Medication Administrations
This category contains the administrations of treatments to patients while they are in hospital. This can be during a clinical admission, or a shorter visit to the outpatient clinic where they receive i.e. chemotherapy or IV therapy with TNF-a blockers to treat rheumatoid arthritis.
If the same medicine is given to the same patient several times a day in the same dosage – for example 3x an intake of 2 tablets of paracetamol at 500 mg per tablet, at 05:45, 15:45 and 23:45 – then a separate medication administration can be found in PFS for each of these intakes.
The Medication Requests category will contain the prescription for these medication administrations.
Overview
| Filter name in app | Priority | FHIR field (PFS) | Brief description | Example data |
|---|---|---|---|---|
| ID | Must have | MedicationAdministration.identifier.value | Unique identifier for medication administration. | |
| DBC ID | N/A | Not yet mapped | NL-specific: Unique ID of the DBC code (diagnosis-treatment-combination) that the administration is linked to. | |
| Episode of care ID | Could have | Not yet mapped | Unique identifier of the Episode of Care that the medication administration is linked to. I.e. indicates context in which the administration took place. | |
| Description | Must have | MedicationAdministration.note | The name of the treatment being administered to the patient. | Paracetamol; dexamethasone, morphine |
| ATC code | Should have | Medication.code.coding.code | WHO classification system for medication. | N02BE01 for paracetamol |
| Brand name | Nice to have | Not yet mapped | Name of the medication given by the pharmaceutical company producing the drug. | Herceptin (where active substance = trastuzumab and the medication description may be trastuzumab + strength or something). |
| Pharmaceutical Form | Should have | Medication.form.coding.display | Formulation used to deliver the active substance in the medication to the body site where it's needed. | Tablet, Injection, aerosol, capsule |
| Ingredient | Should have | Medication.ingredient.item[x].itemCodeableConcept.coding.display | The active substance(s) in the medication | Trastuzumab, erlotinib, oxycodon. |
| Status | Could have | MedicationAdministration.status | Status of the medication administration. | Planned, administered, new bag |
| Validated | Nice to have | Not yet mapped | Indicates whether a pharmacist validated / approved the administration. | 1 (validated) or 0 (not validated) |
| ZI number | N/A | Not yet mapped | NL-specific: code for medication according to the national Z-index | 16613910 |
| Strength value | Should have | Medication.strength.numerator.value | Amount of active substance in the medication, eg. 500 mg of paracetamol in 1 tablet. Or concentration of the solution that will be administered, eg. 9 gr/L of NaCl in the bag with 500 ml of physiological salt solution. | 500 (mg), 4 (grams), 10 (units), 900 (mg/L) |
| Strength unit | Should have | Medication.strength.numerator.unit | Unit associated with strength value. | Milligrams, micrograms, units, mg/ml, g/L. |
| Route of administration | Must have | MedicationAdministration.dosage.route.coding.display | The way in which the medication will be administered or taken by the patient. | Oral, intravenous, subcutaneous |
| Infusion solvent | Could have | Not yet mapped | Solution in which the stock of the drug is dissolved for i.e. IV or subcutaneous administration. Can also contain information on a standard packaging / volume per package if doses are packaged by the manufacturer. |
SODIUMCHLORIDE IV 0,9% 1L LIDOCAINE INJFL 10MG/ML (HCL-1W) AMP 10ML Sodiumchloride 0,9% |
| Body site | Could have | Not yet mapped | Place in the body where the medication is administered. | Left eye, right arm, intra-muscular, skin. |
| Administered by | Could have | MedicationAdministration.performer.actor | Name of the care provider (nurse, doctor) that administered the treatment. | Dr. Jane Doe, nurse John Doe. |
| Infusion rate | Should have | MedicationAdministration.rate[x].rateQuantity.value | The amount of treatment solution (including the solvent) administered per unit of time. | 100, 200, 50. |
| Infusion rate unit | Should have | MedicationAdministration.rate[x].rateQuantity.unit | Unit associated with infusion rate value. | ml/minute, l/hour, ml/hour |
| Duration value | Should have | MedicationAdministration.extension[infusionDuration].valueDuration.value (extension) | Total duration of the medication administration. | 7; 2; 1 |
| Duration unit | Should have | MedicationAdministration.extension[infusionDuration].valueDuration.unit (extension) | Unit associated with duration. | Days; hours; millilitre |
| Dose value | Must have | MedicationAdministration.dose.value | Total dose of active substance that was given to the patient during one medication administration. | 4; 500; 10 |
| Dose unit | Must have | MedicationAdministration.dose.unit | Unit associated with dose. | milligrams, grams, units |
| Age at time of event | Must have | Derived from Patient | Age of the patient, in years, when the medication was administered. | |
| Specialism of administrator | Must have | MedicationAdministration.administered_by_specialism (extension) | Specialism of the care provider (nurse, doctor) that administered the treatment. | Gastroenterology, endocrinology, oncology |
| Administration date | Must have | MedicationAdministration.effectiveDateTime or MedicationAdministration.effectivePeriod.start | Date & time on which administration is given (actual) to patient. | DD-MM-YYYY hh:mm |
| Scheduled date | Should have | MedicationRequest.dosageInstruction.timing.event | Date & time on which administration is planned. | DD-MM-YYYY hh:mm |