Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Example MedicationDispense/meddisp0302 (XML)

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: 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 (id = "meddisp0302")

<?xml version="1.0" encoding="UTF-8"?>

<MedicationDispense xmlns="http://hl7.org/fhir">
    <id value="meddisp0302"/> 
    <text> <status value="generated"/> <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 &quot;meddisp0302&quot; </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>  &quot;Donald DUCK&quot;</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>  &quot;Rob VAN DEN BERK&quot;</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> </text> <contained> 
        <Medication> 
            <id value="med0360"/> 
           <code> 
            <coding> 
                <system value="http://hl7.org/fhir/sid/ndc"/> 
                <code value="0169-7501-11"/> 
                <display value="Novolog 100u/ml"/> 
            </coding> 
        </code> 
            <doseForm> 
                <coding> 
                    <system value="http://snomed.info/sct"/> 
                    <code value="385219001"/> 
                    <display value="Injection solution (qualifier value)"/> 
                </coding> 
            </doseForm> 
            <ingredient> 
                <item> 
                    <concept> 
                        <coding> 
                            <system value="http://snomed.info/sct"/> 
                            <code value="325072002"/> 
                            <display value="Insulin Aspart (substance)"/> 
                        </coding> 
                    </concept> 
                </item> 
               
                <strengthRatio> 
                    <numerator> 
                        <value value="100"/> 
                        <system value="http://unitsofmeasure.org"/> 
                        <code value="U"/> 
                    </numerator> 
                    <denominator> 
                        <value value="1"/> 
                        <system value="http://unitsofmeasure.org"/> 
                        <code value="mL"/> 
                    </denominator> 
                </strengthRatio> 
            </ingredient> 
            <batch> 
                <lotNumber value="12345"/> 
                <expirationDate value="2019-10-31"/> 
            </batch>    
        </Medication> 
    </contained> 
    <status value="in-progress"/> 
<medication> 
    <reference> 
        <reference value="#med0360"/> 
        <display value="Novolog 100u/ml"/> 
    </reference> 
</medication> 
    <subject> 
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/> 
    </subject> 
    <performer> 
        <function> 
            <coding> 
                <system value="http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function"/> 
                <code value="finalchecker"/> 
                <display value="Final Checker"/> 
            </coding> 
        </function> 
        <actor> 
            <reference value="Practitioner/f006"/> 
        </actor> 
    </performer> 
    <authorizingPrescription> 
        <reference value="MedicationRequest/medrx0321"/> 
    </authorizingPrescription> 
    <type> 
        <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
            <code value="RFP"/> 
            <display value="Refill - Part Fill"/> 
        </coding> 
    </type> 
    <quantity> 
        <value value="10"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="ml"/> 
    </quantity> 
    <daysSupply> 
        <value value="30"/> 
        <unit value="Day"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="d"/> 
    </daysSupply> 
    <whenPrepared value="2015-01-15T10:20:00Z"/> 
    <whenHandedOver value="2015-01-15T16:20:00Z"/> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="Before Breakfast"/> 
        <additionalInstruction> 
            <text value="Check sugar level before taking Novolog"/> 
        </additionalInstruction> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                </coding> 
            </type> 
            <doseQuantity> 
                <value value="10"/> 
                <unit value="U"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="U"/> 
            </doseQuantity> 
        </doseAndRate> 
    </dosageInstruction> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="15 units before lunch"/> 
        <additionalInstruction> 
            <text value="Check sugar level before taking Novolog"/> 
        </additionalInstruction> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
        <doseAndRate> 
            <type> 
                    <coding> 
                        <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                        <code value="ordered"/> 
                        <display value="Ordered"/> 
                    </coding>  
            </type> 
            <doseQuantity> 
                <value value="15"/> 
                <unit value="U"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="U"/> 
            </doseQuantity> 
        </doseAndRate> 
    </dosageInstruction> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="20 units before dinner"/> 
        <additionalInstruction> 
            <text value="Check sugar level before taking Novolog"/> 
        </additionalInstruction> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                </coding>  
            </type> 
            <doseQuantity> 
                <value value="20"/> 
                <unit value="U"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="U"/> 
            </doseQuantity> 
        </doseAndRate> 
    </dosageInstruction> 
</MedicationDispense>

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.