This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions 
Dispense for Subcutaneous injection with multiple dosage lines - Insulin - Novolog (NDC Code) - active - includes Destination, Receiver, note. Dosage includes additionalInstructions as text
{
"resourceType" : "MedicationDispense",
"id" : "meddisp0302",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"meddisp0302\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationDispense "meddisp0302" </p></div><p><b>status</b>: in-progress</p><h3>Medications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><a name=\"med0360\"> </a><blockquote><p/><p><a name=\"med0360\"> </a></p><p><b>code</b>: Novolog 100u/ml <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0169-7501-11 "NOVOLOG, 1 VIAL, GLASS in 1 CARTON (0169-7501-11) > 10 mL in 1 VIAL, GLASS (package)")</span></p><p><b>doseForm</b>: Injection solution (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385219001)</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>Insulin Aspart (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#325072002)</span></td></tr></table><p><b>strength</b>: 100 U<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code U = 'U')</span>/1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p></blockquote><h3>Batches</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td style=\"display: none\">*</td><td>12345</td><td>2019-10-31</td></tr></table></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td>Final Checker <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-medicationdispense-performer-function.html\">MedicationDispense Performer Function Codes</a>#finalchecker)</span></td><td><a href=\"practitioner-example-f006-rvdb.html\">Practitioner/f006</a> "Rob VAN DEN BERK"</td></tr></table><p><b>authorizingPrescription</b>: <a href=\"medicationrequest0321.html\">MedicationRequest/medrx0321</a></p><p><b>type</b>: Refill - Part Fill <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-v3-ActCode.html\">ActCode</a>#RFP)</span></p><p><b>quantity</b>: 10 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code ml = 'ml')</span></p><p><b>daysSupply</b>: 30 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2015-01-15T10:20:00Z</p><p><b>whenHandedOver</b>: 2015-01-15T16:20:00Z</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Before Breakfast</p><p><b>additionalInstruction</b>: Check sugar level before taking Novolog <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Once per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 15 units before lunch</p><p><b>additionalInstruction</b>: Check sugar level before taking Novolog <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Once per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 20 units before dinner</p><p><b>additionalInstruction</b>: Check sugar level before taking Novolog <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Once per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></div>"
},
"contained" : [{
"resourceType" : "Medication",
"id" : "med0360",
"code" : {
"coding" : [{
"system" : "http://hl7.org/fhir/sid/ndc",
"code" : "0169-7501-11",
"display" : "NOVOLOG, 1 VIAL, GLASS in 1 CARTON (0169-7501-11) > 10 mL in 1 VIAL, GLASS (package)"
}],
"text" : "Novolog 100u/ml"
},
"doseForm" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "385219001",
"display" : "Injection solution (qualifier value)"
}]
},
"ingredient" : [{
"item" : {
"concept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "325072002",
"display" : "Insulin Aspart (substance)"
}]
}
},
"strengthRatio" : {
"numerator" : {
"value" : 100,
"system" : "http://unitsofmeasure.org",
"code" : "U"
},
"denominator" : {
"value" : 1,
"system" : "http://unitsofmeasure.org",
"code" : "mL"
}
}
}],
"batch" : {
"lotNumber" : "12345",
"expirationDate" : "2019-10-31"
}
}],
"status" : "in-progress",
"medication" : {
"reference" : {
"reference" : "#med0360",
"display" : "NOVOLOG, 1 VIAL, GLASS in 1 CARTON (0169-7501-11) > 10 mL in 1 VIAL, GLASS (package)"
}
},
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"performer" : [{
"function" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function",
"code" : "finalchecker",
"display" : "Final Checker"
}]
},
"actor" : {
"reference" : "Practitioner/f006"
}
}],
"authorizingPrescription" : [{
"reference" : "MedicationRequest/medrx0321"
}],
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "RFP",
"display" : "Refill - Part Fill"
}]
},
"quantity" : {
"value" : 10,
"system" : "http://unitsofmeasure.org",
"code" : "ml"
},
"daysSupply" : {
"value" : 30,
"unit" : "Day",
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"whenPrepared" : "2015-01-15T10:20:00Z",
"whenHandedOver" : "2015-01-15T16:20:00Z",
"dosageInstruction" : [{
"sequence" : 1,
"text" : "Before Breakfast",
"additionalInstruction" : [{
"text" : "Check sugar level before taking Novolog"
}],
"timing" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"doseAndRate" : [{
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}]
},
"doseQuantity" : {
"value" : 10,
"unit" : "U",
"system" : "http://unitsofmeasure.org",
"code" : "U"
}
}]
},
{
"sequence" : 1,
"text" : "15 units before lunch",
"additionalInstruction" : [{
"text" : "Check sugar level before taking Novolog"
}],
"timing" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"doseAndRate" : [{
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}]
},
"doseQuantity" : {
"value" : 15,
"unit" : "U",
"system" : "http://unitsofmeasure.org",
"code" : "U"
}
}]
},
{
"sequence" : 1,
"text" : "20 units before dinner",
"additionalInstruction" : [{
"text" : "Check sugar level before taking Novolog"
}],
"timing" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"doseAndRate" : [{
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}]
},
"doseQuantity" : {
"value" : 20,
"unit" : "U",
"system" : "http://unitsofmeasure.org",
"code" : "U"
}
}]
}]
}
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.
Medications
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