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Narrative

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Source1

{
  "resourceType": "MedicationAdministration",
  "id": "medicationAdministration-for-bresentrik",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "contained": [
    {
      "resourceType": "Provenance",
      "id": "signature-medicationAdministration-bresentrik",
      "target": [
        {
          "identifier": {
            "system": "http://hospital2.org/",
            "value": "oncology321"
          },
          "display": "Reference(ServiceRequest/oncology321)"
        }
      ],
      "recorded": "2023-04-05T17:23:07Z",
      "agent": [
        {
          "role": [
            {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "AUT"
                }
              ]
            }
          ],
          "who": {
            "display": "Reference(Practitioner/example) Dr Adam Careful"
          }
        }
      ],
      "signature": [
        {
          "type": [
            {
              "system": "urn:iso-astm:E1762-95:2013",
              "code": "1.2.840.10065.1.12.1.1",
              "display": "Author's Signature"
            }
          ],
          "when": "2023-04-05T17:23:07Z",
          "who": {
            "identifier": {
              "system": "http://hospital.org/",
              "value": "DrAdamCareful"
            },
            "display": "Reference(Practitioner/example) Dr Adam Careful"
          },
          "targetFormat": "application/fhir+xml",
          "sigFormat": "application/signature+xml",
          "data": "dGhpcyBibG9iIGlzIHNuaXBwZWQ="
        }
      ]
    }
  ],
  "status": "completed",
  "medication": {
    "reference": {
      "reference": "Medication/bresentrik"
    }
  },
  "subject": {
    "reference": "Patient/JanetPatient",
    "display": "Janet"
  },
  "encounter": {
    "identifier": {
      "system": "http://hospitalNumber2",
      "value": "f001"
    },
    "display": "Reference(Encounter/f001) encounter which leads to this prescription"
  },
  "occurencePeriod": {
    "start": "2023-04-05T14:30:00+01:00",
    "end": "2023-04-07T14:30:00+01:00"
  },
  "performer": [
    {
      "actor": {
        "reference": {
          "identifier": {
            "system": "http://a.fhir.server/svc/StructureDefinition/",
            "value": "c8973a22-2b5b-4e76-9c66-00639c99e61b"
          },
          "display": "Reference(http://a.fhir.server/svc/StructureDefinition/c8973a22-2b5b-4e76-9c66-00639c99e61b) Patrick Pump"
        }
      }
    }
  ],
  "reason": [
    {
      "concept": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/reason-medication-given",
            "code": "b",
            "display": "Given as Ordered"
          }
        ]
      }
    }
  ],
  "request": {
    "reference": "MedicationRequest/medicationrequest-for-bresentrik"
  },
  "dosage": {
    "text": "6 mg PO daily for remission induction; adjust dosage to white blood cell (WBC) count.  With hold treatment if WBC is less than 15,000/µL; resume when WBC is greater than 50,000/µL",
    "route": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "26643006",
          "display": "Oral route (qualifier value)"
        }
      ]
    },
    "dose": {
      "value": 6,
      "unit": "mg",
      "system": "http://unitsofmeasure.org",
      "code": "mg"
    }
  },
  "eventHistory": [
    {
      "reference": "#signature-medicationAdministration-bresentrik",
      "display": "Author's Signature"
    }
  ]
}