Medication Adminstration resource - Edited use case

The "edit" approach for medication adminstration will be as below. So this approach applies for any data point that is modelled as medication adminstration resource.

• effectiveDateTime - will have the timestamp of the medication administration. This will remain the same unless the user updates also the administration timestamp
• identifier - will have the same unique identifier with which it has been ingested already
• status - will always be "completed" for the updated resource

   

Below is a sample for updating a pen_basal_injection_unit with internal confidence ID "BBBBB-BBBBB-BBBBB":

   

Step	Description	Insulin Units	Injected TimeStamp	Type	Identifier
1	A pen_basal_injection_unit is entered	4	2020-04-28T10:30:00Z	manual entry	BBBBB-BBBBB-BBBBB
2	The entry is updated	3	2020-04-28T10:30:00Z	manual entry	BBBBB-BBBBB-BBBBB

The following bundle is generated on Step 2.

{
    "resourceType": "MedicationAdministration",
    "id": "id-medicationAdministration-pen-manual-basal",
    "meta": {
        "profile":  [
            "http://roche.com/fhir/rdc/StructureDefinition/medication-administration"
        ]
    },
    "identifier":  [
                    {
                        "system": "http://roche.com/fhir/rdc/sid/medication-administration/mysugr",
                        "value": "BBBBB-BBBBB-BBBBB"
                    }
                ],
    "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"
            }
        }
    ]
}