Medicationdispense0318.json

Dispense for Levothyroxine (NDC code) in-progress with authorizing prescription

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0318",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource &quot;meddisp0318&quot; </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: in-progress</p><p><b>medication</b>: Levothyroxine Sodium Tablets, USP (75mcg) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0378-1800-10)</span></p><p><b>subject</b>: <a href=\"patient-pat1.html\">Patient/pat1: Donald Duck</a> &quot;Duck DONALD&quot;</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"practitioner-f006.html\">Practitioner/f006</a> &quot;Rob VAN DEN BERK&quot;</td></tr></table><p><b>authorizingPrescription</b>: <a href=\"medicationrequest-medrx0314.html\">MedicationRequest/medrx0314</a></p><p><b>type</b>: Refill - Part Fill <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActCode.html\">ActCode</a>#RFP)</span></p><p><b>quantity</b>: 100(unit TAB from http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm)<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><p><b>daysSupply</b>: 30 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2015-03-16T17:13:00+05:00</p><h3>Substitutions</h3><table class=\"grid\"><tr><td>-</td><td><b>WasSubstituted</b></td><td><b>Type</b></td><td><b>Reason</b></td><td><b>ResponsibleParty</b></td></tr><tr><td>*</td><td>true</td><td>formulary <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-substanceAdminSubstitution.html\">Substance Admin Substitution</a>#F)</span></td><td>Formulary Policy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActReason.html\">ActReason</a>#FP)</span></td><td><a href=\"practitioner-f006.html\">Practitioner/f006</a> &quot;Rob VAN DEN BERK&quot;</td></tr></table></div>"
  },
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/dispenses",
      "value": "12345689"
    }
  ],
  "status": "in-progress",
  "medicationCodeableConcept": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/sid/ndc",
        "code": "0378-1800-10",
        "display": "Levothyroxine Sodium Tablets, USP (75mcg)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f006"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0314"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "RFP",
        "display": "Refill - Part Fill"
      }
    ]
  },
  "quantity": {
    "value": 100,
    "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
    "code": "TAB"
  },
  "daysSupply": {
    "value": 30,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenPrepared": "2015-03-16T17:13:00+05:00",
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "75mcg daily daily",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral Route (qualifier value)"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 75,
            "unit": "mcg",
            "system": "http://unitsofmeasure.org",
            "code": "ug"
          }
        }
      ]
    }
  ],
  "substitution": {
    "wasSubstituted": true,
    "type": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
          "code": "F",
          "display": "formulary"
        }
      ]
    },
    "reason": [
      {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
            "code": "FP",
            "display": "Formulary Policy"
          }
        ]
      }
    ],
    "responsibleParty": [
      {
        "reference": "Practitioner/f006"
      }
    ]
  }
}