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Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
Dispense for Intravenous Chemotherapy (inpatient order) - Alemtuzumab (RxNorm Code) - completed with multiple dosageInstruction lines
{ "resourceType" : "MedicationDispense", "id" : "meddisp0306", "contained" : [{ "resourceType" : "Medication", "id" : "med0303", "code" : { "coding" : [{ "system" : "http://www.nlm.nih.gov/research/umls/rxnorm", "code" : "1594660", "display" : "alemtuzumab 10 MG/ML [Lemtrada]" }] } }], "status" : "in-progress", "medication" : { "reference" : { "reference" : "#med0303", "display" : "alemtuzumab 10 MG/ML [Lemtrada]" } }, "subject" : { "reference" : "Patient/pat1", "display" : "Donald Duck" }, "performer" : [{ "actor" : { "reference" : "Practitioner/f006" } }], "authorizingPrescription" : [{ "reference" : "MedicationRequest/medrx0317" }], "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "DF", "display" : "Daily Fill" }] }, "quantity" : { "value" : 5, "system" : "http://snomed.info/sct", "code" : "415818006" }, "daysSupply" : { "value" : 7, "unit" : "Day", "system" : "http://unitsofmeasure.org", "code" : "d" }, "whenPrepared" : "2015-01-15T10:20:00Z", "dosageInstruction" : [{ "sequence" : 1, "text" : "Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk", "additionalInstruction" : [{ "text" : "Rapidly increase dose until tolerated" }, { "text" : "Administer on alternate days" }], "timing" : { "repeat" : { "duration" : 12, "durationUnit" : "wk", "frequency" : 3, "period" : 1, "periodUnit" : "wk" } }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "47625008", "display" : "Intravenous route" }] }, "method" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "422145002", "display" : "Inject - dosing instruction imperative (qualifier value)" }] }, "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "calculated", "display" : "Calculated" }] }, "doseQuantity" : { "value" : 3, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } }] }, { "sequence" : 2, "text" : "Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk", "additionalInstruction" : [{ "text" : "Rapidly increase dose until tolerated" }, { "text" : "Administer on alternate days" }], "timing" : { "repeat" : { "duration" : 12, "durationUnit" : "wk", "frequency" : 3, "period" : 1, "periodUnit" : "wk" } }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "47625008", "display" : "Intravenous route" }] }, "method" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "422145002", "display" : "Inject - dosing instruction imperative (qualifier value)" }] }, "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "calculated", "display" : "Calculated" }] }, "doseQuantity" : { "value" : 10, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } }] }, { "sequence" : 3, "text" : "Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk", "additionalInstruction" : [{ "text" : "Rapidly increase dose until tolerated" }, { "text" : "Administer on alternate days" }], "timing" : { "repeat" : { "duration" : 12, "durationUnit" : "wk", "frequency" : 3, "period" : 1, "periodUnit" : "wk" } }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "47625008", "display" : "Intravenous route" }] }, "method" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "422145002", "display" : "Inject - dosing instruction imperative (qualifier value)" }] }, "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "calculated", "display" : "Calculated" }] }, "doseQuantity" : { "value" : 30, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } }] }] }
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.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot2 generated on Wed, Nov 20, 2024 21:52+0000.
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