Medications Administered Section (V2)

OID: 2.16.840.1.113883.10.20.22.2.38

LOINCs: #{"29549-3"}

Alias: medications

Entries Required: false

Internal ID: MedicationsAdministeredSectionV2

IG Link

sample-medication-administration

json
{
  "dosage" : {
    "route" : {
      "text" : "Oral Route of Administration",
      "coding" : [ {
        "code" : "C38288",
        "display" : "Oral Route of Administration",
        "system" : "http://ncithesaurus-stage.nci.nih.gov"
      } ]
    },
    "dose" : {
      "value" : 2
    }
  },
  "extension" : [ {
    "value" : {
      "Reference" : {
        "resourceType" : "PractitionerRole",
        "id" : "4f5546e6-901e-8d7d-bc08-1734ffa11140",
        "specialty" : [ {
          "text" : "Allopathic & Osteopathic Physicians; Internal Medicine, Cardiovascular Disease",
          "coding" : [ {
            "code" : "207RC0000X",
            "display" : "Allopathic & Osteopathic Physicians; Internal Medicine, Cardiovascular Disease",
            "system" : "http://hl7.org/fhir/ValueSet/provider-taxonomy"
          } ]
        } ],
        "practitioner" : {
          "name" : [ {
            "given" : [ "Heartly" ],
            "family" : "Sixer",
            "use" : "official",
            "suffix" : [ "MD" ]
          } ],
          "address" : [ {
            "line" : [ "6666 StreetName St." ],
            "city" : "Silver Spring",
            "state" : "MD",
            "postalCode" : "20901",
            "country" : "US"
          } ],
          "telecom" : [ {
            "system" : "phone",
            "value" : "+1(301)666-6666",
            "use" : "work"
          } ],
          "identifier" : [ {
            "value" : "66666",
            "system" : "http://hl7.org/fhir/sid/us-npi"
          } ],
          "resourceType" : "Practitioner"
        }
      }
    },
    "url" : "author"
  } ],
  "resourceType" : "MedicationAdministration",
  "status" : "completed",
  "effective" : {
    "dateTime" : "2013-09-11T16:03:00-07:00"
  },
  "id" : "1061a257-3b5c-4b09-9dc7-23e59b788b18",
  "subject" : {
    "resourceType" : "Patient",
    "id" : "patient"
  },
  "medication" : {
    "CodeableConcept" : {
      "text" : "Aspirin 81mg Oral Tablet",
      "coding" : [ {
        "code" : "243670",
        "display" : "aspirin 81 MG Oral Tablet",
        "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
      } ]
    }
  }
}

C-CDA Equivalent: ``xml

Medications Administered Section (V2)
Medications List
Medication Timing Route Freq Dose
No records
Administered Medications
Medication Date Route Dose
Aspirin 81mg Oral Tablet 09/11/2013 11:03PM UTC Oral Route of Administration ~
Oral Route of Administration Aspirin 81mg Oral Tablet Allopathic & Osteopathic Physicians; Internal Medicine, Cardiovascular Disease US MD Silver Spring 20901 6666 StreetName St. Heartly Sixer MD
``

Empty medication example

Even if MedicationStatement is without effective, produced C-CDA entry contains effectiveTime with nullFlavor values.

json
{
  "resourceType" : "MedicationStatement",
  "id" : "id",
  "status" : "active",
  "medication" : {
    "CodeableConcept" : {
      "coding" : [ {
        "code" : "1049529",
        "display" : "Sudafed 30 MG Oral Tablet",
        "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
      } ]
    }
  }
}

So there are nullFlavor values placed in required field effectiveTime. ``xml

Medications Administered Section (V2)
Medications List
Medication Timing Route Freq Dose
Sudafed 30 MG Oral Tablet ~ ~ ~ ~
Administered Medications
Medication Date Route Dose
No records
``

Medication Statement sample

This is a typical medication resource sample.

  • :dosage field contains information about dosage and timing.
  • :effective field contains information about start and end dates of medication administration.
json
{
  "resourceType" : "MedicationStatement",
  "id" : "9aff221f-e689-5e3d-71ff-6edcb00406cb",
  "status" : "active",
  "medication" : {
    "CodeableConcept" : {
      "coding" : [ {
        "code" : "1049529",
        "display" : "Sudafed 30 MG Oral Tablet",
        "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
      } ]
    }
  },
  "effective" : {
    "Period" : {
      "start" : "2014-01-18",
      "end" : "2014-01-28"
    }
  },
  "dosage" : [ {
    "route" : {
      "coding" : [ {
        "code" : "C38288",
        "display" : "Oral",
        "system" : "http://ncithesaurus-stage.nci.nih.gov"
      } ]
    },
    "doseAndRate" : [ {
      "dose" : {
        "Quantity" : {
          "value" : 2.0,
          "unit" : "mg"
        }
      }
    } ],
    "timing" : {
      "repeat" : {
        "periodUnit" : "h",
        "period" : 4.0,
        "periodMax" : 6.0
      }
    }
  } ]
}

C-CDA Equivalent: ``xml

Medications Administered Section (V2)
Medications List
Medication Timing Route Freq Dose
Sudafed 30 MG Oral Tablet 01/18/2014 12:00AM UTC - 01/28/2014 12:00AM UTC Oral 1x per 4.0 h 2.0 mg
Administered Medications
Medication Date Route Dose
No records
``

sample-prn-medication

json
{
  "dosage" : [ {
    "timing" : {
      "repeat" : {
        "periodUnit" : "h",
        "count" : 1,
        "period" : 6.0
      }
    },
    "asNeeded" : {
      "boolean" : true
    },
    "route" : {
      "text" : "Oral Route of Administration",
      "coding" : [ {
        "code" : "C38288",
        "display" : "Oral Route of Administration",
        "system" : "http://ncithesaurus-stage.nci.nih.gov"
      } ]
    },
    "doseAndRate" : [ {
      "dose" : {
        "Quantity" : {
          "value" : 1.0
        }
      }
    } ]
  } ],
  "resourceType" : "MedicationStatement",
  "status" : "active",
  "effective" : {
    "Period" : {
      "start" : "2013-12-18"
    }
  },
  "id" : "47d3e719-f688-459d-bcdc-47c6de0767a9",
  "informationSource" : {
    "resourceType" : "PractitionerRole",
    "specialty" : [ {
      "text" : "Allopathic & Osteopathic Physicians; Internal Medicine, Cardiovascular Disease",
      "coding" : [ {
        "code" : "207RC0000X",
        "display" : "Allopathic & Osteopathic Physicians; Internal Medicine, Cardiovascular Disease",
        "system" : "http://hl7.org/fhir/ValueSet/provider-taxonomy"
      } ]
    } ],
    "practitioner" : {
      "name" : [ {
        "given" : [ "Heartly" ],
        "family" : "Sixer",
        "use" : "official",
        "suffix" : [ "MD" ]
      } ],
      "address" : [ {
        "line" : [ "6666 StreetName St." ],
        "city" : "Silver Spring",
        "state" : "MD",
        "postalCode" : "20901",
        "country" : "US"
      } ],
      "telecom" : [ {
        "system" : "phone",
        "value" : "+1(301)666-6666",
        "use" : "work"
      } ],
      "identifier" : [ {
        "value" : "66666",
        "system" : "http://hl7.org/fhir/sid/us-npi"
      } ],
      "resourceType" : "Practitioner"
    }
  },
  "subject" : {
    "resourceType" : "Patient",
    "id" : "patient"
  },
  "medication" : {
    "CodeableConcept" : {
      "text" : "Ibuprofen 600mg Oral Tablet",
      "coding" : [ {
        "code" : "197806",
        "display" : "ibuprofen 600 MG Oral Tablet",
        "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
      }, {
        "code" : "00603402221",
        "display" : "Ibuprofen 600mg Oral Tablet",
        "system" : "urn:oid:2.16.840.1.113883.6.69"
      } ]
    }
  }
}

C-CDA Equivalent: ``xml

Medications Administered Section (V2)
Medications List
Medication Timing Route Freq Dose
Ibuprofen 600mg Oral Tablet 12/18/2013 12:00AM UTC - Now Oral Route of Administration PRN 1.0
Administered Medications
Medication Date Route Dose
No records
Oral Route of Administration Ibuprofen 600mg Oral Tablet Allopathic & Osteopathic Physicians; Internal Medicine, Cardiovascular Disease US MD Silver Spring 20901 6666 StreetName St. Heartly Sixer MD
``