Release 4B Ballot #1

This page is part of the FHIR Specification (v4.1.0: Release 4B 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

Medicationadministration0307.json

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

Raw JSON (canonical form + also see JSON Format Specification)

Lorazepam with a Device

{
  "resourceType": "MedicationAdministration",
  "id": "medadmin0307",
  "text": {
    "status": "generated",
    "div": "<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>Lorazepam 2mg/ml injection solution 1ml vial (product)</span></p><p><b>form</b>: <span>Injection solution (qualifier value)</span></p><h3>Ingredients</h3><table><tr><td>-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td>*</td><td><span>Lorazepam (substance)</span></td><td>2 mg/1 mL</td></tr></table></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>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td><span>Performer</span></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>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: active; intent: order; ?ngen-3; authoredOn: 2015-01-15; <span>Epilepsy (disorder)</span></a></p><p><b>device</b>: <a>Generated Summary: id: 12345; status: active</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><td><b>Rate[x]</b></td></tr><tr><td>*</td><td>0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed</td><td><span>Intravenous</span></td><td><span>Push - dosing instruction imperative (qualifier value)</span></td><td>7 mg</td><td>4 min</td></tr></table></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0313",
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "400621001",
            "display": "Lorazepam 2mg/ml injection solution 1ml vial (product)"
          }
        ]
      },
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385219001",
            "display": "Injection solution (qualifier value)"
          }
        ]
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "387106007",
                "display": "Lorazepam (substance)"
              }
            ]
          },
          "strength": {
            "numerator": {
              "value": 2,
              "system": "http://unitsofmeasure.org",
              "code": "mg"
            },
            "denominator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }
        }
      ]
    }
  ],
  "status": "completed",
  "medicationReference": {
    "reference": "#med0313"
  },
  "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": [
    {
      "function": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
            "code": "performer",
            "display": "Performer"
          }
        ]
      },
      "actor": {
        "reference": "Practitioner/f007",
        "display": "Patrick Pump"
      }
    }
  ],
  "request": {
    "reference": "MedicationRequest/medrx0315"
  },
  "device": [
    {
      "reference": "Device/f001"
    }
  ],
  "dosage": {
    "text": "0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed",
    "route": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "255560000",
          "display": "Intravenous"
        }
      ]
    },
    "method": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "420620005",
          "display": "Push - dosing instruction imperative (qualifier value)"
        }
      ]
    },
    "dose": {
      "value": 7,
      "unit": "mg",
      "system": "http://unitsofmeasure.org",
      "code": "mg"
    },
    "rateQuantity": {
      "value": 4,
      "unit": "min",
      "system": "http://unitsofmeasure.org",
      "code": "min"
    }
  }
}

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.