Medicationadministrationexample3.json

Example of an IV administration not given with a note - Alemtuzumab

{
  "resourceType": "MedicationAdministration",
  "id": "medadminexample03",
  "text": {
    "status": "generated",
    "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medadminexample03</p><p><b>status</b>: on-hold</p><p><b>patient</b>: <a>Patient/example</a></p><p><b>practitioner</b>: <a>Practitioner/example</a></p><p><b>prescription</b>: <a>MedicationOrder/medrx008</a></p><p><b>effectiveTime</b>: 15/01/2015 2:30:00 PM --&gt; 15/01/2015 2:30:00 PM</p><p><b>medication</b>: <a>Medication/medicationexample17</a></p><h3>Dosages</h3><table><tr><td>-</td><td><b>Route</b></td><td><b>Quantity</b></td><td><b>Rate[x]</b></td></tr><tr><td>*</td><td>Intravenous route <span>(Details : {SNOMED CT code '47625008' = '47625008', given as 'Intravenous route'})</span></td><td>80 mg<span> (Details: http://unitsofmeasure.org code mg = '??')</span></td><td>80 mg<span> (Details: http://unitsofmeasure.org code mg = '??')</span>/60 minutes<span> (Details: SNOMED CT code 258702006 = '258702006')</span></td></tr></table></div>"

    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medadminexample03</p><p><b>contained</b>: </p><p><b>status</b>: on-hold</p><p><b>medication</b>: id: med0303; Alemtuzumab 10mg/ml (Lemtrada) <span>(Details : {RxNorm code '1594660' = '1594660', given as 'Alemtuzumab 10mg/ml (Lemtrada)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>context</b>: <a>Encounter/f001</a></p><p><b>supportingInformation</b>: <a>Condition/f204</a></p><p><b>effective</b>: 15/01/2015 2:30:00 PM --&gt; 15/01/2015 2:30:00 PM</p><p><b>notGiven</b>: true</p><p><b>reasonNotGiven</b>: Administration of medication not done due to a contraindication (situation) <span>(Details : {SNOMED CT code '373147003' = 'Medication not administered because contraindicated', given as 'Administration of medication not done due to a contraindication (situation)'})</span></p><p><b>prescription</b>: <a>MedicationRequest/medrx0317</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",
  "patient": {
    "reference": "Patient/example"

  "medicationReference": {
    "reference": "#med0303"

  },
  "practitioner": {
    "reference": "Practitioner/example"

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

  },
  "prescription": {
    "reference": "MedicationOrder/medrx008"

  "context": {
    "reference": "Encounter/f001"

  },
  "effectiveTimePeriod": {

  "supportingInformation": [
    {
      "reference": "Condition/f204"
    }
  ],
  "effectivePeriod": {

    "start": "2015-01-15T14:30:00+01:00",
    "end": "2015-01-15T14:30:00+01:00"
  },
  "medicationReference": {
    "reference": "Medication/medicationexample17"
  },
  "dosage": {
    "route": {

  "notGiven": true,
  "reasonNotGiven": [
    {

      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "47625008",
          "display": "Intravenous route"

          "code": "373147003",
          "display": "Administration of medication not done due to a contraindication (situation)"

        }
      ]
    },
    "quantity": {
      "value": 80,
      "unit": "mg",
      "system": "http://unitsofmeasure.org",
      "code": "mg"
    },
    "rateRatio": {
      "numerator": {
        "value": 80,
        "unit": "mg",
        "system": "http://unitsofmeasure.org",
        "code": "mg"
      },
      "denominator": {
        "value": 60,
        "unit": "minutes",
        "system": "http://snomed.info/sct",
        "code": "258702006"
      }

    }
  }

  ],
  "prescription": {
    "reference": "MedicationRequest/medrx0317"
  },
  "note": [
    {
      "text": "Patient started Bupropion this morning - will administer in a reduced dose tomorrow"
    }
  ]

}