Kenya ePrescription FHIR Implementation Guide
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: MedicationAdministration – James Otieno IV Azithromycin - JSON Representation

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{
  "resourceType" : "MedicationAdministration",
  "id" : "example-medicationadministration-otieno-iv",
  "meta" : {
    "profile" : [
      🔗 "https://nshr-uat.sha.go.ke/StructureDefinition/ke-medication-administration"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration example-medicationadministration-otieno-iv</b></p><a name=\"example-medicationadministration-otieno-iv\"> </a><a name=\"hcexample-medicationadministration-otieno-iv\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ke-medication-administration.html\">Kenya eRx MedicationAdministration</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-ns-administration-identifier.html\" title=\"Administration record number used by the Medication Administration Record (MAR) system. Format: ADM-{YYYY}-{SITE}-{SEQ}.\">KenyaAdministrationIdentifier</a>/ADM-2025-IPD-00101</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medication-admin-category inpatient}\">Inpatient</span></p><p><b>medication</b>: <span title=\"Codes:{https://ilm-hie.dha.go.ke/fhir/CodeSystem/generic-products-cs GE10015}\">Azithromycin 500 mg Oral Tablet</span></p><p><b>subject</b>: <a href=\"Patient-example-patient-otieno.html\">James Otieno (official) Male, DoB: 1968-09-20 ( https://ilm-hie.dha.go.ke/fhir/NamingSystem/national-id#KenyaNationalId#10293847)</a></p><p><b>context</b>: <a href=\"Encounter-example-encounter-otieno-inpatient.html\">Encounter: identifier = https://ilm-hie.dha.go.ke/fhir/NamingSystem/encounter-identifier#KenyaEncounterIdentifier#ENC-2025-IPD-00456; status = in-progress; class = inpatient encounter (ActCode#IMP); serviceType = Oncology; priority = Routine; period = 2025-06-10 08:00:00+0300 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-06-11 09:00:00+0300</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/med-admin-perform-function performer}\">Performer</span></td><td><a href=\"Practitioner-example-practitioner-njoroge.html\">Practitioner Sarah Njoroge (official)</a></td></tr></table><p><b>request</b>: <a href=\"MedicationRequest-example-medicationrequest-amina-azithromycin.html\">MedicationRequest: identifier = https://ilm-hie.dha.go.ke/fhir/NamingSystem/prescription-identifier#KenyaPrescriptionIdentifier#RX-2025-OPD-00789; status = active; intent = order; category = Outpatient; priority = routine; medication[x] = Azithromycin 500 mg Oral Tablet; authoredOn = 2025-06-15</a></p><p><b>note</b>: </p><blockquote><div><p>Administered as pre-chemotherapy antibiotic prophylaxis. Patient tolerated infusion well with no adverse reactions.</p>\n</div></blockquote><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Route</b></td><td><b>Method</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://ilm-hie.dha.go.ke/fhir/CodeSystem/med-admin-route-cs INTRAVENOUS-IV}\">Intravenous</span></td><td><span title=\"Codes:{https://ilm-hie.dha.go.ke/fhir/CodeSystem/route-of-administration-cs RT10036}\">Intravenous</span></td><td>500 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "https://ilm-hie.dha.go.ke/fhir/NamingSystem/administration-identifier",
      "value" : "ADM-2025-IPD-00101"
    }
  ],
  "status" : "completed",
  "category" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/medication-admin-category",
        "code" : "inpatient",
        "display" : "Inpatient"
      }
    ]
  },
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "https://ilm-hie.dha.go.ke/fhir/CodeSystem/generic-products-cs",
        "code" : "GE10015",
        "display" : "Azithromycin 500 mg Oral Tablet"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/example-patient-otieno"
  },
  "context" : {
    🔗 "reference" : "Encounter/example-encounter-otieno-inpatient"
  },
  "effectiveDateTime" : "2025-06-11T09:00:00+03:00",
  "performer" : [
    {
      "function" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
            "code" : "performer",
            "display" : "Performer"
          }
        ]
      },
      "actor" : {
        🔗 "reference" : "Practitioner/example-practitioner-njoroge"
      }
    }
  ],
  "request" : {
    🔗 "reference" : "MedicationRequest/example-medicationrequest-amina-azithromycin"
  },
  "note" : [
    {
      "text" : "Administered as pre-chemotherapy antibiotic prophylaxis. Patient tolerated infusion well with no adverse reactions."
    }
  ],
  "dosage" : {
    "route" : {
      "coding" : [
        {
          "system" : "https://ilm-hie.dha.go.ke/fhir/CodeSystem/med-admin-route-cs",
          "code" : "INTRAVENOUS-IV",
          "display" : "Intravenous"
        }
      ]
    },
    "method" : {
      "coding" : [
        {
          "system" : "https://ilm-hie.dha.go.ke/fhir/CodeSystem/route-of-administration-cs",
          "code" : "RT10036",
          "display" : "Intravenous"
        }
      ]
    },
    "dose" : {
      "value" : 500,
      "unit" : "mg",
      "system" : "http://unitsofmeasure.org",
      "code" : "mg"
    }
  }
}