Implementation Guide (Release 1.2.0)

US_Meds, published by HL7 International - Pharmacy Work Group. This is not an authorized publication; it is the continuous build for version 1.2.0). This version is based on the current content of https://github.com/HL7/FHIR-ONC-Meds/ and changes regularly. See the Directory of published versions

JSON Format: MedicationStatement-derivedfrom-mr-enca-3

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{
  "resourceType" : "MedicationStatement",
  "id" : "derivedfrom-mr-enca-3",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: derivedfrom-mr-enca-3</p><p><b>status</b>: completed</p><p><b>medication</b>: <a name=\"med-1\"> </a></p><blockquote><p><b>id</b>: med-1</p><p><b>meta</b>: </p><p><b>code</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1668240}\">Zithromax 500 MG Injection</span></p><blockquote><p><b>ingredient</b></p><p><b>item</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1668240}\">Zithromax (azithromycin) 500 MG Injection</span></p><p><b>isActive</b>: true</p><p><b>strength</b>: 500 mg/1 vial</p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 313002}\">Sodium Chloride 9 MG/ML Injectable Solution</span></p><p><b>isActive</b>: true</p><p><b>strength</b>: 250 mL/1 IV Bag</p></blockquote></blockquote><p><b>subject</b>: <a href=\"Patient-test2.html\">Brian Z. Generated Summary: id: test2; Medical Record Number: 1032702 (USUAL); active; Brian Z ; ph: 555-555-5555(HOME); gender: male; birthDate: 1964-01-05</a></p><p><b>context</b>: <a href=\"Encounter-A.html\">Inpatient Encounter A. Generated Summary: id: A; status: finished; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span>; period: 2016-09-10 --&gt; 2016-09-12</a></p><p><b>effective</b>: 2016-09-10 --&gt; 2016-09-12</p><p><b>dateAsserted</b>: Apr 10, 2017, 3:55:28 PM</p><p><b>informationSource</b>: <span>Provider B</span></p><p><b>derivedFrom</b>: <a href=\"MedicationRequest-enca-3.html\">Generated Summary: id: enca-3; status: completed; intent: order; ?ngen-3; authoredOn: 2016-09-10; <span title=\"Codes: {http://snomed.info/sct 233604007}\">Pneumonia (disorder)</span>; </a></p><p><b>reasonCode</b>: <span title=\"Codes: {http://snomed.info/sct 233604007}\">Pneumonia (disorder)</span></p><p><b>dosage</b>: </p></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "med-1",
      "meta" : {
        "profile" : [
          "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication"
        ]
      },
      "code" : {
        "coding" : [
          {
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "1668240",
            "display" : "Zithromax 500 MG Injection"
          }
        ],
        "text" : "Zithromax 500 MG Injection"
      },
      "ingredient" : [
        {
          "itemCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
                "code" : "1668240",
                "display" : "Zithromax 500 MG Injection"
              }
            ],
            "text" : "Zithromax (azithromycin) 500 MG Injection"
          },
          "isActive" : true,
          "strength" : {
            "numerator" : {
              "value" : 500,
              "unit" : "mg",
              "system" : "http://unitsofmeasure.org",
              "code" : "mg"
            },
            "denominator" : {
              "value" : 1,
              "unit" : "vial",
              "system" : "http://unitsofmeasure.org",
              "code" : "{vial}"
            }
          }
        },
        {
          "itemCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
                "code" : "313002",
                "display" : "Sodium Chloride 9 MG/ML Injectable Solution"
              }
            ],
            "text" : "Sodium Chloride 9 MG/ML Injectable Solution"
          },
          "isActive" : true,
          "strength" : {
            "numerator" : {
              "value" : 250,
              "unit" : "mL",
              "system" : "http://unitsofmeasure.org",
              "code" : "mL"
            },
            "denominator" : {
              "value" : 1,
              "unit" : "IV Bag",
              "system" : "http://unitsofmeasure.org",
              "code" : "{IV Bag}"
            }
          }
        }
      ]
    }
  ],
  "status" : "completed",
  "medicationReference" : {
    "reference" : "#med-1"
  },
  "subject" : {
    "reference" : "Patient/test2",
    "display" : "Brian Z"
  },
  "context" : {
    "reference" : "Encounter/A",
    "display" : "Inpatient Encounter A"
  },
  "effectivePeriod" : {
    "start" : "2016-09-10",
    "end" : "2016-09-12"
  },
  "dateAsserted" : "2017-04-10T08:55:28.557-07:00",
  "informationSource" : {
    "display" : "Provider B"
  },
  "derivedFrom" : [
    {
      "reference" : "MedicationRequest/enca-3"
    }
  ],
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "233604007",
          "display" : "Pneumonia (disorder)"
        }
      ]
    }
  ],
  "dosage" : [
    {
      "sequence" : 1,
      "text" : "Azithromycin 500mg in 250 ml Normal Saline intravenously over 1hour every 24 hours",
      "timing" : {
        "event" : [
          "2016-09-10T08:52:20-07:00",
          "2016-09-11T08:52:20-07:00"
        ]
      },
      "asNeededBoolean" : false,
      "route" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "47625008",
            "display" : "INTRAVENOUS use",
            "userSelected" : false
          }
        ]
      },
      "method" : {
        "text" : "1 hr infusion"
      },
      "doseAndRate" : [
        {
          "doseQuantity" : {
            "value" : 500,
            "unit" : "mg",
            "system" : "http://unitsofmeasure.org",
            "code" : "mg"
          }
        }
      ]
    }
  ]
}