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Packageil.core.fhir.r4
Resource TypeMedicationAdministration
IdMedicationAdministration-morphine-hospitalization.json
FHIR VersionR4

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Narrative

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

Exmple of a MedicationAdministration - morphine administered during hospitalization. Completed inpatient administration of 15mg of oral morphine every 4 hours as needed by a practitioner to a patient due to a procedure.

Source1

{
  "resourceType": "MedicationAdministration",
  "id": "morphine-hospitalization",
  "meta": {
    "profile": [
      "http://fhir.health.gov.il/StructureDefinition/il-core-medication-administration"
    ]
  },
  "extension": [
    {
      "url": "http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication",
      "valueBoolean": true
    },
    {
      "url": "http://fhir.health.gov.il/StructureDefinition/ext-medication-recorded-time",
      "valueDateTime": "2022-10-11"
    }
  ],
  "text": {
    "div": "<!-- snip (see above) -->",
    "status": "generated"
  },
  "status": "completed",
  "category": {
    "coding": [
      {
        "code": "inpatient",
        "system": "http://fhir.health.gov.il/cs/il-core-medication-request-category",
        "display": "Inpatient"
      }
    ]
  },
  "medicationCodeableConcept": {
    "coding": [
      {
        "code": "373529000",
        "system": "http://snomed.info/sct",
        "display": "Morphine (substance)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/patient-with-israeli-id",
    "type": "Patient",
    "display": "תמר כהן"
  },
  "context": {
    "reference": "Encounter/home-visit",
    "type": "Encounter"
  },
  "effectivePeriod": {
    "start": "2022-10-05",
    "end": "2022-10-10"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/practitioner-md",
        "type": "Practitioner"
      }
    }
  ],
  "dosage": {
    "text": "15mg every 4 hours",
    "route": {
      "coding": [
        {
          "code": "26643006",
          "system": "http://snomed.info/sct",
          "display": "Oral route"
        }
      ]
    },
    "method": {
      "coding": [
        {
          "code": "738995006",
          "system": "http://snomed.info/sct",
          "display": "Swallow (administration method)"
        }
      ]
    },
    "dose": {
      "value": 15,
      "unit": "mg",
      "code": "mg",
      "system": "http://unitsofmeasure.org"
    },
    "rateRatio": {
      "numerator": {
        "value": 15,
        "unit": "mg",
        "system": "http://snomed.info/sct"
      },
      "denominator": {
        "value": 4,
        "unit": "hour"
      }
    }
  },
  "reasonCode": [
    {
      "coding": [
        {
          "code": "213299007",
          "system": "http://snomed.info/sct",
          "display": "Postoperative pain"
        }
      ],
      "text": "Postoperative pain due to procedure"
    }
  ],
  "note": [
    {
      "text": "Patient requested analgesia and responded well"
    }
  ]
}