Long-acting insulin (basal)
The below example is for basal insulin administrated by pump to the patient. The extension parent-device-metric will connect to the device metric which will be connected to device component pump.
{ "id": "eb80911a-95f7-4c31-b4d9-3b2c1e1a2376", "resourceType": "MedicationAdministration", "extension": [ { "url": "http://roche.com/fhir/rdc/StructureDefinition/parent-device-metric", "valueReference": { "reference": "DeviceMetric/46d24edb-7afa-45c3-a12c-1b7a51d5f519" } } ], "meta": { "profile": [ "http://roche.com/fhir/rdc/StructureDefinition/medication-administration" ] }, "status": "completed", "medicationCodeableConcept": { "coding": [ { "system": "http://roche.com/fhir/rdc/cs", "code": "insulinDose", "display": "Insulin Dose" } ] }, "subject": { "reference": "Patient/SandboxPat3" }, "effectivePeriod": { "start": "2021-02-05T07:02:00+00:00", "end": "2021-02-05T08:02:00+00:00" }, "performer": [ { "actor": { "reference": "Patient/SandboxPat3" } } ], "dosage": { "extension": [ { "url": "http://roche.com/fhir/rdc/StructureDefinition/medication-administration-dosage/admin-type", "valueCodeableConcept": { "coding": [ { "system": "http://roche.com/fhir/rdc/cs", "code": "basal", "display": "Basal" } ] } } ], "rateQuantity": { "value": 1.1, "unit": "[IU]/h", "system": "http://unitsofmeasure.org", "code": "[IU]/h" } } }
The below example is for manual entry on the smart phone. The extension parent-device-metric will connect to the device metric which will be connected to device component of smart phone.
{ "resourceType": "MedicationAdministration", "id": "id-medicationAdministration-pen-manual-basal", "meta": { "profile": [ "http://roche.com/fhir/rdc/StructureDefinition/medication-administration" ] }, "status": "completed", "medicationCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "25305005", "display": "Long-acting insulin (substance)" } ], "text": "Novolin" }, "subject": { "reference": "Patient/SandboxPat3" }, "effectiveDateTime": "2020-04-28T10:30:00Z", "performer": [ { "actor": { "reference": "Patient/SandboxPat3" } } ], "dosage": { "extension": [ { "url": "http://roche.com/fhir/rdc/StructureDefinition/medication-administration-dosage/admin-type", "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "61968008", "display": "Syringe, device (physical object)" } ] } } ], "dose": { "value": 3, "unit": "[iU]", "system": "http://unitsofmeasure.org", "code": "[iU]" } }, "extension": [ { "url": "http://roche.com/fhir/rdc/StructureDefinition/parent-device-metric", "valueReference": { "reference": "DeviceMetric/id-deviceMetric-smartPhone-insulin" } } ] }
The below example is entry from Insulin Pen. The extension parent-device-metric will connect to the device metric which will be connected device component of Insulin pen.
{ "resourceType": "MedicationAdministration", "id": "id-medicationAdministration-pen-basal", "meta": { "profile": [ "http://roche.com/fhir/rdc/StructureDefinition/medication-administration" ] }, "status": "completed", "medicationCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "25305005", "display": "Long-acting insulin (substance)" } ], "text": "Novolin" }, "subject": { "reference": "Patient/SandboxPat3" }, "effectiveDateTime": "2020-04-28T10:30:00Z", "performer": [ { "actor": { "reference": "Patient/SandboxPat3" } } ], "dosage": { "extension": [ { "url": "http://roche.com/fhir/rdc/StructureDefinition/medication-administration-dosage/admin-type", "valueCodeableConcept": { "coding": [ { "system": "http://ncimeta.nci.nih.gov", "code": "CL936094", "display": "Pen Device" } ] } } ], "dose": { "value": 3, "unit": "[iU]", "system": "http://unitsofmeasure.org", "code": "[iU]" } }, "extension": [ { "url": "http://roche.com/fhir/rdc/StructureDefinition/parent-device-metric", "valueReference": { "reference": "DeviceMetric/id-deviceMetric-insulinPen-insulin" } } ] }