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Medicationdispense0313.json

Example MedicationDispense/meddisp0313 (JSON)

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

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

Dispense for Potassium Chloride Admixture - stopped - with eventHistory and rate range for dosage 

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0313",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0313</p><p><b>contained</b>: </p><p><b>status</b>: stopped</p><p><b>medication</b>: Potassium Chloride 20mEq in 1L Normal Saline. Generated Summary: id: med0317; 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></tr><tr><td>*</td><td><a>Practitioner/f006</a></td></tr></table><p><b>authorizingPrescription</b>: <a>MedicationRequest/medrx0322</a></p><p><b>type</b>: First Fill <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActCode code 'FF' = 'First Fill', given as 'First Fill'})</span></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>: 28/04/2016 7:13:00 AM</p><p><b>whenHandedOver</b>: 28/04/2016 7:13:00 AM</p><p><b>dosageInstruction</b>: </p></div>"
  },
  "contained": [

  "resourceType" : "MedicationDispense",
  "id" : "meddisp0313",
  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0317",
    "doseForm" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "385219001",
        "display" : "Solution for injection"
      }],
      "text" : "Solution for injection"
    },
    "ingredient" : [{
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "204520",
            "display" : "potassium chloride 2 MEQ/ML Injectable Solution"
          }],
          "text" : "Potassium Chloride"
        }
      },
      "strengthRatio" : {
        "numerator" : {
          "value" : 2,
          "system" : "http://unitsofmeasure.org",
          "code" : "meq"
        },
        "denominator" : {
          "value" : 1,
          "system" : "http://unitsofmeasure.org",
          "code" : "mL"
        }
      }
    },

    {
      "resourceType": "Medication",
      "id": "med0317",
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385219001",
            "display": "Injection Solution (qualifier value)"
          }
        ],
        "text": "Injection Solution (qualifier value)"

      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "313002",
            "display" : "sodium chloride 9 MG/ML Injectable Solution"
          }]
        }

      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                "code": "204520",
                "display": "Potassium Chloride"
              }
            ]
          },
          "strength": {
            "numerator": {
              "value": 2,
              "system": "http://unitsofmeasure.org",
              "code": "mEq"
            },
            "denominator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }

      "strengthRatio" : {
        "numerator" : {
          "value" : 0.9,
          "system" : "http://unitsofmeasure.org",
          "code" : "g"

        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                "code": "313002",
                "display": "Sodium Chloride 0.9% injectable solution"
              }
            ]
          },
          "strength": {
            "numerator": {
              "value": 0.9,
              "system": "http://unitsofmeasure.org",
              "code": "g"
            },
            "denominator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }

        "denominator" : {
          "value" : 100,
          "system" : "http://unitsofmeasure.org",
          "code" : "mL"

        }
      ]

      }
    }]
  }],
  "status" : "unfulfilled",
  "medication" : {
    "reference" : {
      "reference" : "#med0317",
      "display" : "Potassium Chloride 20mEq in 1L Normal Saline"

    }
  ],
  "status": "stopped",
  "medicationReference": {
    "reference": "#med0317",
    "display": "Potassium Chloride 20mEq in 1L Normal Saline"

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

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

  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f006"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0322"

  "performer" : [{
    "actor" : {
      "reference" : "Practitioner/f006"

    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "FF",
        "display": "First Fill"
      }
    ]

  }],
  "authorizingPrescription" : [{
    "reference" : "MedicationRequest/medrx0322"
  }],
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "code" : "FF",
      "display" : "First Fill"
    }]

  },
  "quantity": {
    "value": 1000,
    "system": "http://unitsofmeasure.org",
    "code": "ml"

  "quantity" : {
    "value" : 1000,
    "system" : "http://unitsofmeasure.org",
    "code" : "ml"

  },
  "daysSupply": {
    "value": 1,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"

  "daysSupply" : {
    "value" : 1,
    "unit" : "Day",
    "system" : "http://unitsofmeasure.org",
    "code" : "d"

  },
  "whenPrepared": "2016-04-28T07:13:00+05:00",
  "whenHandedOver": "2016-04-28T07:13:00+05:00",
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }

  "whenPrepared" : "2016-04-28T07:13:00+05:00",
  "whenHandedOver" : "2016-04-28T07:13:00+05:00",
  "dosageInstruction" : [{
    "sequence" : 1,
    "text" : "KCl 20 mEq in 1 L 0.9%NS IV at 100 ml/hr",
    "timing" : {
      "repeat" : {
        "frequency" : 1,
        "period" : 1,
        "periodUnit" : "d"
      }
    },
    "route" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "47625008",
        "display" : "Intravenous route"
      }]
    },
    "doseAndRate" : [{
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code" : "ordered",
          "display" : "Ordered"
        }]

      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "47625008",
            "display": "Intravenous route (qualifier value)"
          }
        ]

      "doseQuantity" : {
        "value" : 20,
        "unit" : "mEq",
        "system" : "http://unitsofmeasure.org",
        "code" : "meq"

      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 20,
            "unit": "mEq",
            "system": "http://unitsofmeasure.org",
            "code": "mEq"
          },
          "rateRatio": {
            "numerator": {
              "value": 100,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            },
            "denominator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "h"
            }
          }

      "rateRatio" : {
        "numerator" : {
          "value" : 100,
          "system" : "http://unitsofmeasure.org",
          "code" : "mL"
        },
        "denominator" : {
          "value" : 1,
          "system" : "http://unitsofmeasure.org",
          "code" : "h"

        }
      ]
    }
  ]

      }
    }]
  }]

}

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.