Release 4 R5 Final QA

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0-draft-final: Final QA Preview for R5 - Mixed Normative and STU see ballot notes ) in it's permanent home (it will always be available at this URL). ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationdispense0305.json

Example ValueSet/duration-units (JSON)

Pharmacy Terminology Infrastructure Work Group Maturity Level : N/A Standards Status : Informative Compartments : Patient , Practitioner

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

Dispense Definition for Prednisone (RxNorm code) Tapering Dose - entered-in-error with multiple Dosage lines that include coded additionalInstructions and multiple EventHistory elements Value SetCommon UCUM Codes for Duration 

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0305",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0305</p><p><b>contained</b>: </p><p><b>status</b>: entered-in-error</p><p><b>medication</b>: Prednisone. Generated Summary: id: med0311; Prednisone 5mg Oral Tablet 48 Count Pack <span>(Details : {RxNorm code '763179' = 'predniSONE 5 MG Oral Tablet 48 Count Pack', given as 'Prednisone 5mg Oral Tablet 48 Count Pack'})</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/medrx0303</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>: 49 TAB<span> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><p><b>daysSupply</b>: 21 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": "med0311",
      "code": {
        "coding": [
          {
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code": "763179",
            "display": "Prednisone 5mg Oral Tablet 48 Count Pack"
          }
        ]
      }
    }
  ],
  "status": "entered-in-error",
  "medicationReference": {
    "reference": "#med0311",
    "display": "Prednisone"

  "resourceType" : "ValueSet",
  "id" : "duration-units",
  "meta" : {
    "lastUpdated" : "2023-03-01T23:03:57.298+11:00",
    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]

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

  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include these codes as defined in <a href=\"http://unitsofmeasure.org\"><code>http://unitsofmeasure.org</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>ms</td><td>milliseconds</td></tr><tr><td>s</td><td>seconds</td></tr><tr><td>min</td><td>minutes</td></tr><tr><td>h</td><td>hours</td></tr><tr><td>d</td><td>days</td></tr><tr><td>wk</td><td>weeks</td></tr><tr><td>mo</td><td>months</td></tr><tr><td>a</td><td>years</td></tr></table></li></ul></div>"

  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f006"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0303"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "FF",
        "display": "First Fill"
      }
    ]

  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fhir"

  },
  "quantity": {
    "value": 49,
    "unit": "TAB",
    "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
    "code": "TAB"

  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "normative"

  },
  "daysSupply": {
    "value": 21,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"

  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
    "valueCode" : "4.0.0"

  },
  "whenPrepared": "2015-01-15T10:20:00Z",
  "whenHandedOver": "2015-01-15T16:20:00Z",
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "Take 4 tablets daily for 7 days starting January 16, 2015",
      "additionalInstruction": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "311504000",
              "display": "With or after Food"
            }
          ]
        }
      ],
      "timing": {
        "repeat": {
          "boundsPeriod": {
            "start": "2015-01-16",
            "end": "2015-01-20"
          },
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral Route"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "421521009",
            "display": "Swallow - dosing instruction imperative (qualifier value)"
          }
        ]

  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 5
  }],
  "url" : "http://hl7.org/fhir/ValueSet/duration-units",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.3.61"
  }],
  "version" : "5.0.0-draft-final",
  "name" : "CommonUCUMCodesForDuration",
  "title" : "Common UCUM Codes for Duration",
  "status" : "active",
  "experimental" : false,
  "date" : "2023-03-01T23:03:57+11:00",
  "publisher" : "FHIR Project team",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  }],
  "description" : "Unified Code for Units of Measure (UCUM). This value set includes all common UCUM codes used for Duration - that it is, all commonly used units which have the same canonical unit as 'a' (year)",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "copyright" : "The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright © 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved.",
  "compose" : {
    "include" : [{
      "system" : "http://unitsofmeasure.org",
      "concept" : [{
        "code" : "ms",
        "display" : "milliseconds"

      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "calculated",
                "display": "Calculated"
              }
            ]
          },
          "doseQuantity": {
            "value": 4,
            "unit": "TAB",
            "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
            "code": "TAB"
          }
        }
      ]
    },
    {
      "sequence": 2,
      "text": "Take 2 tablets daily for 7 days starting January 23, 2015",
      "additionalInstruction": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "311504000",
              "display": "With or after Food"
            }
          ]
        }
      ],
      "timing": {
        "repeat": {
          "boundsPeriod": {
            "start": "2015-01-23",
            "end": "2015-01-30"
          },
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }

      {
        "code" : "s",
        "display" : "seconds"

      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral Route"
          }
        ]

      {
        "code" : "min",
        "display" : "minutes"

      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "421521009",
            "display": "Swallow - dosing instruction imperative (qualifier value)"
          }
        ]

      {
        "code" : "h",
        "display" : "hours"

      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "calculated",
                "display": "Calculated"
              }
            ]
          },
          "doseQuantity": {
            "value": 2,
            "unit": "TAB",
            "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
            "code": "TAB"
          }
        }
      ]
    },
    {
      "sequence": 3,
      "text": "Take 1 tablets daily for 7 days starting January 31, 2015",
      "additionalInstruction": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "311504000",
              "display": "With or after Food"
            }
          ]
        }
      ],
      "timing": {
        "repeat": {
          "boundsPeriod": {
            "start": "2015-01-31",
            "end": "2015-02-06"
          },
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }

      {
        "code" : "d",
        "display" : "days"

      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral Route"
          }
        ]

      {
        "code" : "wk",
        "display" : "weeks"

      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "421521009",
            "display": "Swallow - dosing instruction imperative (qualifier value)"
          }
        ]

      {
        "code" : "mo",
        "display" : "months"

      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "calculated",
                "display": "Calculated"
              }
            ]
          },
          "doseQuantity": {
            "value": 1,
            "unit": "TAB",
            "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
            "code": "TAB"
          }
        }
      ]
    }
  ]

      {
        "code" : "a",
        "display" : "years"
      }]
    }]
  }

}

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.