FHIR Release 3 (STU) CI-Build

This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0 . For a full list Continuous Integration Build of available versions, see FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationadministration0309.json

Example MedicationAdministration/medadmin0309 (JSON)

Maturity Level : N/A
Responsible Owner: Pharmacy Work Group Ballot Standards Status : Informative Compartments : Device , Encounter , Group , Patient , Practitioner , RelatedPerson

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 with Details</b></p><p><b>id</b>: medadmin0309</p><p><b>contained</b>: </p><p><b>status</b>: completed</p><p><b>medication</b>: id: med0318; Injection emulsion <span>(Details : {SNOMED CT code '385221006' = 'Injection emulsion', given as 'Injection emulsion'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>effective</b>: 15/01/2015 10:03:00 PM --&gt; 16/01/2015 2:03:00 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Patrick Pump</a></td></tr></table><p><b>prescription</b>: <a>MedicationRequest/medrx0323</a></p><p><b>device</b>: <a>Device/f001</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>Structure of ligament of left superior vena cava <span>(Details : {SNOMED CT code '6073002' = 'Ligament of left superior vena cava', given as 'Structure of ligament of left superior vena cava'})</span></td><td>Intravenous <span>(Details : {SNOMED CT code '255560000' = 'Intravenous', given as 'Intravenous'})</span></td><td>PICC line <span>(Details )</span></td><td>1000 mL<span> (Details: UCUM code mL = 'mL')</span></td><td>50 mL<span> (Details: UCUM code mL = 'mL')</span>/1 h<span> (Details: UCUM code h = 'h')</span></td></tr></table></div>"
  },
  "contained": [

  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0309",
  "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"
        }
      }
    },

    {
      "resourceType": "Medication",
      "id": "med0318",
      "isBrand": false,
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385221006",
            "display": "Injection emulsion"
          }
        ]
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "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"
              }
            ]
          }
        },
        {
          "itemCodeableConcept": {
            "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"
              }
            ]
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0338-0519-02",
                "display": "Intralipid 20% IV Fat Emulsion"
              }
            ]
          }

      "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"

        }
      ],
      "package": {
        "container": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "470037004",
              "display": "Intravenous Fluid container, single-use"
            }
          ]
        },
        "batch": [
          {
            "lotNumber": "123455",
            "expirationDate": "2016-07-09"
          }
        ]

      }
    }]
  }],
  "status" : "completed",
  "medication" : {
    "reference" : {
      "reference" : "#med0318"

    }
  ],
  "status": "completed",
  "medicationReference": {
    "reference": "#med0318"

  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"

  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"

  },
  "effectivePeriod": {
    "start": "2015-01-15T22:03:00+01:00",
    "end": "2015-01-16T02:03:00+01:00"

  "occurrencePeriod" : {
    "start" : "2015-01-15T22:03:00+01:00",
    "end" : "2015-01-16T02:03:00+01:00"

  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f007",
        "display": "Patrick Pump"

  "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"

      }
    }
  ],
  "prescription": {
    "reference": "MedicationRequest/medrx0323"

  }],
  "request" : {
    "reference" : "MedicationRequest/medrx0323"

  },
  "device": [
    {
      "reference": "Device/f001"

  "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"
        }
      ]

  }],
  "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"
        }
      ]

    "route" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "255560000",
        "display" : "Intravenous"
      }]

    },
    "method": {
      "text": "PICC line"

    "method" : {
      "text" : "PICC line"

    },
    "dose": {
      "value": 1000,
      "unit": "mL",
      "system": "http://unitsofmeasure.org",
      "code": "mL"

    "dose" : {
      "value" : 1000,
      "unit" : "mL",
      "system" : "http://unitsofmeasure.org",
      "code" : "mL"

    },
    "rateRatio": {
      "numerator": {
        "value": 50,
        "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"

      "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.