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

Medicationdispense0313.xml

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

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

Jump past Narrative

Dispense for Potassium Chloride Admixture - stopped - with eventHistory and rate range for dosage (id = "meddisp0313")

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

<MedicationDispense xmlns="http://hl7.org/fhir">
    <id value="meddisp0313"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> status</b> : stopped</p> <p> <b> medication</b> : <a>  </a> </p> <blockquote> <p> <b> form</b> : <span> Injection Solution (qualifier value)</span> </p> <blockquote> <p> <b> ingredient</b> </p> <p> <b> item</b> : <span> Potassium Chloride</span> </p> <p> <b> strength</b> : 2 meq/1 mL</p> </blockquote> <blockquote> <p> <b> ingredient</b> </p> <p> <b> item</b> : <span> Sodium Chloride 0.9% injectable solution</span> </p> <p> <b> strength</b> : 0.9 g/100 mL</p> </blockquote> </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; Potassium
           Chloride 20mEq in 1L Normal Saline; authoredOn: 2015-01-15; <span> Disorder of Electrolytes (disorder)</span> </a> </p> <p> <b> type</b> : <span> First Fill</span> </p> <p> <b> quantity</b> : 1000 ml</p> <p> <b> daysSupply</b> : 1 Day</p> <p> <b> whenPrepared</b> : 28 Apr. 2016, 12:13:00 pm</p> <p> <b> whenHandedOver</b> : 28 Apr. 2016, 12:13:00 pm</p> <h3> DosageInstructions</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> </div> </text> <contained> 
        <Medication> 
            <id value="med0317"/> 
                <form> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="385219001"/> 
                        <display value="Injection Solution (qualifier value)"/> 
                    </coding> 
                    <text value="Injection Solution (qualifier value)"/> 
                </form> 
                <ingredient> 
                    <itemCodeableConcept> 
                        <coding> 
                            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
                            <code value="204520"/> 
                            <display value="Potassium Chloride"/> 
                        </coding> 
                    </itemCodeableConcept> 
                    <strength> 
                        <numerator> 
                            <value value="2"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="meq"/> 
                        </numerator> 
                        <denominator> 
                            <value value="1"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="mL"/> 
                        </denominator> 
                    </strength> 
                </ingredient> 
                <ingredient> 
                    <itemCodeableConcept> 
                        <coding> 
                            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
                            <code value="313002"/> 
                            <display value="Sodium Chloride 0.9% injectable solution"/> 
                        </coding> 
                    </itemCodeableConcept> 
                    <strength> 
                        <numerator> 
                            <value value="0.9"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="g"/> 
                        </numerator> 
                        <denominator> 
                            <value value="100"/> 
                            <system value="http://unitsofmeasure.org"/> 
                            <code value="mL"/> 
                        </denominator> 
                    </strength> 
                </ingredient> 
            
        </Medication> 
    </contained> 
    <status value="stopped"/> 
    <medicationReference> 
        <!--    Linked to a RESOURCE Medication    -->
        <reference value="#med0317"/> 
        <display value="Potassium Chloride 20mEq in 1L Normal Saline"/> 
    </medicationReference> 
    <subject> 
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/>  
    </subject> 
    <performer> 
        <actor> 
            <reference value="Practitioner/f006"/> 
        </actor> 
    </performer> 
    <authorizingPrescription> 
        <reference value="MedicationRequest/medrx0322"/> 
    </authorizingPrescription> 
    <type> 
        <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
            <code value="FF"/> 
            <display value="First Fill"/> 
        </coding> 
    </type> 
    <quantity> 
        <value value="1000"/> 
        <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="2016-04-28T07:13:00+05:00"/> 
    <whenHandedOver value="2016-04-28T07:13:00+05:00"/> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr"/> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="47625008"/> 
                <display value="Intravenous route (qualifier value)"/> 
            </coding> 
        </route> 
        <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="mEq"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="meq"/> 
            </doseQuantity> 
            <rateRatio> 
                <numerator> 
                    <value value="100"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="mL"/> 
                </numerator> 
                <denominator> 
                    <value value="1"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="h"/> 
                </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.