Medicationdispense0302.xml

Dispense for Subcutaneous injection with multiple dosage lines - Insulin - Novolog (NDC Code) - active - includes Destination, Receiver, note. DosageInstruction includes additionalInstructions as text (id = "meddisp0302")

<MedicationDispense xmlns="http://hl7.org/fhir">
    <id value="meddisp0302"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0302</p><p><b>contained</b>: </p><p><b>status</b>: in-progress</p><p><b>medication</b>: Novolog 100u/ml. Generated Summary: id: med0360; Novolog 100u/ml <span>(Details : {http://hl7.org/fhir/sid/ndc code '0169-7501-11' = '0169-7501-11', given as
           'Novolog 100u/ml'})</span>; isBrand</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>MedicationRequest/medrx0321</a></p><p><b>type</b>: partial Fill <span>(Details : {http://hl7.org/fhir/v3/ActPharmacySupplyType code 'PF' = 'PF', given as 'partial
           Fill'})</span></p><p><b>quantity</b>: 10 ml<span> (Details: UCUM code ml = 'ml')</span></p><p><b>daysSupply</b>: 30 Day<span> (Details: UCUM 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><p><b>dosageInstruction</b>: , , </p></div></text><contained>
        <Medication>
            <id value="med0360"/>
        <code>
            <coding>
                <system value="http://hl7.org/fhir/sid/ndc"/>
                <code value="0169-7501-11"/>
                <display value="Novolog 100u/ml"/>
            </coding>
        </code>
        <isBrand value="true"/>
        <product>
            <form>
                <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="385219001"/>
                    <display value="Injection solution (qualifier value)"/>
                </coding>
            </form>
            <ingredient>
                <itemCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="325072002"/>
                        <display value="Insulin Aspart (substance)"/>
                    </coding>
                </itemCodeableConcept>
                <amount>
                    <numerator>
                        <value value="100"/>
                        <system value="http://unitsofmeasure.org"/>
                        <code value="U"/>
                    </numerator>
                    <denominator>
                        <value value="1"/>
                        <system value="http://unitsofmeasure.org"/>
                        <code value="mL"/>
                    </denominator>
                </amount>
            </ingredient>
            <batch>
                <lotNumber value="12345"/>
                <expirationDate value="2019-10-31"/>
            </batch>
        </product>
        <package>
            <container>
                <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="415818006"/>
                    <display value="Vial"/>
                </coding>
            </container>
            <content>
                <itemCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="325072002"/>
                        <display value="Insulin Aspart (substance)"/>
                    </coding>
                </itemCodeableConcept>
                <amount>
                    <value value="10"/>
                    <system value="http://unitsofmeasure.org"/>
                    <code value="mL"/>
                </amount>
            </content>
        </package>
        </Medication>
    </contained>
    <status value="in-progress"/>
    <medicationReference>      
        <reference value="#med0360"/>
        <display value="Novolog 100u/ml"/>
    </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="MedicationRequest/medrx0321"/>
    </authorizingPrescription>
    <type>
        <coding>
            <system value="http://hl7.org/fhir/v3/ActPharmacySupplyType"/>
            <code value="PF"/>
            <display value="partial Fill"/>
        </coding>
    </type>
    <quantity>
        <value value="10"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="ml"/>
    </quantity>
    <daysSupply>
        <value value="30"/>
        <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>
        <sequence value="1"/>
        <text value="Before Breakfast"/>
        <additionalInstructions>
            <text value="Check sugar level before taking Novolog"/>
        </additionalInstructions>
        <timing>
            <repeat>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="d"/>
            </repeat>
        </timing>
        <doseQuantity>
            <value value="10"/>
            <unit value="U"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="U"/>
        </doseQuantity>
    </dosageInstruction>
    <dosageInstruction>
        <sequence value="1"/>
        <text value="15 units before lunch"/>
        <additionalInstructions>
            <text value="Check sugar level before taking Novolog"/>
        </additionalInstructions>
        <timing>
            <repeat>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="d"/>
            </repeat>
        </timing>
        <doseQuantity>
            <value value="15"/>
            <unit value="U"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="U"/>
        </doseQuantity>
    </dosageInstruction>
    <dosageInstruction>
        <sequence value="1"/>
        <text value="20 units before dinner"/>
        <additionalInstructions>
            <text value="Check sugar level before taking Novolog"/>
        </additionalInstructions>
        <timing>
            <repeat>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="d"/>
            </repeat>
        </timing>
        <doseQuantity>
            <value value="20"/>
            <unit value="U"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="U"/>
        </doseQuantity>
    </dosageInstruction>
</MedicationDispense>