td><td><span>Intravenous route (qualifier value)</span></td><td><span>IV Push</span></td><td>500 mg</td></tr></table><p><b>eventHistory</b>: <a> </a></p><blockquote><p><b>target</b>: <a>Generated Summary: Placer: 20170201-0001; status: completed; intent: order; <span>Physiotherapy of chest (regime/therapy) </span>; Duration 15days, Do 1-1 per 1 days; <span>as needed to clear mucus</span>; authoredOn: 2 Feb. 2017, 4:23:07 am</a></p><p><b>recorded</b>: 2 Feb. 2017, 4:23:07 am</p><h3>Agents</h3><table><tr><td>-</td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td>*</td><td><span>author (originator)</span></td><td><a>Dr Adam Careful. Generated Summary: id: 23; active; Adam Careful </a></td></tr></table><h3>Signatures</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0301",
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/ndc",
            "code": "0409-6531-02",
            "display": "Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE)"
          }
        ]
      }
    },
    {
      "resourceType": "Provenance",
      "id": "signature",
      "target": [
        {
          "reference": "ServiceRequest/physiotherapy"
        }
      ],
      "recorded": "2017-02-01T17:23:07Z",
      "agent": [
        {
          "role": [
            {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "AUT"
                }
              ]
            }
          ],
          "who": {
            "reference": "Practitioner/example",
            "display": "Dr Adam Careful"
          }
        }
      ],
      "signature": [
        {
          "type": [
            {
              "system": "urn:iso-astm:E1762-95:2013",
              "code": "1.2.840.10065.1.12.1.1",
              "display": "Author's Signature"
            }
          ],
          "when": "2017-02-01T17:23:07Z",
          "who": {
            "reference": "Practitioner/example",
            "display": "Dr Adam Careful"
          },
          "targetFormat": "application/fhir+xml",
          "sigFormat": "application/signature+xml",
          "data": "dGhpcyBibG9iIGlzIHNuaXBwZWQ="
        }
      ]
    }
  ],
  "status": "in-progress",
  "medicationReference": {
    "reference": "#med0301"
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "context": {
    "reference": "Encounter/f001",
    "display": "encounter who leads to this prescription"
  },
  "effectivePeriod": {
    "start": "2015-01-15T14:30:00+01:00"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f007",
        "display": "Patrick Pump"
      }
    }
  ],
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/reason-medication-given",
          "code": "b",
          "display": "Given as Ordered"
        }
      ]
    }
  ],
  "request": {
    "reference": "MedicationRequest/medrx0318"
  },
  "dosage": {
    "text": "500mg IV q6h x 3 days",
    "route": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "47625008",
          "display": "Intravenous route (qualifier value)"
        }
      ]
    },
    "method": {
      "text": "IV Push"
    },
    "dose": {
      "value": 500,
      "unit": "mg",
      "system": "http://unitsofmeasure.org",
      "code": "mg"
    }
  },
  "eventHistory": [
    {
      "reference": "#signature",
      "display": "Author's Signature"
    }
  ]
}