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Example MedicationAdministration/medadmin0309 (JSON)

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

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

TPN Solution with a Device

{
  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0309",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationAdministration</b><a name=\"medadmin0309\"> </a><a name=\"hcmedadmin0309\"> </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;medadmin0309&quot; </p></div><p><b>status</b>: completed</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=\"hcmed0318\"> </a><blockquote><p/><p><a name=\"med0318\"> </a></p><p><a name=\"hcmed0318\"> </a></p><p><b>doseForm</b>: Conventional release emulsion for injection (dose form) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385221006)</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>Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0338-1134-03 &quot;CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package)&quot;)</span></td></tr></table></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>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 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0409-5779-01 &quot;TPN Electrolytes, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01) &gt; 20 mL in 1 VIAL, SINGLE-DOSE (0409-5779-11) (package)&quot;)</span></td></tr></table></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>Intralipid 20% IV Fat Emulsion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0338-0519-02 &quot;Intralipid, 250 mL in 1 BAG (0338-0519-02) (package)&quot;)</span></td></tr></table></blockquote><h3>Batches</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td style=\"display: none\">*</td><td>123455</td><td>2016-07-09</td></tr></table></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>occurrence</b>: 2015-01-15T22:03:00+01:00 --&gt; 2015-01-16T02:03:00+01:00</p><blockquote><p><b>performer</b></p><p><b>function</b>: Performer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.0/CodeSystem-med-admin-perform-function.html\">MedicationAdministration Performer Function Codes</a>#performer)</span></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><p><b>request</b>: <a href=\"medicationrequest0323.html\">MedicationRequest/medrx0323</a></p><h3>Devices</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=\"device-example-f001-feedingtube.html\">Device/f001</a></td></tr></table><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>1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours</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 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255560000)</span></td><td>PICC line <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td><td>1000 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></td><td>50 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 #med0318</b><a name=\"med0318\"> </a><a name=\"hcmed0318\"> </a></p><p><b>doseForm</b>: Conventional release emulsion for injection (dose form) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385221006)</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>Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0338-1134-03 &quot;CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package)&quot;)</span></td></tr></table></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>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 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0409-5779-01 &quot;TPN Electrolytes, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01) &gt; 20 mL in 1 VIAL, SINGLE-DOSE (0409-5779-11) (package)&quot;)</span></td></tr></table></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>Intralipid 20% IV Fat Emulsion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0338-0519-02 &quot;Intralipid, 250 mL in 1 BAG (0338-0519-02) (package)&quot;)</span></td></tr></table></blockquote><h3>Batches</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td style=\"display: none\">*</td><td>123455</td><td>2016-07-09</td></tr></table></blockquote></div>"
  },
  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0318",
    "doseForm" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "385221006",
        "display" : "Conventional release emulsion for injection (dose form)"
      }]
    },
    "ingredient" : [{
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/sid/ndc",
            "code" : "0338-1134-03",
            "display" : "CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package)"
          }],
          "text" : "Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"
        }
      }
    },
    {
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/sid/ndc",
            "code" : "0409-5779-01",
            "display" : "TPN Electrolytes, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01) > 20 mL in 1 VIAL, SINGLE-DOSE (0409-5779-11) (package)"
          }],
          "text" : "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"
        }
      }
    },
    {
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/sid/ndc",
            "code" : "0338-0519-02",
            "display" : "Intralipid, 250 mL in 1 BAG (0338-0519-02) (package)"
          }],
          "text" : "Intralipid 20% IV Fat Emulsion"
        }
      }
    }],
    "batch" : {
      "lotNumber" : "123455",
      "expirationDate" : "2016-07-09"
    }
  }],
  "status" : "completed",
  "medication" : {
    "reference" : {
      "reference" : "#med0318"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "occurrencePeriod" : {
    "start" : "2015-01-15T22:03:00+01:00",
    "end" : "2015-01-16T02:03:00+01:00"
  },
  "performer" : [{
    "function" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
        "code" : "performer",
        "display" : "Performer"
      }]
    },
    "actor" : {
      "reference" : {
        "reference" : "Practitioner/f007",
        "display" : "Patrick Pump"
      }
    }
  }],
  "request" : {
    "reference" : "MedicationRequest/medrx0323"
  },
  "device" : [{
    "reference" : {
      "reference" : "Device/f001"
    }
  }],
  "dosage" : {
    "text" : "1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours",
    "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" : "255560000",
        "display" : "Intravenous"
      }]
    },
    "method" : {
      "text" : "PICC line"
    },
    "dose" : {
      "value" : 1000,
      "unit" : "mL",
      "system" : "http://unitsofmeasure.org",
      "code" : "mL"
    },
    "rateRatio" : {
      "numerator" : {
        "value" : 50,
        "unit" : "mL",
        "system" : "http://unitsofmeasure.org",
        "code" : "mL"
      },
      "denominator" : {
        "value" : 1,
        "unit" : "h",
        "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.