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

Medicationdispense0314.json

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

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

Dispense for Lorazepam (Rx norm code) - completed with rate range

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0314",
  "text": {
    "status": "generated",
    "div": "<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>Lorazepam 2mg/ml Injectable Solution (Ativan)</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>Lorazepam (substance)</span></td><td>2 mg/1 mL</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>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: active; intent: order; ?ngen-3; authoredOn: 2015-01-15; <span>Epilepsy (disorder)</span></a></p><p><b>type</b>: <span>Trial Fill</span></p><p><b>quantity</b>: 1 415818005</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>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0313",
      "code": {
        "coding": [
          {
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code": "206819",
            "display": "Lorazepam 2mg/ml Injectable Solution (Ativan)"
          }
        ]
      },
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385219001",
            "display": "Injection solution (qualifier value)"
          }
        ]
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "387106007",
                "display": "Lorazepam (substance)"
              }
            ]
          },
          "strength": {
            "numerator": {
              "value": 2,
              "system": "http://unitsofmeasure.org",
              "code": "mg"
            },
            "denominator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }
        }
      ]
    }
  ],
  "status": "completed",
  "medicationReference": {
    "reference": "#med0313"
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck "
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f006"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0315"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "TF",
        "display": "Trial Fill"
      }
    ]
  },
  "quantity": {
    "value": 1,
    "system": "http://snomed.info/sct",
    "code": "415818005"
  },
  "daysSupply": {
    "value": 1,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenPrepared": "2015-06-25T07:13:00+05:00",
  "whenHandedOver": "2015-06-26T07:13:00+05:00",
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "7mg IV over 2-5 minutes every 15 minutes as needed",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 15,
          "periodUnit": "min"
        }
      },
      "asNeededBoolean": true,
      "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": 7,
            "unit": "mg",
            "system": "http://unitsofmeasure.org",
            "code": "mg"
          },
          "rateRange": {
            "low": {
              "value": 2,
              "unit": "min",
              "system": "http://unitsofmeasure.org",
              "code": "min"
            },
            "high": {
              "value": 5,
              "unit": "min",
              "system": "http://unitsofmeasure.org",
              "code": "min"
            }
          }
        }
      ]
    }
  ]
}

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.