Release 4B R5 Final QA

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationadministration0302.json

Example MedicationAdministration/medadmin0302 (JSON)

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

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</b></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 &quot;medadmin0302&quot; </p></div><p><b>partOf</b>: <a href=\"procedure-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\"> (<a href=\"codesystem-medication-admin-category.html\">MedicationAdministration Category Codes</a>#inpatient)</span></p><p><b>medication</b>: <a name=\"med0317\"> </a></p><blockquote><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 &quot;med0317&quot; </p></div><p><b>form</b>: Injection Solution (qualifier value) <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><p><b>item</b>: Potassium Chloride <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#204520)</span></p><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><p><b>item</b>: Sodium Chloride 0.9% injectable solution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#313002)</span></p><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><p><b>subject</b>: <a href=\"patient-pat1.html\">Patient/pat1: Donald Duck</a> &quot;Duck DONALD&quot;</p><p><b>context</b>: <a href=\"encounter-f001.html\">Encounter/f001: encounter who leads to this prescription</a></p><p><b>effective</b>: 2015-01-15T04:30:00+01:00 --&gt; 2015-01-15T14:30:00+01:00</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"practitioner-f007.html\">Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</td></tr></table><p><b>reasonCode</b>: Given as Ordered <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-reason-medication-given-codes.html\">Reason Medication Given Codes</a>#b)</span></p><p><b>request</b>: <a href=\"medicationrequest-medrx0322.html\">MedicationRequest/medrx0322</a></p><h3>Dosages</h3><table class=\"grid\"><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>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 (qualifier value) <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></div>"

  "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></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>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a name=\"med0317\"> </a><blockquote><p/><p><a name=\"med0317\"> </a></p><p><b>doseForm</b>: Injection Solution (qualifier value) <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>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Potassium Chloride <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#204520)</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>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Sodium Chloride 0.9% injectable solution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/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>occurence</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>-</td><td><b>Reference</b></td></tr><tr><td>*</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>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Given as Ordered <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/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>-</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>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 (qualifier value) <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></div>"

  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0317",
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385219001",
            "display": "Injection Solution (qualifier value)"
          }
        ],
        "text": "Injection Solution (qualifier value)"

  "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"
          }]
        }

      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                "code": "204520",
                "display": "Potassium Chloride"
              }
            ]
          },
          "strength": {
            "numerator": {
              "value": 2,
              "system": "http://unitsofmeasure.org",
              "code": "meq"
            },
            "denominator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }

      "strengthRatio" : {
        "numerator" : {
          "value" : 2,
          "system" : "http://unitsofmeasure.org",
          "code" : "meq"

        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                "code": "313002",
                "display": "Sodium Chloride 0.9% injectable solution"
              }
            ]
          },
          "strength": {
            "numerator": {
              "value": 0.9,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            },
            "denominator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }

        "denominator" : {
          "value" : 1,
          "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"

      "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"
        }

      }
    ]
  },
  "medicationReference": {
    "reference": "#med0317"

    }]
  }],
  "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"

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

  },
  "context": {
    "reference": "Encounter/f001",
    "display": "encounter who leads to this prescription"

  "encounter" : {
    "reference" : "Encounter/f001",
    "display" : "encounter who leads to this prescription"

  },
  "effectivePeriod": {
    "start": "2015-01-15T04:30:00+01:00",
    "end": "2015-01-15T14:30:00+01:00"

  "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"

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

      }
    }
  ],
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/reason-medication-given",
          "code": "b",
          "display": "Given as Ordered"
        }
      ]

  }],
  "reason" : [{
    "concept" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/reason-medication-given",
        "code" : "b",
        "display" : "Given as Ordered"
      }]

    }
  ],
  "request": {
    "reference": "MedicationRequest/medrx0322"

  }],
  "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"
        }
      ]

  "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)"
        }
      ]

    "route" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "47625008",
        "display" : "Intravenous route (qualifier value)"
      }]

    },
    "method": {
      "text": "Continuous infusion"

    "method" : {
      "text" : "Continuous infusion"

    },
    "dose": {
      "value": 20,
      "unit": "meq",
      "system": "http://unitsofmeasure.org",
      "code": "meq"

    "dose" : {
      "value" : 20,
      "unit" : "meq",
      "system" : "http://unitsofmeasure.org",
      "code" : "meq"

    },
    "rateRatio": {
      "numerator": {
        "value": 100,
        "system": "http://unitsofmeasure.org",
        "code": "mL"

    "rateRatio" : {
      "numerator" : {
        "value" : 100,
        "system" : "http://unitsofmeasure.org",
        "code" : "mL"

      },
      "denominator": {
        "value": 1,
        "system": "http://unitsofmeasure.org",
        "code": "h"

      "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.