Release 4B Ballot #1

This page is part of the FHIR Specification (v4.1.0: Release 4B Ballot #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

Medicationdispense0301.json

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

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

Dispense for IV Antibiotic - in progress - Vancomycin IV (NDC Code) - in-progress

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0301",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: in-progress</p><p><b>medication</b>: <a> </a></p><blockquote><p><b>code</b>: <span>Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE)</span></p></blockquote><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>supportingInformation</b>: <a>Generated Summary: <span>Active</span>; <span>Confirmed</span>; <span>Problem</span>; <span>Moderate to severe</span>; <span>Bacterial sepsis</span>; <span>Pulmonary vascular structure</span>; onset: 2013-03-08; recordedDate: 2013-03-11</a></p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Generated Summary: id: 937223645 (OFFICIAL), id: 134IDY41W988 (USUAL); Rob van den Berk (OFFICIAL); Phone: 0205569288, R.A.vandenberk@bmc.nl, Fax: 0205664987; gender: male; birthDate: 1975-12-07</a></td></tr></table><p><b>location</b>: <a>Pharmacy. Generated Summary: status: active; name: UK Pharmacies; description: All Pharmacies in the United Kingdom covered by the National Pharmacy Association; mode: kind; <span>Pharmacy</span>; <span>Jurisdiction</span></a></p><p><b>authorizingPrescription</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: active; intent: order; ?ngen-3; authoredOn: 2015-01-15; <span>Traveller's Diarrhea (disorder)</span>; culture expected back in 12 hours - may switch depending on results</a></p><p><b>type</b>: <span>Emergency Supply</span></p><p><b>quantity</b>: 12 Vial</p><p><b>daysSupply</b>: 3 Day</p><p><b>whenPrepared</b>: 15 Jan. 2015, 9:20:00 pm</p><p><b>destination</b>: <a>Generated Summary: status: active; name: Patient's Home; description: Patient's Home; mode: kind; <span>Patient's Residence</span>; <span>House</span></a></p><p><b>receiver</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><h3>DosageInstructions</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0301",
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/ndc",
            "code": "0409-6531-02",
            "display": "Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE)"
          }
        ]
      }
    }
  ],
  "status": "in-progress",
  "medicationReference": {
    "reference": "#med0301",
    "display": "Vancomycin Hydrochloride"
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "supportingInformation": [
    {
      "reference": "Condition/f203"
    }
  ],
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f006"
      }
    }
  ],
  "location": {
    "reference": "Location/ukp",
    "display": "Pharmacy"
  },
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0318"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "EM",
        "display": "Emergency Supply"
      }
    ]
  },
  "quantity": {
    "value": 12,
    "unit": "Vial",
    "system": "http://snomed.info.sct",
    "code": "733026001"
  },
  "daysSupply": {
    "value": 3,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenPrepared": "2015-01-15T10:20:00Z",
  "destination": {
    "reference": "Location/ph"
  },
  "receiver": [
    {
      "reference": "Patient/pat1",
      "display": "Donald Duck"
    }
  ],
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "500mg IV q6h x 3 days",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 6,
          "periodUnit": "h"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "255560000",
            "display": "Intravenous"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "420620005",
            "display": "Push - dosing instruction imperative (qualifier value)"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 500,
            "unit": "mg",
            "system": "http://unitsofmeasure.org",
            "code": "mg"
          }
        }
      ]
    }
  ]
}

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.