Medicationdispense0318.json

Dispense for Levothyroxine (NDC code) in-progress with authorizing prescription

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0318",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: meddisp0318</p><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: in-progress</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><p><b>encounter</b>: <a>Generated Summary: id: f001; id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span>; 140 min; <span>Heart valve replacement</span></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: medrx0314; id: 12345689 (OFFICIAL); status: completed; intent: order; priority: routine; <span>Levothyroxine Sodium 75micrograms tablet (product)</span>; authoredOn: 2015-01-15; <span>Hypothyroidism (disorder)</span>; </a></p><p><b>type</b>: <span>Refill - Part Fill</span></p><p><b>quantity</b>: 100 TAB</p><p><b>daysSupply</b>: 30 Day</p><p><b>whenPrepared</b>: 16/03/2015 11:13:00 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><span>formulary</span></td><td><span>Formulary Policy</span></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></div>"
  },
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/dispenses",
      "value": "12345689"
    }
  ],
  "status": "in-progress",
  "medication": {
    "concept": {
      "coding": [
        {
          "system": "http://hl7.org/fhir/sid/ndc",
          "code": "0378-1800-10",
          "display": "Levothyroxine Sodium Tablets, USP (75mcg)"
        }
      ]
    }
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "encounter": {
    "reference": "Encounter/f001"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f006"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0314"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "RFP",
        "display": "Refill - Part Fill"
      }
    ]
  },
  "quantity": {
    "value": 100,
    "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
    "code": "TAB"
  },
  "daysSupply": {
    "value": 30,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenPrepared": "2015-03-16T17:13:00+05:00",
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "75mcg daily daily",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral Route (qualifier value)"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 75,
            "unit": "mcg",
            "system": "http://unitsofmeasure.org",
            "code": "ug"
          }
        }
      ]
    }
  ],
  "substitution": {
    "wasSubstituted": true,
    "type": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
          "code": "F",
          "display": "formulary"
        }
      ]
    },
    "reason": [
      {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
            "code": "FP",
            "display": "Formulary Policy"
          }
        ]
      }
    ],
    "responsibleParty": {
      "reference": "Practitioner/f006"
    }
  }
}