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
Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
Dispense with future dated event and bounds period
{ "resourceType": "MedicationDispense", "id": "meddisp0332", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"meddisp0332\"> </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 "meddisp0332" </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=\"med0318\"> </a><blockquote><p/><p><a name=\"med0318\"> </a></p><p><b>doseForm</b>: Injection emulsion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385221006)</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>Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml <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>#0338-1134-03)</span></td></tr></table></blockquote><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>TPN Electrolytes SODIUM CHLORIDE, CALCIUM CHLORIDE, POTASSIUM CHLORIDE, MAGNESIUM CHLORIDE, and SODIUM ACETATE ANHYDROUS | INJECTION, SOLUTION, CONCENTRATE | 321 mg/20mL, 331 mg/20mL, 1491 mg/20mL, 508 mg/20mL, 2420 mg/20mL <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>#0409-5779-01)</span></td></tr></table></blockquote><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>Intralipid 20% IV Fat Emulsion <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>#0338-0519-02)</span></td></tr></table></blockquote></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>Actor</b></td></tr><tr><td>*</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=\"medicationrequest0323.html\">MedicationRequest/medrx0323</a></p><p><b>quantity</b>: 1000 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code ml = 'ml')</span></p><p><b>daysSupply</b>: 1 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 1000mL infused at 50ml/hour for 4 hours - hang at 2200 hours</p><p><b>timing</b>: Events: 2020-01-15T22:00:00+11:00, Starting 2020-01-15, Do Once per 24 hours, Until 2020-01-20</p><p><b>route</b>: Intravenous <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255560000)</span></p></blockquote></div>" }, "contained": [ { "resourceType": "Medication", "id": "med0318", "doseForm": { "coding": [ { "system": "http://snomed.info/sct", "code": "385221006", "display": "Injection emulsion" } ] }, "ingredient": [ { "item": { "concept": { "coding": [ { "system": "http://hl7.org/fhir/sid/ndc", "code": "0338-1134-03", "display": "Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml" } ] } } }, { "item": { "concept": { "coding": [ { "system": "http://hl7.org/fhir/sid/ndc", "code": "0409-5779-01", "display": "TPN Electrolytes SODIUM CHLORIDE, CALCIUM CHLORIDE, POTASSIUM CHLORIDE, MAGNESIUM CHLORIDE, and SODIUM ACETATE ANHYDROUS | INJECTION, SOLUTION, CONCENTRATE | 321 mg/20mL, 331 mg/20mL, 1491 mg/20mL, 508 mg/20mL, 2420 mg/20mL" } ] } } }, { "item": { "concept": { "coding": [ { "system": "http://hl7.org/fhir/sid/ndc", "code": "0338-0519-02", "display": "Intralipid 20% IV Fat Emulsion" } ] } } } ] } ], "status": "in-progress", "medication": { "reference": { "reference": "#med0318", "display": "TPN Solution" } }, "subject": { "reference": "Patient/pat1", "display": "Donald Duck" }, "performer": [ { "actor": { "reference": "Practitioner/f006" } } ], "authorizingPrescription": [ { "reference": "MedicationRequest/medrx0323" } ], "quantity": { "value": 1000, "system": "http://unitsofmeasure.org", "code": "ml" }, "daysSupply": { "value": 1, "unit": "Day", "system": "http://unitsofmeasure.org", "code": "d" }, "dosageInstruction": [ { "sequence": 1, "text": "1000mL infused at 50ml/hour for 4 hours - hang at 2200 hours", "timing": { "event": [ "2020-01-15T22:00:00+11:00" ], "repeat": { "boundsPeriod": { "start": "2020-01-15", "end": "2020-01-20" }, "frequency": 1, "period": 24, "periodUnit": "h" } }, "route": { "coding": [ { "system": "http://snomed.info/sct", "code": "255560000", "display": "Intravenous" } ] }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 1000, "unit": "mL", "system": "http://unitsofmeasure.org", "code": "mL" }, "rateRatio": { "numerator": { "value": 50, "unit": "mL", "system": "http://unitsofmeasure.org", "code": "mL" }, "denominator": { "value": 1, "unit": "h", "system": "http://unitsofmeasure.org", "code": "h" } } } ] } ] }
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.