FHIR Release 3 (STU) CI-Build

This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0 . For a full list Continuous Integration Build of available versions, see FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationdispense0302.json

Example MedicationDispense/meddisp0302 (JSON)

Maturity Level : N/A
Responsible Owner: Pharmacy Work Group Ballot Standards Status : Informative Compartments : Encounter , Group , Patient , Practitioner

Raw JSON ( canonical form + also see JSON Format Specification )

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 with Details</b></p><p><b>id</b>: meddisp0302</p><p><b>contained</b>: </p><p><b>status</b>: in-progress</p><p><b>medication</b>: Novolog 100u/ml. Generated Summary: id: med0360; Novolog 100u/ml <span>(Details : {http://hl7.org/fhir/sid/ndc code '0169-7501-11' = '0169-7501-11', given as 'Novolog 100u/ml'})</span>; isBrand; Injection solution (qualifier value) <span>(Details : {SNOMED CT code '385219001' = 'Injection solution', given as 'Injection solution (qualifier value)'})</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/medrx0321</a></p><p><b>type</b>: Refill - Part Fill <span>(Details : {http://hl7.org/fhir/v3/ActCode code 'RFP' = 'Refill - Part Fill', given as 'Refill - Part Fill'})</span></p><p><b>quantity</b>: 10 ml<span> (Details: UCUM code ml = 'ml')</span></p><p><b>daysSupply</b>: 30 Day<span> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 15/01/2015 10:20:00 AM</p><p><b>whenHandedOver</b>: 15/01/2015 4:20:00 PM</p><p><b>dosageInstruction</b>: , , </p></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0360",
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/ndc",
            "code": "0169-7501-11",
            "display": "Novolog 100u/ml"
          }
        ]
      },
      "isBrand": true,
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385219001",
            "display": "Injection solution (qualifier value)"
          }
        ]
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "325072002",
                "display": "Insulin Aspart (substance)"
              }
            ]
          },
          "amount": {
            "numerator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "U"
            },
            "denominator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }

  "resourceType" : "MedicationDispense",
  "id" : "meddisp0302",
  "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" : "Solution for injection"
      }]
    },
    "ingredient" : [{
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "325072002",
            "display" : "Insulin Aspart (substance)"
          }]

        }
      ],
      "package": {
        "container": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "415818006",
              "display": "Vial"
            }
          ]

      },
      "strengthRatio" : {
        "numerator" : {
          "value" : 100,
          "system" : "http://unitsofmeasure.org",
          "code" : "U"

        },
        "content": [
          {
            "itemCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "325072002",
                  "display": "Insulin Aspart (substance)"
                }
              ]
            },
            "amount": {
              "value": 10,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }
        ],
        "batch": [
          {
            "lotNumber": "12345",
            "expirationDate": "2019-10-31"
          }
        ]

        "denominator" : {
          "value" : 1,
          "system" : "http://unitsofmeasure.org",
          "code" : "mL"
        }

      }
    }]
  }],
  "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)"

    }
  ],
  "status": "in-progress",
  "medicationReference": {
    "reference": "#med0360",
    "display": "Novolog 100u/ml"

  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"

  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"

  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f006"
      },
      "onBehalfOf": {
        "reference": "Organization/2.16.840.1.113883.19.5"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0321"

  "performer" : [{
    "function" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function",
        "code" : "finalchecker",
        "display" : "Final Checker"
      }]
    },
    "actor" : {
      "reference" : "Practitioner/f006"

    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "code": "RFP",
        "display": "Refill - Part Fill"
      }
    ]

  }],
  "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"

  "quantity" : {
    "value" : 10,
    "system" : "http://unitsofmeasure.org",
    "code" : "ml"

  },
  "daysSupply": {
    "value": 30,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"

  "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"
        }

  "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"

      "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"

      }
    },
    {
      "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"

      "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"

      }
    },
    {
      "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"

      "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.