R6 Ballot (2nd Draft)

Publish-box (todo)

Example MedicationDispense/meddisp0302 (JSON)

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

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

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",
  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0360",
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/sid/ndc",
        "code" : "0169-7501-11",
        "display" : "NOVOLOG, 1 VIAL, GLASS in 1 CARTON (0169-7501-11) > 10 mL in 1 VIAL, GLASS (package)"
      }],
      "text" : "Novolog 100u/ml"
    },
    "doseForm" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "385219001",
        "display" : "Solution for injection"
      }]
    },
    "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, 1 VIAL, GLASS in 1 CARTON (0169-7501-11) > 10 mL in 1 VIAL, GLASS (package)"
    }
  },
  "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.