SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build

SGHI FHIR Profile 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/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

## : SGHI Medication Dispense - XML Representation

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    <MedicationDispense xmlns="http://hl7.org/fhir">
      <id value="ExampleSGHIMedicationDispense"/>
      <meta>
        <profile
                 value="https://fhir.slade360.co.ke/fhir/StructureDefinition/medicationdispense"/>
      </meta>
      <text>
        <status value="generated"/>
        <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 (use: official, )</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 (use: official, ); 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 (use: official, ); 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>
    </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>
      </text>
      <identifier>
        <use value="official"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="MR"/>
            <display value="Medical record number"/>
          </coding>
        </type>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <value value="example-medication-dispense-id"/>
        <assigner>🔗
          <reference value="Organization/ExampleSGHIOrganization"/>
        </assigner>
      </identifier>
      <status value="completed"/>
      <medication>
        <concept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="123456"/>
            <display value="Medication Name"/>
          </coding>
        </concept>
        <reference>🔗
          <reference value="Medication/ExampleSGHIMedication"/>
          <display value="Panadol"/>
        </reference>
      </medication>
      <subject>🔗
        <reference value="Patient/ExampleSGHIPatient"/>
      </subject>
      <encounter>🔗
        <reference value="Encounter/ExampleSGHIEncounter"/>
      </encounter>
      <performer>
        <actor>🔗
          <reference value="Organization/ExampleSGHIOrganization"/>
        </actor>
      </performer>
      <location>🔗
        <reference value="Location/ExampleSGHILocation"/>
        <display value="Pharmacy Location"/>
      </location>
      <authorizingPrescription>🔗
        <reference value="MedicationRequest/ExampleSGHIMedicationRequest"/>
      </authorizingPrescription>
      <type>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
          <code value="DF"/>
          <display value="None"/>
        </coding>
      </type>
      <quantity>
        <value value="30"/>
        <unit value="tablets"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="tablet"/>
      </quantity>
      <whenPrepared value="2023-10-20T10:00:00Z"/>
      <whenHandedOver value="2023-10-20T11:00:00Z"/>
      <destination>🔗
        <reference value="Location/ExampleSGHILocation"/>
        <display value="Patient's Home"/>
      </destination>
      <receiver>🔗
        <reference value="Patient/ExampleSGHIPatient"/>
      </receiver>
      <renderedDosageInstruction value="Take one tablet daily with meals"/>
      <dosageInstruction>
        <sequence value="1"/>
        <text value="Take 500 mg by mouth twice daily for 10 days after meals"/>
        <additionalInstruction>
          <coding>
            <system
                    value="http://example.org/fhir/CodeSystem/AdditionalInstructions"/>
            <code value="withFood"/>
            <display value="Take with food"/>
          </coding>
        </additionalInstruction>
        <patientInstruction value="Drink plenty of water with each dose"/>
        <timing>
          <repeat>
            <boundsPeriod>
              <start value="2025-01-22"/>
              <end value="2025-02-01"/>
            </boundsPeriod>
            <frequency value="2"/>
            <period value="1"/>
            <periodUnit value="d"/>
          </repeat>
        </timing>
        <asNeeded value="false"/>
        <site>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="N"/>
            <display value="Oral cavity structure"/>
          </coding>
        </site>
        <route>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
            <code value="PO"/>
            <display value="Oral"/>
          </coding>
        </route>
        <method>
          <coding>
            <system
                    value="http://example.org/fhir/CodeSystem/MedicationAdministrationMethod"/>
            <code value="SWALLOW"/>
            <display value="Swallow whole"/>
          </coding>
        </method>
        <doseAndRate>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
              <code value="calculated"/>
              <display value="Calculated dose"/>
            </coding>
          </type>
          <doseQuantity>
            <value value="500"/>
            <unit value="mg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/>
          </doseQuantity>
          <rateRatio>
            <numerator>
              <value value="100"/>
              <unit value="mL"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="mL"/>
            </numerator>
            <denominator>
              <value value="1"/>
              <unit value="hr"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="h"/>
            </denominator>
          </rateRatio>
        </doseAndRate>
      </dosageInstruction>
      <substitution>
        <wasSubstituted value="false"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
            <code value="N"/>
            <display value="None"/>
          </coding>
        </type>
        <responsibleParty>🔗
          <reference value="Organization/ExampleSGHIOrganization"/>
        </responsibleParty>
      </substitution>
    </MedicationDispense>