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/meddisp0317 (JSON)

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

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

Dispense for Brentuximab Vedotin (NDC code) - IV Chemo - stopped

{
  "resourceType" : "MedicationDispense",
  "id" : "meddisp0317",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"meddisp0317\"> </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;meddisp0317&quot; </p></div><p><b>status</b>: stopped</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=\"med0306\"> </a></span><blockquote><p/><p><a name=\"med0306\"> </a></p><p><b>code</b>: Adcetris (Brentuximab Vedotin 50mg/10.5ml) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ndc.html\">National drug codes</a>#51144-050-01)</span></p><p><b>marketingAuthorizationHolder</b>: <a href=\"organization-example-mmanu.html\">Organization/mmanu</a> &quot;Acme Corporation&quot;</p><p><b>doseForm</b>: Lyophilized powder for injectable solution (qualifier value)  <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#421637006)</span></p></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=\"medicationrequest0316.html\">MedicationRequest/medrx0316</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>: 3(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>: 1.8 mg/kg IV infusion over 30 minutes every 3 weeks for 16 cycles</p><p><b>timing</b>: Count 16 times, Once per 3 weeks</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><p><b>doseAndRate</b></p></blockquote></blockquote></div>"
  },
  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0306",
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/sid/ndc",
        "code" : "51144-050-01",
        "display" : "Adcetris (Brentuximab Vedotin 50mg/10.5ml)"
      }]
    },
    "marketingAuthorizationHolder" : {
      "reference" : "Organization/mmanu"
    },
    "doseForm" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "421637006",
        "display" : "Lyophilized powder for injectable solution (qualifier value) "
      }]
    }
  }],
  "status" : "stopped",
  "medication" : {
    "reference" : {
      "reference" : "#med0306",
      "display" : "Brentixumab Vedotin (Adcetris)"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck "
  },
  "performer" : [{
    "actor" : {
      "reference" : "Practitioner/f006"
    }
  }],
  "authorizingPrescription" : [{
    "reference" : "MedicationRequest/medrx0316"
  }],
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "code" : "TF",
      "display" : "Trial Fill"
    }]
  },
  "quantity" : {
    "value" : 3,
    "system" : "http://snomed.info/sct",
    "code" : "415818005"
  },
  "daysSupply" : {
    "value" : 1,
    "unit" : "Day",
    "system" : "http://unitsofmeasure.org",
    "code" : "d"
  },
  "whenPrepared" : "2015-06-25T07:13:00+05:00",
  "whenHandedOver" : "2015-06-26T07:13:00+05:00",
  "dosageInstruction" : [{
    "sequence" : 1,
    "text" : "1.8 mg/kg IV infusion over 30 minutes every 3 weeks for 16 cycles",
    "timing" : {
      "repeat" : {
        "count" : 16,
        "frequency" : 1,
        "period" : 3,
        "periodUnit" : "wk"
      }
    },
    "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" : 1.8,
        "unit" : "mg/kg",
        "system" : "http://unitsofmeasure.org",
        "code" : "mg/kg"
      }
    }]
  }]
}

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.