Medicationadministration0304.xml

Intravenous Chemotherapy (Inpatient order) - Alemtuzumab - completed (id = "medadmin0304")

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

<MedicationAdministration xmlns="http://hl7.org/fhir"> 
  <id value="medadmin0304"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> status</b> : completed</p> <p> <b> medication</b> : <a>  </a> </p> <blockquote> <p> <b> code</b> : <span> Alemtuzumab 10mg/ml (Lemtrada)</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> : 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> reasonReference</b> : <a> Generated Summary: <span> Resolved</span> ; <span> Confirmed</span> ; <span> Encounter Diagnosis</span> ; <span> Severe</span> ; <span> Malignant neoplastic disease</span> ; <span> Entire head and neck</span> ; 52 years; 54 years; recordedDate: 2012-12-01</a> </p> <p> <b> request</b> : <a> Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; Piperacillin/Tazobacta
          m 4.5gm; authoredOn: 2015-01-15; <span> Community acquired pneumonia (disorder)</span> </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> Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended
             maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to
             12 wk</td> <td> <span> Intravenous route (qualifier value)</span> </td> <td> <span> Inject - dosing instruction imperative (qualifier value)</span> </td> <td> 3 mg</td> </tr> </table> </div> </text> <contained> 
    <Medication> 
      <id value="med0303"/> 
      <code> 
        <coding> 
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
          <code value="1594660"/> 
          <display value="Alemtuzumab 10mg/ml (Lemtrada)"/> 
        </coding> 
      </code> 
    </Medication> 
  </contained> 
  <status value="completed"/> 
  <medicationReference> 
    <reference value="#med0303"/>  
  </medicationReference> 
 <subject> 
   <reference value="Patient/pat1"/> 
   <display value="Donald Duck"/>  
  </subject> 
  <context>  
    <reference value="Encounter/f001"/> 
    <display value="encounter who leads to this prescription"/> 
  </context> 
 <effectivePeriod> 
  <start value="2015-01-15T04:30:00+01:00"/> 
   <end value="2015-01-15T14:30:00+01:00"/> 
</effectivePeriod> 
  <performer> 
    <actor> 
      <reference value="Practitioner/f007"/> 
      <display value="Patrick Pump"/> 
    </actor> 
  </performer> 
  <reasonReference> 
    <reference value="Condition/f202"/> 
  </reasonReference> 
  <request> 
    <reference value="MedicationRequest/medrx0319"/> 
  </request> 
  <dosage> 
    <text value="Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended
     maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to
     12 wk"/> 
    <route> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="47625008"/> 
        <display value="Intravenous route (qualifier value)"/> 
      </coding> 
    </route> 
    <method> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="422145002"/> 
        <display value="Inject - dosing instruction imperative (qualifier value)"/> 
      </coding> 
    </method> 
    <dose> 
      <value value="3"/> 
      <unit value="mg"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="mg"/> 
    </dose> 
  </dosage> 
</MedicationAdministration>