This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3
Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
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: MedicationDispense</b><a name=\"meddisp0318\"> </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 "meddisp0318" </p></div><p><b>identifier</b>: id:\u00a012345689\u00a0(use:\u00a0OFFICIAL)</p><p><b>status</b>: in-progress</p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Levothyroxine Sodium Tablets, USP (75mcg) <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>#0378-1800-10)</span></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><p><b>encounter</b>: <a href=\"encounter-example-f001-heart.html\">Encounter/f001</a></p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</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=\"medicationrequest0314.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/5.1.0/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><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 75mcg daily daily</p><p><b>timing</b>: Once per 1 days</p><p><b>route</b>: Oral Route (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#26643006)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><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/5.1.0/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/5.1.0/CodeSystem-v3-ActReason.html\">ActReason</a>#FP)</span></td><td><a href=\"practitioner-example-f006-rvdb.html\">Practitioner/f006</a> "Rob VAN DEN BERK"</td></tr></table></div>" }, "identifier" : [{ "use" : "official", "system" : "http://www.bmc.nl/portal/dispenses", "value" : "12345689" }], "status" : "in-progress", "medication" : { "concept" : { "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" }, "encounter" : { "reference" : "Encounter/f001" }, "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" } } }
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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