This page is part of the FHIR Specification (v3.5.0: 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
Pharmacy Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Patient, Practitioner |
Raw XML (canonical form + also see XML Format Specification)
Dispense for Levothyroxine (NDC code) in-progress with authorizing prescription (id = "meddisp0318")
<?xml version="1.0" encoding="UTF-8"?> <MedicationDispense xmlns="http://hl7.org/fhir"> <id value="meddisp0318"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : meddisp0318</p> <p> <b> identifier</b> : 12345689 (OFFICIAL)</p> <p> <b> status</b> : in-progress</p> <p> <b> medication</b> : Levothyroxine Sodium Tablets, USP (75mcg) <span> (Details : {http://hl7.org/fhir/sid/ndc code '0378-1805-01' = '0378-1805-01', given as 'Levothyroxine Sodium Tablets, USP (75mcg)'})</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/medrx0314</a> </p> <p> <b> type</b> : Refill - Part Fill <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ActCode code 'RFP' = 'Refill - Part Fill', given as 'Refill - Part Fill'})</span> </p> <p> <b> quantity</b> : 100 TAB<span> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span> </p> <p> <b> daysSupply</b> : 30 Day<span> (Details: UCUM code d = 'd')</span> </p> <p> <b> whenPrepared</b> : 16/03/2015 5:13:00 PM</p> <p> <b> dosageInstruction</b> : </p> <h3> Substitutions</h3> <table> <tr> <td> -</td> <td> <b> WasSubstituted</b> </td> <td> <b> Type</b> </td> <td> <b> Reason</b> </td> <td> <b> ResponsibleParty</b> </td> </tr> <tr> <td> *</td> <td> true</td> <td> formulary <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution code 'F' = 'formulary', given as 'formulary'})</span> </td> <td> Formulary Policy <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'Formulary Policy'})</span> </td> <td> <a> Practitioner/f006</a> </td> </tr> </table> </div> </text> <identifier> <use value="official"/> <system value="http://www.bmc.nl/portal/dispenses"/> <value value="12345689"/> </identifier> <status value="in-progress"/> <medicationCodeableConcept> <coding> <system value="http://hl7.org/fhir/sid/ndc"/> <code value="0378-1805-01"/> <display value="Levothyroxine Sodium Tablets, USP (75mcg)"/> </coding> </medicationCodeableConcept> <subject> <reference value="Patient/pat1"/> <display value="Donald Duck"/> </subject> <performer> <actor> <reference value="Practitioner/f006"/> </actor> </performer> <authorizingPrescription> <reference value="MedicationRequest/medrx0314"/> </authorizingPrescription> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="RFP"/> <display value="Refill - Part Fill"/> </coding> </type> <quantity> <value value="100"/> <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> <code value="TAB"/> </quantity> <daysSupply> <value value="30"/> <unit value="Day"/> <system value="http://unitsofmeasure.org"/> <code value="d"/> </daysSupply> <whenPrepared value="2015-03-16T17:13:00+05:00"/> <dosageInstruction> <sequence value="1"/> <text value="75mcg daily daily"/> <timing> <repeat> <frequency value="1"/> <period value="1"/> <periodUnit value="d"/> </repeat> </timing> <route> <coding> <system value="http://snomed.info/sct"/> <code value="26643006"/> <display value="Oral Route (qualifier value)"/> </coding> </route> <doseAndRate> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> <code value="ordered"/> <display value="Ordered"/> </coding> </type> <doseQuantity> <value value="75"/> <unit value="mcg"/> <system value="http://unitsofmeasure.org"/> <code value="mcg"/> </doseQuantity> </doseAndRate> </dosageInstruction> <substitution> <wasSubstituted value="true"/> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/> <code value="F"/> <display value="formulary"/> </coding> </type> <reason> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="FP"/> <display value="Formulary Policy"/> </coding> </reason> <responsibleParty> <reference value="Practitioner/f006"/> </responsibleParty> </substitution> </MedicationDispense>
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.