Medicationdispense0303.xml

Dispense for Oxycodone (RxNorm code) - PRN dose with dose range, coded additional instructions and PRN coded pre-condition (id = "meddisp0303")

<MedicationDispense xmlns="http://hl7.org/fhir">
    <id value="meddisp0303"/>
    <text><status value="generated"/><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></text><contained>
        <Medication>
            <id value="med0310"/>
            <code>
                <coding>
                    <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
                    <code value="1049623"/>
                    <display value="Oxycodone Hydrochloride 5mg oral tablet (Roxicodone"/>
                </coding>
            </code>
        </Medication>
    </contained>
    <status value="on-hold"/>
    <medicationReference>
        <!--    Linked to a RESOURCE Medication    -->
        <reference value="#med0310"/>
    </medicationReference>
    <patient>
        <reference value="Patient/pat1"/>
        <display value="Donald Duck"/>  
    </patient>
    <dispenser>
        <reference value="Practitioner/f006"/>
        <display value="Rob van den Berk"/>
    </dispenser>
    <authorizingPrescription>
        <reference value="MedicationOrder/medrx0310"/>
    </authorizingPrescription>
    <type>
        <coding>
            <system value="http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType"/>
            <code value="EF"/>
            <display value="emergency Fill"/>
        </coding>
    </type>
    <quantity>
        <value value="30"/>
        <system value="http://hl7.org/fhir/ValueSet/v3-orderableDrugForm"/>
        <code value="TAB"/>
    </quantity>
    <daysSupply>
        <value value="10"/>
        <unit value="Day"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="d"/>
    </daysSupply>
    <whenPrepared value="2016-04-15T07:14:00+05:00"/>
    <whenHandedOver value="2016-04-15T07:14:00+05:00"/>
    <dosageInstruction>
        <text value="one to two tablets every 4-6 hours as needed for rib pain"/>
        <additionalInstructions>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="418914006"/>
                <display value="Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic
         drink (qualifier value)"/>
            </coding>
        </additionalInstructions>
        <timing>
            <repeat>
                <frequency value="1"/>
                <period value="4"/>
                <periodMax value="6"/>
                <periodUnit value="h"/>
            </repeat>
        </timing>
        <asNeededCodeableConcept>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="297217002"/>
                <display value="Rib Pain (finding)"/>
            </coding>
        </asNeededCodeableConcept>
        <route>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="26643006"/>
                <display value="Oral Route"/>
            </coding>
        </route>
        <method>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="421521009"/>
                <display value="Swallow - dosing instruction imperative (qualifier value)"/>
            </coding>
        </method>
    </dosageInstruction>
</MedicationDispense>