Medicationadministration0309.xml

TPN Solution with a Device (id = "medadmin0309")

<MedicationAdministration xmlns="http://hl7.org/fhir"> 
  <id value="medadmin0309"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : medadmin0309</p> <p> <b> contained</b> : </p> <p> <b> status</b> : completed</p> <p> <b> medication</b> : id: med0318; Injection emulsion <span> (Details : {SNOMED CT code '385221006' = 'Injection emulsion', given as 'Injection emulsion'})</span> </p> <p> <b> subject</b> : <a> Donald Duck</a> </p> <p> <b> effective</b> : 15/01/2015 10:03:00 PM --&gt; 16/01/2015 2:03:00 AM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Patrick Pump</a> </td> </tr> </table> <p> <b> prescription</b> : <a> MedicationRequest/medrx0323</a> </p> <p> <b> device</b> : <a> Device/f001</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> 1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours</td> <td> Structure of ligament of left superior vena cava <span> (Details : {SNOMED CT code '6073002' = 'Ligament of left superior vena cava', given as
               'Structure of ligament of left superior vena cava'})</span> </td> <td> Intravenous <span> (Details : {SNOMED CT code '255560000' = 'Intravenous', given as 'Intravenous'})</span> </td> <td> PICC line <span> (Details )</span> </td> <td> 1000 mL<span>  (Details: UCUM code mL = 'mL')</span> </td> <td> 50 mL<span>  (Details: UCUM code mL = 'mL')</span> /1 h<span>  (Details: UCUM code h = 'h')</span> </td> </tr> </table> </div> </text> <contained> <Medication> 
    <id value="med0318"/> 
    <isBrand value="false"/> 
      <form> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="385221006"/> 
          <display value="Injection emulsion"/> 
        </coding> 
      </form> 
      <ingredient> 
        <itemCodeableConcept> 
          <coding> 
            <system value="http://hl7.org/fhir/sid/ndc"/> 
            <code value="0338-1134-03"/> 
            <display value="Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"/> 
          </coding> 
        </itemCodeableConcept> 
      </ingredient> 
      <ingredient> 
        <itemCodeableConcept> 
          <coding> 
            <system value="http://hl7.org/fhir/sid/ndc"/> 
            <code value="0409-5779-01"/> 
            <display value="TPN Electrolytes SODIUM CHLORIDE, CALCIUM CHLORIDE, POTASSIUM CHLORIDE, MAGNESIUM CHLORIDE,
             and SODIUM ACETATE ANHYDROUS | INJECTION, SOLUTION, CONCENTRATE | 321 mg/20mL, 331 mg/20mL,
             1491 mg/20mL, 508 mg/20mL, 2420 mg/20mL"/> 
          </coding> 
        </itemCodeableConcept> 
      </ingredient> 
      <ingredient> 
        <itemCodeableConcept> 
          <coding> 
            <system value="http://hl7.org/fhir/sid/ndc"/> 
            <code value="0338-0519-02"/> 
            <display value="Intralipid 20% IV Fat Emulsion"/> 
          </coding> 
        </itemCodeableConcept> 
      </ingredient> 
      
    
    <package> 
      <container> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="470037004"/> 
          <display value="Intravenous Fluid container, single-use"/> 
        </coding> 
      </container> 
      <batch> 
        <lotNumber value="123455"/> 
        <expirationDate value="2016-07-09"/> 
      </batch> 
    </package> 
  </Medication> 
  </contained> 
  <status value="completed"/> 
  <medicationReference> 
    <reference value="#med0318"/> 
  </medicationReference> 
 <subject> 
   <reference value="Patient/pat1"/> 
   <display value="Donald Duck"/>  
  </subject> 
 <effectivePeriod> 
  <start value="2015-01-15T22:03:00+01:00"/> 
   <end value="2015-01-16T02:03:00+01:00"/> 
</effectivePeriod> 
  <performer> 
    <actor> 
      <reference value="Practitioner/f007"/> 
      <display value="Patrick Pump"/> 
    </actor> 
  </performer> 
  <prescription> 
    <reference value="MedicationRequest/medrx0323"/> 
  </prescription> 
  <device> 
    <reference value="Device/f001"/> 
  </device> 
  <dosage> 
    <text value="1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours"/> 
    <site> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="6073002"/> 
        <display value="Structure of ligament of left superior vena cava"/> 
      </coding> 
    </site> 
    <route> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="255560000"/> 
        <display value="Intravenous"/> 
      </coding> 
    </route> 
    <method> 
      <text value="PICC line"/> 
    </method> 
    <dose> 
      <value value="1000"/> 
      <unit value="mL"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="mL"/>  
    </dose> 
    <rateRatio> 
      <numerator> 
        <value value="50"/> 
        <unit value="mL"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mL"/>  
      </numerator> 
      <denominator> 
        <value value="1"/> 
        <unit value="h"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="h"/>  
      </denominator> 
    </rateRatio> 
  </dosage> 
</MedicationAdministration>