# SGHI Medication Dispense - SGHI FHIR Profile Implementation Guide v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **SGHI Medication Dispense**

## Example MedicationDispense: SGHI Medication Dispense

Profile: [SGHI Medication Dispense](StructureDefinition-medicationdispense.md)

**identifier**: Medical record number/example-medication-dispense-id (use: official, )

**status**: Completed

### Medications

| | | |
| :--- | :--- | :--- |
| - | **Concept** | **Reference** |
| * | Medication Name | [Panadol](Medication-ExampleSGHIMedication.md) |

**subject**: [James Pond(official) Male, DoB: 1990-07-15 ( Medical Record Number: 12345)](Patient-ExampleSGHIPatient.md)

**encounter**: [Encounter: identifier = Visit Number: VN123456789 (use: official, ); status = in-progress; class = Ambulatory](Encounter-ExampleSGHIEncounter.md)

### Performers

| | |
| :--- | :--- |
| - | **Actor** |
| * | [Organization SGHI Healthcare Organization](Organization-ExampleSGHIOrganization.md) |

**location**: [Pharmacy Location](Location-ExampleSGHILocation.md)

**authorizingPrescription**: [MedicationRequest: identifier = Prescription Number: RX123456789 (use: official, ); status = active; intent = plan; category = Inpatient; priority = routine; authoredOn = 2025-01-22; effectiveDosePeriod = 2025-01-22 --> 2025-02-01](MedicationRequest-ExampleSGHIMedicationRequest.md)

**type**: None

**quantity**: 30 tablets (Details: UCUM codetablet = 'tablet')

**whenPrepared**: 2023-10-20 10:00:00+0000

**whenHandedOver**: 2023-10-20 11:00:00+0000

**destination**: [Patient's Home](Location-ExampleSGHILocation.md)

**receiver**: [James Pond(official) Male, DoB: 1990-07-15 ( Medical Record Number: 12345)](Patient-ExampleSGHIPatient.md)

**renderedDosageInstruction**: 

Take one tablet daily with meals

> **dosageInstruction****sequence**: 1**text**: Take 500 mg by mouth twice daily for 10 days after meals**additionalInstruction**: Take with food**patientInstruction**: Drink plenty of water with each dose**timing**: 2 per 1 day**asNeeded**: false**site**: Oral cavity structure**route**: Oral**method**: Swallow whole

### DoseAndRates

| | | | |
| :--- | :--- | :--- | :--- |
| - | **Type** | **Dose[x]** | **Rate[x]** |
| * | Calculated dose | 500 mg (Details: UCUM codemg = 'mg') | 100 mL (Details: UCUM codemL = 'mL')/1 hr (Details: UCUM codeh = 'h') |


### Substitutions

| | | | |
| :--- | :--- | :--- | :--- |
| - | **WasSubstituted** | **Type** | **ResponsibleParty** |
| * | false | None | [Organization SGHI Healthcare Organization](Organization-ExampleSGHIOrganization.md) |



## Resource Content

```json
{
  "resourceType" : "MedicationDispense",
  "id" : "ExampleSGHIMedicationDispense",
  "meta" : {
    "profile" : ["https://fhir.slade360.co.ke/fhir/StructureDefinition/medicationdispense"]
  },
  "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"
    }
  }
}

```
