Medicationdispense0320.xml - FHIR v6.0.0-ballot1

R6 Ballot (1st Draft)
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
Example MedicationDispense/meddisp0320 (XML)

Pharmacy Work Group
Maturity Level: N/A
Standards Status: Informative
Compartments: Encounter, Patient, Practitioner
Raw XML (canonical form + also see XML Format Specification)
Jump past Narrative
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: MedicationDispense</b> <a name="meddisp0320"> </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 &quot;meddisp0320&quot; </p> </div> <p> <b> status</b> : completed</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="med0318"> </a> <blockquote> <p/>  <p> <a name="med0318"> </a> </p> <p> <b> doseForm</b> : Injection emulsion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #385221006)</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> Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml
                       <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> #0338-1134-03 &quot;CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package)&quot;)</span> </td> </tr> </table> </blockquote> <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> 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 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> #0409-5779-01 &quot;TPN Electrolytes, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01)
                         &gt; 20 mL in 1 VIAL, SINGLE-DOSE (0409-5779-11) (package)&quot;)</span> </td> </tr> </table> </blockquote> <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> Intralipid 20% IV Fat Emulsion <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> #0338-0519-02 &quot;Intralipid, 250 mL in 1 BAG (0338-0519-02) (package)&quot;)</span> </td> </tr> </table> </blockquote> </blockquote> </td> </tr> </table> <p> <b> subject</b> : <a href="patient-example-a.html">Patient/pat1: Donald Duck</a>  &quot;Donald DUCK&quot;</p> <h3> Performers</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Actor</b> </td> </tr> <tr> <td style="display: none">*</td> <td> <a href="practitioner-example-f006-rvdb.html">Practitioner/f006</a>  &quot;Rob VAN DEN BERK&quot;</td> </tr> </table> <p> <b> authorizingPrescription</b> : <a href="medicationrequest0323.html">MedicationRequest/medrx0323</a> </p> <p> <b> quantity</b> : 1000 ml<span style="background: LightGoldenRodYellow"> (Details: UCUM code ml = 'ml')</span> </p> <p> <b> daysSupply</b> : 1 Day<span style="background: LightGoldenRodYellow"> (Details: UCUM code d = 'd')</span> </p> <p> <b> whenPrepared</b> : 2015-03-16T17:13:00+05:00</p> <p> <b> whenHandedOver</b> : 2015-03-17T17:13:00+05:00</p> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : 1000mL infused at 50ml/hour for 4 hours - hang at 2200 hours</p> <p> <b> timing</b> : Events: 2015-01-15T22:00:00+11:00, Once per 24 hours</p> <p> <b> route</b> : Intravenous <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #255560000)</span> </p> <blockquote> <p> <b> doseAndRate</b> </p> </blockquote> </blockquote> </div> </text> <contained> 
        <Medication> 
            <id value="med0318"/> 
                <doseForm> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="385221006"/> 
                        <display value="Injection emulsion"/> 
                    </coding> 
                </doseForm> 
                <ingredient> 
                    <item> 
                        <concept> 
                        <coding> 
                            <system value="http://hl7.org/fhir/sid/ndc"/> 
                            <code value="0338-1134-03"/> 
                            <display value="CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package)"/>      <!--   Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"
                 -->
                        </coding> 
                            <text value="Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"/> 
                        </concept> 
                    </item> 
                </ingredient> 
                <ingredient> 
                    <item> 
                        <concept> 
                        <coding> 
                            <system value="http://hl7.org/fhir/sid/ndc"/> 
                            <code value="0409-5779-01"/> 
                            <display value="TPN Electrolytes, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01) &gt; 20 mL in
               1 VIAL, SINGLE-DOSE (0409-5779-11) (package)"/> 
                        </coding> 
                            <text 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"/> 
                        </concept> 
                    </item> 
                </ingredient> 
                <ingredient> 
                    <item> 
                        <concept> 
                        <coding> 
                            <system value="http://hl7.org/fhir/sid/ndc"/> 
                            <code value="0338-0519-02"/> 
                            <display value="Intralipid, 250 mL in 1 BAG (0338-0519-02) (package)"/> 
                        </coding> 
                            <text value="Intralipid 20% IV Fat Emulsion"/> 
                        </concept> 
                    </item> 
                </ingredient> 
        </Medication> 
    </contained> 
    <status value="completed"/> 
    <medication> 
        <reference> 
        <reference value="#med0318"/> 
        <display value="TPN Solution"/> 
        </reference> 
    </medication> 
    <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>
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.