Medicationadministrationexample3.json

Example of an IV administration not given with a note - Alemtuzumab

{
  "resourceType": "MedicationAdministration",
  "id": "medadminexample03",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: on-hold</p><p><b>statusReason</b>: <span>Administration of medication not done due to a contraindication (situation)</span></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>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>supportingInformation</b>: <a>Generated Summary: <span>Inactive</span>; <span>Differential</span>; <span>Problem</span>; <span>Severe</span>; <span>Acute renal insufficiency specified as due to procedure</span>; <span>Kidney</span>; onset: 2013-03-11; abatement: 2013-03-20; recordedDate: 2013-03-11; The patient is anuric.</a></p><p><b>effective</b>: 16 Jan. 2015, 12:30:00 am --&gt; 16 Jan. 2015, 12:30:00 am</p><p><b>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; ?ngen-3; authoredOn: 2015-01-15; <span>Chronic Lymphoid Leukemia (disorder)</span></a></p><p><b>note</b>: Patient started Bupropion this morning - will administer in a reduced dose tomorrow</p></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0303",
      "code": {
        "coding": [
          {
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code": "1594660",
            "display": "Alemtuzumab 10mg/ml (Lemtrada)"
          }
        ]
      }
    }
  ],
  "status": "on-hold",
  "statusReason": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "373147003",
          "display": "Administration of medication not done due to a contraindication (situation)"
        }
      ]
    }
  ],
  "medicationReference": {
    "reference": "#med0303"
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "context": {
    "reference": "Encounter/f001"
  },
  "supportingInformation": [
    {
      "reference": "Condition/f204"
    }
  ],
  "effectivePeriod": {
    "start": "2015-01-15T14:30:00+01:00",
    "end": "2015-01-15T14:30:00+01:00"
  },
  "request": {
    "reference": "MedicationRequest/medrx0317"
  },
  "note": [
    {
      "text": "Patient started Bupropion this morning - will administer in a reduced dose tomorrow"
    }
  ]
}