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.