Medications Section (entries required) (V2)
OID: 2.16.840.1.113883.10.20.22.2.1.1
LOINCs: #{"10160-0"}
Alias: medications
Entries Required: true
Internal ID: MedicationsSectionentriesrequired
sample-medication-administration
{
"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:
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.1.1" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.2.1.1"/>
<code codeSystem="2.16.840.1.113883.6.1"
codeSystemName="http://loinc.org"
displayName="display string"
code="10160-0"/>
<title>Medications Section (entries required) (V2)</title>
<text>
<table border="1" width="100%">
<caption>Medications List</caption>
<thead>
<tr>
<th>Medication</th>
<th>Timing</th>
<th>Route</th>
<th>Freq</th>
<th>Dose</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="5">No records</td>
</tr>
</tbody>
</table>
<table border="1" width="100%">
<caption>Administered Medications</caption>
<thead>
<tr>
<th>Medication</th>
<th>Date</th>
<th>Route</th>
<th>Dose</th>
</tr>
</thead>
<tbody>
<tr>
<td>Aspirin 81mg Oral Tablet</td>
<td>09/11/2013 11:03PM UTC</td>
<td>Oral Route of Administration</td>
<td>~</td>
</tr>
</tbody>
</table>
</text>
<entry>
<substanceAdministration moodCode="EVN" classCode="SBADM">
<templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
<id root="1061a257-3b5c-4b09-9dc7-23e59b788b18"/>
<statusCode code="completed"/>
<effectiveTime value="20130911160300-0700" xsi:type="IVL_TS"/>
<routeCode codeSystem="2.16.840.1.113883.3.26.1.1"
codeSystemName="http://ncithesaurus-stage.nci.nih.gov"
displayName="Oral Route of Administration"
code="C38288">
<originalText>Oral Route of Administration</originalText>
</routeCode>
<doseQuantity value="2"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
<manufacturedMaterial>
<code codeSystem="2.16.840.1.113883.6.88"
codeSystemName="http://www.nlm.nih.gov/research/umls/rxnorm"
displayName="aspirin 81 MG Oral Tablet"
code="243670">
<originalText>Aspirin 81mg Oral Tablet</originalText>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<assignedAuthor>
<id root="4f5546e6-901e-8d7d-bc08-1734ffa11140"/>
<id extension="66666" root="2.16.840.1.113883.4.6"/>
<code codeSystem="2.16.840.1.113883.6.101"
codeSystemName="http://hl7.org/fhir/ValueSet/provider-taxonomy"
displayName="Allopathic & Osteopathic Physicians; Internal Medicine, Cardiovascular Disease"
code="207RC0000X">
<originalText>Allopathic & Osteopathic Physicians; Internal Medicine, Cardiovascular Disease</originalText>
</code>
<addr>
<country>US</country>
<state>MD</state>
<city>Silver Spring</city>
<postalCode>20901</postalCode>
<streetAddressLine>6666 StreetName St.</streetAddressLine>
</addr>
<telecom value="+1(301)666-6666" use="WP"/>
<assignedPerson>
<name use="L">
<given>Heartly</given>
<family>Sixer</family>
<suffix>MD</suffix>
</name>
</assignedPerson>
</assignedAuthor>
</author>
</substanceAdministration>
</entry>
</section>Empty medication example
Even if MedicationStatement is without effective, produced C-CDA entry contains effectiveTime with nullFlavor values.
{
"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.
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.1.1" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.2.1.1"/>
<code codeSystem="2.16.840.1.113883.6.1"
codeSystemName="http://loinc.org"
displayName="display string"
code="10160-0"/>
<title>Medications Section (entries required) (V2)</title>
<text>
<table border="1" width="100%">
<caption>Medications List</caption>
<thead>
<tr>
<th>Medication</th>
<th>Timing</th>
<th>Route</th>
<th>Freq</th>
<th>Dose</th>
</tr>
</thead>
<tbody>
<tr>
<td>Sudafed 30 MG Oral Tablet</td>
<td>~</td>
<td>~</td>
<td>~</td>
<td>~</td>
</tr>
</tbody>
</table>
<table border="1" width="100%">
<caption>Administered Medications</caption>
<thead>
<tr>
<th>Medication</th>
<th>Date</th>
<th>Route</th>
<th>Dose</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="4">No records</td>
</tr>
</tbody>
</table>
</text>
<entry>
<substanceAdministration moodCode="INT" classCode="SBADM">
<templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
<id root="b80bb774-0288-fda1-f201-890375a60c8f"/>
<statusCode code="active"/>
<effectiveTime xsi:type="IVL_TS">
<low nullFlavor="UNK"/>
<high nullFlavor="UNK"/>
</effectiveTime>
<doseQuantity nullFlavor="UNK"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
<manufacturedMaterial>
<code codeSystem="2.16.840.1.113883.6.88"
codeSystemName="http://www.nlm.nih.gov/research/umls/rxnorm"
displayName="Sudafed 30 MG Oral Tablet"
code="1049529"/>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
</substanceAdministration>
</entry>
</section>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.
{
"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:
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.1.1" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.2.1.1"/>
<code codeSystem="2.16.840.1.113883.6.1"
codeSystemName="http://loinc.org"
displayName="display string"
code="10160-0"/>
<title>Medications Section (entries required) (V2)</title>
<text>
<table border="1" width="100%">
<caption>Medications List</caption>
<thead>
<tr>
<th>Medication</th>
<th>Timing</th>
<th>Route</th>
<th>Freq</th>
<th>Dose</th>
</tr>
</thead>
<tbody>
<tr>
<td>Sudafed 30 MG Oral Tablet</td>
<td>01/18/2014 12:00AM UTC - 01/28/2014 12:00AM UTC</td>
<td>Oral</td>
<td>1x per 4.0 h</td>
<td>2.0 mg</td>
</tr>
</tbody>
</table>
<table border="1" width="100%">
<caption>Administered Medications</caption>
<thead>
<tr>
<th>Medication</th>
<th>Date</th>
<th>Route</th>
<th>Dose</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="4">No records</td>
</tr>
</tbody>
</table>
</text>
<entry>
<substanceAdministration moodCode="INT" classCode="SBADM">
<templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
<id root="9aff221f-e689-5e3d-71ff-6edcb00406cb"/>
<statusCode code="active"/>
<effectiveTime operator="A" xsi:type="PIVL_TS">
<period xsi:type="IVL_PQ">
<low value="4.0" unit="h"/>
<high value="6.0" unit="h"/>
</period>
</effectiveTime>
<effectiveTime xsi:type="IVL_TS">
<low value="20140118"/>
<high value="20140128"/>
</effectiveTime>
<routeCode codeSystem="2.16.840.1.113883.3.26.1.1"
codeSystemName="http://ncithesaurus-stage.nci.nih.gov"
displayName="Oral"
code="C38288"/>
<doseQuantity value="2.0" unit="mg"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
<manufacturedMaterial>
<code codeSystem="2.16.840.1.113883.6.88"
codeSystemName="http://www.nlm.nih.gov/research/umls/rxnorm"
displayName="Sudafed 30 MG Oral Tablet"
code="1049529"/>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
</substanceAdministration>
</entry>
</section>sample-prn-medication
{
"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:
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.1.1" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.2.1.1"/>
<code codeSystem="2.16.840.1.113883.6.1"
codeSystemName="http://loinc.org"
displayName="display string"
code="10160-0"/>
<title>Medications Section (entries required) (V2)</title>
<text>
<table border="1" width="100%">
<caption>Medications List</caption>
<thead>
<tr>
<th>Medication</th>
<th>Timing</th>
<th>Route</th>
<th>Freq</th>
<th>Dose</th>
</tr>
</thead>
<tbody>
<tr>
<td>Ibuprofen 600mg Oral Tablet</td>
<td>12/18/2013 12:00AM UTC - Now</td>
<td>Oral Route of Administration</td>
<td>PRN</td>
<td>1.0 </td>
</tr>
</tbody>
</table>
<table border="1" width="100%">
<caption>Administered Medications</caption>
<thead>
<tr>
<th>Medication</th>
<th>Date</th>
<th>Route</th>
<th>Dose</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="4">No records</td>
</tr>
</tbody>
</table>
</text>
<entry>
<substanceAdministration moodCode="INT" classCode="SBADM">
<templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
<id root="47d3e719-f688-459d-bcdc-47c6de0767a9"/>
<statusCode code="active"/>
<effectiveTime operator="A" institutionSpecified="true" xsi:type="PIVL_TS">
<period value="6.0" unit="h"/>
</effectiveTime>
<effectiveTime xsi:type="IVL_TS">
<low value="20131218"/>
<high nullFlavor="UNK"/>
</effectiveTime>
<routeCode codeSystem="2.16.840.1.113883.3.26.1.1"
codeSystemName="http://ncithesaurus-stage.nci.nih.gov"
displayName="Oral Route of Administration"
code="C38288">
<originalText>Oral Route of Administration</originalText>
</routeCode>
<doseQuantity value="1.0"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
<manufacturedMaterial>
<code codeSystem="2.16.840.1.113883.6.88"
codeSystemName="http://www.nlm.nih.gov/research/umls/rxnorm"
displayName="ibuprofen 600 MG Oral Tablet"
code="197806">
<originalText>Ibuprofen 600mg Oral Tablet</originalText>
<translation codeSystem="2.16.840.1.113883.6.69"
codeSystemName="urn:oid:2.16.840.1.113883.6.69"
displayName="Ibuprofen 600mg Oral Tablet"
code="00603402221"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<assignedAuthor>
<id extension="66666" root="2.16.840.1.113883.4.6"/>
<code codeSystem="2.16.840.1.113883.6.101"
codeSystemName="http://hl7.org/fhir/ValueSet/provider-taxonomy"
displayName="Allopathic & Osteopathic Physicians; Internal Medicine, Cardiovascular Disease"
code="207RC0000X">
<originalText>Allopathic & Osteopathic Physicians; Internal Medicine, Cardiovascular Disease</originalText>
</code>
<addr>
<country>US</country>
<state>MD</state>
<city>Silver Spring</city>
<postalCode>20901</postalCode>
<streetAddressLine>6666 StreetName St.</streetAddressLine>
</addr>
<telecom value="+1(301)666-6666" use="WP"/>
<assignedPerson>
<name use="L">
<given>Heartly</given>
<family>Sixer</family>
<suffix>MD</suffix>
</name>
</assignedPerson>
</assignedAuthor>
</author>
<precondition typeCode="PRCN">
<criterion>
<templateId root="2.16.840.1.113883.10.20.22.4.25" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.25"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<value nullFlavor="NI" xsi:type="CD"/>
</criterion>
</precondition>
</substanceAdministration>
</entry>
</section>Last updated