SIL HIE Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Example HIE MedicationDispense - JSON Representation

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{
  "resourceType" : "MedicationDispense",
  "id" : "HIEMedicationDispense-example",
  "meta" : {
    "profile" : [
      🔗 "https://nshr.dha.go.ke/fhir/StructureDefinition/hie-medicationdispense"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>MedicationDispense Summary</b></p><table><tbody><tr><td><b>Status</b></td><td>completed</td></tr><tr><td><b>Category</b></td><td>Outpatient</td></tr><tr><td><b>Medication</b></td><td>Amoxicillin 500 mg capsule</td></tr><tr><td><b>Subject</b></td><td>Jane Patient (Patient/p-001)</td></tr><tr><td><b>Context</b></td><td>Encounter/enc-001</td></tr><tr><td><b>Quantity</b></td><td>30 {capsule}</td></tr><tr><td><b>Days supply</b></td><td>10 d</td></tr><tr><td><b>When prepared</b></td><td>2025-11-16T09:10:00+03:00</td></tr><tr><td><b>When handed over</b></td><td>2025-11-16T09:20:00+03:00</td></tr><tr><td><b>Performer</b></td><td>Acme Community Pharmacy (Organization/pharm-001)</td></tr><tr><td><b>Authorizing prescription</b></td><td>MedicationRequest/mr-001</td></tr></tbody></table><p><b>Dosage</b></p><ul><li>Take 1 capsule by mouth every 8 hours for 10 days</li></ul><p><b>Receiver</b></p><ul><li>Patient received medication at counter</li></ul><p><b>Notes</b></p><ul><li>Counselled on adherence and GI upset advice</li></ul></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "ACSN",
            "display" : "Accession ID"
          }
        ]
      },
      "system" : "http://pharmacy.example.org/dispenses",
      "value" : "DISP-2025-000045"
    }
  ],
  "status" : "completed",
  "category" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/medicationdispense-category",
        "code" : "outpatient",
        "display" : "Outpatient"
      }
    ]
  },
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
        "code" : "308189",
        "display" : "Amoxicillin 500 MG Oral Capsule"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/p-001",
    "display" : "Jane Patient"
  },
  "context" : {
    "reference" : "Encounter/enc-001",
    "display" : "OP visit 2025-11-16"
  },
  "performer" : [
    {
      "function" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function",
            "code" : "packager",
            "display" : "Packager"
          }
        ]
      },
      "actor" : {
        "reference" : "Organization/pharm-001",
        "display" : "Acme Community Pharmacy"
      }
    }
  ],
  "authorizingPrescription" : [
    {
      "reference" : "MedicationRequest/mr-001",
      "display" : "Amoxicillin 500 mg TID x10d"
    }
  ],
  "quantity" : {
    "value" : 30,
    "unit" : "capsule",
    "system" : "http://unitsofmeasure.org",
    "code" : "{capsule}"
  },
  "daysSupply" : {
    "value" : 10,
    "unit" : "day",
    "system" : "http://unitsofmeasure.org",
    "code" : "d"
  },
  "whenPrepared" : "2025-11-16T09:10:00+03:00",
  "whenHandedOver" : "2025-11-16T09:20:00+03:00",
  "receiver" : [
    {
      "reference" : "Patient/p-001",
      "display" : "Jane Patient"
    }
  ],
  "note" : [
    {
      "authorReference" : {
        "reference" : "Practitioner/pr-001"
      },
      "time" : "2025-11-16T09:22:00+03:00",
      "text" : "Patient counselled on adherence and to take with food if GI upset occurs."
    }
  ],
  "dosageInstruction" : [
    {
      "text" : "Take 1 capsule by mouth every 8 hours for 10 days",
      "timing" : {
        "repeat" : {
          "frequency" : 3,
          "period" : 1,
          "periodUnit" : "d"
        }
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "26643006",
            "display" : "Oral route"
          }
        ]
      },
      "doseAndRate" : [
        {
          "doseQuantity" : {
            "value" : 1,
            "unit" : "capsule",
            "system" : "http://unitsofmeasure.org",
            "code" : "{capsule}"
          }
        }
      ]
    }
  ],
  "substitution" : {
    "wasSubstituted" : false,
    "type" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActSubstanceAdminSubstitutionCode",
          "code" : "E",
          "display" : "equivalent"
        }
      ]
    },
    "responsibleParty" : [
      {
        "reference" : "Practitioner/pr-001",
        "display" : "Dr. John Clinician"
      }
    ]
  }
}