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

Medicationdispense0302.xml

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

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

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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 (id = "meddisp0302")

<?xml version="1.0" encoding="UTF-8"?>

<MedicationDispense xmlns="http://hl7.org/fhir">
    <id value="meddisp0302"/> 
    <text> <status value="generated"/> <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> Novolog 100u/ml</span> </p> <p> <b> form</b> : <span> Injection solution (qualifier value)</span> </p> <h3> Ingredients</h3> <table> <tr> <td> -</td> <td> <b> Item[x]</b> </td> <td> <b> Strength</b> </td> </tr> <tr> <td> *</td> <td> <span> Insulin Aspart (substance)</span> </td> <td> 100 U/1 mL</td> </tr> </table> <h3> Batches</h3> <table> <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> <p> <b> subject</b> : <a> Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald
           (OFFICIAL); gender: male</a> </p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Function</b> </td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <span> Final Checker</span> </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> authorizingPrescription</b> : <a> Generated Summary: id: 12345689 (OFFICIAL); status: active; intent: order; Novolog 100u/ml;
           authoredOn: 2015-01-15; <span> Diabetes mellitus type 2 (disorder)</span> ; Check blood sugar levels before taking insulin</a> </p> <p> <b> type</b> : <span> Refill - Part Fill</span> </p> <p> <b> quantity</b> : 10 ml</p> <p> <b> daysSupply</b> : 30 Day</p> <p> <b> whenPrepared</b> : 15 Jan. 2015, 9:20:00 pm</p> <p> <b> whenHandedOver</b> : 16 Jan. 2015, 3:20:00 am</p> <h3> DosageInstructions</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> <tr> <td> *</td> </tr> <tr> <td> *</td> </tr> </table> </div> </text> <contained> 
        <Medication> 
            <id value="med0360"/> 
           <code> 
            <coding> 
                <system value="http://hl7.org/fhir/sid/ndc"/> 
                <code value="0169-7501-11"/> 
                <display value="Novolog 100u/ml"/> 
            </coding> 
        </code> 
            <form> 
                <coding> 
                    <system value="http://snomed.info/sct"/> 
                    <code value="385219001"/> 
                    <display value="Injection solution (qualifier value)"/> 
                </coding> 
            </form> 
            <ingredient> 
                <itemCodeableConcept> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="325072002"/> 
                        <display value="Insulin Aspart (substance)"/> 
                    </coding> 
                </itemCodeableConcept> 
                <strength> 
                    <numerator> 
                        <value value="100"/> 
                        <system value="http://unitsofmeasure.org"/> 
                        <code value="U"/> 
                    </numerator> 
                    <denominator> 
                        <value value="1"/> 
                        <system value="http://unitsofmeasure.org"/> 
                        <code value="mL"/> 
                    </denominator> 
                </strength> 
            </ingredient> 
            <batch> 
                <lotNumber value="12345"/> 
                <expirationDate value="2019-10-31"/> 
            </batch>    
        </Medication> 
    </contained> 
    <status value="in-progress"/> 
    <medicationReference>       
        <reference value="#med0360"/> 
        <display value="Novolog 100u/ml"/> 
    </medicationReference> 
    <subject> 
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/> 
    </subject> 
    <performer> 
        <function> 
            <coding> 
                <system value="http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function"/> 
                <code value="finalchecker"/> 
                <display value="Final Checker"/> 
            </coding> 
        </function> 
        <actor> 
            <reference value="Practitioner/f006"/> 
        </actor> 
    </performer> 
    <authorizingPrescription> 
        <reference value="MedicationRequest/medrx0321"/> 
    </authorizingPrescription> 
    <type> 
        <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
            <code value="RFP"/> 
            <display value="Refill - Part Fill"/> 
        </coding> 
    </type> 
    <quantity> 
        <value value="10"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="ml"/> 
    </quantity> 
    <daysSupply> 
        <value value="30"/> 
        <unit value="Day"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="d"/> 
    </daysSupply> 
    <whenPrepared value="2015-01-15T10:20:00Z"/> 
    <whenHandedOver value="2015-01-15T16:20:00Z"/> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="Before Breakfast"/> 
        <additionalInstruction> 
            <text value="Check sugar level before taking Novolog"/> 
        </additionalInstruction> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                </coding> 
            </type> 
            <doseQuantity> 
                <value value="10"/> 
                <unit value="U"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="U"/> 
            </doseQuantity> 
        </doseAndRate> 
    </dosageInstruction> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="15 units before lunch"/> 
        <additionalInstruction> 
            <text value="Check sugar level before taking Novolog"/> 
        </additionalInstruction> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
        <doseAndRate> 
            <type> 
                    <coding> 
                        <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                        <code value="ordered"/> 
                        <display value="Ordered"/> 
                    </coding>  
            </type> 
            <doseQuantity> 
                <value value="15"/> 
                <unit value="U"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="U"/> 
            </doseQuantity> 
        </doseAndRate> 
    </dosageInstruction> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="20 units before dinner"/> 
        <additionalInstruction> 
            <text value="Check sugar level before taking Novolog"/> 
        </additionalInstruction> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                </coding>  
            </type> 
            <doseQuantity> 
                <value value="20"/> 
                <unit value="U"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="U"/> 
            </doseQuantity> 
        </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.