Medicationdispense0320.xml

Dispense for a TPN solution - completed (id = "meddisp0320")

<MedicationDispense xmlns="http://hl7.org/fhir">
    <id value="meddisp0320"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0320</p><p><b>contained</b>: </p><p><b>status</b>: completed</p><p><b>medication</b>: TPN Solution. Generated Summary: id: med0318; </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/medrx0323</a></p><p><b>quantity</b>: 1000 ml<span> (Details: UCUM code ml = 'ml')</span></p><p><b>daysSupply</b>: 1 Day<span> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 16/03/2015 5:13:00 PM</p><p><b>whenHandedOver</b>: 17/03/2015 5:13:00 PM</p><p><b>dosageInstruction</b>: </p></div></text><contained>
        <Medication>
            <id value="med0318"/>
            <isBrand value="false"/>
            <product>
                <form>
                    <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="385221006"/>
                        <display value="Injection emulsion"/>
                    </coding>
                </form>
                <ingredient>
                    <itemCodeableConcept>
                        <coding>
                            <system value="http://hl7.org/fhir/sid/ndc"/>
                            <code value="0338-1134-03"/>
                            <display value="Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"/>
                        </coding>
                    </itemCodeableConcept>
                </ingredient>
                <ingredient>
                    <itemCodeableConcept>
                        <coding>
                            <system value="http://hl7.org/fhir/sid/ndc"/>
                            <code value="0409-5779-01"/>
                            <display value="TPN Electrolytes SODIUM CHLORIDE, CALCIUM CHLORIDE, POTASSIUM CHLORIDE, MAGNESIUM CHLORIDE,
               and SODIUM ACETATE ANHYDROUS | INJECTION, SOLUTION, CONCENTRATE | 321 mg/20mL, 331 mg/20mL,
               1491 mg/20mL, 508 mg/20mL, 2420 mg/20mL"/>
                        </coding>
                    </itemCodeableConcept>
                </ingredient>
                <ingredient>
                    <itemCodeableConcept>
                        <coding>
                            <system value="http://hl7.org/fhir/sid/ndc"/>
                            <code value="0338-0519-02"/>
                            <display value="Intralipid 20% IV Fat Emulsion"/>
                        </coding>
                    </itemCodeableConcept>
                </ingredient>
                <batch>
                    <lotNumber value="123455"/>
                    <expirationDate value="2016-07-09"/>
                </batch>
            </product>
            <package>
                <container>
                    <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="470037004"/>
                        <display value="Intravenous Fluid container, single-use"/>
                    </coding>
                </container>
            </package>
        </Medication>
    </contained>
    <status value="completed"/>
    <medicationReference>
        <reference value="#med0318"/>
        <display value="TPN Solution"/>
    </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/medrx0323"/>
    </authorizingPrescription>
    <quantity>
        <value value="1000"/>
        <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="2015-03-16T17:13:00+05:00"/>
    <whenHandedOver value="2015-03-17T17:13:00+05:00"/>
    <dosageInstruction>
        <sequence value="1"/>
        <text value="1000mL infused at 50ml/hour for 4 hours - hang at 2200 hours"/>
        <timing>
            <event value="2015-01-15T22:00:00+11:00"/>
            <repeat>
                <frequency value="1"/>
                <period value="24"/>
                <periodUnit value="h"/>
            </repeat>
        </timing>
        <route>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="255560000"/>
                <display value="Intravenous"/>
            </coding>
        </route>
        <doseQuantity>
            <value value="1000"/>
            <unit value="mL"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mL"/> 
        </doseQuantity>
        <rateRatio>
            <numerator>
                <value value="50"/>
                <unit value="mL"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mL"/> 
            </numerator>
            <denominator>
                <value value="1"/>
                <unit value="h"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="h"/> 
            </denominator>
        </rateRatio>
    </dosageInstruction>
</MedicationDispense>