Medicationdispense0320.xml

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

<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 with Details</b> </p> <p> <b> id</b> : meddisp0320</p> <p> <b> contained</b> : </p> <p> <b> status</b> : completed</p> <p> <b> medication</b> : TPN Solution. Generated Summary: id: med0318; Injection emulsion <span> (Details : {SNOMED CT code '385221006' = 'Injection emulsion', given as 'Injection emulsion'})</span> </p> <p> <b> subject</b> : <a> Donald Duck</a> </p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> <td> <b> OnBehalfOf</b> </td> </tr> <tr> <td> *</td> <td> <a> Practitioner/f006</a> </td> <td> <a> Organization/2.16.840.1.113883.19.5</a> </td> </tr> </table> <p> <b> authorizingPrescription</b> : <a> MedicationRequest/medrx0323</a> </p> <p> <b> quantity</b> : 1000 ml<span>  (Details: UCUM code ml = 'ml')</span> </p> <p> <b> daysSupply</b> : 1 Day<span>  (Details: UCUM code d = 'd')</span> </p> <p> <b> whenPrepared</b> : 16/03/2015 5:13:00 PM</p> <p> <b> whenHandedOver</b> : 17/03/2015 5:13:00 PM</p> <p> <b> dosageInstruction</b> : </p> </div> </text> <contained> 
        <Medication> 
            <id value="med0318"/> 
            <isBrand value="false"/> 
                <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> 
                
            
            <package> 
                <container> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="470037004"/> 
                        <display value="Intravenous Fluid container, single-use"/> 
                    </coding> 
                </container> 
                <batch> 
                    <lotNumber value="123455"/> 
                    <expirationDate value="2016-07-09"/> 
                </batch> 
            </package> 
        </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> 
        <onBehalfOf> 
            <reference value="Organization/2.16.840.1.113883.19.5"/> 
        </onBehalfOf> 
    </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> 
        <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> 
    </dosageInstruction> 
</MedicationDispense>