Release 5 Preview #1

This page is part of the FHIR Specification (v4.2.0: R5 Preview #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationdispense0313.json

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner

Raw JSON (canonical form + also see JSON Format Specification)

Dispense for Potassium Chloride Admixture - stopped - with eventHistory and rate range for dosage

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0313",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0313</p><p><b>contained</b>: </p><p><b>status</b>: stopped</p><p><b>medication</b>: Potassium Chloride 20mEq in 1L Normal Saline. Generated Summary: id: med0317; Injection Solution (qualifier value) <span>(Details : {SNOMED CT code '385219001' = 'Injection solution', given as 'Injection Solution (qualifier value)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Practitioner/f006</a></td></tr></table><p><b>authorizingPrescription</b>: <a>MedicationRequest/medrx0322</a></p><p><b>type</b>: First Fill <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActCode code 'FF' = 'First Fill', given as 'First Fill'})</span></p><p><b>quantity</b>: 1000 ml<span> (Details: UCUM code ml = 'ml')</span></p><p><b>daysSupply</b>: 1 Day<span> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 28 Apr. 2016, 7:13:00 am</p><p><b>whenHandedOver</b>: 28 Apr. 2016, 7:13:00 am</p><p><b>dosageInstruction</b>: </p></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0317",
      "doseForm": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385219001",
            "display": "Injection Solution (qualifier value)"
          }
        ],
        "text": "Injection Solution (qualifier value)"
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                "code": "204520",
                "display": "Potassium Chloride"
              }
            ]
          },
          "strengthRatio": {
            "numerator": {
              "value": 2,
              "system": "http://unitsofmeasure.org",
              "code": "mEq"
            },
            "denominator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                "code": "313002",
                "display": "Sodium Chloride 0.9% injectable solution"
              }
            ]
          },
          "strengthRatio": {
            "numerator": {
              "value": 0.9,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            },
            "denominator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }
        }
      ]
    }
  ],
  "status": "stopped",
  "medicationReference": {
    "reference": "#med0317",
    "display": "Potassium Chloride 20mEq in 1L Normal Saline"
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f006"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0322"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "FF",
        "display": "First Fill"
      }
    ]
  },
  "quantity": {
    "value": 1000,
    "system": "http://unitsofmeasure.org",
    "code": "ml"
  },
  "daysSupply": {
    "value": 1,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenPrepared": "2016-04-28T07:13:00+05:00",
  "whenHandedOver": "2016-04-28T07:13:00+05:00",
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "47625008",
            "display": "Intravenous route (qualifier value)"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 20,
            "unit": "mEq",
            "system": "http://unitsofmeasure.org",
            "code": "mEq"
          },
          "rateRatio": {
            "numerator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            },
            "denominator": {
              "value": 1,
              "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.