R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationdispense0306.json

Pharmacy Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Patient, Practitioner

Raw JSON (canonical form)

Dispense for Intravenous Chemotherapy (inpatient order) - Alemtuzumab (RxNorm Code) - completed with multiple dosageInstruction lines

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0306",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0306</p><p><b>contained</b>: </p><p><b>status</b>: in-progress</p><p><b>medication</b>: Alemtuzumab 10mg/ml (Lemtrada). Generated Summary: id: med0303; Alemtuzumab 10mg/ml (Lemtrada) <span>(Details : {RxNorm code '1594660' = 'alemtuzumab 10 MG/ML [Lemtrada]', given as 'Alemtuzumab 10mg/ml (Lemtrada)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Practitioner/f006</a></td></tr></table><p><b>authorizingPrescription</b>: <a>MedicationRequest/medrx0317</a></p><p><b>type</b>: Daily Fill <span>(Details : {http://hl7.org/fhir/v3/ActCode code 'DF' = 'Daily Fill', given as 'Daily Fill'})</span></p><p><b>quantity</b>: 5 415818006<span> (Details: SNOMED CT code 415818006 = 'Vial')</span></p><p><b>daysSupply</b>: 7 Day<span> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 15/01/2015 10:20:00 AM</p><p><b>dosageInstruction</b>: , , </p></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0303",
      "code": {
        "coding": [
          {
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code": "1594660",
            "display": "Alemtuzumab 10mg/ml (Lemtrada)"
          }
        ]
      }
    }
  ],
  "status": "in-progress",
  "medicationReference": {
    "reference": "#med0303",
    "display": "Alemtuzumab 10mg/ml (Lemtrada)"
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f006"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0317"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "code": "DF",
        "display": "Daily Fill"
      }
    ]
  },
  "quantity": {
    "value": 5,
    "system": "http://snomed.info/sct",
    "code": "415818006"
  },
  "daysSupply": {
    "value": 7,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenPrepared": "2015-01-15T10:20:00Z",
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk",
      "additionalInstruction": [
        {
          "text": "Rapidly increase dose until tolerated"
        },
        {
          "text": "Administer on alternate days"
        }
      ],
      "timing": {
        "repeat": {
          "duration": 12,
          "durationUnit": "wk",
          "frequency": 3,
          "period": 1,
          "periodUnit": "wk"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "47625008",
            "display": "Intravenous route (qualifier value)"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "422145002",
            "display": "Inject - dosing instruction imperative (qualifier value)"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/dose-rate-type",
                "code": "calculated",
                "display": "Calculated"
              }
            ]
          },
          "doseQuantity": {
            "value": 3,
            "unit": "mg",
            "system": "http://unitsofmeasure.org",
            "code": "mg"
          }
        }
      ]
    },
    {
      "sequence": 2,
      "text": "Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk",
      "additionalInstruction": [
        {
          "text": "Rapidly increase dose until tolerated"
        },
        {
          "text": "Administer on alternate days"
        }
      ],
      "timing": {
        "repeat": {
          "duration": 12,
          "durationUnit": "wk",
          "frequency": 3,
          "period": 1,
          "periodUnit": "wk"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "47625008",
            "display": "Intravenous route (qualifier value)"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "422145002",
            "display": "Inject - dosing instruction imperative (qualifier value)"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/dose-rate-type",
                "code": "calculated",
                "display": "Calculated"
              }
            ]
          },
          "doseQuantity": {
            "value": 10,
            "unit": "mg",
            "system": "http://unitsofmeasure.org",
            "code": "mg"
          }
        }
      ]
    },
    {
      "sequence": 3,
      "text": "Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk",
      "additionalInstruction": [
        {
          "text": "Rapidly increase dose until tolerated"
        },
        {
          "text": "Administer on alternate days"
        }
      ],
      "timing": {
        "repeat": {
          "duration": 12,
          "durationUnit": "wk",
          "frequency": 3,
          "period": 1,
          "periodUnit": "wk"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "47625008",
            "display": "Intravenous route (qualifier value)"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "422145002",
            "display": "Inject - dosing instruction imperative (qualifier value)"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/dose-rate-type",
                "code": "calculated",
                "display": "Calculated"
              }
            ]
          },
          "doseQuantity": {
            "value": 30,
            "unit": "mg",
            "system": "http://unitsofmeasure.org",
            "code": "mg"
          }
        }
      ]
    }
  ]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.