R6 Ballot (2nd Draft)

Publish-box (todo)

Example MedicationDispense/meddisp0320 (JSON)

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

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

Dispense for a TPN solution - completed

{
  "resourceType" : "MedicationDispense",
  "id" : "meddisp0320",
  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0318",
    "doseForm" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "385221006",
        "display" : "Conventional release emulsion for injection (dose form)"
      }]
    },
    "ingredient" : [{
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/sid/ndc",
            "code" : "0338-1134-03",
            "display" : "CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package)"
          }],
          "text" : "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, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01) > 20 mL in 1 VIAL, SINGLE-DOSE (0409-5779-11) (package)"
          }],
          "text" : "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, 250 mL in 1 BAG (0338-0519-02) (package)"
          }],
          "text" : "Intralipid 20% IV Fat Emulsion"
        }
      }
    }]
  }],
  "status" : "completed",
  "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"
  },
  "whenPrepared" : "2015-03-16T17:13:00+05:00",
  "whenHandedOver" : "2015-03-17T17:13:00+05:00",
  "dosageInstruction" : [{
    "sequence" : 1,
    "text" : "1000mL infused at 50ml/hour for 4 hours - hang at 2200 hours",
    "timing" : {
      "event" : ["2015-01-15T22:00:00+11:00"],
      "repeat" : {
        "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.