Medicationdispense0320.json

Dispense for a TPN solution - completed

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0320",
  "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>form</b>: <span>Injection emulsion</span></p><blockquote><p><b>ingredient</b></p><p><b>item</b>: <span>Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml</span></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: <span>TPN Electrolytes SODIUM CHLORIDE, CALCIUM CHLORIDE, POTASSIUM CHLORIDE, MAGNESIUM CHLORIDE, and SODIUM ACETATE ANHYDROUS | INJECTION, SOLUTION, CONCENTRATE | 321 mg/20mL, 331 mg/20mL, 1491 mg/20mL, 508 mg/20mL, 2420 mg/20mL</span></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: <span>Intralipid 20% IV Fat Emulsion</span></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; ?ngen-3; authoredOn: 2015-01-15</a></p><p><b>quantity</b>: 1000 ml</p><p><b>daysSupply</b>: 1 Day</p><p><b>whenPrepared</b>: 16 Mar. 2015, 11:13:00 pm</p><p><b>whenHandedOver</b>: 17 Mar. 2015, 11:13:00 pm</p><h3>DosageInstructions</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0318",
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385221006",
            "display": "Injection emulsion"
          }
        ]
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0338-1134-03",
                "display": "Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"
              }
            ]
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0409-5779-01",
                "display": "TPN Electrolytes SODIUM CHLORIDE, CALCIUM CHLORIDE, POTASSIUM CHLORIDE, MAGNESIUM CHLORIDE, and SODIUM ACETATE ANHYDROUS | INJECTION, SOLUTION, CONCENTRATE | 321 mg/20mL, 331 mg/20mL, 1491 mg/20mL, 508 mg/20mL, 2420 mg/20mL"
              }
            ]
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0338-0519-02",
                "display": "Intralipid 20% IV Fat Emulsion"
              }
            ]
          }
        }
      ]
    }
  ],
  "status": "completed",
  "medicationReference": {
    "reference": "#med0318",
    "display": "TPN Solution"
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f006"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0323"
    }
  ],
  "quantity": {
    "value": 1000,
    "system": "http://unitsofmeasure.org",
    "code": "ml"
  },
  "daysSupply": {
    "value": 1,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenPrepared": "2015-03-16T17:13:00+05:00",
  "whenHandedOver": "2015-03-17T17:13:00+05:00",
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "1000mL infused at 50ml/hour for 4 hours - hang at 2200 hours",
      "timing": {
        "event": [
          "2015-01-15T22:00:00+11:00"
        ],
        "repeat": {
          "frequency": 1,
          "period": 24,
          "periodUnit": "h"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "255560000",
            "display": "Intravenous"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 1000,
            "unit": "mL",
            "system": "http://unitsofmeasure.org",
            "code": "mL"
          },
          "rateRatio": {
            "numerator": {
              "value": 50,
              "unit": "mL",
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            },
            "denominator": {
              "value": 1,
              "unit": "h",
              "system": "http://unitsofmeasure.org",
              "code": "h"
            }
          }
        }
      ]
    }
  ]
}