This page is part of the FHIR Specification (v4.2.0: R5 Preview #1). 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 | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
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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://terminology.hl7.org/CodeSystem/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 Jan. 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://terminology.hl7.org/CodeSystem/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://terminology.hl7.org/CodeSystem/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://terminology.hl7.org/CodeSystem/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://terminology.hl7.org/CodeSystem/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.