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

<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="meddisp0320"/>
  <contained>
    <Medication>
      <id value="med0318"/>
      <doseForm>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="385221006"/>
          <display value="Conventional release emulsion for injection (dose form)"/>
        </coding>
      </doseForm>
      <ingredient>
        <item>
          <concept>
            <!-- Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml" -->
            <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)"/>
            </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>
    <simple>
      <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>
    </simple>
  </dosageInstruction>
</MedicationDispense>