Medicationdispense0303.json

Dispense for Oxycodone (RxNorm code) - PRN dose with dose range, coded additional instructions and PRN coded pre-condition

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0303",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0303</p><p><b>contained</b>: </p><p><b>status</b>: on-hold</p><p><b>medication</b>: id: med0310; Oxycodone Hydrochloride 5mg oral tablet (Roxicodone <span>(Details : {RxNorm code '1049623' = '??', given as 'Oxycodone Hydrochloride 5mg oral tablet (Roxicodone'})</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>MedicationOrder/medrx0310</a></p><p><b>type</b>: emergency Fill <span>(Details : {http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType code 'EF' = '??', given as 'emergency Fill'})</span></p><p><b>quantity</b>: 30 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></p><p><b>daysSupply</b>: 10 Day<span> (Details: http://unitsofmeasure.org code d = 'd')</span></p><p><b>whenPrepared</b>: 15/04/2016 7:14:00 AM</p><p><b>whenHandedOver</b>: 15/04/2016 7:14:00 AM</p><h3>DosageInstructions</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>AdditionalInstructions</b></td><td><b>Timing</b></td><td><b>AsNeeded[x]</b></td><td><b>Route</b></td><td><b>Method</b></td></tr><tr><td>*</td><td>one to two tablets every 4-6 hours as needed for rib pain</td><td>Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value) <span>(Details : {SNOMED CT code '418914006' = 'Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)', given as 'Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)'})</span></td><td>Do Once per 4-6 hours</td><td>Rib Pain (finding) <span>(Details : {SNOMED CT code '297217002' = 'Rib pain', given as 'Rib Pain (finding)'})</span></td><td>Oral Route <span>(Details : {SNOMED CT code '26643006' = 'Oral route (qualifier value)', given as 'Oral Route'})</span></td><td>Swallow - dosing instruction imperative (qualifier value) <span>(Details : {SNOMED CT code '421521009' = 'Swallow - dosing instruction imperative (qualifier value)', given as 'Swallow - dosing instruction imperative (qualifier value)'})</span></td></tr></table></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0310",
      "code": {
        "coding": [
          {
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code": "1049623",
            "display": "Oxycodone Hydrochloride 5mg oral tablet (Roxicodone"
          }
        ]
      }
    }
  ],
  "status": "on-hold",
  "medicationReference": {
    "reference": "#med0310"
  },
  "patient": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "dispenser": {
    "reference": "Practitioner/f006",
    "display": "Rob van den Berk"
  },
  "authorizingPrescription": [
    {
      "reference": "MedicationOrder/medrx0310"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType",
        "code": "EF",
        "display": "emergency Fill"
      }
    ]
  },
  "quantity": {
    "value": 30,
    "system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm",
    "code": "TAB"
  },
  "daysSupply": {
    "value": 10,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenPrepared": "2016-04-15T07:14:00+05:00",
  "whenHandedOver": "2016-04-15T07:14:00+05:00",
  "dosageInstruction": [
    {
      "text": "one to two tablets every 4-6 hours as needed for rib pain",
      "additionalInstructions": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "418914006",
              "display": "Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)"
            }
          ]
        }
      ],
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 4,
          "periodMax": 6,
          "periodUnit": "h"
        }
      },
      "asNeededCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "297217002",
            "display": "Rib Pain (finding)"
          }
        ]
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral Route"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "421521009",
            "display": "Swallow - dosing instruction imperative (qualifier value)"
          }
        ]
      }
    }
  ]
}