Medicationdispense0329.json

Dispense for compounded ointment - completed with additionalInstructions as text and a coded site in dosageInstructions

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0329",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: 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: 937223645 (OFFICIAL), id: 134IDY41W988 (USUAL); Rob van den Berk (OFFICIAL); Phone: 0205569288, R.A.vandenberk@bmc.nl, Fax: 0205664987; gender: male; birthDate: 1975-12-07</a></td></tr></table><p><b>authorizingPrescription</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: on-hold; intent: order; authoredOn: 2015-01-15</a></p><p><b>type</b>: <span>Refill - Part Fill</span></p><p><b>quantity</b>: 30 g</p><p><b>daysSupply</b>: 10 Day</p><p><b>whenPrepared</b>: 15 Jan. 2015, 9:20:00 pm</p><p><b>whenHandedOver</b>: 16 Jan. 2015, 3:20:00 am</p><h3>DosageInstructions</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0319",
      "doseForm": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385101003",
            "display": "Ointment"
          }
        ],
        "text": "Ointment"
      },
      "ingredient": [
        {
          "item": {
            "concept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "387253001",
                  "display": "Salicyclic Acid (substance)"
                }
              ]
            }
          },
          "strengthRatio": {
            "numerator": {
              "value": 5,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            },
            "denominator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            }
          }
        },
        {
          "item": {
            "concept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "396458002",
                  "display": "Hydrocortisone (substance)"
                }
              ]
            }
          },
          "strengthRatio": {
            "numerator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            },
            "denominator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            }
          }
        },
        {
          "item": {
            "concept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "126066007",
                  "display": "White Petrolatum (substance)"
                }
              ]
            }
          },
          "strengthRatio": {
            "numerator": {
              "value": 94,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            },
            "denominator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            }
          }
        }
      ]
    }
  ],
  "status": "completed",
  "medication": {
    "reference": {
      "reference": "#med0319"
    }
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f006"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0329"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "RFP",
        "display": "Refill - Part Fill"
      }
    ]
  },
  "quantity": {
    "value": 30,
    "system": "http://unitsofmeasure.org",
    "code": "g"
  },
  "daysSupply": {
    "value": 10,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenPrepared": "2015-01-15T10:20:00Z",
  "whenHandedOver": "2015-01-15T16:20:00Z",
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "Apply twice daily to affected area on left arm",
      "additionalInstruction": [
        {
          "text": "Apply sparingly"
        }
      ],
      "timing": {
        "repeat": {
          "frequency": 2,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "site": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "72098002",
            "display": "Entire left upper arm (body structure)"
          }
        ]
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "359540000",
            "display": "Topical (qualifier value)"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 1,
            "unit": "ea",
            "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
            "code": "OINT"
          }
        }
      ]
    }
  ]
}