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
Medicationdispense0329.xml

Pharmacy Work Group
Maturity Level: N/A
Standards Status: Informative
Compartments: Patient, Practitioner
Raw XML (canonical form + also see XML Format Specification)
Jump past Narrative
Dispense for compounded ointment - completed with additionalInstructions as text and a coded site in dosageInstructions (id = "meddisp0329")
<?xml version="1.0" encoding="UTF-8"?>

<MedicationDispense xmlns="http://hl7.org/fhir">
    <id value="meddisp0329"/> 
    <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> Ointment</span> </p> <blockquote> <p> <b> ingredient</b> </p> <p> <b> item</b> : <span> Salicyclic Acid (substance)</span> </p> <p> <b> strength</b> : 5 g/100 g</p> </blockquote> <blockquote> <p> <b> ingredient</b> </p> <p> <b> item</b> : <span> Hydrocortisone (substance)</span> </p> <p> <b> strength</b> : 1 g/100 g</p> </blockquote> <blockquote> <p> <b> ingredient</b> </p> <p> <b> item</b> : <span> White Petrolatum (substance)</span> </p> <p> <b> strength</b> : 94 g/100 g</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: on-hold; intent: order; ?ngen-3; authoredOn:
           2015-01-15</a> </p> <p> <b> type</b> : <span> Refill - Part Fill</span> </p> <p> <b> quantity</b> : 30 g</p> <p> <b> daysSupply</b> : 10 Day</p> <p> <b> whenPrepared</b> : 15 Jan. 2015, 9:20:00 pm</p> <p> <b> whenHandedOver</b> : 16 Jan. 2015, 3:20:00 am</p> <h3> DosageInstructions</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> </div> </text> <contained> 
        <Medication> 
            <id value="med0319"/> 
            <form> 
                <coding> 
                    <system value="http://snomed.info/sct"/> 
                    <code value="385101003"/> 
                    <display value="Ointment"/> 
                </coding> 
                <text value="Ointment"/> 
            </form> 
            <ingredient> 
                <itemCodeableConcept> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="387253001"/> 
                        <display value="Salicyclic Acid (substance)"/> 
                    </coding> 
                </itemCodeableConcept> 
                <strength> 
                    <numerator> 
                        <value value="5"/> 
                        <system value="http://unitsofmeasure.org"/> 
                        <code value="g"/> 
                    </numerator> 
                    <denominator> 
                        <value value="100"/> 
                        <system value="http://unitsofmeasure.org"/> 
                        <code value="g"/> 
                    </denominator> 
                </strength> 
            </ingredient> 
            <ingredient> 
                <itemCodeableConcept> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="396458002"/> 
                        <display value="Hydrocortisone (substance)"/> 
                    </coding> 
                </itemCodeableConcept> 
                <strength> 
                    <numerator> 
                        <value value="1"/> 
                        <system value="http://unitsofmeasure.org"/> 
                        <code value="g"/> 
                    </numerator> 
                    <denominator> 
                        <value value="100"/> 
                        <system value="http://unitsofmeasure.org"/> 
                        <code value="g"/> 
                    </denominator> 
                </strength> 
            </ingredient> 
            <ingredient> 
                <itemCodeableConcept> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="126066007"/> 
                        <display value="White Petrolatum (substance)"/> 
                    </coding> 
                </itemCodeableConcept> 
                <strength> 
                    <numerator> 
                        <value value="94"/> 
                        <system value="http://unitsofmeasure.org"/> 
                        <code value="g"/> 
                    </numerator> 
                    <denominator> 
                        <value value="100"/> 
                        <system value="http://unitsofmeasure.org"/> 
                        <code value="g"/> 
                    </denominator> 
                </strength> 
            </ingredient> 
        
        </Medication> 
    </contained> 
    <status value="completed"/> 
    <medicationReference> 
        <reference value="#med0319"/> 
    </medicationReference> 
    <subject> 
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/> 
    </subject> 
    <performer> 
        <actor> 
            <reference value="Practitioner/f006"/> 
        </actor> 
    </performer> 
    <authorizingPrescription> 
        <reference value="MedicationRequest/medrx0329"/> 
    </authorizingPrescription> 
    <type> 
        <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
            <code value="RFP"/> 
            <display value="Refill - Part Fill"/> 
        </coding> 
    </type> 
    <quantity> 
        <value value="30"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="g"/> 
    </quantity> 
    <daysSupply> 
        <value value="10"/> 
        <unit value="Day"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="d"/> 
    </daysSupply> 
    <whenPrepared value="2015-01-15T10:20:00Z"/> 
    <whenHandedOver value="2015-01-15T16:20:00Z"/>    
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="Apply twice daily to affected area on left arm"/> 
        <additionalInstruction> 
            <text value="Apply sparingly"/> 
        </additionalInstruction> 
        <timing> 
            <repeat> 
                <frequency value="2"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
        <site> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="72098002"/> 
                <display value="Entire left upper arm (body structure)"/> 
            </coding> 
        </site> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="359540000"/> 
                <display value="Topical (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="1"/> 
                <unit value="ea"/> 
                <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
                <code value="OINT"/> 
            </doseQuantity> 
        </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.