Medicationdispense0306.json

Dispense for Intravenous Chemotherapy (inpatient order) - Alemtuzumab (RxNorm Code) - completed with multiple dosageInstruction lines

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0306",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0306</p><p><b>contained</b>: </p><p><b>status</b>: in-progress</p><p><b>medication</b>: Alemtuzumab 10mg/ml (Lemtrada). Generated Summary: id: med0303; Alemtuzumab 10mg/ml (Lemtrada) <span>(Details : {RxNorm code '1594660' = '1594660', given as 'Alemtuzumab 10mg/ml (Lemtrada)'})</span></p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>dispenser</b>: <a>Rob van den Berk</a></p><p><b>authorizingPrescription</b>: <a>MedicationRequest/medrx0317</a></p><p><b>type</b>: Daily Fill <span>(Details : {http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType code 'DF' = 'DF', given as 'Daily Fill'})</span></p><p><b>quantity</b>: 5 415818006<span> (Details: SNOMED CT code 415818006 = 'Vial - unit of product usage (qualifier value)')</span></p><p><b>daysSupply</b>: 7 Day<span> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 15/01/2015 9:20:00 PM</p><p><b>dosageInstruction</b>: , , </p></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0303",
      "code": {
        "coding": [
          {
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code": "1594660",
            "display": "Alemtuzumab 10mg/ml (Lemtrada)"
          }
        ]
      }
    }
  ],
  "status": "in-progress",
  "medicationReference": {
    "reference": "#med0303",
    "display": "Alemtuzumab 10mg/ml (Lemtrada)"
  },
  "patient": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "dispenser": {
    "reference": "Practitioner/f006",
    "display": "Rob van den Berk"
  },
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0317"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType",
        "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",
      "additionalInstructions": [
        {
          "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 (qualifier value)"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "422145002",
            "display": "Inject - dosing instruction imperative (qualifier value)"
          }
        ]
      },
      "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",
      "additionalInstructions": [
        {
          "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 (qualifier value)"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "422145002",
            "display": "Inject - dosing instruction imperative (qualifier value)"
          }
        ]
      },
      "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",
      "additionalInstructions": [
        {
          "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 (qualifier value)"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "422145002",
            "display": "Inject - dosing instruction imperative (qualifier value)"
          }
        ]
      },
      "doseQuantity": {
        "value": 30,
        "unit": "mg",
        "system": "http://unitsofmeasure.org",
        "code": "mg"
      }
    }
  ]
}