Medicationdispense0320.xml

Dispense for a TPN solution - completed (id = "meddisp0320")

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

<MedicationDispense xmlns="http://hl7.org/fhir">
    <id value="meddisp0320"/> 
    <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> 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> </text> <contained> 
        <Medication> 
            <id value="med0318"/> 
                <form> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="385221006"/> 
                        <display value="Injection emulsion"/> 
                    </coding> 
                </form> 
                <ingredient> 
                    <itemCodeableConcept> 
                        <coding> 
                            <system value="http://hl7.org/fhir/sid/ndc"/> 
                            <code value="0338-1134-03"/> 
                            <display value="Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"/> 
                        </coding> 
                    </itemCodeableConcept> 
                </ingredient> 
                <ingredient> 
                    <itemCodeableConcept> 
                        <coding> 
                            <system value="http://hl7.org/fhir/sid/ndc"/> 
                            <code value="0409-5779-01"/> 
                            <display value="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"/> 
                        </coding> 
                    </itemCodeableConcept> 
                </ingredient> 
                <ingredient> 
                    <itemCodeableConcept> 
                        <coding> 
                            <system value="http://hl7.org/fhir/sid/ndc"/> 
                            <code value="0338-0519-02"/> 
                            <display value="Intralipid 20% IV Fat Emulsion"/> 
                        </coding> 
                    </itemCodeableConcept> 
                </ingredient> 
        </Medication> 
    </contained> 
    <status value="completed"/> 
    <medicationReference> 
        <reference value="#med0318"/> 
        <display value="TPN Solution"/> 
    </medicationReference> 
    <subject> 
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/> 
    </subject> 
    <performer> 
        <actor> 
            <reference value="Practitioner/f006"/> 
        </actor> 
    </performer> 
    <authorizingPrescription> 
        <reference value="MedicationRequest/medrx0323"/> 
    </authorizingPrescription> 
    <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="2015-03-16T17:13:00+05:00"/> 
    <whenHandedOver value="2015-03-17T17:13:00+05:00"/> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="1000mL infused at 50ml/hour for 4 hours - hang at 2200 hours"/> 
        <timing> 
            <event value="2015-01-15T22:00:00+11:00"/> 
            <repeat> 
                <frequency value="1"/> 
                <period value="24"/> 
                <periodUnit value="h"/> 
            </repeat> 
        </timing> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="255560000"/> 
                <display value="Intravenous"/> 
            </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="1000"/> 
                <unit value="mL"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="mL"/>  
            </doseQuantity> 
            <rateRatio> 
                <numerator> 
                    <value value="50"/> 
                    <unit value="mL"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="mL"/>  
                </numerator> 
                <denominator> 
                    <value value="1"/> 
                    <unit value="h"/> 
                    <system value="http://unitsofmeasure.org"/> 
                    <code value="h"/>  
                </denominator> 
            </rateRatio> 
        </doseAndRate> 

    </dosageInstruction> 
</MedicationDispense>