Medicationdispense0329.xml

Dispense for compounded ointment - completed with additionalInstructions as text and a coded site in dosageInstructions (id = "meddisp0329")

<MedicationDispense xmlns="http://hl7.org/fhir">
    <id value="meddisp0329"/>
    <text><status value="generated"/><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></text><contained>
        <Medication>
            <id value="med0319"/>
        <isBrand value="false"/>
        <product>
            <form>
                <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="385101003"/>
                    <display value="Ointment"/>
                </coding>
                <text value="Ointment"/>
            </form>
            <ingredient>
                <itemCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="387253001"/>
                        <display value="Salicyclic Acid (substance)"/>
                    </coding>
                </itemCodeableConcept>
                <amount>
                    <numerator>
                        <value value="5"/>
                        <system value="http://unitsofmeasure.org"/>
                        <code value="g"/>
                    </numerator>
                    <denominator>
                        <value value="100"/>
                        <system value="http://unitsofmeasure.org"/>
                        <code value="g"/>
                    </denominator>
                </amount>
            </ingredient>
            <ingredient>
                <itemCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="396458002"/>
                        <display value="Hydrocortisone (substance)"/>
                    </coding>
                </itemCodeableConcept>
                <amount>
                    <numerator>
                        <value value="1"/>
                        <system value="http://unitsofmeasure.org"/>
                        <code value="g"/>
                    </numerator>
                    <denominator>
                        <value value="100"/>
                        <system value="http://unitsofmeasure.org"/>
                        <code value="g"/>
                    </denominator>
                </amount>
            </ingredient>
            <ingredient>
                <itemCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="126066007"/>
                        <display value="White Petrolatum (substance)"/>
                    </coding>
                </itemCodeableConcept>
                <amount>
                    <numerator>
                        <value value="94"/>
                        <system value="http://unitsofmeasure.org"/>
                        <code value="g"/>
                    </numerator>
                    <denominator>
                        <value value="100"/>
                        <system value="http://unitsofmeasure.org"/>
                        <code value="g"/>
                    </denominator>
                </amount>
            </ingredient>
        </product>
        </Medication>
    </contained>
    <status value="completed"/>
    <medicationReference>
        <reference value="#med0319"/>
    </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/medrx0329"/>
    </authorizingPrescription>
    <type>
        <coding>
            <system value="http://hl7.org/fhir/v3/ActPharmacySupplyType"/>
            <code value="PF"/>
            <display value="partial Fill"/>
        </coding>
    </type>
    <quantity>
        <value value="30"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="gm"/>
    </quantity>
    <daysSupply>
        <value value="10"/>
        <unit value="Day"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="d"/>
    </daysSupply>
    <whenPrepared value="2015-01-15T10:20:00Z"/>
    <whenHandedOver value="2015-01-15T16:20:00Z"/>   
    <dosageInstruction>
        <text value="Apply twice daily to affected area on left arm"/>
        <additionalInstructions>
            <text value="Apply sparingly"/>
        </additionalInstructions>
        <timing>
            <repeat>
                <frequency value="2"/>
                <period value="1"/>
                <periodUnit value="d"/>
            </repeat>
        </timing>
        <siteCodeableConcept>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="72098002"/>
                <display value="Entire left upper arm (body structure)"/>
            </coding>
        </siteCodeableConcept>
        <route>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="359540000"/>
                <display value="Topical (qualifier value)"/>
            </coding>
        </route>
        <doseQuantity>
            <value value="1"/>
            <unit value="ea"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="ea"/>
        </doseQuantity>
    </dosageInstruction>
</MedicationDispense>