Implementation Guide
23.1.0 - R4 APIs
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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 --> 2020-08-17 21:07:17-0600</a></p><p><b>effective</b>: 2020-02-05 06:05:00+0530 --> 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] = ->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>