Medicationdispense0304.xml

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> status</b> : completed</p> <p> <b> medication</b> : <a>  </a> </p> <blockquote> <p> <b> code</b> : <span> Zosyn (piperacillin/tazobactam) 4.5gm injection</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> <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> authorizingPrescription</b> : <a> Generated Summary: id: 12345689 (OFFICIAL); status: completed; intent: order; Piperacillin/Tazobacta
          m 4.5gm; 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 Jun. 2015, 12:13:00 pm</p> <p> <b> whenHandedOver</b> : 26 Jun. 2015, 12:13:00 pm</p> <h3> DosageInstructions</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> </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"/> 
    <medicationReference> 
        <!--    Linked to a RESOURCE Medication    -->
        <reference value="#med0302"/> 
        <display value="Zosyn (piperacillin/tazobactam) 4.5gm injection"/> 
    </medicationReference> 
    <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>