Dispense for compounded ointment - completed with additionalInstructions as text and a coded site in dosageInstructions
{
"resourceType" : "MedicationDispense",
"id" : "meddisp0329",
"contained" : [{
"resourceType" : "Medication",
"id" : "med0319",
"doseForm" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "385101003",
"display" : "Ointment"
}],
"text" : "Ointment"
},
"ingredient" : [{
"item" : {
"concept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "387253001",
"display" : "Salicylic acid (substance)"
}]
}
},
"strengthRatio" : {
"numerator" : {
"value" : 5,
"system" : "http://unitsofmeasure.org",
"code" : "g"
},
"denominator" : {
"value" : 100,
"system" : "http://unitsofmeasure.org",
"code" : "g"
}
}
},
{
"item" : {
"concept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "396458002",
"display" : "Hydrocortisone (substance)"
}]
}
},
"strengthRatio" : {
"numerator" : {
"value" : 1,
"system" : "http://unitsofmeasure.org",
"code" : "g"
},
"denominator" : {
"value" : 100,
"system" : "http://unitsofmeasure.org",
"code" : "g"
}
}
},
{
"item" : {
"concept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "126066007",
"display" : "White petroleum (substance)"
}]
}
},
"strengthRatio" : {
"numerator" : {
"value" : 94,
"system" : "http://unitsofmeasure.org",
"code" : "g"
},
"denominator" : {
"value" : 100,
"system" : "http://unitsofmeasure.org",
"code" : "g"
}
}
}]
}],
"status" : "completed",
"medication" : {
"reference" : {
"reference" : "#med0319"
}
},
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"performer" : [{
"actor" : {
"reference" : "Practitioner/f006"
}
}],
"authorizingPrescription" : [{
"reference" : "MedicationRequest/medrx0329"
}],
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "RFP",
"display" : "Refill - Part Fill"
}]
},
"quantity" : {
"value" : 30,
"system" : "http://unitsofmeasure.org",
"code" : "g"
},
"daysSupply" : {
"value" : 10,
"unit" : "Day",
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"recorded" : "2015-01-15T10:00:00Z",
"whenPrepared" : "2015-01-15T10:20:00Z",
"whenHandedOver" : "2015-01-15T16:20:00Z",
"dosageInstruction" : [{
"sequence" : 1,
"text" : "Apply twice daily to affected area on left arm",
"additionalInstruction" : [{
"text" : "Apply sparingly"
}],
"timing" : {
"repeat" : {
"frequency" : 2,
"period" : 1,
"periodUnit" : "d"
}
},
"site" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "72098002",
"display" : "Entire left upper arm (body structure)"
}]
},
"route" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "359540000",
"display" : "Topical (qualifier value)"
}]
},
"doseAndRate" : [{
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}]
},
"doseQuantity" : {
"value" : 1,
"unit" : "ea",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "OINT"
}
}]
}]
}
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.