Medicationdispense0329.json

Dispense for compounded ointment - completed with additionalInstructions as text and a coded site in dosageInstructions

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0329",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0329</p><p><b>contained</b>: </p><p><b>status</b>: completed</p><p><b>medication</b>: id: med0319; </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/medrx0329</a></p><p><b>type</b>: partial Fill <span>(Details : {http://hl7.org/fhir/v3/ActPharmacySupplyType code 'PF' = '??', given as 'partial Fill'})</span></p><p><b>quantity</b>: 30 gm<span> (Details: http://unitsofmeasure.org code gm = 'gm')</span></p><p><b>daysSupply</b>: 10 Day<span> (Details: http://unitsofmeasure.org code d = 'd')</span></p><p><b>whenPrepared</b>: 15/01/2015 9:20:00 PM</p><p><b>whenHandedOver</b>: 16/01/2015 3:20:00 AM</p><h3>DosageInstructions</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>AdditionalInstructions</b></td><td><b>Timing</b></td><td><b>Site[x]</b></td><td><b>Route</b></td><td><b>Dose[x]</b></td></tr><tr><td>*</td><td>Apply twice daily to affected area on left arm</td><td>Apply sparingly <span>(Details )</span></td><td>Do 2 per 1 days</td><td>Entire left upper arm (body structure) <span>(Details : {SNOMED CT code '72098002' = 'Entire left upper arm (body structure)', given as 'Entire left upper arm (body structure)'})</span></td><td>Topical (qualifier value) <span>(Details : {SNOMED CT code '359540000' = 'Topical', given as 'Topical (qualifier value)'})</span></td><td>1 ea<span> (Details: http://unitsofmeasure.org code ea = 'ea')</span></td></tr></table></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0319",
      "isBrand": false,
      "product": {
        "form": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "385101003",
              "display": "Ointment"
            }
          ],
          "text": "Ointment"
        },
        "ingredient": [
          {
            "itemCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "387253001",
                  "display": "Salicyclic Acid (substance)"
                }
              ]
            },
            "amount": {
              "numerator": {
                "value": 5,
                "system": "http://unitsofmeasure.org",
                "code": "g"
              },
              "denominator": {
                "value": 100,
                "system": "http://unitsofmeasure.org",
                "code": "g"
              }
            }
          },
          {
            "itemCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "396458002",
                  "display": "Hydrocortisone (substance)"
                }
              ]
            },
            "amount": {
              "numerator": {
                "value": 1,
                "system": "http://unitsofmeasure.org",
                "code": "g"
              },
              "denominator": {
                "value": 100,
                "system": "http://unitsofmeasure.org",
                "code": "g"
              }
            }
          },
          {
            "itemCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "126066007",
                  "display": "White Petrolatum (substance)"
                }
              ]
            },
            "amount": {
              "numerator": {
                "value": 94,
                "system": "http://unitsofmeasure.org",
                "code": "g"
              },
              "denominator": {
                "value": 100,
                "system": "http://unitsofmeasure.org",
                "code": "g"
              }
            }
          }
        ]
      }
    }
  ],
  "status": "completed",
  "medicationReference": {
    "reference": "#med0319"
  },
  "patient": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "dispenser": {
    "reference": "Practitioner/f006",
    "display": "Rob van den Berk"
  },
  "authorizingPrescription": [
    {
      "reference": "MedicationOrder/medrx0329"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/v3/ActPharmacySupplyType",
        "code": "PF",
        "display": "partial Fill"
      }
    ]
  },
  "quantity": {
    "value": 30,
    "system": "http://unitsofmeasure.org",
    "code": "gm"
  },
  "daysSupply": {
    "value": 10,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenPrepared": "2015-01-15T10:20:00Z",
  "whenHandedOver": "2015-01-15T16:20:00Z",
  "dosageInstruction": [
    {
      "text": "Apply twice daily to affected area on left arm",
      "additionalInstructions": [
        {
          "text": "Apply sparingly"
        }
      ],
      "timing": {
        "repeat": {
          "frequency": 2,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "siteCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "72098002",
            "display": "Entire left upper arm (body structure)"
          }
        ]
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "359540000",
            "display": "Topical (qualifier value)"
          }
        ]
      },
      "doseQuantity": {
        "value": 1,
        "unit": "ea",
        "system": "http://unitsofmeasure.org",
        "code": "ea"
      }
    }
  ]
}