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Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
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Dispense for Subcutaneous injection with multiple dosage lines - Insulin - Novolog (NDC Code) - active - includes Destination, Receiver, note. Dosage includes additionalInstructions as text
{ "resourceType": "MedicationDispense", "id": "meddisp0302", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"meddisp0302\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationDispense "meddisp0302" </p></div><p><b>status</b>: in-progress</p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a name=\"med0360\"> </a><blockquote><p/><p><a name=\"med0360\"> </a></p><p><b>code</b>: Novolog 100u/ml <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0169-7501-11)</span></p><p><b>doseForm</b>: Injection solution (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385219001)</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Insulin Aspart (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#325072002)</span></td></tr></table><p><b>strength</b>: 100 U<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code U = 'U')</span>/1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p></blockquote><h3>Batches</h3><table class=\"grid\"><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>12345</td><td>2019-10-31</td></tr></table></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td>Final Checker <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-medicationdispense-performer-function.html\">MedicationDispense Performer Function Codes</a>#finalchecker)</span></td><td><a href=\"practitioner-example-f006-rvdb.html\">Practitioner/f006</a> "Rob VAN DEN BERK"</td></tr></table><p><b>authorizingPrescription</b>: <a href=\"medicationrequest0321.html\">MedicationRequest/medrx0321</a></p><p><b>type</b>: Refill - Part Fill <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActCode.html\">ActCode</a>#RFP)</span></p><p><b>quantity</b>: 10 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code ml = 'ml')</span></p><p><b>daysSupply</b>: 30 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2015-01-15T10:20:00Z</p><p><b>whenHandedOver</b>: 2015-01-15T16:20:00Z</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Before Breakfast</p><p><b>additionalInstruction</b>: Check sugar level before taking Novolog <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Do Once per 1 days</p></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 15 units before lunch</p><p><b>additionalInstruction</b>: Check sugar level before taking Novolog <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Do Once per 1 days</p></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 20 units before dinner</p><p><b>additionalInstruction</b>: Check sugar level before taking Novolog <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Do Once per 1 days</p></blockquote></div>" }, "contained": [ { "resourceType": "Medication", "id": "med0360", "code": { "coding": [ { "system": "http://hl7.org/fhir/sid/ndc", "code": "0169-7501-11", "display": "Novolog 100u/ml" } ] }, "doseForm": { "coding": [ { "system": "http://snomed.info/sct", "code": "385219001", "display": "Injection solution (qualifier value)" } ] }, "ingredient": [ { "item": { "concept": { "coding": [ { "system": "http://snomed.info/sct", "code": "325072002", "display": "Insulin Aspart (substance)" } ] } }, "strengthRatio": { "numerator": { "value": 100, "system": "http://unitsofmeasure.org", "code": "U" }, "denominator": { "value": 1, "system": "http://unitsofmeasure.org", "code": "mL" } } } ], "batch": { "lotNumber": "12345", "expirationDate": "2019-10-31" } } ], "status": "in-progress", "medication": { "reference": { "reference": "#med0360", "display": "Novolog 100u/ml" } }, "subject": { "reference": "Patient/pat1", "display": "Donald Duck" }, "performer": [ { "function": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function", "code": "finalchecker", "display": "Final Checker" } ] }, "actor": { "reference": "Practitioner/f006" } } ], "authorizingPrescription": [ { "reference": "MedicationRequest/medrx0321" } ], "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "RFP", "display": "Refill - Part Fill" } ] }, "quantity": { "value": 10, "system": "http://unitsofmeasure.org", "code": "ml" }, "daysSupply": { "value": 30, "unit": "Day", "system": "http://unitsofmeasure.org", "code": "d" }, "whenPrepared": "2015-01-15T10:20:00Z", "whenHandedOver": "2015-01-15T16:20:00Z", "dosageInstruction": [ { "sequence": 1, "text": "Before Breakfast", "additionalInstruction": [ { "text": "Check sugar level before taking Novolog" } ], "timing": { "repeat": { "frequency": 1, "period": 1, "periodUnit": "d" } }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 10, "unit": "U", "system": "http://unitsofmeasure.org", "code": "U" } } ] }, { "sequence": 1, "text": "15 units before lunch", "additionalInstruction": [ { "text": "Check sugar level before taking Novolog" } ], "timing": { "repeat": { "frequency": 1, "period": 1, "periodUnit": "d" } }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 15, "unit": "U", "system": "http://unitsofmeasure.org", "code": "U" } } ] }, { "sequence": 1, "text": "20 units before dinner", "additionalInstruction": [ { "text": "Check sugar level before taking Novolog" } ], "timing": { "repeat": { "frequency": 1, "period": 1, "periodUnit": "d" } }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 20, "unit": "U", "system": "http://unitsofmeasure.org", "code": "U" } } ] } ] }
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.