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| Pharmacy Work Group | Maturity Level : N/A | Standards Status : Informative | Compartments : Encounter , Patient , Practitioner |
Raw JSON ( canonical form + also see JSON Format Specification )
Dispense for Intravenous Antibiotic with a Dosage Rate - Piperacillin (NDC code) - completed with a coded site and route of administration and a rate expressed as a ratio
{
"resourceType": "MedicationDispense",
"id": "meddisp0304",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "meddisp0304" </p></div><p><b>status</b>: completed</p><p><b>medication</b>: <a name=\"med0302\"> </a></p><blockquote><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "med0302" </p></div><p><b>code</b>: Zosyn (piperacillin/tazobactam) 4.5gm injection <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0206-8862-02)</span></p></blockquote><p><b>subject</b>: <a href=\"patient-pat1.html\">Patient/pat1: Donald Duck</a> "Duck DONALD"</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"practitioner-f006.html\">Practitioner/f006</a> "Rob VAN DEN BERK"</td></tr></table><p><b>authorizingPrescription</b>: <a href=\"medicationrequest-medrx0319.html\">MedicationRequest/medrx0319</a></p><p><b>type</b>: First Fill <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActCode.html\">ActCode</a>#FF)</span></p><p><b>quantity</b>: 250 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p><p><b>daysSupply</b>: 1 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2015-06-25T07:13:00+05:00</p><p><b>whenHandedOver</b>: 2015-06-26T07:13:00+05:00</p></div>"
"resourceType" : "MedicationDispense",
"id" : "meddisp0304",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"meddisp0304\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationDispense "meddisp0304" </p></div><p><b>status</b>: completed</p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><span title=\" Linked to a RESOURCE Medication \"><a name=\"med0302\"> </a></span><blockquote><p/><p><a name=\"med0302\"> </a></p><p><b>code</b>: Zosyn (piperacillin/tazobactam) 4.5gm injection <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0206-8862-02)</span></p></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"practitioner-example-f006-rvdb.html\">Practitioner/f006</a> "Rob VAN DEN BERK"</td></tr></table><p><b>authorizingPrescription</b>: <a href=\"medicationrequest0319.html\">MedicationRequest/medrx0319</a></p><p><b>type</b>: First Fill <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#FF)</span></p><p><b>quantity</b>: 250 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p><p><b>daysSupply</b>: 1 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2015-06-25T07:13:00+05:00</p><p><b>whenHandedOver</b>: 2015-06-26T07:13:00+05:00</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 4.5 grams in D5W 250 ml. IV every 6 hours. Infuse over 30 min at 8L/min</p><p><b>timing</b>: Once per 6 hours</p><p><b>site</b>: Intravenous route (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255560000)</span></p><p><b>route</b>: IV intravascular route that begins within a vein) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#47625008)</span></p></blockquote></div>"
},
"contained": [
{
"resourceType": "Medication",
"id": "med0302",
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/ndc",
"code": "0206-8862-02",
"display": "Zosyn (piperacillin/tazobactam) 4.5gm injection"
}
]
}
"contained" : [{
"resourceType" : "Medication",
"id" : "med0302",
"code" : {
"coding" : [{
"system" : "http://hl7.org/fhir/sid/ndc",
"code" : "0206-8862-02",
"display" : "Zosyn (piperacillin/tazobactam) 4.5gm injection"
}]
}
}],
"status" : "completed",
"medication" : {
"reference" : {
"reference" : "#med0302",
"display" : "Zosyn (piperacillin/tazobactam) 4.5gm injection"
}
],
"status": "completed",
"medicationReference": {
"reference": "#med0302",
"display": "Zosyn (piperacillin/tazobactam) 4.5gm injection"
},
"subject": {
"reference": "Patient/pat1",
"display": "Donald Duck"
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"performer": [
{
"actor": {
"reference": "Practitioner/f006"
}
}
],
"authorizingPrescription": [
{
"reference": "MedicationRequest/medrx0319"
"performer" : [{
"actor" : {
"reference" : "Practitioner/f006"
}
],
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "FF",
"display": "First Fill"
}
]
}],
"authorizingPrescription" : [{
"reference" : "MedicationRequest/medrx0319"
}],
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "FF",
"display" : "First Fill"
}]
},
"quantity": {
"value": 250,
"system": "http://unitsofmeasure.org",
"code": "mL"
"quantity" : {
"value" : 250,
"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": "2015-06-25T07:13:00+05:00",
"whenHandedOver": "2015-06-26T07:13:00+05:00",
"dosageInstruction": [
{
"sequence": 1,
"text": "4.5 grams in D5W 250 ml. IV every 6 hours. Infuse over 30 min at 8L/min",
"timing": {
"repeat": {
"frequency": 1,
"period": 6,
"periodUnit": "h"
}
},
"site": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "255560000",
"display": "Intravenous route (qualifier value)"
}
]
"whenPrepared" : "2015-06-25T07:13:00+05:00",
"whenHandedOver" : "2015-06-26T07:13:00+05:00",
"dosageInstruction" : [{
"sequence" : 1,
"text" : "4.5 grams in D5W 250 ml. IV every 6 hours. Infuse over 30 min at 8L/min",
"timing" : {
"repeat" : {
"frequency" : 1,
"period" : 6,
"periodUnit" : "h"
}
},
"site" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "255560000",
"display" : "Intravenous route (qualifier value)"
}]
},
"route" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "47625008",
"display" : "IV intravascular route that begins within a vein)"
}]
},
"doseAndRate" : [{
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "calculated",
"display" : "Calculated"
}]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "IV intravascular route that begins within a vein)"
}
]
"doseQuantity" : {
"value" : 4.5,
"system" : "http://unitsofmeasure.org",
"code" : "g"
},
"doseAndRate": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "calculated",
"display": "Calculated"
}
]
},
"doseQuantity": {
"value": 4.5,
"system": "http://unitsofmeasure.org",
"code": "g"
},
"rateRatio": {
"numerator": {
"value": 8,
"system": "http://unitsofmeasure.org",
"code": "ml"
},
"denominator": {
"value": 1,
"system": "http://unitsofmeasure.org",
"code": "min"
}
}
"rateRatio" : {
"numerator" : {
"value" : 8,
"system" : "http://unitsofmeasure.org",
"code" : "ml"
},
"denominator" : {
"value" : 1,
"system" : "http://unitsofmeasure.org",
"code" : "min"
}
]
}
]
}
}]
}]
}
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.
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