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Medication Administration Record

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Digitize medication administration workflows with precision. Extract medication names, dosages, routes, scheduled times, and administration records. Enhance patient safety, reduce medication errors, and support compliance reporting.

medication-administration-record.pdf

Viewer

JSON

facility_name

Sunrise Care Center

facility_npi

1234567890

unit

3 North - Medical/Surgical

record_period

start_date: 2024-03-01, end_date: 2024-03-07

patient_name

Dorothy M. Stevens

patient_dob

1942-08-19

medical_record_number

MRN-2024-77889

room_number

312-A

attending_physician

Dr. Robert Kim, MD

attending_physician_npi

0987654321

allergies

Penicillin, Aspirin

diagnosis

Post-operative hip replacement recovery

diagnosis_icd10

Z96.641

Medications

4 items

medication_name

ndc_code

dose

route

frequency

start_date

prescribing_physician

administrations

end_date

Oxycodone-Acetaminophen 5-325mg

00591-0692-01

1 tablet

Q6H PRN pain

2024-03-01

Dr. Robert Kim

[{"date":"2024-03-01","time":"08:00","given_by":"J. Martinez, RN","initials":"JM"},{"date":"2024-03-01","time":"14:30","given_by":"J. Martinez, RN","initials":"JM"},{"date":"2024-03-01","time":"22:00","given_by":"S. Patel, RN","initials":"SP"}]

Enoxaparin 40mg/0.4mL

00075-6012-01

40mg

Subcutaneous

Daily

2024-03-01

Dr. Robert Kim

[{"date":"2024-03-01","time":"09:00","given_by":"J. Martinez, RN","initials":"JM"},{"date":"2024-03-02","time":"09:00","given_by":"K. Thompson, RN","initials":"KT"}]

Cefazolin 1g IV

00781-3459-95

Q8H

2024-03-01

Dr. Robert Kim

[{"date":"2024-03-01","time":"06:00","given_by":"S. Patel, RN","initials":"SP"},{"date":"2024-03-01","time":"14:00","given_by":"J. Martinez, RN","initials":"JM"},{"date":"2024-03-01","time":"22:00","given_by":"S. Patel, RN","initials":"SP"}]

2024-03-03

Metoprolol Tartrate 25mg

00781-1506-01

25mg

BID

2024-03-01

Dr. Robert Kim

[{"date":"2024-03-01","time":"08:00","given_by":"J. Martinez, RN","initials":"JM"},{"date":"2024-03-01","time":"20:00","given_by":"S. Patel, RN","initials":"SP"}]

Prn_medications_given

1 item

medication

date

time

reason

given_by

effectiveness

Ondansetron 4mg

2024-03-01

10:30

Nausea

J. Martinez, RN

Relief within 30 minutes

Nurse_signature_log

3 items

initials

full_name

license

Jessica Martinez, RN

RN-123456

Sanjay Patel, RN

RN-234567

Karen Thompson, RN

RN-345678

{ "facility_name": "Sunrise Care Center", "facility_npi": "1234567890", "unit": "3 North - Medical/Surgical", "record_period": { "start_date": "2024-03-01", "end_date": "2024-03-07"}, "patient_name": "Dorothy M. Stevens", "patient_dob": "1942-08-19", "medical_record_number": "MRN-2024-77889", "room_number": "312-A", "attending_physician": "Dr. Robert Kim, MD", "attending_physician_npi": "0987654321", "allergies": [ "Penicillin", "Aspirin"], "diagnosis": "Post-operative hip replacement recovery", "diagnosis_icd10": "Z96.641", "medications": [ { "medication_name": "Oxycodone-Acetaminophen 5-325mg", "ndc_code": "00591-0692-01", "dose": "1 tablet", "route": "PO", "frequency": "Q6H PRN pain", "start_date": "2024-03-01", "prescribing_physician": "Dr. Robert Kim", "administrations": [ { "date": "2024-03-01", "time": "08:00", "given_by": "J. Martinez, RN", "initials": "JM"}, { "date": "2024-03-01", "time": "14:30", "given_by": "J. Martinez, RN", "initials": "JM"}, { "date": "2024-03-01", "time": "22:00", "given_by": "S. Patel, RN", "initials": "SP"} ] }, { "medication_name": "Enoxaparin 40mg/0.4mL", "ndc_code": "00075-6012-01", "dose": "40mg", "route": "Subcutaneous", "frequency": "Daily", "start_date": "2024-03-01", "prescribing_physician": "Dr. Robert Kim", "administrations": [ { "date": "2024-03-01", "time": "09:00", "given_by": "J. Martinez, RN", "initials": "JM"}, { "date": "2024-03-02", "time": "09:00", "given_by": "K. Thompson, RN", "initials": "KT"} ] }, { "medication_name": "Cefazolin 1g IV", "ndc_code": "00781-3459-95", "dose": "1g", "route": "IV", "frequency": "Q8H", "start_date": "2024-03-01", "end_date": "2024-03-03", "prescribing_physician": "Dr. Robert Kim", "administrations": [ { "date": "2024-03-01", "time": "06:00", "given_by": "S. Patel, RN", "initials": "SP"}, { "date": "2024-03-01", "time": "14:00", "given_by": "J. Martinez, RN", "initials": "JM"}, { "date": "2024-03-01", "time": "22:00", "given_by": "S. Patel, RN", "initials": "SP"} ] }, { "medication_name": "Metoprolol Tartrate 25mg", "ndc_code": "00781-1506-01", "dose": "25mg", "route": "PO", "frequency": "BID", "start_date": "2024-03-01", "prescribing_physician": "Dr. Robert Kim", "administrations": [ { "date": "2024-03-01", "time": "08:00", "given_by": "J. Martinez, RN", "initials": "JM"}, { "date": "2024-03-01", "time": "20:00", "given_by": "S. Patel, RN", "initials": "SP"} ] } ], "prn_medications_given": [ { "medication": "Ondansetron 4mg", "date": "2024-03-01", "time": "10:30", "reason": "Nausea", "given_by": "J. Martinez, RN", "effectiveness": "Relief within 30 minutes"} ], "nurse_signature_log": [ { "initials": "JM", "full_name": "Jessica Martinez, RN", "license": "RN-123456"}, { "initials": "SP", "full_name": "Sanjay Patel, RN", "license": "RN-234567"}, { "initials": "KT", "full_name": "Karen Thompson, RN", "license": "RN-345678"} ] }

medication-administration-record.pdf

Viewer

JSON

facility_name

Sunrise Care Center

facility_npi

1234567890

unit

3 North - Medical/Surgical

record_period

start_date: 2024-03-01, end_date: 2024-03-07

patient_name

Dorothy M. Stevens

patient_dob

1942-08-19

medical_record_number

MRN-2024-77889

room_number

312-A

attending_physician

Dr. Robert Kim, MD

attending_physician_npi

0987654321

allergies

Penicillin, Aspirin

diagnosis

Post-operative hip replacement recovery

diagnosis_icd10

Z96.641

Medications

4 items

medication_name

ndc_code

dose

route

frequency

start_date

prescribing_physician

administrations

end_date

Oxycodone-Acetaminophen 5-325mg

00591-0692-01

1 tablet

Q6H PRN pain

2024-03-01

Dr. Robert Kim

Enoxaparin 40mg/0.4mL

00075-6012-01

40mg

Subcutaneous

Daily

2024-03-01

Dr. Robert Kim

[{"date":"2024-03-01","time":"09:00","given_by":"J. Martinez, RN","initials":"JM"},{"date":"2024-03-02","time":"09:00","given_by":"K. Thompson, RN","initials":"KT"}]

Cefazolin 1g IV

00781-3459-95

Q8H

2024-03-01

Dr. Robert Kim

2024-03-03

Metoprolol Tartrate 25mg

00781-1506-01

25mg

BID

2024-03-01

Dr. Robert Kim

[{"date":"2024-03-01","time":"08:00","given_by":"J. Martinez, RN","initials":"JM"},{"date":"2024-03-01","time":"20:00","given_by":"S. Patel, RN","initials":"SP"}]

Prn_medications_given

1 item

medication

date

time

reason

given_by

effectiveness

Ondansetron 4mg

2024-03-01

10:30

Nausea

J. Martinez, RN

Relief within 30 minutes

Nurse_signature_log

3 items

initials

full_name

license

Jessica Martinez, RN

RN-123456

Sanjay Patel, RN

RN-234567

Karen Thompson, RN

RN-345678

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DocuPipe captures MARs from nursing stations, pharmacy systems, or scanned documents. Extract medication schedules and administration records, then sync to EHR systems for comprehensive medication reconciliation.

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