Medicationdispense0304.json

Dispense for Intravenous Antibiotic with a Dosage Rate - Piperacillin (NDC code) - completed with a coded site and route of administration and a rate expressed as a ratio

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0304",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: meddisp0304</p><p><b>status</b>: completed</p><p><b>medication</b>: </p><p><b>subject</b>: <a>Donald Duck. Generated Summary: id: pat1; Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male; </a></p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Generated Summary: id: f006; id: 937223645 (OFFICIAL), id: 134IDY41W988 (USUAL); Rob van den Berk (OFFICIAL); ph: 0205569288(WORK), R.A.vandenberk@bmc.nl(WORK), fax: 0205664987(WORK); gender: male; birthDate: 1975-12-07</a></td></tr></table><p><b>authorizingPrescription</b>: <a>Generated Summary: id: medrx0319; id: 12345689 (OFFICIAL); status: completed; intent: order; <span>Piperacillin/Tazobactam 4.5gm</span>; authoredOn: 2015-01-15; <span>Community acquired pneumonia (disorder)</span>; </a></p><p><b>type</b>: <span>First Fill</span></p><p><b>quantity</b>: 250 mL</p><p><b>daysSupply</b>: 1 Day</p><p><b>whenPrepared</b>: 25/06/2015 12:13:00 PM</p><p><b>whenHandedOver</b>: 26/06/2015 12:13:00 PM</p><p><b>dosageInstruction</b>: </p></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0302",
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/ndc",
            "code": "0206-8862-02",
            "display": "Zosyn (piperacillin/tazobactam) 4.5gm injection"
          }
        ]
      }
    }
  ],
  "status": "completed",
  "medication": {
    "reference": {
      "reference": "#med0302",
      "display": "Zosyn (piperacillin/tazobactam) 4.5gm injection"
    }
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f006"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0319"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "FF",
        "display": "First Fill"
      }
    ]
  },
  "quantity": {
    "value": 250,
    "system": "http://unitsofmeasure.org",
    "code": "mL"
  },
  "daysSupply": {
    "value": 1,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenPrepared": "2015-06-25T07:13:00+05:00",
  "whenHandedOver": "2015-06-26T07:13:00+05:00",
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "4.5 grams in D5W 250 ml. IV every 6 hours. Infuse over 30 min at 8L/min",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 6,
          "periodUnit": "h"
        }
      },
      "site": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "255560000",
            "display": "Intravenous route (qualifier value)"
          }
        ]
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "47625008",
            "display": "IV intravascular route that begins within a vein)"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "calculated",
                "display": "Calculated"
              }
            ]
          },
          "doseQuantity": {
            "value": 4.5,
            "system": "http://unitsofmeasure.org",
            "code": "g"
          },
          "rateRatio": {
            "numerator": {
              "value": 8,
              "system": "http://unitsofmeasure.org",
              "code": "ml"
            },
            "denominator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "min"
            }
          }
        }
      ]
    }
  ]
}