MedicationAdministration

Overview

The Medication Administration resource provides information about medications and vaccines administered to a patient or consumed by a patient including injections, intravenous solutions, and self administered oral medications.



The following fields are returned if valued:

Terminology Bindings

MedicationAdministration.medicationCodeableConcept
  • Description
    • A code that defines the type of medication.
  • Details: RxNorm
    System: http://www.nlm.nih.gov/research/umls/rxnorm

MedicationAdministration.dosage.siteCodeableConcept
  • Description
    • The anatomic site where the medication first enters the body.
  • Details: SNOMED CT
    System: http://snomed.info/sct

MedicationAdministration.dosage.route
  • Description
    • A code specifying the route or physiological path of administration of a therapeutic agent into or onto a subject.
  • Details: SNOMED CT
    System: http://snomed.info/sct

  • Details: NCI Metathesaurus
    System: http://ncimeta.nci.nih.gov

Contained Medication Bindings

Medication.code
  • Description
    • A code that defines the type of medication.
  • Details: RxNorm
    System: http://www.nlm.nih.gov/research/umls/rxnorm

Search for MedicationAdministrations that meet supplied query parameters:

GET /MedicationAdministration?:parameters

Implementation Notes

Authorization Types

Parameters

Name Required? Type Description
_id This, or patient token The logical resource id associated with the resource.
patient This, or _id reference The patient who has received the medication administration. Example: patient=12345
status N token The status of the medication administration, may be a list separated by commas. Example: status=completed
practitioner N reference The performing clinician, may be a list separated by commas. Example: practitioner=12345
notgiven N token Administrations that were not made. A value of ‘true’ will search for these, and a value of ‘false’ will exclude them. Example: true
effectivetime N date The effectivetime search may be provided once with either the ge or le prefix or twice with the ge and le prefixes to indicate a specific range. Example: effectivetime=ge2010-08-18 or effectivetime=le2015-07-17 or effectivetime=ge2010-08-18&effectivetime=le2015-07-17
_count N number The maximum number of results to return.

Notes:

Headers

Accept: application/json+fhir
Authorization: <OAuth2 Bearer Token>

Example

Request

GET https://fhir-open.cerner.com/dstu2/ec2458f2-1e24-41c8-b71b-0e701af7583d/MedicationAdministration?patient=12724066

Response

Status: 200 OK
{
  "resourceType": "Bundle",
  "id": "b3e1848e-92db-482f-a7b1-62808aacd8ec",
  "type": "searchset",
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-open.cerner.com/dstu2/ec2458f2-1e24-41c8-b71b-0e701af7583d/MedicationAdministration?patient=12724066"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://fhir-open.cerner.com/dstu2/ec2458f2-1e24-41c8-b71b-0e701af7583d/MedicationAdministration/197292849",
      "resource": {
        "resourceType": "MedicationAdministration",
        "id": "197292849",
        "meta": {
          "versionId": "197292850",
          "lastUpdated": "2020-07-06T21:13:24.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Medication Administration</b></p><p><b>Patient Name</b>: SMART, NANCY</p><p><b>Medication Display</b>: acetaminophen</p><p><b>Administered</b>: Yes</p><p><b>Dosage Quantity</b>: 650 mg</p><p><b>Medication Status</b>: Completed</p><p><b>Effective Time</b>: Jul  6, 2020  9:11 P.M. UTC</p></div>"
        },
        "status": "completed",
        "patient": {
          "reference": "Patient/12724066",
          "display": "SMART, NANCY"
        },
        "practitioner": {
          "reference": "Practitioner/12724064",
          "display": "Spence, Open Platform IA, Stephen"
        },
        "encounter": {
          "reference": "Encounter/97953477"
        },
        "prescription": {
          "reference": "MedicationOrder/313764715"
        },
        "wasNotGiven": false,
        "effectiveTimeDateTime": "2020-07-06T21:11:00.000Z",
        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "313782",
              "display": "Acetaminophen 325 MG Oral Tablet",
              "userSelected": false
            }
          ],
          "text": "acetaminophen"
        },
        "dosage": {
          "route": {
            "coding": [
              {
                "system": "http://ncimeta.nci.nih.gov",
                "code": "C38288",
                "display": "ORAL",
                "userSelected": false
              },
              {
                "system": "http://snomed.info/sct",
                "code": "26643006",
                "display": "Oral route (qualifier value)",
                "userSelected": false
              }
            ],
            "text": "Oral"
          },
          "quantity": {
            "value": 650,
            "unit": "mg",
            "system": "http://unitsofmeasure.org",
            "code": "mg"
          }
        }
      }
    }
  ]
}

Request

GET https://fhir-open.cerner.com/dstu2/ec2458f2-1e24-41c8-b71b-0e701af7583d/MedicationAdministration?_id=197375293

Response

Status: 200 OK
{
  "resourceType": "Bundle",
  "id": "6a897d29-daca-4f04-b6f5-7e2cdec12f09",
  "type": "searchset",
  "total": 1,
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-open.cerner.com/dstu2/ec2458f2-1e24-41c8-b71b-0e701af7583d/MedicationAdministration?_id=197375293"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://fhir-open.cerner.com/dstu2/ec2458f2-1e24-41c8-b71b-0e701af7583d/MedicationAdministration/197375293",
      "resource": {
        "resourceType": "MedicationAdministration",
        "id": "197375293",
        "meta": {
          "versionId": "197375292",
          "lastUpdated": "2020-09-24T13:41:07.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Medication Administration</b></p><p><b>Patient Name</b>: TEST, BOB</p><p><b>Medication Display</b>: Dopamine Hydrochloride 80 MG/ML Injection</p><p><b>Administered</b>: Yes</p><p><b>Dosage Quantity</b>: 12.76 milliliter (iso1000)</p><p><b>Medication Status</b>: Completed</p><p><b>Effective Start Time</b>: Sep 24, 2020  2:00 P.M. UTC</p><p><b>Effective End Time</b>: Sep 24, 2020  2:59 P.M. UTC</p></div>"
        },
        "contained": [
          {
            "resourceType": "Medication",
            "id": "197375293",
            "product": {
              "ingredient": [
                {
                  "item": {
                    "reference": "#197375295-1",
                    "display": "Dopamine Hydrochloride 80 MG/ML Injection"
                  },
                  "amount": {
                    "numerator": {
                      "value": 400,
                      "unit": "milligram (mass)",
                      "system": "http://unitsofmeasure.org",
                      "code": "mg"
                    },
                    "denominator": {
                      "value": 500,
                      "unit": "milliliter (iso1000)",
                      "system": "http://unitsofmeasure.org",
                      "code": "mL"
                    }
                  }
                },
                {
                  "item": {
                    "reference": "#197375297-2",
                    "display": "50 ML Glucose 50 MG/ML Injection"
                  },
                  "amount": {
                    "numerator": {
                      "value": 500,
                      "unit": "milliliter (iso1000)",
                      "system": "http://unitsofmeasure.org",
                      "code": "mL"
                    },
                    "denominator": {
                      "value": 500,
                      "unit": "milliliter (iso1000)",
                      "system": "http://unitsofmeasure.org",
                      "code": "mL"
                    }
                  }
                }
              ]
            }
          },
          {
            "resourceType": "Medication",
            "id": "197375295-1",
            "code": {
              "coding": [
                {
                  "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code": "1743951",
                  "display": "Dopamine Hydrochloride 80 MG/ML Injection",
                  "userSelected": false
                }
              ],
              "text": "DOPamine"
            }
          },
          {
            "resourceType": "Medication",
            "id": "197375297-2",
            "code": {
              "coding": [
                {
                  "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code": "1795616",
                  "display": "50 ML Glucose 50 MG/ML Injection",
                  "userSelected": false
                }
              ],
              "text": "Dextrose 5% in Water"
            }
          }
        ],
        "status": "completed",
        "patient": {
          "reference": "Patient/12545984",
          "display": "TEST, BOB"
        },
        "practitioner": {
          "reference": "Practitioner/1",
          "display": "SYSTEM, SYSTEM Cerner"
        },
        "encounter": {
          "reference": "Encounter/97887460"
        },
        "prescription": {
          "reference": "MedicationOrder/316367035"
        },
        "wasNotGiven": false,
        "effectiveTimePeriod": {
          "start": "2020-09-24T14:00:00.000Z",
          "end": "2020-09-24T14:59:00.000Z"
        },
        "medicationReference": {
          "reference": "#197375293",
          "display": "Dopamine Hydrochloride 80 MG/ML Injection"
        },
        "dosage": {
          "siteCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "66480008",
                "display": "Structure of left forearm (body structure)",
                "userSelected": false
              }
            ],
            "text": "Arm, Lower, Left"
          },
          "quantity": {
            "value": 12.76,
            "unit": "milliliter (iso1000)",
            "system": "http://unitsofmeasure.org",
            "code": "mL"
          },
          "rateRatio": {
            "numerator": {
              "value": 12.76,
              "unit": "milliliter (iso1000)",
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            },
            "denominator": {
              "value": 1,
              "unit": "hour (iso1000)",
              "system": "http://unitsofmeasure.org",
              "code": "h"
            }
          }
        }
      }
    }
  ]
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Errors

The common errors and OperationOutcomes may be returned.

Retrieve by id

List an individual MedicationAdministration by its id:

GET /MedicationAdministration/:id

Implementation Notes

Authorization Types

Headers

Accept: application/json+fhir
Authorization: <OAuth2 Bearer Token>

Example

Request

GET https://fhir-open.cerner.com/dstu2/ec2458f2-1e24-41c8-b71b-0e701af7583d/MedicationAdministration/197292849

Response

Status: 200 OK
{
  "resourceType": "MedicationAdministration",
  "id": "197292849",
  "meta": {
    "versionId": "197292850",
    "lastUpdated": "2020-07-06T21:13:24.000Z"
  },
  "text": {
    "status": "generated",
    "div": "<div><p><b>Medication Administration</b></p><p><b>Patient Name</b>: SMART, NANCY</p><p><b>Medication Display</b>: acetaminophen</p><p><b>Administered</b>: Yes</p><p><b>Dosage Quantity</b>: 650 mg</p><p><b>Medication Status</b>: Completed</p><p><b>Effective Time</b>: Jul  6, 2020  9:11 P.M. UTC</p></div>"
  },
  "status": "completed",
  "patient": {
    "reference": "Patient/12724066",
    "display": "SMART, NANCY"
  },
  "practitioner": {
    "reference": "Practitioner/12724064",
    "display": "Spence, Open Platform IA, Stephen"
  },
  "encounter": {
    "reference": "Encounter/97953477"
  },
  "prescription": {
    "reference": "MedicationOrder/313764715"
  },
  "wasNotGiven": false,
  "effectiveTimeDateTime": "2020-07-06T21:11:00.000Z",
  "medicationCodeableConcept": {
    "coding": [
      {
        "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
        "code": "313782",
        "display": "Acetaminophen 325 MG Oral Tablet",
        "userSelected": false
      }
    ],
    "text": "acetaminophen"
  },
  "dosage": {
    "route": {
      "coding": [
        {
          "system": "http://ncimeta.nci.nih.gov",
          "code": "C38288",
          "display": "ORAL",
          "userSelected": false
        },
        {
          "system": "http://snomed.info/sct",
          "code": "26643006",
          "display": "Oral route (qualifier value)",
          "userSelected": false
        }
      ],
      "text": "Oral"
    },
    "quantity": {
      "value": 650,
      "unit": "mg",
      "system": "http://unitsofmeasure.org",
      "code": "mg"
    }
  }
}

Request

GET https://fhir-open.cerner.com/dstu2/ec2458f2-1e24-41c8-b71b-0e701af7583d/MedicationAdministration/197375293

Response

Status: 200 OK
{
  "resourceType": "MedicationAdministration",
  "id": "197375293",
  "meta": {
    "versionId": "197375292",
    "lastUpdated": "2020-09-24T13:41:07.000Z"
  },
  "text": {
    "status": "generated",
    "div": "<div><p><b>Medication Administration</b></p><p><b>Patient Name</b>: TEST, BOB</p><p><b>Medication Display</b>: Dopamine Hydrochloride 80 MG/ML Injection</p><p><b>Administered</b>: Yes</p><p><b>Dosage Quantity</b>: 12.76 milliliter (iso1000)</p><p><b>Medication Status</b>: Completed</p><p><b>Effective Start Time</b>: Sep 24, 2020  2:00 P.M. UTC</p><p><b>Effective End Time</b>: Sep 24, 2020  2:59 P.M. UTC</p></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "197375293",
      "product": {
        "ingredient": [
          {
            "item": {
              "reference": "#197375295-1",
              "display": "Dopamine Hydrochloride 80 MG/ML Injection"
            },
            "amount": {
              "numerator": {
                "value": 400,
                "unit": "milligram (mass)",
                "system": "http://unitsofmeasure.org",
                "code": "mg"
              },
              "denominator": {
                "value": 500,
                "unit": "milliliter (iso1000)",
                "system": "http://unitsofmeasure.org",
                "code": "mL"
              }
            }
          },
          {
            "item": {
              "reference": "#197375297-2",
              "display": "50 ML Glucose 50 MG/ML Injection"
            },
            "amount": {
              "numerator": {
                "value": 500,
                "unit": "milliliter (iso1000)",
                "system": "http://unitsofmeasure.org",
                "code": "mL"
              },
              "denominator": {
                "value": 500,
                "unit": "milliliter (iso1000)",
                "system": "http://unitsofmeasure.org",
                "code": "mL"
              }
            }
          }
        ]
      }
    },
    {
      "resourceType": "Medication",
      "id": "197375295-1",
      "code": {
        "coding": [
          {
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code": "1743951",
            "display": "Dopamine Hydrochloride 80 MG/ML Injection",
            "userSelected": false
          }
        ],
        "text": "DOPamine"
      }
    },
    {
      "resourceType": "Medication",
      "id": "197375297-2",
      "code": {
        "coding": [
          {
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code": "1795616",
            "display": "50 ML Glucose 50 MG/ML Injection",
            "userSelected": false
          }
        ],
        "text": "Dextrose 5% in Water"
      }
    }
  ],
  "status": "completed",
  "patient": {
    "reference": "Patient/12545984",
    "display": "TEST, BOB"
  },
  "practitioner": {
    "reference": "Practitioner/1",
    "display": "SYSTEM, SYSTEM Cerner"
  },
  "encounter": {
    "reference": "Encounter/97887460"
  },
  "prescription": {
    "reference": "MedicationOrder/316367035"
  },
  "wasNotGiven": false,
  "effectiveTimePeriod": {
    "start": "2020-09-24T14:00:00.000Z",
    "end": "2020-09-24T14:59:00.000Z"
  },
  "medicationReference": {
    "reference": "#197375293",
    "display": "Dopamine Hydrochloride 80 MG/ML Injection"
  },
  "dosage": {
    "siteCodeableConcept": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "66480008",
          "display": "Structure of left forearm (body structure)",
          "userSelected": false
        }
      ],
      "text": "Arm, Lower, Left"
    },
    "quantity": {
      "value": 12.76,
      "unit": "milliliter (iso1000)",
      "system": "http://unitsofmeasure.org",
      "code": "mL"
    },
    "rateRatio": {
      "numerator": {
        "value": 12.76,
        "unit": "milliliter (iso1000)",
        "system": "http://unitsofmeasure.org",
        "code": "mL"
      },
      "denominator": {
        "value": 1,
        "unit": "hour (iso1000)",
        "system": "http://unitsofmeasure.org",
        "code": "h"
      }
    }
  }
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Errors

The common errors and OperationOutcomes may be returned.