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Example MedicationDispense/meddisp0304 (JSON)

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: 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: MedicationDispense</b><a name=\"meddisp0304\"> </a><a name=\"hcmeddisp0304\"> </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 &quot;meddisp0304&quot; </p></div><p><b>status</b>: completed</p><h3>Medications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"  Linked to a RESOURCE Medication  \"><a name=\"hcmed0302\"> </a></span><blockquote><p/><p><a name=\"med0302\"> </a></p><p><a name=\"hcmed0302\"> </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/5.5.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0206-8862-02 &quot;Zosyn in Galaxy Containers, 12 BAG in 1 BOX (0206-8862-02) &gt; 100 mL in 1 BAG (0206-8862-01) (package)&quot;)</span></p></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</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=\"practitioner-example-f006-rvdb.html\">Practitioner/f006</a> &quot;Rob VAN DEN BERK&quot;</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/5.5.0/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 <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>: An 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><p><b>doseAndRate</b></p></blockquote></blockquote><hr/><blockquote><p><b>Generated Narrative: Medication #med0302</b><a name=\"med0302\"> </a><a name=\"hcmed0302\"> </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/5.5.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0206-8862-02 &quot;Zosyn in Galaxy Containers, 12 BAG in 1 BOX (0206-8862-02) &gt; 100 mL in 1 BAG (0206-8862-01) (package)&quot;)</span></p></blockquote></div>"
  },
  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0302",
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/sid/ndc",
        "code" : "0206-8862-02",
        "display" : "Zosyn in Galaxy Containers, 12 BAG in 1 BOX (0206-8862-02) > 100 mL in 1 BAG (0206-8862-01) (package)"
      }],
      "text" : "Zosyn (piperacillin/tazobactam) 4.5gm injection"
    }
  }],
  "status" : "completed",
  "medication" : {
    "reference" : {
      "reference" : "#med0302",
      "display" : "Zosyn (piperacillin/tazobactam) 4.5gm injection"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "performer" : [{
    "actor" : {
      "reference" : "Practitioner/f006"
    }
  }],
  "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"
  },
  "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" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "47625008",
        "display" : "An intravascular route that begins within a vein."
      }]
    },
    "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"
        }
      }
    }]
  }]
}

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.