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

<MedicationAdministration xmlns="http://hl7.org/fhir">
  <id value="medadmin0309"/>
  <contained>
    <Medication>
      <id value="med0318"/>
      <doseForm>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="385221006"/>
          <display value="Conventional release emulsion for injection (dose form)"/>
        </coding>
      </doseForm>
      <ingredient>
        <item>
          <concept>
            <!-- Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml" -->
            <coding>
              <system value="http://hl7.org/fhir/sid/ndc"/>
              <code value="0338-1134-03"/>
              <display value="CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package)"/>
            </coding>
            <text value="Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"/>
          </concept>
        </item>
      </ingredient>
      <ingredient>
        <item>
          <concept>
            <coding>
              <system value="http://hl7.org/fhir/sid/ndc"/>
              <code value="0409-5779-01"/>
              <display value="TPN Electrolytes, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01) &gt; 20 mL in 1 VIAL, SINGLE-DOSE (0409-5779-11) (package)"/>
            </coding>
            <text 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"/>
          </concept>
        </item>
      </ingredient>
      <ingredient>
        <item>
          <concept>
            <coding>
              <system value="http://hl7.org/fhir/sid/ndc"/>
              <code value="0338-0519-02"/>
              <display value="Intralipid, 250 mL in 1 BAG (0338-0519-02) (package)"/>
            </coding>
            <text value="Intralipid 20% IV Fat Emulsion"/>
          </concept>
        </item>
      </ingredient>
    </Medication>
  </contained>
  <status value="completed"/>
  <medication>
    <reference>
      <reference value="#med0318"/>
    </reference>
  </medication>
  <subject>
    <reference value="Patient/pat1"/>
    <display value="Donald Duck"/>
  </subject>
  <occurrencePeriod>
    <start value="2015-01-15T22:03:00+01:00"/>
    <end value="2015-01-16T02:03:00+01:00"/>
  </occurrencePeriod>
  <performer>
    <function>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/med-admin-perform-function"/>
        <code value="performer"/>
        <display value="Performer"/>
      </coding>
    </function>
    <actor>
      <reference>
        <reference value="Practitioner/f007"/>
        <display value="Patrick Pump"/>
      </reference>
    </actor>
  </performer>
  <request>
    <reference value="MedicationRequest/medrx0323"/>
  </request>
  <device>
    <reference>
      <reference value="Device/f001"/>
    </reference>
  </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>