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Packagehl7.fhir.us.qicore.r4b
Resource TypeMedicationAdministration
IdMedicationAdministration-negation-with-code-example.json
FHIR VersionR4B

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: MedicationAdministration negation-with-code-example

status: Not Done

statusReason: Drug treatment not indicated (situation)

medication: alemtuzumab 10 MG/ML [Lemtrada]

subject: Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

context: Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP); type = Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.

supportingInformation: Condition Burn of ear

effective: 2015-01-15 14:30:00+0100 --> 2015-01-15 14:30:00+0100

request: MedicationRequest: status = active; intent = order; medication[x] = ->Medication alemtuzumab 10 MG/ML [Lemtrada]; authoredOn = 2015-03-25 19:32:52-0500

note:

Patient started Bupropion this morning - will administer in a reduced dose tomorrow

Dosages

-RouteDose
*Intravenous route (qualifier value)3 mg (Details: UCUM codemg = 'mg')

Source1

{
  "resourceType": "MedicationAdministration",
  "id": "negation-with-code-example",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministrationnotdone"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "not-done",
  "statusReason": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "183966005",
          "display": "Drug treatment not indicated (situation)"
        }
      ]
    }
  ],
  "medicationCodeableConcept": {
    "coding": [
      {
        "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
        "code": "1594660",
        "display": "alemtuzumab 10 MG/ML [Lemtrada]"
      }
    ]
  },
  "subject": {
    "reference": "Patient/example"
  },
  "context": {
    "reference": "Encounter/example"
  },
  "supportingInformation": [
    {
      "reference": "Condition/example"
    }
  ],
  "effectivePeriod": {
    "start": "2015-01-15T14:30:00+01:00",
    "end": "2015-01-15T14:30:00+01:00"
  },
  "request": {
    "reference": "MedicationRequest/example"
  },
  "note": [
    {
      "text": "Patient started Bupropion this morning - will administer in a reduced dose tomorrow"
    }
  ],
  "dosage": {
    "route": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "47625008",
          "display": "Intravenous route (qualifier value)"
        }
      ]
    },
    "dose": {
      "value": 3,
      "unit": "mg",
      "system": "http://unitsofmeasure.org",
      "code": "mg"
    }
  }
}