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

Medicationadministration0307.json

Example MedicationAdministration/medadmin0307 (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 )

Lorazepam with a Device 

{
  "resourceType": "MedicationAdministration",
  "id": "medadmin0307",
  "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;medadmin0307&quot; </p></div><p><b>status</b>: completed</p><p><b>medication</b>: <a name=\"med0313\"> </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;med0313&quot; </p></div><p><b>code</b>: Lorazepam 2mg/ml injection solution 1ml vial (product) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#400621001)</span></p><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><h3>Ingredients</h3><table class=\"grid\"><tr><td>-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td>*</td><td>Lorazepam (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#387106007)</span></td><td>2 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></td></tr></table></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>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td>Performer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-med-admin-perform-function.html\">MedicationAdministration Performer Function Codes</a>#performer)</span></td><td><a href=\"practitioner-f007.html\">Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</td></tr></table><p><b>request</b>: <a href=\"medicationrequest-medrx0315.html\">MedicationRequest/medrx0315</a></p><p><b>device</b>: <a href=\"device-f001.html\">Device/f001</a></p><h3>Dosages</h3><table class=\"grid\"><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>Intravenous <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255560000)</span></td><td>Push - dosing instruction imperative (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#420620005)</span></td><td>7 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span></td><td>4 min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code min = 'min')</span></td></tr></table></div>"

  "resourceType" : "MedicationAdministration",
  "id" : "medadmin0307",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationAdministration</b><a name=\"medadmin0307\"> </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;medadmin0307&quot; </p></div><p><b>status</b>: completed</p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a name=\"med0313\"> </a><blockquote><p/><p><a name=\"med0313\"> </a></p><p><b>code</b>: Lorazepam 2mg/ml injection solution 1ml vial (product) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#400621001)</span></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>Lorazepam (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#387106007)</span></td></tr></table><p><b>strength</b>: 2 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1 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><p><b>function</b>: Performer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-med-admin-perform-function.html\">MedicationAdministration Performer Function Codes</a>#performer)</span></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><p><b>request</b>: <a href=\"medicationrequest0315.html\">MedicationRequest/medrx0315</a></p><h3>Devices</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a href=\"device-example-f001-feedingtube.html\">Device/f001</a></td></tr></table><h3>Dosages</h3><table class=\"grid\"><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>Intravenous <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255560000)</span></td><td>Push - dosing instruction imperative (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#420620005)</span></td><td>7 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span></td><td>4 min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code min = 'min')</span></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)"
          }
        ]
      },
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385219001",
            "display": "Injection solution (qualifier value)"
          }
        ]

  "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)"
          }]
        }

      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "387106007",
                "display": "Lorazepam (substance)"
              }
            ]
          },
          "strength": {
            "numerator": {
              "value": 2,
              "system": "http://unitsofmeasure.org",
              "code": "mg"
            },
            "denominator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }

      "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"

    }
  ],
  "status": "completed",
  "medicationReference": {
    "reference": "#med0313"

  },
  "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": [
    {
      "function": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
            "code": "performer",
            "display": "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"

      }
    }
  ],
  "request": {
    "reference": "MedicationRequest/medrx0315"

  }],
  "request" : {
    "reference" : "MedicationRequest/medrx0315"

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

  "device" : [{
    "reference" : {
      "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"
        }
      ]

  }],
  "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)"
        }
      ]

    "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"

    "dose" : {
      "value" : 7,
      "unit" : "mg",
      "system" : "http://unitsofmeasure.org",
      "code" : "mg"

    },
    "rateQuantity": {
      "value": 4,
      "unit": "min",
      "system": "http://unitsofmeasure.org",
      "code": "min"

    "rateQuantity" : {
      "value" : 4,
      "unit" : "min",
      "system" : "http://unitsofmeasure.org",
      "code" : "min"

    }
  }
}

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.