Dispense for Intravenous Antibiotic with a Dosage Rate - Piperacillin (NDC code) - completed with a coded site and route of administration and a rate expressed as a ratio
{
"resourceType" : "MedicationDispense",
"id" : "meddisp0304",
"contained" : [{
"resourceType" : "Medication",
"id" : "med0302",
"code" : {
"coding" : [{
"system" : "http://hl7.org/fhir/sid/ndc",
"code" : "0206-8862-02",
"display" : "Zosyn in Galaxy Containers, 12 BAG in 1 BOX (0206-8862-02) > 100 mL in 1 BAG (0206-8862-01) (package)"
}],
"text" : "Zosyn (piperacillin/tazobactam) 4.5gm injection"
}
}],
"status" : "completed",
"medication" : {
"reference" : {
"reference" : "#med0302",
"display" : "Zosyn (piperacillin/tazobactam) 4.5gm injection"
}
},
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"performer" : [{
"actor" : {
"reference" : "Practitioner/f006"
}
}],
"authorizingPrescription" : [{
"reference" : "MedicationRequest/medrx0319"
}],
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "FF",
"display" : "First Fill"
}]
},
"quantity" : {
"value" : 250,
"system" : "http://unitsofmeasure.org",
"code" : "mL"
},
"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" : "4.5 grams in D5W 250 ml. IV every 6 hours. Infuse over 30 min at 8L/min",
"timing" : {
"repeat" : {
"frequency" : 1,
"period" : 6,
"periodUnit" : "h"
}
},
"site" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "255560000",
"display" : "Intravenous"
}]
},
"route" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "47625008",
"display" : "An intravascular route that begins within a vein."
}]
},
"doseAndRate" : [{
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "calculated",
"display" : "Calculated"
}]
},
"doseQuantity" : {
"value" : 4.5,
"system" : "http://unitsofmeasure.org",
"code" : "g"
},
"rateRatio" : {
"numerator" : {
"value" : 8,
"system" : "http://unitsofmeasure.org",
"code" : "ml"
},
"denominator" : {
"value" : 1,
"system" : "http://unitsofmeasure.org",
"code" : "min"
}
}
}]
}]
}
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.