This page is part of the FHIR Specification (v4.5.0: R5 Preview #3). 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
Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
Raw XML (canonical form + also see XML Format Specification)
Dispense for Intravenous Antibiotic with a Dosage Rate - Piperacillin (NDC code) - completed with a coded site and route of administration and a rate expressed as a ratio (id = "meddisp0304")
<?xml version="1.0" encoding="UTF-8"?> <MedicationDispense xmlns="http://hl7.org/fhir"> <id value="meddisp0304"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> id</b> : meddisp0304</p> <p> <b> status</b> : completed</p> <p> <b> medication</b> : </p> <p> <b> subject</b> : <a> Donald Duck. Generated Summary: id: pat1; Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male; </a> </p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Generated Summary: id: f006; id: 937223645 (OFFICIAL), id: 134IDY41W988 (USUAL); Rob van den Berk (OFFICIAL); ph: 0205569288(WORK), R.A.vandenberk@bmc.nl(WORK), fax: 0205664987(WORK); gender: male; birthDate: 1975-12-07</a> </td> </tr> </table> <p> <b> authorizingPrescription</b> : <a> Generated Summary: id: medrx0319; id: 12345689 (OFFICIAL); status: completed; intent: order; <span> Piperacillin/Tazobactam 4.5gm</span> ; authoredOn: 2015-01-15; <span> Community acquired pneumonia (disorder)</span> ; </a> </p> <p> <b> type</b> : <span> First Fill</span> </p> <p> <b> quantity</b> : 250 mL</p> <p> <b> daysSupply</b> : 1 Day</p> <p> <b> whenPrepared</b> : 25/06/2015 12:13:00 PM</p> <p> <b> whenHandedOver</b> : 26/06/2015 12:13:00 PM</p> <p> <b> dosageInstruction</b> : </p> </div> </text> <contained> <Medication> <id value="med0302"/> <code> <coding> <system value="http://hl7.org/fhir/sid/ndc"/> <code value="0206-8862-02"/> <display value="Zosyn (piperacillin/tazobactam) 4.5gm injection"/> </coding> </code> </Medication> </contained> <status value="completed"/> <medication> <!-- Linked to a RESOURCE Medication --> <reference> <reference value="#med0302"/> <display value="Zosyn (piperacillin/tazobactam) 4.5gm injection"/> </reference> </medication> <subject> <reference value="Patient/pat1"/> <display value="Donald Duck"/> </subject> <performer> <actor> <reference value="Practitioner/f006"/> </actor> </performer> <authorizingPrescription> <reference value="MedicationRequest/medrx0319"/> </authorizingPrescription> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="FF"/> <display value="First Fill"/> </coding> </type> <quantity> <value value="250"/> <system value="http://unitsofmeasure.org"/> <code value="mL"/> </quantity> <daysSupply> <value value="1"/> <unit value="Day"/> <system value="http://unitsofmeasure.org"/> <code value="d"/> </daysSupply> <whenPrepared value="2015-06-25T07:13:00+05:00"/> <whenHandedOver value="2015-06-26T07:13:00+05:00"/> <dosageInstruction> <sequence value="1"/> <text value="4.5 grams in D5W 250 ml. IV every 6 hours. Infuse over 30 min at 8L/min"/> <timing> <repeat> <frequency value="1"/> <period value="6"/> <periodUnit value="h"/> </repeat> </timing> <site> <coding> <system value="http://snomed.info/sct"/> <code value="255560000"/> <display value="Intravenous route (qualifier value)"/> </coding> </site> <route> <coding> <system value="http://snomed.info/sct"/> <code value="47625008"/> <display value="IV intravascular route that begins within a vein)"/> </coding> </route> <doseAndRate> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> <code value="calculated"/> <display value="Calculated"/> </coding> </type> <doseQuantity> <value value="4.5"/> <system value="http://unitsofmeasure.org"/> <code value="g"/> </doseQuantity> <rateRatio> <numerator> <value value="8"/> <system value="http://unitsofmeasure.org"/> <code value="ml"/> </numerator> <denominator> <value value="1"/> <system value="http://unitsofmeasure.org"/> <code value="min"/> </denominator> </rateRatio> </doseAndRate> </dosageInstruction> </MedicationDispense>
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.