Implementation Guide
23.1.0 - R4 APIs

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: General MedicationAdministration Example - XML Representation

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<MedicationAdministration xmlns="http://hl7.org/fhir">
  <id value="Example1"/>
  <meta>
    <lastUpdated value="2020-02-05T06:06:27.717+05:30"/>
    <profile
             value="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationadmin-profile"/>
    <security>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
      <code value="N"/>
      <display value="Normal"/>
    </security>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationAdministration Example1</b></p><a name="Example1"> </a><a name="hcExample1"> </a><a name="Example1-en-US"> </a><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">Last updated: 2020-02-05 06:06:27+0530</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-athena-medicationadmin-profile.html">Administration of medication to a patient</a></p><p style="margin-bottom: 0px">Security Label: Normal (Details: Confidentiality code N  = ' normal ', stated as ' Normal ')</p></div><p><b>identifier</b>: Unspecified Identifier/1442678380000620</p><p><b>status</b>: In Progress</p><p><b>medication</b>: <a href="Medication/10516">Ibuprofen 200 mg</a></p><p><b>subject</b>: <a href="Patient-Example1.html">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></p><p><b>context</b>: <a href="Encounter-Example1.html">Encounter: extension = No display for Extension ,No display for Extension ,No display for Extension ; status = finished; class = ambulatory (ActCode#AMB); type = Office Visit; priority = routine; period = 2020-08-17 21:04:20-0600 --&gt; 2020-08-17 21:07:17-0600</a></p><p><b>effective</b>: 2020-02-05 06:05:00+0530 --&gt; 2020-02-05 06:30:00+0530</p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><a href="Practitioner-Example1.html">Practitioner Harry S. Winston </a></td></tr></table><p><b>reasonCode</b>: <span title="Codes:">BACK PAIN</span></p><p><b>request</b>: <a href="MedicationRequest-MR-Example1.html">MedicationRequest: extension = No display for Extension ,No display for Extension ,No display for Extension ; status = completed; medication[x] = -&gt;WARFARIN SODIUM 10 MG TABS; authoredOn = 2020-02-05 06:00:36-0600; note = Comments for Medication Request</a></p><p><b>note</b>: Instruction for Medication Request
Comments for Med Administration</p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://hl7.org/fhir/v3/ActSite C38288}">Oral</span></td><td><span title="Codes:{http://ncimeta.nci.nih.gov C38288}">ORAL</span></td><td>4 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></div>
  </text>
  <extension
             url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationadmin-extension-ndc">
    <valueCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/sid/ndc"/>
        <code value="00113051771"/>
      </coding>
      <text value="ndc 00113051771"/>
    </valueCodeableConcept>
  </extension>
  <extension
             url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationadmin-extension-ddid">
    <valueCodeableConcept>
      <coding>
        <system value="http://docs.wolterskluwercdi.com/codesystems/ddid"/>
        <code value="10516"/>
      </coding>
      <text value="ddid 10516"/>
    </valueCodeableConcept>
  </extension>
  <extension
             url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationadmin-extension-rxnorm">
    <valueCoding>
      <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
      <code value="310965"/>
    </valueCoding>
  </extension>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="U"/>
        <display value="Unspecified Identifier"/>
      </coding>
      <text value="Unspecified Identifier"/>
    </type>
    <system
            value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/MedicationAdministrationId/Training"/>
    <value value="1442678380000620"/>
  </identifier>
  <status value="in-progress">
    <extension
               url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-originalCode">
      <valueCoding>
        <system
                value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/medicationadministrationstatus"/>
        <code value="NN"/>
        <display value="In Progress"/>
      </valueCoding>
    </extension>
  </status>
  <medicationReference>
    <reference value="Medication/10516"/>
    <display value="Ibuprofen 200 mg"/>
  </medicationReference>
  <subject>🔗 
    <reference value="Patient/Example1"/>
  </subject>
  <context>🔗 
    <reference value="Encounter/Example1"/>
  </context>
  <effectivePeriod>
    <start value="2020-02-05T06:05:00+05:30"/>
    <end value="2020-02-05T06:30:00+05:30"/>
  </effectivePeriod>
  <performer>
    <actor>🔗 
      <reference value="Practitioner/Example1"/>
    </actor>
  </performer>
  <reasonCode>
    <text value="BACK PAIN"/>
  </reasonCode>
  <request>🔗 
    <reference value="MedicationRequest/MR-Example1"/>
  </request>
  <note>
    <text
          value="Instruction for Medication Request
Comments for Med Administration"/>
  </note>
  <dosage>
    <site>
      <coding>
        <system value="http://hl7.org/fhir/v3/ActSite"/>
        <code value="C38288"/>
        <display value="Oral"/>
      </coding>
      <text value="Oral"/>
    </site>
    <route>
      <coding>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C38288"/>
        <display value="ORAL"/>
      </coding>
      <text value="ORAL"/>
    </route>
    <dose>
      <value value="4"/>
      <unit value="mg"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mg"/>
    </dose>
  </dosage>
</MedicationAdministration>