Medicationadministration0302.json

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</b></p><p><b>partOf</b>: <a>Generated Summary: status: completed; <span>Diagnostic procedure</span>; <span>Biopsy of suspected melanoma L) arm</span>; performed: 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>: <a> </a></p><blockquote><p><b>form</b>: <span>Injection Solution (qualifier value)</span></p><blockquote><p><b>ingredient</b></p><p><b>item</b>: <span>Potassium Chloride</span></p><p><b>strength</b>: 2 meq/1 mL</p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: <span>Sodium Chloride 0.9% injectable solution</span></p><p><b>strength</b>: 0.9 g/100 mL</p></blockquote></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>: 15 Jan. 2015, 2:30:00 pm --&gt; 16 Jan. 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: 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: completed; intent: order; Potassium Chloride 20mEq in 1L Normal Saline; 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>"
  },
  "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"
              }
            ]
          },
          "strength": {
            "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"
              }
            ]
          },
          "strength": {
            "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://terminology.hl7.org/CodeSystem/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://terminology.hl7.org/CodeSystem/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"
      }
    }
  }
}