FHIR Release 3 (STU) CI-Build

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Medicationdispense0306.xml

Example MedicationDispense/meddisp0306 (XML)

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

Raw XML ( canonical form ) Jump past Narrative + also see XML Format Specification )

Dispense for Intravenous Chemotherapy (inpatient order) - Alemtuzumab (RxNorm Code) - completed with multiple dosageInstruction lines (id = "meddisp0306")

: Alemtuzumab 10mg/ml (Lemtrada). Generated Summary: id: med0303; Alemtuzumab 10mg/ml (Lemtrada) Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk 
<?xml version="1.0" encoding="UTF-8"?>

<MedicationDispense xmlns="http://hl7.org/fhir">  <id value="meddisp0306"/>   <contained>     <Medication>       <id value="med0303"/>       <code>         <coding>           <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>           <code value="1594660"/>           <display value="alemtuzumab 10 MG/ML [Lemtrada]"/>         </coding>       </code>     </Medication>   </contained>   <status value="in-progress"/>   <medication>     <reference>       <!--   Linked to a RESOURCE Medication   -->      <reference value="#med0303"/>       <display value="alemtuzumab 10 MG/ML [Lemtrada]"/>     </reference>   </medication>   <subject>     <reference value="Patient/pat1"/>     <display value="Donald Duck"/>   </subject>   <performer>     <actor>       <reference value="Practitioner/f006"/>     </actor>   </performer>   <authorizingPrescription>     <reference value="MedicationRequest/medrx0317"/>   </authorizingPrescription>   <type>     <coding>       <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>       <code value="DF"/>       <display value="Daily Fill"/>     </coding>   </type>   <quantity>     <value value="5"/>     <system value="http://snomed.info/sct"/>     <code value="415818006"/>   </quantity>   <daysSupply>     <value value="7"/>     <unit value="Day"/>     <system value="http://unitsofmeasure.org"/>     <code value="d"/>   </daysSupply>   <whenPrepared value="2015-01-15T10:20:00Z"/>   <dosageInstruction>     <sequence value="1"/>     <text value="Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to

     the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate
     days for up to 12 wk"/> 
    <additionalInstruction>       <text value="Rapidly increase dose until tolerated"/>     </additionalInstruction>     <additionalInstruction>       <text value="Administer on alternate days"/>     </additionalInstruction>     <timing>       <repeat>         <duration value="12"/>         <durationUnit value="wk"/>         <frequency value="3"/>         <period value="1"/>         <periodUnit value="wk"/>       </repeat>     </timing>     <route>       <coding>         <system value="http://snomed.info/sct"/>         <code value="47625008"/>         <display value="Intravenous route"/>       </coding>     </route>     <method>       <coding>         <system value="http://snomed.info/sct"/>         <code value="422145002"/>         <display value="Inject - dosing instruction imperative (qualifier value)"/>       </coding>     </method>     <doseAndRate>       <type>         <coding>           <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>           <code value="calculated"/>           <display value="Calculated"/>         </coding>       </type>       <doseQuantity>         <value value="3"/>         <unit value="mg"/>         <system value="http://unitsofmeasure.org"/>         <code value="mg"/>       </doseQuantity>     </doseAndRate>   </dosageInstruction>   <dosageInstruction>     <sequence value="2"/>     <text value="Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to

     the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate
     days for up to 12 wk"/> 
    <additionalInstruction>       <text value="Rapidly increase dose until tolerated"/>     </additionalInstruction>     <additionalInstruction>       <text value="Administer on alternate days"/>     </additionalInstruction>     <timing>       <repeat>         <duration value="12"/>         <durationUnit value="wk"/>         <frequency value="3"/>         <period value="1"/>         <periodUnit value="wk"/>       </repeat>     </timing>     <route>       <coding>         <system value="http://snomed.info/sct"/>         <code value="47625008"/>         <display value="Intravenous route"/>       </coding>     </route>     <method>       <coding>         <system value="http://snomed.info/sct"/>         <code value="422145002"/>         <display value="Inject - dosing instruction imperative (qualifier value)"/>       </coding>     </method>     <doseAndRate>       <type>         <coding>           <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>           <code value="calculated"/>           <display value="Calculated"/>         </coding>       </type>       <doseQuantity>         <value value="10"/>         <unit value="mg"/>         <system value="http://unitsofmeasure.org"/>         <code value="mg"/>       </doseQuantity>     </doseAndRate>   </dosageInstruction>   <dosageInstruction>     <sequence value="3"/>     <text value="Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to

     the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate
     days for up to 12 wk"/> 
    <additionalInstruction>       <text value="Rapidly increase dose until tolerated"/>     </additionalInstruction>     <additionalInstruction>       <text value="Administer on alternate days"/>     </additionalInstruction>     <timing>       <repeat>         <duration value="12"/>         <durationUnit value="wk"/>         <frequency value="3"/>         <period value="1"/>         <periodUnit value="wk"/>       </repeat>     </timing>     <route>       <coding>         <system value="http://snomed.info/sct"/>         <code value="47625008"/>         <display value="Intravenous route"/>       </coding>     </route>     <method>       <coding>         <system value="http://snomed.info/sct"/>         <code value="422145002"/>         <display value="Inject - dosing instruction imperative (qualifier value)"/>       </coding>     </method>     <doseAndRate>       <type>         <coding>           <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>           <code value="calculated"/>           <display value="Calculated"/>         </coding>       </type>       <doseQuantity>         <value value="30"/>         <unit value="mg"/>         <system value="http://unitsofmeasure.org"/>         <code value="mg"/>       </doseQuantity>     </doseAndRate>   </dosageInstruction> 


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MedicationDispense

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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.