{
  "resourceType" : "MedicationDispense",
  "id" : "ExampleSGHIMedicationDispense",
  "meta" : {
    "profile" : ["https://fhir.slade360.co.ke/fhir/StructureDefinition/medicationdispense"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationDispense ExampleSGHIMedicationDispense</b></p><a name=\"ExampleSGHIMedicationDispense\"> </a><a name=\"hcExampleSGHIMedicationDispense\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-medicationdispense.html\">SGHI Medication Dispense</a></p></div><p><b>identifier</b>: Medical record number/example-medication-dispense-id\u00a0(use:\u00a0official,\u00a0)</p><p><b>status</b>: Completed</p><h3>Medications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 123456}\">Medication Name</span></td><td><a href=\"Medication-ExampleSGHIMedication.html\">Panadol</a></td></tr></table><p><b>subject</b>: <a href=\"Patient-ExampleSGHIPatient.html\">James Pond(official) Male, DoB: 1990-07-15 ( Medical Record Number: 12345)</a></p><p><b>encounter</b>: <a href=\"Encounter-ExampleSGHIEncounter.html\">Encounter: identifier = Visit Number: VN123456789\u00a0(use:\u00a0official,\u00a0); status = in-progress; class = Ambulatory</a></p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Organization-ExampleSGHIOrganization.html\">Organization SGHI Healthcare Organization</a></td></tr></table><p><b>location</b>: <a href=\"Location-ExampleSGHILocation.html\">Pharmacy Location</a></p><p><b>authorizingPrescription</b>: <a href=\"MedicationRequest-ExampleSGHIMedicationRequest.html\">MedicationRequest: identifier = Prescription Number: RX123456789\u00a0(use:\u00a0official,\u00a0); status = active; intent = plan; category = Inpatient; priority = routine; authoredOn = 2025-01-22; effectiveDosePeriod = 2025-01-22 --&gt; 2025-02-01</a></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution DF}\">None</span></p><p><b>quantity</b>: 30 tablets<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codetablet = 'tablet')</span></p><p><b>whenPrepared</b>: 2023-10-20 10:00:00+0000</p><p><b>whenHandedOver</b>: 2023-10-20 11:00:00+0000</p><p><b>destination</b>: <a href=\"Location-ExampleSGHILocation.html\">Patient's Home</a></p><p><b>receiver</b>: <a href=\"Patient-ExampleSGHIPatient.html\">James Pond(official) Male, DoB: 1990-07-15 ( Medical Record Number: 12345)</a></p><p><b>renderedDosageInstruction</b>: </p><div><p>Take one tablet daily with meals</p>\n</div><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Take 500 mg by mouth twice daily for 10 days after meals</p><p><b>additionalInstruction</b>: <span title=\"Codes:{http://example.org/fhir/CodeSystem/AdditionalInstructions withFood}\">Take with food</span></p><p><b>patientInstruction</b>: Drink plenty of water with each dose</p><p><b>timing</b>: 2 per 1 day</p><p><b>asNeeded</b>: false</p><p><b>site</b>: <span title=\"Codes:{http://snomed.info/sct N}\">Oral cavity structure</span></p><p><b>route</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration PO}\">Oral</span></p><p><b>method</b>: <span title=\"Codes:{http://example.org/fhir/CodeSystem/MedicationAdministrationMethod SWALLOW}\">Swallow whole</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td><td><b>Rate[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type calculated}\">Calculated dose</span></td><td>500 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td><td>100 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span>/1 hr<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeh = 'h')</span></td></tr></table></blockquote><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>WasSubstituted</b></td><td><b>Type</b></td><td><b>ResponsibleParty</b></td></tr><tr><td style=\"display: none\">*</td><td>false</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution N}\">None</span></td><td><a href=\"Organization-ExampleSGHIOrganization.html\">Organization SGHI Healthcare Organization</a></td></tr></table></div>"
  },
  "identifier" : [{
    "use" : "official",
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "MR",
        "display" : "Medical record number"
      }]
    },
    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
    "value" : "example-medication-dispense-id",
    "assigner" : {
      "reference" : "Organization/ExampleSGHIOrganization"
    }
  }],
  "status" : "completed",
  "medication" : {
    "concept" : {
      "coding" : [{
        "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
        "code" : "123456",
        "display" : "Medication Name"
      }]
    },
    "reference" : {
      "reference" : "Medication/ExampleSGHIMedication",
      "display" : "Panadol"
    }
  },
  "subject" : {
    "reference" : "Patient/ExampleSGHIPatient"
  },
  "encounter" : {
    "reference" : "Encounter/ExampleSGHIEncounter"
  },
  "performer" : [{
    "actor" : {
      "reference" : "Organization/ExampleSGHIOrganization"
    }
  }],
  "location" : {
    "reference" : "Location/ExampleSGHILocation",
    "display" : "Pharmacy Location"
  },
  "authorizingPrescription" : [{
    "reference" : "MedicationRequest/ExampleSGHIMedicationRequest"
  }],
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
      "code" : "DF",
      "display" : "None"
    }]
  },
  "quantity" : {
    "value" : 30,
    "unit" : "tablets",
    "system" : "http://unitsofmeasure.org",
    "code" : "tablet"
  },
  "whenPrepared" : "2023-10-20T10:00:00Z",
  "whenHandedOver" : "2023-10-20T11:00:00Z",
  "destination" : {
    "reference" : "Location/ExampleSGHILocation",
    "display" : "Patient's Home"
  },
  "receiver" : [{
    "reference" : "Patient/ExampleSGHIPatient"
  }],
  "renderedDosageInstruction" : "Take one tablet daily with meals",
  "dosageInstruction" : [{
    "sequence" : 1,
    "text" : "Take 500 mg by mouth twice daily for 10 days after meals",
    "additionalInstruction" : [{
      "coding" : [{
        "system" : "http://example.org/fhir/CodeSystem/AdditionalInstructions",
        "code" : "withFood",
        "display" : "Take with food"
      }]
    }],
    "patientInstruction" : "Drink plenty of water with each dose",
    "timing" : {
      "repeat" : {
        "boundsPeriod" : {
          "start" : "2025-01-22",
          "end" : "2025-02-01"
        },
        "frequency" : 2,
        "period" : 1,
        "periodUnit" : "d"
      }
    },
    "asNeeded" : false,
    "site" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "N",
        "display" : "Oral cavity structure"
      }]
    },
    "route" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
        "code" : "PO",
        "display" : "Oral"
      }]
    },
    "method" : {
      "coding" : [{
        "system" : "http://example.org/fhir/CodeSystem/MedicationAdministrationMethod",
        "code" : "SWALLOW",
        "display" : "Swallow whole"
      }]
    },
    "doseAndRate" : [{
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code" : "calculated",
          "display" : "Calculated dose"
        }]
      },
      "doseQuantity" : {
        "value" : 500,
        "unit" : "mg",
        "system" : "http://unitsofmeasure.org",
        "code" : "mg"
      },
      "rateRatio" : {
        "numerator" : {
          "value" : 100,
          "unit" : "mL",
          "system" : "http://unitsofmeasure.org",
          "code" : "mL"
        },
        "denominator" : {
          "value" : 1,
          "unit" : "hr",
          "system" : "http://unitsofmeasure.org",
          "code" : "h"
        }
      }
    }]
  }],
  "substitution" : {
    "wasSubstituted" : false,
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
        "code" : "N",
        "display" : "None"
      }]
    },
    "responsibleParty" : {
      "reference" : "Organization/ExampleSGHIOrganization"
    }
  }
}