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

Medicationdispense0320.json

Example MedicationDispense/meddisp0320 (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 a TPN solution - completed 

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0320",
  "text": {
    "status": "generated",
    "div": "<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>"
  },
  "contained": [

  "resourceType" : "MedicationDispense",
  "id" : "meddisp0320",
  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0318",
    "doseForm" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "385221006",
        "display" : "Conventional release emulsion for injection (dose form)"
      }]
    },
    "ingredient" : [{
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/sid/ndc",
            "code" : "0338-1134-03",
            "display" : "CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package)"
          }],
          "text" : "Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"
        }
      }
    },

    {
      "resourceType": "Medication",
      "id": "med0318",
      "isBrand": false,
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385221006",
            "display": "Injection emulsion"
          }
        ]
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0338-1134-03",
                "display": "Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"
              }
            ]
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0409-5779-01",
                "display": "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"
              }
            ]
          }
        },
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/ndc",
                "code": "0338-0519-02",
                "display": "Intralipid 20% IV Fat Emulsion"
              }
            ]
          }

      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/sid/ndc",
            "code" : "0409-5779-01",
            "display" : "TPN Electrolytes, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01) > 20 mL in 1 VIAL, SINGLE-DOSE (0409-5779-11) (package)"
          }],
          "text" : "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"

        }
      ],
      "package": {
        "container": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "470037004",
              "display": "Intravenous Fluid container, single-use"
            }
          ]
        },
        "batch": [
          {
            "lotNumber": "123455",
            "expirationDate": "2016-07-09"
          }
        ]

      }
    }
  ],
  "status": "completed",
  "medicationReference": {
    "reference": "#med0318",
    "display": "TPN Solution"
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "performer": [

    },

    {
      "actor": {
        "reference": "Practitioner/f006"
      },
      "onBehalfOf": {
        "reference": "Organization/2.16.840.1.113883.19.5"

      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/sid/ndc",
            "code" : "0338-0519-02",
            "display" : "Intralipid, 250 mL in 1 BAG (0338-0519-02) (package)"
          }],
          "text" : "Intralipid 20% IV Fat Emulsion"
        }

      }
    }]
  }],
  "status" : "completed",
  "medication" : {
    "reference" : {
      "reference" : "#med0318",
      "display" : "TPN Solution"

    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0323"

  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "performer" : [{
    "actor" : {
      "reference" : "Practitioner/f006"

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

  }],
  "authorizingPrescription" : [{
    "reference" : "MedicationRequest/medrx0323"
  }],
  "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": "2015-03-16T17:13:00+05:00",
  "whenHandedOver": "2015-03-17T17:13:00+05:00",
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "1000mL infused at 50ml/hour for 4 hours - hang at 2200 hours",
      "timing": {
        "event": [
          "2015-01-15T22:00:00+11:00"
        ],
        "repeat": {
          "frequency": 1,
          "period": 24,
          "periodUnit": "h"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "255560000",
            "display": "Intravenous"
          }
        ]

  "whenPrepared" : "2015-03-16T17:13:00+05:00",
  "whenHandedOver" : "2015-03-17T17:13:00+05:00",
  "dosageInstruction" : [{
    "sequence" : 1,
    "text" : "1000mL infused at 50ml/hour for 4 hours - hang at 2200 hours",
    "timing" : {
      "event" : ["2015-01-15T22:00:00+11:00"],
      "repeat" : {
        "frequency" : 1,
        "period" : 24,
        "periodUnit" : "h"
      }
    },
    "route" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "255560000",
        "display" : "Intravenous"
      }]
    },
    "doseAndRate" : [{
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code" : "ordered",
          "display" : "Ordered"
        }]

      },
      "doseQuantity": {
        "value": 1000,
        "unit": "mL",
        "system": "http://unitsofmeasure.org",
        "code": "mL"

      "doseQuantity" : {
        "value" : 1000,
        "unit" : "mL",
        "system" : "http://unitsofmeasure.org",
        "code" : "mL"

      },
      "rateRatio": {
        "numerator": {
          "value": 50,
          "unit": "mL",
          "system": "http://unitsofmeasure.org",
          "code": "mL"

      "rateRatio" : {
        "numerator" : {
          "value" : 50,
          "unit" : "mL",
          "system" : "http://unitsofmeasure.org",
          "code" : "mL"

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

        "denominator" : {
          "value" : 1,
          "unit" : "h",
          "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.