Dispense for a TPN solution - completed (id = "meddisp0320")

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

<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="meddisp0320"/> 
  <contained> 
    <Medication> 
      <id value="med0318"/> 
      <doseForm> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="385221006"/> 
          <display value="Conventional release emulsion for injection (dose form)"/> 
        </coding> 
      </doseForm> 
      <ingredient> 
        <item> 
          <concept> 
            <!--  Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"
              -->
            <coding> 
              <system value="http://hl7.org/fhir/sid/ndc"/> 
              <code value="0338-1134-03"/> 
              <display value="CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package)"/> 
            </coding> 
            <text value="Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"/> 
          </concept> 
        </item> 
      </ingredient> 
      <ingredient> 
        <item> 
          <concept> 
            <coding> 
              <system value="http://hl7.org/fhir/sid/ndc"/> 
              <code value="0409-5779-01"/> 
              <display value="TPN Electrolytes, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01) &gt; 20 mL in
               1 VIAL, SINGLE-DOSE (0409-5779-11) (package)"/> 
            </coding> 
            <text value="TPN Electrolytes SODIUM CHLORIDE, CALCIUM CHLORIDE, POTASSIUM CHLORIDE, MAGNESIUM
             CHLORIDE, and SODIUM ACETATE ANHYDROUS | INJECTION, SOLUTION, CONCENTRATE | 321
             mg/20mL, 331 mg/20mL, 1491 mg/20mL, 508 mg/20mL, 2420 mg/20mL"/> 
          </concept> 
        </item> 
      </ingredient> 
      <ingredient> 
        <item> 
          <concept> 
            <coding> 
              <system value="http://hl7.org/fhir/sid/ndc"/> 
              <code value="0338-0519-02"/> 
              <display value="Intralipid, 250 mL in 1 BAG (0338-0519-02) (package)"/> 
            </coding> 
            <text value="Intralipid 20% IV Fat Emulsion"/> 
          </concept> 
        </item> 
      </ingredient> 
    </Medication> 
  </contained> 
  <status value="completed"/> 
  <medication> 
    <reference> 
      <reference value="#med0318"/> 
      <display value="TPN Solution"/> 
    </reference> 
  </medication> 
  <subject> 
    <reference value="Patient/pat1"/> 
    <display value="Donald Duck"/> 
  </subject> 
  <performer> 
    <actor> 
      <reference value="Practitioner/f006"/> 
    </actor> 
  </performer> 
  <authorizingPrescription> 
    <reference value="MedicationRequest/medrx0323"/> 
  </authorizingPrescription> 
  <quantity> 
    <value value="1000"/> 
    <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="2015-03-16T17:13:00+05:00"/> 
  <whenHandedOver value="2015-03-17T17:13:00+05:00"/> 
  <dosageInstruction> 
    <sequence value="1"/> 
    <text value="1000mL infused at 50ml/hour for 4 hours - hang at 2200 hours"/> 
    <timing> 
      <event value="2015-01-15T22:00:00+11:00"/> 
      <repeat> 
        <frequency value="1"/> 
        <period value="24"/> 
        <periodUnit value="h"/> 
      </repeat> 
    </timing> 
    <route> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="255560000"/> 
        <display value="Intravenous"/> 
      </coding> 
    </route> 
    <doseAndRate> 
      <type> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
          <code value="ordered"/> 
          <display value="Ordered"/> 
        </coding> 
      </type> 
      <doseQuantity> 
        <value value="1000"/> 
        <unit value="mL"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mL"/> 
      </doseQuantity> 
      <rateRatio> 
        <numerator> 
          <value value="50"/> 
          <unit value="mL"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="mL"/> 
        </numerator> 
        <denominator> 
          <value value="1"/> 
          <unit value="h"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="h"/> 
        </denominator> 
      </rateRatio> 
    </doseAndRate> 
  </dosageInstruction> 
</MedicationDispense>