<?xml version="1.0" encoding="UTF-8"?><MedicationAdministration xmlns="http://hl7.org/fhir"> 
  <id value="medadmin0309"/>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationAdministration</b><a name="medadmin0309"> </a></p><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">Resource MedicationAdministration &quot;medadmin0309&quot; </p></div><p><b>status</b>: completed</p><h3>Medications</h3><table class="grid"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a name="med0318"> </a><blockquote><p/><p><a name="med0318"> </a></p><p><b>doseForm</b>: Injection emulsion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#385221006)</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class="grid"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ndc.html">National drug codes</a>#0338-1134-03)</span></td></tr></table></blockquote><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class="grid"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>TPN Electrolytes SODIUM CHLORIDE, CALCIUM CHLORIDE, POTASSIUM CHLORIDE, MAGNESIUM CHLORIDE, and SODIUM ACETATE ANHYDROUS | INJECTION, SOLUTION, CONCENTRATE | 321 mg/20mL, 331 mg/20mL, 1491 mg/20mL, 508 mg/20mL, 2420 mg/20mL <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ndc.html">National drug codes</a>#0409-5779-01)</span></td></tr></table></blockquote><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class="grid"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Intralipid 20% IV Fat Emulsion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ndc.html">National drug codes</a>#0338-0519-02)</span></td></tr></table></blockquote><h3>Batches</h3><table class="grid"><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>123455</td><td>2016-07-09</td></tr></table></blockquote></td></tr></table><p><b>subject</b>: <a href="patient-example-a.html">Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</p><p><b>occurence</b>: 2015-01-15T22:03:00+01:00 --&gt; 2015-01-16T02:03:00+01:00</p><blockquote><p><b>performer</b></p><p><b>function</b>: Performer <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-med-admin-perform-function.html">MedicationAdministration Performer Function Codes</a>#performer)</span></p><h3>Actors</h3><table class="grid"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a href="practitioner-example-f007-sh.html">Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</td></tr></table></blockquote><p><b>request</b>: <a href="medicationrequest0323.html">MedicationRequest/medrx0323</a></p><h3>Devices</h3><table class="grid"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a href="device-example-f001-feedingtube.html">Device/f001</a></td></tr></table><h3>Dosages</h3><table class="grid"><tr><td>-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Method</b></td><td><b>Dose</b></td><td><b>Rate[x]</b></td></tr><tr><td>*</td><td>1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours</td><td>Structure of ligament of left superior vena cava <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#6073002)</span></td><td>Intravenous <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#255560000)</span></td><td>PICC line <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></td><td>1000 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span></td><td>50 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span>/1 h<span style="background: LightGoldenRodYellow"> (Details: UCUM code h = 'h')</span></td></tr></table></div></text><contained><Medication>
    <id value="med0318"/>
      <doseForm>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="385221006"/>
          <display value="Injection emulsion"/>
        </coding>
      </doseForm>
      <ingredient>
        <item>
        <concept>
          <coding>
            <system value="http://hl7.org/fhir/sid/ndc"/>
            <code value="0338-1134-03"/>
            <display value="Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"/>
          </coding>
        </concept>
        </item>
      </ingredient>
      <ingredient>
        <item>
        <concept>
          <coding>
            <system value="http://hl7.org/fhir/sid/ndc"/>
            <code value="0409-5779-01"/>
            <display value="TPN Electrolytes SODIUM CHLORIDE, CALCIUM CHLORIDE, POTASSIUM CHLORIDE, MAGNESIUM CHLORIDE, and SODIUM ACETATE ANHYDROUS | INJECTION, SOLUTION, CONCENTRATE | 321 mg/20mL, 331 mg/20mL, 1491 mg/20mL, 508 mg/20mL, 2420 mg/20mL"/>
          </coding>
        </concept>
        </item>
      </ingredient>
      <ingredient>
        <item>
        <concept>
          <coding>
            <system value="http://hl7.org/fhir/sid/ndc"/>
            <code value="0338-0519-02"/>
            <display value="Intralipid 20% IV Fat Emulsion"/>
          </coding>
        </concept>
        </item>
      </ingredient>
    <batch>
      <lotNumber value="123455"/>
      <expirationDate value="2016-07-09"/>
    </batch>    
  </Medication>
  </contained>
  <status value="completed"/>
  <medication>
    <reference>
    <reference value="#med0318"/>
    </reference>
  </medication>
 <subject>
   <reference value="Patient/pat1"/>
   <display value="Donald Duck"/> 
  </subject>
  <occurencePeriod>
  <start value="2015-01-15T22:03:00+01:00"/>
   <end value="2015-01-16T02:03:00+01:00"/>
</occurencePeriod>
  <performer>
    <function>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/med-admin-perform-function"/>
        <code value="performer"/>
        <display value="Performer"/>
      </coding>
    </function>
    <actor>
      <reference>
        <reference value="Practitioner/f007"/>
        <display value="Patrick Pump"/>
      </reference>
    </actor>
  </performer>
  <request>
    <reference value="MedicationRequest/medrx0323"/>
  </request>
  <device>
    <reference>
      <reference value="Device/f001"/>
    </reference>
  </device>
  <dosage>
    <text value="1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours"/>
    <site>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="6073002"/>
        <display value="Structure of ligament of left superior vena cava"/>
      </coding>
    </site>
    <route>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="255560000"/>
        <display value="Intravenous"/>
      </coding>
    </route>
    <method>
      <text value="PICC line"/>
    </method>
    <dose>
      <value value="1000"/>
      <unit value="mL"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mL"/> 
    </dose>
    <rateRatio>
      <numerator>
        <value value="50"/>
        <unit value="mL"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mL"/> 
      </numerator>
      <denominator>
        <value value="1"/>
        <unit value="h"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="h"/> 
      </denominator>
    </rateRatio>
  </dosage>
</MedicationAdministration>