{"actor":[{"description":"The Nurse","key":"Nurse","title":"Nurse","type":"person"},{"description":"The entity that receives the Administration Requests to show the nurse to perform them","key":"MAP","title":"Nurse's Tablet","type":"other"},{"description":"The Medication Administration Order Placer","key":"OP","title":"MAR / Scheduler","type":"system"},{"description":"The entity that receives the Medication Administration reports","key":"MAC","title":"MAR / EHR","type":"system"}],"contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/fiwg"}]}],"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fhir"}],"id":"example","instance":[{"description":"The initial prescription which describes \"medication X, 3 times per day\" - the exact scheduling is not in the initial prescription (it is left for the care teams to decide on the schedule).","key":"iherx001","structureType":{"code":"MedicationRequest","system":"http://hl7.org/fhir/fhir-types"},"title":"Initial Prescription"},{"description":"The administration request for day 1, morning","key":"iherx001.001","structureType":{"code":"MedicationRequest","system":"http://hl7.org/fhir/fhir-types"},"title":"Request for day 1, morning"},{"description":"The administration request for day 1, lunch","key":"iherx001.002","structureType":{"code":"MedicationRequest","system":"http://hl7.org/fhir/fhir-types"},"title":"Request for day 1, lunch"},{"description":"The administration request for day 1, evening","key":"iherx001.003","structureType":{"code":"MedicationRequest","system":"http://hl7.org/fhir/fhir-types"},"title":"Request for day 1, evening"},{"description":"The administration request for day 2, morning","key":"iherx001.004","structureType":{"code":"MedicationRequest","system":"http://hl7.org/fhir/fhir-types"},"title":"Request for day 2, morning"},{"description":"The administration request for day 2, lunch","key":"iherx001.005","structureType":{"code":"MedicationRequest","system":"http://hl7.org/fhir/fhir-types"},"title":"Request for day 2, lunch"},{"description":"The administration request for day 2, evening","key":"iherx001.006","structureType":{"code":"MedicationRequest","system":"http://hl7.org/fhir/fhir-types"},"title":"Request for day 2, evening"},{"description":"Administration report for day 1, morning: Taken","key":"iheadm001a","structureType":{"code":"MedicationAdministration","system":"http://hl7.org/fhir/fhir-types"},"title":"Morning meds - taken"},{"description":"Administration report for day 1, morning: NOT Taken","key":"iheadm001b","structureType":{"code":"MedicationAdministration","system":"http://hl7.org/fhir/fhir-types"},"title":"Morning meds - not taken"},{"containedInstance":[{"instanceReference":"iherx001.001"},{"instanceReference":"iherx001.002"},{"instanceReference":"iherx001.003"},{"instanceReference":"iherx001.004"},{"instanceReference":"iherx001.005"},{"instanceReference":"iherx001.006"}],"description":"All the medication Requests for Day 1","key":"iherx001bundle","structureType":{"code":"MedicationRequest","system":"http://hl7.org/fhir/fhir-types"},"title":"Bundle of Medication Requests"},{"description":"Administration report for day 1, lunch: Taken","key":"iheadm002","structureType":{"code":"MedicationAdministration","system":"http://hl7.org/fhir/fhir-types"},"title":"Lunch meds - taken","version":[{"description":"Medication just taken","key":"iheadm002v1","title":"Administration - v1"},{"description":"Medication rejected","key":"iheadm002v2","title":"Administration - v2"}]},{"description":"The search administration request for day 1, morning","key":"iherxqry","structureType":{"code":"SearchParameter","system":"http://hl7.org/fhir/fhir-types"},"title":"Search query1"}],"process":[{"description":"This scenario demonstrates the process of getting the relevant medication instructions for a patient visit and reporting the results of administration. The scenario is as follows: After the prescription is issued, the institution schedules each individual administration event in the Medication Administration Record (MAR). When preparing for a visit, the nurse queries the MAR for the scheduled administrations, obtaining a bundle of records. The nurse then performs the care activities and registers the results in the device. Upon synchronization of the device and the institution, the results of administration are uploaded to the EHR, thus updating the MAR.","postConditions":"Medication administration Reports are submitted, EHR is updated.","preConditions":"Medication administration requests are in the EHR / MAR, scheduled for each individual intake.","step":[{"number":"1","operation":{"initiator":"Nurse","receiver":"MAP","title":"Get today's schedule"}},{"number":"2","operation":{"description":"Query for medication administration orders,\\n- For today's shifts\\n- For today's patients","initiator":"MAP","receiver":"OP","request":{"instanceReference":"iherxqry"},"response":{"instanceReference":"iherx001bundle"},"title":"Query administration orders"},"pause":true},{"number":"3","operation":{"initiator":"MAP","receiver":"Nurse","title":"Notify (alert)"}},{"number":"4","operation":{"initiator":"Nurse","receiver":"MAP","title":"Read orders"},"pause":true},{"number":"5","operation":{"initiator":"Nurse","receiver":"Nurse","title":"Ask if patient took meds"}},{"alternative":[{"description":"Invoke if patient took medications","step":[{"number":"6a","operation":{"initiator":"Nurse","initiatorActive":true,"receiver":"MAP","title":"Register meds taken"}}],"title":"Patient took meds"},{"description":"No, patient did not take meds","step":[{"number":"6b","operation":{"initiator":"Nurse","initiatorActive":true,"receiver":"MAP","title":"Register meds NOT taken"}}],"title":"No drugs"},{"description":"Unknown whether patient took medications or not","title":"Not clear"}],"pause":true},{"number":"7","operation":{"initiator":"Nurse","receiver":"Nurse","title":"Administer drug"}},{"number":"8","operation":{"initiator":"Nurse","initiatorActive":true,"receiver":"MAP","title":"Record administration"},"pause":true},{"number":"9","operation":{"initiator":"Nurse","initiatorActive":true,"receiver":"MAP","request":{"instanceReference":"iheadm002","versionReference":"iheadm002v1"},"title":"Upload administration reports"},"pause":true},{"number":"10","operation":{"description":"The nurse's system uploads the administration results to the server","initiator":"MAP","receiver":"MAC","request":{"instanceReference":"iheadm001a"},"title":"Upload administration reports"}}],"title":"Mobile Medication Administration"}],"publisher":"HL7 International / FHIR Infrastructure","purpose":"Purpose: this serves to demonstrate the performing of medication administration, by using remote / mobile devices to a) Get the planned medication administrations and b) Record the performing of these administrations without a permanent connection to the EHR.","resourceType":"ExampleScenario","status":"draft","text":{"div":"
\n

\n ExampleScenario - Medication administration (IHE MMA)\n \n

\n
\n

Resource ExampleScenario \"example\"

\n
\n

\n status : draft\n

\n

\n purpose : Purpose: this serves to enable remote performing of medication administration, by using remote / mobile devices to a) Get the planned medication administrations and b) Record the performing of these administrations without a permanent connection to the EHR.\n

\n\n \"ExampleScenario\n
","status":"additional"}}