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Example MedicationAdministration/medadmin0302 (JSON)

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient

Raw JSON (canonical form + also see JSON Format Specification)

Intravenous Admixture - Potassium Chloride in D5W

{
  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0302",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationAdministration</b><a name=\"medadmin0302\"> </a><a name=\"hcmedadmin0302\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationAdministration &quot;medadmin0302&quot; </p></div><p><b>partOf</b>: <a href=\"procedure-example-biopsy.html\">Procedure/biopsy</a></p><p><b>status</b>: completed</p><p><b>category</b>: Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (medication-admin-category#inpatient)</span></p><h3>Medications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><a name=\"hcmed0317\"> </a><blockquote><p/><p><a name=\"med0317\"> </a></p><p><a name=\"hcmed0317\"> </a></p><p><b>doseForm</b>: Solution for injection <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385219001)</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>Potassium Chloride <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#204520 &quot;potassium chloride 2 MEQ/ML Injectable Solution&quot;)</span></td></tr></table><p><b>strength</b>: 2 meq<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code meq = 'meq')</span>/1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p></blockquote><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>sodium chloride 9 MG/ML Injectable Solution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#313002)</span></td></tr></table><p><b>strength</b>: 0.9 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span>/100 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p></blockquote></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</p><p><b>encounter</b>: <a href=\"encounter-example-f001-heart.html\">Encounter/f001: encounter who leads to this prescription</a></p><p><b>occurrence</b>: 2015-01-15T04:30:00+01:00 --&gt; 2015-01-15T14:30:00+01:00</p><blockquote><p><b>performer</b></p><h3>Actors</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"practitioner-example-f007-sh.html\">Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</td></tr></table></blockquote><h3>Reasons</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>Given as Ordered <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.0/CodeSystem-reason-medication-given.html\">Reason Medication Given Codes</a>#b)</span></td></tr></table><p><b>request</b>: <a href=\"medicationrequest0322.html\">MedicationRequest/medrx0322</a></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</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 style=\"display: none\">*</td><td>KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr</td><td>Structure of ligament of left superior vena cava <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#6073002)</span></td><td>Intravenous route <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#47625008)</span></td><td>Continuous infusion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td><td>20 meq<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code meq = 'meq')</span></td><td>100 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span>/1 h<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code h = 'h')</span></td></tr></table><hr/><blockquote><p><b>Generated Narrative: Medication #med0317</b><a name=\"med0317\"> </a><a name=\"hcmed0317\"> </a></p><p><b>doseForm</b>: Solution for injection <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385219001)</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>Potassium Chloride <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#204520 &quot;potassium chloride 2 MEQ/ML Injectable Solution&quot;)</span></td></tr></table><p><b>strength</b>: 2 meq<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code meq = 'meq')</span>/1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p></blockquote><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>sodium chloride 9 MG/ML Injectable Solution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#313002)</span></td></tr></table><p><b>strength</b>: 0.9 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span>/100 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p></blockquote></blockquote></div>"
  },
  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0317",
    "doseForm" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "385219001",
        "display" : "Solution for injection"
      }],
      "text" : "Solution for injection"
    },
    "ingredient" : [{
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "204520",
            "display" : "potassium chloride 2 MEQ/ML Injectable Solution"
          }],
          "text" : "Potassium Chloride"
        }
      },
      "strengthRatio" : {
        "numerator" : {
          "value" : 2,
          "system" : "http://unitsofmeasure.org",
          "code" : "meq"
        },
        "denominator" : {
          "value" : 1,
          "system" : "http://unitsofmeasure.org",
          "code" : "mL"
        }
      }
    },
    {
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "313002",
            "display" : "sodium chloride 9 MG/ML Injectable Solution"
          }]
        }
      },
      "strengthRatio" : {
        "numerator" : {
          "value" : 0.9,
          "system" : "http://unitsofmeasure.org",
          "code" : "g"
        },
        "denominator" : {
          "value" : 100,
          "system" : "http://unitsofmeasure.org",
          "code" : "mL"
        }
      }
    }]
  }],
  "partOf" : [{
    "reference" : "Procedure/biopsy"
  }],
  "status" : "completed",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/medication-admin-category",
      "code" : "inpatient",
      "display" : "Inpatient"
    }]
  }],
  "medication" : {
    "reference" : {
      "reference" : "#med0317"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "encounter" : {
    "reference" : "Encounter/f001",
    "display" : "encounter who leads to this prescription"
  },
  "occurrencePeriod" : {
    "start" : "2015-01-15T04:30:00+01:00",
    "end" : "2015-01-15T14:30:00+01:00"
  },
  "performer" : [{
    "actor" : {
      "reference" : {
        "reference" : "Practitioner/f007",
        "display" : "Patrick Pump"
      }
    }
  }],
  "reason" : [{
    "concept" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/reason-medication-given",
        "code" : "b",
        "display" : "Given as Ordered"
      }]
    }
  }],
  "request" : {
    "reference" : "MedicationRequest/medrx0322"
  },
  "dosage" : {
    "text" : "KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr",
    "site" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "6073002",
        "display" : "Structure of ligament of left superior vena cava"
      }]
    },
    "route" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "47625008",
        "display" : "Intravenous route"
      }]
    },
    "method" : {
      "text" : "Continuous infusion"
    },
    "dose" : {
      "value" : 20,
      "unit" : "meq",
      "system" : "http://unitsofmeasure.org",
      "code" : "meq"
    },
    "rateRatio" : {
      "numerator" : {
        "value" : 100,
        "system" : "http://unitsofmeasure.org",
        "code" : "mL"
      },
      "denominator" : {
        "value" : 1,
        "system" : "http://unitsofmeasure.org",
        "code" : "h"
      }
    }
  }
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.