Medicationdispense0304.xml

Dispense for Intravenous Antibiotic with a Dosage Rate - Piperacillin (NDC code) - completed with a coded site and route of administration and a rate expressed as a ratio (id = "meddisp0304")

<MedicationDispense xmlns="http://hl7.org/fhir">
    <id value="meddisp0304"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0304</p><p><b>contained</b>: </p><p><b>status</b>: completed</p><p><b>medication</b>: Zosyn (piperacillin/tazobactam) 4.5gm injection. Generated Summary: id: med0302; Zosyn
         (piperacillin/tazobactam) 4.5gm injection <span>(Details : {http://hl7.org/fhir/sid/ndc code '0206-8862-02' = '??', given as 'Zosyn (piperacillin/ta
          zobactam) 4.5gm injection'})</span></p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>dispenser</b>: <a>Rob van den Berk</a></p><p><b>authorizingPrescription</b>: <a>MedicationOrder/medrx0319</a></p><p><b>type</b>: First Fill <span>(Details : {http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType code 'FF' = '??', given
           as 'First Fill'})</span></p><p><b>quantity</b>: 250 mL<span> (Details: http://unitsofmeasure.org code mL = 'mL')</span></p><p><b>daysSupply</b>: 1 Day<span> (Details: http://unitsofmeasure.org code d = 'd')</span></p><p><b>whenPrepared</b>: 25/06/2015 7:13:00 AM</p><p><b>whenHandedOver</b>: 26/06/2015 7:13:00 AM</p><h3>DosageInstructions</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>Timing</b></td><td><b>Site[x]</b></td><td><b>Route</b></td><td><b>Dose[x]</b></td><td><b>Rate[x]</b></td></tr><tr><td>*</td><td>4.5 grams in D5W 250 ml. IV every 6 hours. Infuse over 30 min at 8L/min</td><td>Do Once per 6 hours</td><td>Intravenous route (qualifier value) <span>(Details : {SNOMED CT code '255560000' = 'Intravenous (qualifier value)', given as 'Intravenous
               route (qualifier value)'})</span></td><td>IV intravascular route that begins within a vein) <span>(Details : {SNOMED CT code '47625008' = 'Intravenous route (qualifier value)', given as
               'IV intravascular route that begins within a vein)'})</span></td><td>4.5 g<span> (Details: http://unitsofmeasure.org code g = 'g')</span></td><td>8 ml<span> (Details: http://unitsofmeasure.org code ml = 'ml')</span>/1 min<span> (Details: http://unitsofmeasure.org code min = 'min')</span></td></tr></table></div></text><contained>
        <Medication>
            <id value="med0302"/>
            <code>
                <coding>
                    <system value="http://hl7.org/fhir/sid/ndc"/>
                    <code value="0206-8862-02"/>
                    <display value="Zosyn (piperacillin/tazobactam) 4.5gm injection"/>
                </coding>
            </code>
        </Medication>
    </contained>
    <status value="completed"/>
    <medicationReference>
        <!--    Linked to a RESOURCE Medication    -->
        <reference value="#med0302"/>
        <display value="Zosyn (piperacillin/tazobactam) 4.5gm injection"/>
    </medicationReference>
    <patient>
        <reference value="Patient/pat1"/>
        <display value="Donald Duck"/> 
    </patient>
    <dispenser>
        <reference value="Practitioner/f006"/>
        <display value="Rob van den Berk"/>
    </dispenser>
    <authorizingPrescription>
        <reference value="MedicationOrder/medrx0319"/>
    </authorizingPrescription>
    <type>
        <coding>
            <system value="http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType"/>
            <code value="FF"/>
            <display value="First Fill"/>
        </coding>
    </type>
    <quantity>
        <value value="250"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mL"/>
    </quantity>
    <daysSupply>
        <value value="1"/>
        <unit value="Day"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="d"/>
    </daysSupply>
    <whenPrepared value="2015-06-25T07:13:00+05:00"/>
    <whenHandedOver value="2015-06-26T07:13:00+05:00"/>
    <dosageInstruction>
        <text value="4.5 grams in D5W 250 ml. IV every 6 hours. Infuse over 30 min at 8L/min"/>
        <timing>
            <repeat>
                <frequency value="1"/>
                <period value="6"/>
                <periodUnit value="h"/>  
            </repeat>
        </timing>
        <siteCodeableConcept>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="255560000"/>
                <display value="Intravenous route (qualifier value)"/>
            </coding>
        </siteCodeableConcept>
        <route>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="47625008"/>
                <display value="IV intravascular route that begins within a vein)"/>
            </coding>
        </route>
        <doseQuantity>
            <value value="4.5"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="g"/>
        </doseQuantity>
        <rateRatio>
            <numerator>
                <value value="8"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="ml"/>
            </numerator>
            <denominator>
                <value value="1"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="min"/>
            </denominator>
        </rateRatio>
    </dosageInstruction>
</MedicationDispense>