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MedicationAdministration "medadminexample03" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
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Generated Narrative

status: on-hold

statusReason: Administration of medication not done due to a contraindication (situation)

Medications

-
*

subject: Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male

encounter: Generated Summary: id: v1451 (OFFICIAL); status: completed; ambulatory; Patient-initiated encounter; Non-urgent cardiological admission

supportingInformation: Generated Summary: Inactive; Differential; Problem; Severe; Acute renal insufficiency specified as due to procedure; Kidney; onset: 2013-03-11; abatement: 2013-03-20; recordedDate: 2013-03-11; The patient is anuric.

occurence: 16 Jan. 2015, 12:30:00 am --> 16 Jan. 2015, 12:30:00 am

request: Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15

note: Patient started Bupropion this morning - will administer in a reduced dose tomorrow


{
  "resourceType" : "MedicationAdministration",
  "id" : "medadminexample03",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:25.793Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: on-hold</p><p><b>statusReason</b>: <span>Administration of medication not done due to a contraindication (situation)</span></p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>encounter</b>: <a>Generated Summary: id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span></a></p><p><b>supportingInformation</b>: <a>Generated Summary: <span>Inactive</span>; <span>Differential</span>; <span>Problem</span>; <span>Severe</span>; <span>Acute renal insufficiency specified as due to procedure</span>; <span>Kidney</span>; onset: 2013-03-11; abatement: 2013-03-20; recordedDate: 2013-03-11; The patient is anuric.</a></p><p><b>occurence</b>: 16 Jan. 2015, 12:30:00 am --&gt; 16 Jan. 2015, 12:30:00 am</p><p><b>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15</a></p><p><b>note</b>: Patient started Bupropion this morning - will administer in a reduced dose tomorrow</p></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "med0303",
      "code" : {
        "coding" : [
          {
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "1594660",
            "display" : "Alemtuzumab 10mg/ml (Lemtrada)"
          }
        ]
      }
    }
  ],
  "status" : "on-hold",
  "statusReason" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "373147003",
          "display" : "Administration of medication not done due to a contraindication (situation)"
        }
      ]
    }
  ],
  "medication" : {
    "reference" : {
      "reference" : "#med0303"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "encounter" : {
    "reference" : "Encounter/f001"
  },
  "supportingInformation" : [
    {
      "reference" : "Condition/f204"
    }
  ],
  "occurencePeriod" : {
    "start" : "2015-01-15T14:30:00+01:00",
    "end" : "2015-01-15T14:30:00+01:00"
  },
  "request" : {
    "reference" : "MedicationRequest/medrx0317"
  },
  "note" : [
    {
      "text" : "Patient started Bupropion this morning - will administer in a reduced dose tomorrow"
    }
  ]
}

MedicationAdministration "medadmin0313" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative

status: completed

Medications

-
*

subject: Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male

occurence: 16 Jan. 2015, 8:03:00 am --> 16 Jan. 2015, 12:03:00 pm

Performers

-Actor
*Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07

Reasons

-
*

request: Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15

Dosages

-TextSiteDose
*Insert one suppository rectally twice daily as needed for fever to a maximim of 3 per dayRectum structure240 mg

{
  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0313",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:25.735Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>occurence</b>: 16 Jan. 2015, 8:03:00 am --&gt; 16 Jan. 2015, 12:03:00 pm</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></td></tr></table><h3>Reasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15</a></p><h3>Dosages</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td>Insert one suppository rectally twice daily as needed for fever to a maximim of 3 per day</td><td><span>Rectum structure</span></td><td>240 mg</td></tr></table></div>"
  },
  "status" : "completed",
  "medication" : {
    "concept" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "322254008",
          "display" : "Paracetamol 240mg suppository (product)"
        }
      ]
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "occurencePeriod" : {
    "start" : "2015-01-15T22:03:00+01:00",
    "end" : "2015-01-16T02:03:00+01:00"
  },
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/f007",
        "display" : "Patrick Pump"
      }
    }
  ],
  "reason" : [
    {
      "concept" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/reason-medication-given",
            "code" : "c",
            "display" : "Emergency"
          }
        ]
      }
    }
  ],
  "request" : {
    "reference" : "MedicationRequest/medrx0324"
  },
  "dosage" : {
    "text" : "Insert one suppository rectally twice daily as needed for fever to a maximim of 3 per day",
    "site" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "34402009",
          "display" : "Rectum structure"
        }
      ]
    },
    "dose" : {
      "value" : 240,
      "unit" : "mg",
      "system" : "http://unitsofmeasure.org",
      "code" : "mg"
    }
  }
}

MedicationAdministration "medadmin0312" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by


{
  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0312",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:25.672Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>occurence</b>: 16 Jan. 2015, 8:03:00 am --&gt; 16 Jan. 2015, 12:03:00 pm</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></td></tr></table><p><b>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15</a></p><h3>Dosages</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td>apply one patch three times per week</td><td>1 patch</td></tr></table></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://www.bmc.nl/portal/administrations",
      "value" : "12345689"
    }
  ],
  "status" : "completed",
  "medication" : {
    "concept" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "333919005",
          "display" : "Fentanyl 25micrograms/hour patch (product)"
        }
      ]
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "occurencePeriod" : {
    "start" : "2015-01-15T22:03:00+01:00",
    "end" : "2015-01-16T02:03:00+01:00"
  },
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/f007",
        "display" : "Patrick Pump"
      }
    }
  ],
  "request" : {
    "reference" : "MedicationRequest/medrx0305"
  },
  "dosage" : {
    "text" : "apply one patch three times per week",
    "dose" : {
      "value" : 1,
      "unit" : "patch",
      "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
      "code" : "PATCH"
    }
  }
}

MedicationAdministration "medadmin0311" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative

status: completed

Medications

-
*

subject: Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male

occurence: 16 Jan. 2015, 8:03:00 am --> 16 Jan. 2015, 12:03:00 pm

Performers

-Actor
*Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07

Reasons

-
*

request: Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15

Dosages

-TextRouteDose
*0.25mg PO every 6-12 hours as needed for menses from Jan 15-20, 2015. Do not exceed more than 4mg per dayOral Route1 TAB

{
  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0311",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:25.594Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>occurence</b>: 16 Jan. 2015, 8:03:00 am --&gt; 16 Jan. 2015, 12:03:00 pm</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></td></tr></table><h3>Reasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15</a></p><h3>Dosages</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td>0.25mg PO every 6-12 hours as needed for menses from Jan 15-20, 2015. Do not exceed more than 4mg per day</td><td><span>Oral Route</span></td><td>1 TAB</td></tr></table></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "med0304",
      "code" : {
        "coding" : [
          {
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "308047",
            "display" : "Alprazolam 0.25mg Oral Tablet"
          }
        ]
      }
    }
  ],
  "status" : "completed",
  "medication" : {
    "reference" : {
      "reference" : "#med0304"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "occurencePeriod" : {
    "start" : "2015-01-15T22:03:00+01:00",
    "end" : "2015-01-16T02:03:00+01:00"
  },
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/f007",
        "display" : "Patrick Pump"
      }
    }
  ],
  "reason" : [
    {
      "concept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "266599000",
            "display" : "Dysmenorrhea"
          }
        ]
      }
    }
  ],
  "request" : {
    "reference" : "MedicationRequest/medrx0305"
  },
  "dosage" : {
    "text" : "0.25mg PO every 6-12 hours as needed for menses from Jan 15-20, 2015. Do not exceed more than 4mg per day",
    "route" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "26643006",
          "display" : "Oral Route"
        }
      ]
    },
    "dose" : {
      "value" : 1,
      "unit" : "TAB",
      "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
      "code" : "TAB"
    }
  }
}

MedicationAdministration "medadmin0310" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative

status: completed

Medications

-
*

subject: Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male

occurence: 16 Jan. 2015, 8:03:00 am --> 16 Jan. 2015, 12:03:00 pm

Performers

-Actor
*Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07

request: Generated Summary: id: 12345689 (OFFICIAL); status: active; intent: order; authoredOn: 2015-01-15

Dosages

-TextRouteDose
*6 mg PO daily for remission induction; adjust dosage to white blood cell (WBC) count. With hold treatment if WBC is less than 15,000/µL; resume when WBC is greater than 50,000/µLOral route (qualifier value)6 mg

{
  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0310",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:25.532Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>occurence</b>: 16 Jan. 2015, 8:03:00 am --&gt; 16 Jan. 2015, 12:03:00 pm</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></td></tr></table><p><b>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: active; intent: order; authoredOn: 2015-01-15</a></p><h3>Dosages</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td>6 mg PO daily for remission induction; adjust dosage to white blood cell (WBC) count. With hold treatment if WBC is less than 15,000/&#xB5;L; resume when WBC is greater than 50,000/&#xB5;L</td><td><span>Oral route (qualifier value)</span></td><td>6 mg</td></tr></table></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "med0304",
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/sid/ndc",
            "code" : "76388-713-25",
            "display" : "Myleran 2mg tablet, film coated"
          }
        ]
      }
    }
  ],
  "status" : "completed",
  "medication" : {
    "reference" : {
      "reference" : "#med0304"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "occurencePeriod" : {
    "start" : "2015-01-15T22:03:00+01:00",
    "end" : "2015-01-16T02:03:00+01:00"
  },
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/f007",
        "display" : "Patrick Pump"
      }
    }
  ],
  "request" : {
    "reference" : "MedicationRequest/medrx0306"
  },
  "dosage" : {
    "text" : "6 mg PO daily for remission induction; adjust dosage to white blood cell (WBC) count. With hold treatment if WBC is less than 15,000/µL; resume when WBC is greater than 50,000/µL",
    "route" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "26643006",
          "display" : "Oral route (qualifier value)"
        }
      ]
    },
    "dose" : {
      "value" : 6,
      "unit" : "mg",
      "system" : "http://unitsofmeasure.org",
      "code" : "mg"
    }
  }
}

MedicationAdministration "medadmin0309" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative

status: completed

Medications

-
*

subject: Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male

occurence: 16 Jan. 2015, 8:03:00 am --> 16 Jan. 2015, 12:03:00 pm

Performers

-FunctionActor
*PerformerPatrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07

request: Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15

device: Generated Summary: id: 12345; status: active

Dosages

-TextSiteRouteMethodDoseRate[x]
*1000mL infused at 50ml/hour for 4 hours - hung at 2200 hoursStructure of ligament of left superior vena cavaIntravenousPICC line1000 mL50 mL/1 h

{
  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0309",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:25.469Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>occurence</b>: 16 Jan. 2015, 8:03:00 am --&gt; 16 Jan. 2015, 12:03:00 pm</p><h3>Performers</h3><table><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td><span>Performer</span></td><td><a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></td></tr></table><p><b>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15</a></p><p><b>device</b>: <a>Generated Summary: id: 12345; status: active</a></p><h3>Dosages</h3><table><tr><td>-</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>*</td><td>1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours</td><td><span>Structure of ligament of left superior vena cava</span></td><td><span>Intravenous</span></td><td><span>PICC line</span></td><td>1000 mL</td><td>50 mL/1 h</td></tr></table></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "med0318",
      "doseForm" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "385221006",
            "display" : "Injection emulsion"
          }
        ]
      },
      "ingredient" : [
        {
          "item" : {
            "concept" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/sid/ndc",
                  "code" : "0338-1134-03",
                  "display" : "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 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 20% IV Fat Emulsion"
                }
              ]
            }
          }
        }
      ],
      "batch" : {
        "lotNumber" : "123455",
        "expirationDate" : "2016-07-09"
      }
    }
  ],
  "status" : "completed",
  "medication" : {
    "reference" : {
      "reference" : "#med0318"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "occurencePeriod" : {
    "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" : "Practitioner/f007",
        "display" : "Patrick Pump"
      }
    }
  ],
  "request" : {
    "reference" : "MedicationRequest/medrx0323"
  },
  "device" : [
    {
      "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"
      }
    }
  }
}

MedicationAdministration "medadmin0308" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by


{
  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0308",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:25.407Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>occurence</b>: 15 Jan. 2015, 2:30:00 pm --&gt; 16 Jan. 2015, 12:30:00 am</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></td></tr></table><p><b>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15</a></p><h3>Dosages</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td>20 Units SC before breakfast</td><td><span>Subcutaneous (qualifier value)</span></td><td>20 U</td></tr></table></div>"
  },
  "status" : "completed",
  "medication" : {
    "concept" : {
      "coding" : [
        {
          "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
          "code" : "285018",
          "display" : "Lantus 100 unit/ml injectable solution"
        }
      ]
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "occurencePeriod" : {
    "start" : "2015-01-15T04:30:00+01:00",
    "end" : "2015-01-15T14:30:00+01:00"
  },
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/f007",
        "display" : "Patrick Pump"
      }
    }
  ],
  "request" : {
    "reference" : "MedicationRequest/medrx0320"
  },
  "dosage" : {
    "text" : "20 Units SC before breakfast",
    "route" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "263887005",
          "display" : "Subcutaneous (qualifier value)"
        }
      ]
    },
    "dose" : {
      "value" : 20,
      "unit" : "U",
      "system" : "http://unitsofmeasure.org",
      "code" : "U"
    }
  }
}

MedicationAdministration "medadmin0307" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative

status: completed

Medications

-
*

subject: Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male

encounter: encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: completed; ambulatory; Patient-initiated encounter; Non-urgent cardiological admission

occurence: 15 Jan. 2015, 2:30:00 pm --> 16 Jan. 2015, 12:30:00 am

Performers

-FunctionActor
*PerformerPatrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07

request: Generated Summary: id: 12345689 (OFFICIAL); status: active; intent: order; authoredOn: 2015-01-15

device: Generated Summary: id: 12345; status: active

Dosages

-TextRouteMethodDoseRate[x]
*0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as neededIntravenousPush - dosing instruction imperative (qualifier value)7 mg4 min

{
  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0307",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:25.328Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span></a></p><p><b>occurence</b>: 15 Jan. 2015, 2:30:00 pm --&gt; 16 Jan. 2015, 12:30:00 am</p><h3>Performers</h3><table><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td><span>Performer</span></td><td><a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></td></tr></table><p><b>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: active; intent: order; authoredOn: 2015-01-15</a></p><p><b>device</b>: <a>Generated Summary: id: 12345; status: active</a></p><h3>Dosages</h3><table><tr><td>-</td><td><b>Text</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>*</td><td>0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed</td><td><span>Intravenous</span></td><td><span>Push - dosing instruction imperative (qualifier value)</span></td><td>7 mg</td><td>4 min</td></tr></table></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "med0313",
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "400621001",
            "display" : "Lorazepam 2mg/ml injection solution 1ml vial (product)"
          }
        ]
      },
      "doseForm" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "385219001",
            "display" : "Injection solution (qualifier value)"
          }
        ]
      },
      "ingredient" : [
        {
          "item" : {
            "concept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "387106007",
                  "display" : "Lorazepam (substance)"
                }
              ]
            }
          },
          "strengthRatio" : {
            "numerator" : {
              "value" : 2,
              "system" : "http://unitsofmeasure.org",
              "code" : "mg"
            },
            "denominator" : {
              "value" : 1,
              "system" : "http://unitsofmeasure.org",
              "code" : "mL"
            }
          }
        }
      ]
    }
  ],
  "status" : "completed",
  "medication" : {
    "reference" : {
      "reference" : "#med0313"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "encounter" : {
    "reference" : "Encounter/f001",
    "display" : "encounter who leads to this prescription"
  },
  "occurencePeriod" : {
    "start" : "2015-01-15T04:30:00+01:00",
    "end" : "2015-01-15T14:30:00+01:00"
  },
  "performer" : [
    {
      "function" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
            "code" : "performer",
            "display" : "Performer"
          }
        ]
      },
      "actor" : {
        "reference" : "Practitioner/f007",
        "display" : "Patrick Pump"
      }
    }
  ],
  "request" : {
    "reference" : "MedicationRequest/medrx0315"
  },
  "device" : [
    {
      "reference" : "Device/f001"
    }
  ],
  "dosage" : {
    "text" : "0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed",
    "route" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "255560000",
          "display" : "Intravenous"
        }
      ]
    },
    "method" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "420620005",
          "display" : "Push - dosing instruction imperative (qualifier value)"
        }
      ]
    },
    "dose" : {
      "value" : 7,
      "unit" : "mg",
      "system" : "http://unitsofmeasure.org",
      "code" : "mg"
    },
    "rateQuantity" : {
      "value" : 4,
      "unit" : "min",
      "system" : "http://unitsofmeasure.org",
      "code" : "min"
    }
  }
}

MedicationAdministration "medadmin0306" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative

status: completed

Medications

-
*

subject: Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male

encounter: encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: completed; ambulatory; Patient-initiated encounter; Non-urgent cardiological admission

occurence: 15 Jan. 2015, 2:30:00 pm --> 16 Jan. 2015, 12:30:00 am

Performers

-FunctionActor
*PerformerPatrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07

request: Generated Summary: id: 12345689 (OFFICIAL); status: active; intent: order; authoredOn: 2015-01-15; Patient told to take with food

Dosages

-TextRouteMethodDose
*Two tablets at onceOral RouteSwallow - dosing instruction imperative (qualifier value)2 TAB

{
  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0306",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:25.266Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span></a></p><p><b>occurence</b>: 15 Jan. 2015, 2:30:00 pm --&gt; 16 Jan. 2015, 12:30:00 am</p><h3>Performers</h3><table><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td><span>Performer</span></td><td><a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></td></tr></table><p><b>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: active; intent: order; authoredOn: 2015-01-15; Patient told to take with food</a></p><h3>Dosages</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Method</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td>Two tablets at once</td><td><span>Oral Route</span></td><td><span>Swallow - dosing instruction imperative (qualifier value)</span></td><td>2 TAB</td></tr></table></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "med0306",
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "324252006",
            "display" : "Azithromycin 250mg capsule (product)"
          }
        ]
      }
    }
  ],
  "status" : "completed",
  "medication" : {
    "reference" : {
      "reference" : "#med0306"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "encounter" : {
    "reference" : "Encounter/f001",
    "display" : "encounter who leads to this prescription"
  },
  "occurencePeriod" : {
    "start" : "2015-01-15T04:30:00+01:00",
    "end" : "2015-01-15T14:30:00+01:00"
  },
  "performer" : [
    {
      "function" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
            "code" : "performer",
            "display" : "Performer"
          }
        ]
      },
      "actor" : {
        "reference" : "Practitioner/f007",
        "display" : "Patrick Pump"
      }
    }
  ],
  "request" : {
    "reference" : "MedicationRequest/medrx0302"
  },
  "dosage" : {
    "text" : "Two tablets at once",
    "route" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "26643006",
          "display" : "Oral Route"
        }
      ]
    },
    "method" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "421521009",
          "display" : "Swallow - dosing instruction imperative (qualifier value)"
        }
      ]
    },
    "dose" : {
      "value" : 2,
      "unit" : "TAB",
      "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
      "code" : "TAB"
    }
  }
}

MedicationAdministration "medadmin0305" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative

instantiatesUri: http://www.bccancer.bc.ca/chemotherapy-protocols-site/Documents/Lymphoma-Myeloma/ULYBRENTUX%20Protocol_1Jun2017.pdf

status: completed

Medications

-
*

subject: Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male

encounter: encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: completed; ambulatory; Patient-initiated encounter; Non-urgent cardiological admission

occurence: 15 Jan. 2015, 2:30:00 pm --> 16 Jan. 2015, 12:30:00 am

Performers

-Actor
*Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07

request: Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15; instantiatesUri: http://www.bccancer.bc.ca/chemotherapy-protocols-site/Documents/Lymphoma-Myeloma/ULYBRENTUX%20Protocol_1Jun2017.pdf

Dosages

-TextRouteDoseRate[x]
*1.8 mg/kg IV infusion over 30 minutesIntravenous1.8 mg/kg20 min

{
  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0305",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:25.203Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>instantiatesUri</b>: <a>http://www.bccancer.bc.ca/chemotherapy-protocols-site/Documents/Lymphoma-Myeloma/ULYBRENTUX%20Protocol_1Jun2017.pdf</a></p><p><b>status</b>: completed</p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span></a></p><p><b>occurence</b>: 15 Jan. 2015, 2:30:00 pm --&gt; 16 Jan. 2015, 12:30:00 am</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></td></tr></table><p><b>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15; instantiatesUri: http://www.bccancer.bc.ca/chemotherapy-protocols-site/Documents/Lymphoma-Myeloma/ULYBRENTUX%20Protocol_1Jun2017.pdf</a></p><h3>Dosages</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td><td><b>Rate[x]</b></td></tr><tr><td>*</td><td>1.8 mg/kg IV infusion over 30 minutes</td><td><span>Intravenous</span></td><td>1.8 mg/kg</td><td>20 min</td></tr></table></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "med0306",
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/sid/ndc",
            "code" : "51144-050-01",
            "display" : "Adcetris"
          }
        ]
      },
      "sponsor" : {
        "reference" : "Organization/mmanu"
      },
      "doseForm" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "421637006",
            "display" : "Lyophilized powder for injectable solution (qualifier value) "
          }
        ]
      },
      "batch" : {
        "lotNumber" : "12345",
        "expirationDate" : "2019-10-31"
      }
    }
  ],
  "instantiatesUri" : [
    "http://www.bccancer.bc.ca/chemotherapy-protocols-site/Documents/Lymphoma-Myeloma/ULYBRENTUX%20Protocol_1Jun2017.pdf"
  ],
  "status" : "completed",
  "medication" : {
    "reference" : {
      "reference" : "#med0306"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "encounter" : {
    "reference" : "Encounter/f001",
    "display" : "encounter who leads to this prescription"
  },
  "occurencePeriod" : {
    "start" : "2015-01-15T04:30:00+01:00",
    "end" : "2015-01-15T14:30:00+01:00"
  },
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/f007",
        "display" : "Patrick Pump"
      }
    }
  ],
  "request" : {
    "reference" : "MedicationRequest/medrx0316"
  },
  "dosage" : {
    "text" : "1.8 mg/kg IV infusion over 30 minutes",
    "route" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "255560000",
          "display" : "Intravenous"
        }
      ]
    },
    "dose" : {
      "value" : 1.8,
      "unit" : "mg/kg",
      "system" : "http://unitsofmeasure.org",
      "code" : "mg/kg"
    },
    "rateQuantity" : {
      "value" : 20,
      "unit" : "min",
      "system" : "http://unitsofmeasure.org",
      "code" : "min"
    }
  }
}

MedicationAdministration "medadmin0304" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative

status: completed

Medications

-
*

subject: Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male

encounter: encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: completed; ambulatory; Patient-initiated encounter; Non-urgent cardiological admission

occurence: 15 Jan. 2015, 2:30:00 pm --> 16 Jan. 2015, 12:30:00 am

Performers

-Actor
*Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07

Reasons

-
*

request: Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15

Dosages

-TextRouteMethodDose
*Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wkIntravenous route (qualifier value)Inject - dosing instruction imperative (qualifier value)3 mg

{
  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0304",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:25.141Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span></a></p><p><b>occurence</b>: 15 Jan. 2015, 2:30:00 pm --&gt; 16 Jan. 2015, 12:30:00 am</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></td></tr></table><h3>Reasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15</a></p><h3>Dosages</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Method</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td>Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk</td><td><span>Intravenous route (qualifier value)</span></td><td><span>Inject - dosing instruction imperative (qualifier value)</span></td><td>3 mg</td></tr></table></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "med0303",
      "code" : {
        "coding" : [
          {
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "1594660",
            "display" : "Alemtuzumab 10mg/ml (Lemtrada)"
          }
        ]
      }
    }
  ],
  "status" : "completed",
  "medication" : {
    "reference" : {
      "reference" : "#med0303"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "encounter" : {
    "reference" : "Encounter/f001",
    "display" : "encounter who leads to this prescription"
  },
  "occurencePeriod" : {
    "start" : "2015-01-15T04:30:00+01:00",
    "end" : "2015-01-15T14:30:00+01:00"
  },
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/f007",
        "display" : "Patrick Pump"
      }
    }
  ],
  "reason" : [
    {
      "reference" : {
        "reference" : "Condition/f202"
      }
    }
  ],
  "request" : {
    "reference" : "MedicationRequest/medrx0319"
  },
  "dosage" : {
    "text" : "Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk",
    "route" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "47625008",
          "display" : "Intravenous route (qualifier value)"
        }
      ]
    },
    "method" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "422145002",
          "display" : "Inject - dosing instruction imperative (qualifier value)"
        }
      ]
    },
    "dose" : {
      "value" : 3,
      "unit" : "mg",
      "system" : "http://unitsofmeasure.org",
      "code" : "mg"
    }
  }
}

MedicationAdministration "medadmin0303" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative

status: entered-in-error

Medications

-
*

subject: Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male

encounter: encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: completed; ambulatory; Patient-initiated encounter; Non-urgent cardiological admission

occurence: 15 Jan. 2015, 2:30:00 pm --> 16 Jan. 2015, 12:30:00 am

Performers

-Actor
*Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07

request: Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15

Dosages

-TextRouteDoseRate[x]
*4.5 grams in D5W 250 ml. IV every 6 hours. Infuse over 30 min at 8L/min Intravenous route (qualifier value)4.5 g8 ml/1 min

{
  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0303",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:25.063Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: entered-in-error</p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span></a></p><p><b>occurence</b>: 15 Jan. 2015, 2:30:00 pm --&gt; 16 Jan. 2015, 12:30:00 am</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></td></tr></table><p><b>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15</a></p><h3>Dosages</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td><td><b>Rate[x]</b></td></tr><tr><td>*</td><td>4.5 grams in D5W 250 ml. IV every 6 hours. Infuse over 30 min at 8L/min </td><td><span>Intravenous route (qualifier value)</span></td><td>4.5 g</td><td>8 ml/1 min</td></tr></table></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "med0303",
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/sid/ndc",
            "code" : "0206-8862-02",
            "display" : "Zosyn (piperacillin/tazobactam) 4.5gm injection"
          }
        ]
      }
    }
  ],
  "status" : "entered-in-error",
  "medication" : {
    "reference" : {
      "reference" : "#med0303"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "encounter" : {
    "reference" : "Encounter/f001",
    "display" : "encounter who leads to this prescription"
  },
  "occurencePeriod" : {
    "start" : "2015-01-15T04:30:00+01:00",
    "end" : "2015-01-15T14:30:00+01:00"
  },
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/f007",
        "display" : "Patrick Pump"
      }
    }
  ],
  "request" : {
    "reference" : "MedicationRequest/medrx0319"
  },
  "dosage" : {
    "text" : "4.5 grams in D5W 250 ml. IV every 6 hours. Infuse over 30 min at 8L/min ",
    "route" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "47625008",
          "display" : "Intravenous route (qualifier value)"
        }
      ]
    },
    "dose" : {
      "value" : 4.5,
      "unit" : "g",
      "system" : "http://unitsofmeasure.org",
      "code" : "g"
    },
    "rateRatio" : {
      "numerator" : {
        "value" : 8,
        "system" : "http://unitsofmeasure.org",
        "code" : "ml"
      },
      "denominator" : {
        "value" : 1,
        "system" : "http://unitsofmeasure.org",
        "code" : "min"
      }
    }
  }
}

MedicationAdministration "medadmin0302" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative

partOf: Generated Summary: status: completed; Diagnostic procedure; Biopsy of suspected melanoma L) arm; occurrence: 2014-02-03; recorded: 2014-02-03; Left forearm; Ineffective airway clearance; Review in clinic; Standard Biopsy

status: completed

category: Inpatient

Medications

-
*

subject: Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male

encounter: encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: completed; ambulatory; Patient-initiated encounter; Non-urgent cardiological admission

occurence: 15 Jan. 2015, 2:30:00 pm --> 16 Jan. 2015, 12:30:00 am

Performers

-Actor
*Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07

Reasons

-
*

request: Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15

Dosages

-TextSiteRouteMethodDoseRate[x]
*KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hrStructure of ligament of left superior vena cavaIntravenous route (qualifier value)Continuous infusion20 meq100 mL/1 h

{
  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0302",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:25.000Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>partOf</b>: <a>Generated Summary: status: completed; <span>Diagnostic procedure</span>; <span>Biopsy of suspected melanoma L) arm</span>; occurrence: 2014-02-03; recorded: 2014-02-03; <span>Left forearm</span>; <span>Ineffective airway clearance</span>; <span>Review in clinic</span>; Standard Biopsy</a></p><p><b>status</b>: completed</p><p><b>category</b>: <span>Inpatient</span></p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span></a></p><p><b>occurence</b>: 15 Jan. 2015, 2:30:00 pm --&gt; 16 Jan. 2015, 12:30:00 am</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></td></tr></table><h3>Reasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; authoredOn: 2015-01-15</a></p><h3>Dosages</h3><table><tr><td>-</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>*</td><td>KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr</td><td><span>Structure of ligament of left superior vena cava</span></td><td><span>Intravenous route (qualifier value)</span></td><td><span>Continuous infusion</span></td><td>20 meq</td><td>100 mL/1 h</td></tr></table></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "med0317",
      "doseForm" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "385219001",
            "display" : "Injection Solution (qualifier value)"
          }
        ],
        "text" : "Injection Solution (qualifier value)"
      },
      "ingredient" : [
        {
          "item" : {
            "concept" : {
              "coding" : [
                {
                  "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code" : "204520",
                  "display" : "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 0.9% 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"
  },
  "occurencePeriod" : {
    "start" : "2015-01-15T04:30:00+01:00",
    "end" : "2015-01-15T14:30:00+01:00"
  },
  "performer" : [
    {
      "actor" : {
        "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 (qualifier value)"
        }
      ]
    },
    "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"
      }
    }
  }
}

MedicationAdministration "medadmin0301" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative

status: in-progress

Medications

-
*

subject: Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male

encounter: encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: completed; ambulatory; Patient-initiated encounter; Non-urgent cardiological admission

occurence: 16 Jan. 2015, 12:30:00 am --> (ongoing)

Performers

-Actor
*Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07

Reasons

-
*

request: Generated Summary: id: 12345689 (OFFICIAL); status: active; intent: order; authoredOn: 2015-01-15; culture expected back in 12 hours - may switch depending on results

Dosages

-TextRouteMethodDose
*500mg IV q6h x 3 daysIntravenous route (qualifier value)IV Push500 mg

eventHistory:

target: Generated Summary: Placer: 20170201-0001; status: completed; intent: order; Physiotherapy of chest (regime/therapy); Duration 15days, Do 1-1 per 1 days; as needed to clear mucus; authoredOn: 2 Feb. 2017, 4:23:07 am

recorded: 2 Feb. 2017, 4:23:07 am

Agents

-RoleWho
*author (originator)Dr Adam Careful. Generated Summary: id: 23; active; Adam Careful

Signatures

-
*

{
  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0301",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:24.922Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: in-progress</p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span></a></p><p><b>occurence</b>: 16 Jan. 2015, 12:30:00 am --&gt; (ongoing)</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></td></tr></table><h3>Reasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>request</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: active; intent: order; authoredOn: 2015-01-15; culture expected back in 12 hours - may switch depending on results</a></p><h3>Dosages</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Method</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td>500mg IV q6h x 3 days</td><td><span>Intravenous route (qualifier value)</span></td><td><span>IV Push</span></td><td>500 mg</td></tr></table><p><b>eventHistory</b>: <a> </a></p><blockquote><p><b>target</b>: <a>Generated Summary: Placer: 20170201-0001; status: completed; intent: order; <span>Physiotherapy of chest (regime/therapy)</span>; Duration 15days, Do 1-1 per 1 days; <span>as needed to clear mucus</span>; authoredOn: 2 Feb. 2017, 4:23:07 am</a></p><p><b>recorded</b>: 2 Feb. 2017, 4:23:07 am</p><h3>Agents</h3><table><tr><td>-</td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td>*</td><td><span>author (originator)</span></td><td><a>Dr Adam Careful. Generated Summary: id: 23; active; Adam Careful </a></td></tr></table><h3>Signatures</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "med0301",
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/sid/ndc",
            "code" : "0409-6531-02",
            "display" : "Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE)"
          }
        ]
      }
    },
    {
      "resourceType" : "Provenance",
      "id" : "signature",
      "target" : [
        {
          "reference" : "ServiceRequest/physiotherapy"
        }
      ],
      "recorded" : "2017-02-01T17:23:07Z",
      "agent" : [
        {
          "role" : [
            {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "AUT"
                }
              ]
            }
          ],
          "who" : {
            "reference" : "Practitioner/example",
            "display" : "Dr Adam Careful"
          }
        }
      ],
      "signature" : [
        {
          "type" : [
            {
              "system" : "urn:iso-astm:E1762-95:2013",
              "code" : "1.2.840.10065.1.12.1.1",
              "display" : "Author's Signature"
            }
          ],
          "when" : "2017-02-01T17:23:07Z",
          "who" : {
            "reference" : "Practitioner/example",
            "display" : "Dr Adam Careful"
          },
          "targetFormat" : "application/fhir+xml",
          "sigFormat" : "application/signature+xml",
          "data" : "dGhpcyBibG9iIGlzIHNuaXBwZWQ="
        }
      ]
    }
  ],
  "status" : "in-progress",
  "medication" : {
    "reference" : {
      "reference" : "#med0301"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "encounter" : {
    "reference" : "Encounter/f001",
    "display" : "encounter who leads to this prescription"
  },
  "occurencePeriod" : {
    "start" : "2015-01-15T14:30:00+01:00"
  },
  "performer" : [
    {
      "actor" : {
        "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/medrx0318"
  },
  "dosage" : {
    "text" : "500mg IV q6h x 3 days",
    "route" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "47625008",
          "display" : "Intravenous route (qualifier value)"
        }
      ]
    },
    "method" : {
      "text" : "IV Push"
    },
    "dose" : {
      "value" : 500,
      "unit" : "mg",
      "system" : "http://unitsofmeasure.org",
      "code" : "mg"
    }
  },
  "eventHistory" : [
    {
      "reference" : "#signature",
      "display" : "Author's Signature"
    }
  ]
}