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Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
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Dispense for Subcutaneous injection with multiple dosage lines - Insulin - Novolog (NDC Code) - active - includes Destination, Receiver, note. Dosage includes additionalInstructions as text
{ "resourceType" : "MedicationDispense", "id" : "meddisp0302", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"meddisp0302\"> </a></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 MedicationDispense "meddisp0302" </p></div><p><b>status</b>: in-progress</p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a name=\"med0360\"> </a><blockquote><p/><p><a name=\"med0360\"> </a></p><p><b>code</b>: Novolog 100u/ml <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0169-7501-11)</span></p><p><b>doseForm</b>: Injection solution (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385219001)</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Insulin Aspart (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#325072002)</span></td></tr></table><p><b>strength</b>: 100 U<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code U = 'U')</span>/1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p></blockquote><h3>Batches</h3><table class=\"grid\"><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>12345</td><td>2019-10-31</td></tr></table></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td>Final Checker <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-medicationdispense-performer-function.html\">MedicationDispense Performer Function Codes</a>#finalchecker)</span></td><td><a href=\"practitioner-example-f006-rvdb.html\">Practitioner/f006</a> "Rob VAN DEN BERK"</td></tr></table><p><b>authorizingPrescription</b>: <a href=\"medicationrequest0321.html\">MedicationRequest/medrx0321</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/5.1.0/CodeSystem-v3-ActCode.html\">ActCode</a>#RFP)</span></p><p><b>quantity</b>: 10 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code ml = 'ml')</span></p><p><b>daysSupply</b>: 30 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2015-01-15T10:20:00Z</p><p><b>whenHandedOver</b>: 2015-01-15T16:20:00Z</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Before Breakfast</p><p><b>additionalInstruction</b>: Check sugar level before taking Novolog <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Once per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 15 units before lunch</p><p><b>additionalInstruction</b>: Check sugar level before taking Novolog <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Once per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 20 units before dinner</p><p><b>additionalInstruction</b>: Check sugar level before taking Novolog <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Once per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></div>" }, "contained" : [{ "resourceType" : "Medication", "id" : "med0360", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/sid/ndc", "code" : "0169-7501-11", "display" : "Novolog 100u/ml" }] }, "doseForm" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "385219001", "display" : "Injection solution (qualifier value)" }] }, "ingredient" : [{ "item" : { "concept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "325072002", "display" : "Insulin Aspart (substance)" }] } }, "strengthRatio" : { "numerator" : { "value" : 100, "system" : "http://unitsofmeasure.org", "code" : "U" }, "denominator" : { "value" : 1, "system" : "http://unitsofmeasure.org", "code" : "mL" } } }], "batch" : { "lotNumber" : "12345", "expirationDate" : "2019-10-31" } }], "status" : "in-progress", "medication" : { "reference" : { "reference" : "#med0360", "display" : "Novolog 100u/ml" } }, "subject" : { "reference" : "Patient/pat1", "display" : "Donald Duck" }, "performer" : [{ "function" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function", "code" : "finalchecker", "display" : "Final Checker" }] }, "actor" : { "reference" : "Practitioner/f006" } }], "authorizingPrescription" : [{ "reference" : "MedicationRequest/medrx0321" }], "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "RFP", "display" : "Refill - Part Fill" }] }, "quantity" : { "value" : 10, "system" : "http://unitsofmeasure.org", "code" : "ml" }, "daysSupply" : { "value" : 30, "unit" : "Day", "system" : "http://unitsofmeasure.org", "code" : "d" }, "whenPrepared" : "2015-01-15T10:20:00Z", "whenHandedOver" : "2015-01-15T16:20:00Z", "dosageInstruction" : [{ "sequence" : 1, "text" : "Before Breakfast", "additionalInstruction" : [{ "text" : "Check sugar level before taking Novolog" }], "timing" : { "repeat" : { "frequency" : 1, "period" : 1, "periodUnit" : "d" } }, "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "ordered", "display" : "Ordered" }] }, "doseQuantity" : { "value" : 10, "unit" : "U", "system" : "http://unitsofmeasure.org", "code" : "U" } }] }, { "sequence" : 1, "text" : "15 units before lunch", "additionalInstruction" : [{ "text" : "Check sugar level before taking Novolog" }], "timing" : { "repeat" : { "frequency" : 1, "period" : 1, "periodUnit" : "d" } }, "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "ordered", "display" : "Ordered" }] }, "doseQuantity" : { "value" : 15, "unit" : "U", "system" : "http://unitsofmeasure.org", "code" : "U" } }] }, { "sequence" : 1, "text" : "20 units before dinner", "additionalInstruction" : [{ "text" : "Check sugar level before taking Novolog" }], "timing" : { "repeat" : { "frequency" : 1, "period" : 1, "periodUnit" : "d" } }, "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "ordered", "display" : "Ordered" }] }, "doseQuantity" : { "value" : 20, "unit" : "U", "system" : "http://unitsofmeasure.org", "code" : "U" } }] }] }
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.
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