R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). 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/meddisp0314 (XML)

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner

Raw XML (canonical form + also see XML Format Specification)

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Dispense for Lorazepam (Rx norm code) - completed with rate range (id = "meddisp0314")

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

<MedicationDispense xmlns="http://hl7.org/fhir">
    <id value="meddisp0314"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationDispense</b> <a name="meddisp0314"> </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;meddisp0314&quot; </p> </div> <p> <b> status</b> : completed</p> <h3> Medications</h3> <table class="grid"><tr> <td> -</td> <td> <b> Reference</b> </td> </tr> <tr> <td> *</td> <td> <span title="  Linked to a RESOURCE Medication  "><a name="med0313"> </a> </span> <blockquote> <p/>  <p> <a name="med0313"> </a> </p> <p> <b> code</b> : Lorazepam 2mg/ml Injectable Solution (Ativan) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/4.0.0/CodeSystem-v3-rxNorm.html">RxNorm</a> #206819)</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> Lorazepam (substance) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #387106007)</span> </td> </tr> </table> <p> <b> strength</b> : 2 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</span> /1 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span> </p> </blockquote> </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> Actor</b> </td> </tr> <tr> <td> *</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="medicationrequest0315.html">MedicationRequest/medrx0315</a> </p> <p> <b> type</b> : Trial Fill <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/4.0.0/CodeSystem-v3-ActCode.html">ActCode</a> #TF)</span> </p> <p> <b> quantity</b> : 1(unit 415818005 from http://snomed.info/sct)<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT code 415818005 = '415818005')</span> </p> <p> <b> daysSupply</b> : 1 Day<span style="background: LightGoldenRodYellow"> (Details: UCUM code d = 'd')</span> </p> <p> <b> whenPrepared</b> : 2015-06-25T07:13:00+05:00</p> <p> <b> whenHandedOver</b> : 2015-06-26T07:13:00+05:00</p> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : 7mg IV over 2-5 minutes every 15 minutes as needed</p> <p> <b> timing</b> : Once per 15 minutes</p> <p> <b> asNeeded</b> : true</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> <p> <b> method</b> : Push - dosing instruction imperative (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #420620005)</span> </p> <blockquote> <p> <b> doseAndRate</b> </p> </blockquote> </blockquote> </div> </text> <contained> 
        <Medication> 
            <id value="med0313"/> 
            <code> 
                <coding> 
                    <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
                    <code value="206819"/> 
                    <display value="Lorazepam 2mg/ml Injectable Solution (Ativan)"/> 
                </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="387106007"/> 
                            <display value="Lorazepam (substance)"/> 
                        </coding> 
                        </concept> 
                    </item> 
                    <strengthRatio> 
                        <numerator> 
                            <value value="2"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="mg"/> 
                        </numerator> 
                        <denominator> 
                            <value value="1"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="mL"/> 
                        </denominator> 
                    </strengthRatio> 
                </ingredient> 
            
        </Medication> 
    </contained> 
    <status value="completed"/> 
    <medication> 
            <!--    Linked to a RESOURCE Medication    -->
        <reference> 
        <reference value="#med0313"/> 
        </reference> 
    </medication> 
    <subject> 
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck "/>  
    </subject> 
    <performer> 
        <actor> 
            <reference value="Practitioner/f006"/> 
        </actor> 
    </performer> 
    <authorizingPrescription> 
        <reference value="MedicationRequest/medrx0315"/> 
    </authorizingPrescription> 
    <type> 
        <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
            <code value="TF"/> 
            <display value="Trial Fill"/> 
        </coding> 
    </type> 
    <quantity> 
        <value value="1"/> 
        <system value="http://snomed.info/sct"/> 
        <code value="415818005"/> 
    </quantity> 
    <daysSupply> 
        <value value="1"/> 
        <unit value="Day"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="d"/> 
    </daysSupply> 
    <whenPrepared value="2015-06-25T07:13:00+05:00"/> 
    <whenHandedOver value="2015-06-26T07:13:00+05:00"/> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="7mg IV over 2-5 minutes every 15 minutes as needed"/> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="15"/> 
                <periodUnit value="min"/> 
            </repeat> 
        </timing> 
        <asNeeded value="true"/> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="255560000"/> 
                <display value="Intravenous"/> 
            </coding> 
        </route> 
        <method> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="420620005"/> 
                <display value="Push - dosing instruction imperative (qualifier value)"/> 
            </coding> 
        </method> 
        <doseAndRate> 

        <type> 
            <coding> 
                <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                <code value="ordered"/> 
                <display value="Ordered"/> 
            </coding> 
        </type> 
            <doseQuantity> 
                <value value="7"/> 
                <unit value="mg"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="mg"/>  
            </doseQuantity> 
            <rateRange> 
                <low> 
                    <value value="2"/> 
                    <unit value="min"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="min"/>  
                </low> 
                <high> 
                    <value value="5"/> 
                    <unit value="min"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="min"/>  
                </high> 
            </rateRange> 
        </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.