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 (id = "meddisp0304")

<?xml version="1.0" encoding="UTF-8"?>

<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="meddisp0304"/> 
  <contained> 
    <Medication> 
      <id value="med0302"/> 
      <code> 
        <!--   Zosyn (piperacillin/tazobactam) 4.5gm injection   -->
        <coding> 
          <system value="http://hl7.org/fhir/sid/ndc"/> 
          <code value="0206-8862-02"/> 
          <display value="Zosyn in Galaxy Containers, 12 BAG in 1 BOX (0206-8862-02) &gt; 100 mL in 1 BAG
           (0206-8862-01) (package)"/> 
        </coding> 
        <text value="Zosyn (piperacillin/tazobactam) 4.5gm injection"/> 
      </code> 
    </Medication> 
  </contained> 
  <status value="completed"/> 
  <medication> 
    <!--   Linked to a RESOURCE Medication   -->
    <reference> 
      <reference value="#med0302"/> 
      <display value="Zosyn (piperacillin/tazobactam) 4.5gm injection"/> 
    </reference> 
  </medication> 
  <subject> 
    <reference value="Patient/pat1"/> 
    <display value="Donald Duck"/> 
  </subject> 
  <performer> 
    <actor> 
      <reference value="Practitioner/f006"/> 
    </actor> 
  </performer> 
  <authorizingPrescription> 
    <reference value="MedicationRequest/medrx0319"/> 
  </authorizingPrescription> 
  <type> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
      <code value="FF"/> 
      <display value="First Fill"/> 
    </coding> 
  </type> 
  <quantity> 
    <value value="250"/> 
    <system value="http://unitsofmeasure.org"/> 
    <code value="mL"/> 
  </quantity> 
  <daysSupply> 
    <value value="1"/> 
    <unit value="Day"/> 
    <system value="http://unitsofmeasure.org"/> 
    <code value="d"/> 
  </daysSupply> 
  <whenPrepared value="2015-06-25T07:13:00+05:00"/> 
  <whenHandedOver value="2015-06-26T07:13:00+05:00"/> 
  <dosageInstruction> 
    <sequence value="1"/> 
    <text value="4.5 grams in D5W 250 ml. IV every 6 hours. Infuse over 30 min at 8L/min"/> 
    <timing> 
      <repeat> 
        <frequency value="1"/> 
        <period value="6"/> 
        <periodUnit value="h"/> 
      </repeat> 
    </timing> 
    <site> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="255560000"/> 
        <display value="Intravenous"/> 
      </coding> 
    </site> 
    <route> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="47625008"/> 
        <display value="An intravascular route that begins within a vein."/> 
      </coding> 
    </route> 
    <doseAndRate> 
      <type> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
          <code value="calculated"/> 
          <display value="Calculated"/> 
        </coding> 
      </type> 
      <doseQuantity> 
        <value value="4.5"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="g"/> 
      </doseQuantity> 
      <rateRatio> 
        <numerator> 
          <value value="8"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="ml"/> 
        </numerator> 
        <denominator> 
          <value value="1"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="min"/> 
        </denominator> 
      </rateRatio> 
    </doseAndRate> 
  </dosageInstruction> 
</MedicationDispense>