Medicationdispense0320.json

Dispense for a TPN solution - completed

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0320",
  "text": {
    "status": "generated",
    "div": "<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; Injection emulsion <span>(Details : {SNOMED CT code '385221006' = 'Injection emulsion', given as 'Injection emulsion'})</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/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 Mar. 2015, 5:13:00 pm</p><p><b>whenHandedOver</b>: 17 Mar. 2015, 5:13:00 pm</p><p><b>dosageInstruction</b>: </p></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0318",
      "doseForm": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385221006",
            "display": "Injection emulsion"
          }
        ]
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0338-1134-03",
                "display": "Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"
              }
            ]
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0409-5779-01",
                "display": "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"
              }
            ]
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0338-0519-02",
                "display": "Intralipid 20% IV Fat Emulsion"
              }
            ]
          }
        }
      ]
    }
  ],
  "status": "completed",
  "medicationReference": {
    "reference": "#med0318",
    "display": "TPN Solution"
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f006"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0323"
    }
  ],
  "quantity": {
    "value": 1000,
    "system": "http://unitsofmeasure.org",
    "code": "ml"
  },
  "daysSupply": {
    "value": 1,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenPrepared": "2015-03-16T17:13:00+05:00",
  "whenHandedOver": "2015-03-17T17:13:00+05:00",
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "1000mL infused at 50ml/hour for 4 hours - hang at 2200 hours",
      "timing": {
        "event": [
          "2015-01-15T22:00:00+11:00"
        ],
        "repeat": {
          "frequency": 1,
          "period": 24,
          "periodUnit": "h"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "255560000",
            "display": "Intravenous"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 1000,
            "unit": "mL",
            "system": "http://unitsofmeasure.org",
            "code": "mL"
          },
          "rateRatio": {
            "numerator": {
              "value": 50,
              "unit": "mL",
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            },
            "denominator": {
              "value": 1,
              "unit": "h",
              "system": "http://unitsofmeasure.org",
              "code": "h"
            }
          }
        }
      ]
    }
  ]
}