This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3
Dispense for Prednisone (RxNorm code) Tapering Dose - entered-in-error with multiple DosageInstruction lines that include coded additionalInstructions and multiple EventHistory elements
{ "resourceType": "MedicationDispense", "id": "meddisp0305", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0305</p><p><b>contained</b>: </p><p><b>status</b>: entered-in-error</p><p><b>medication</b>: Prednisone. Generated Summary: id: med0311; Prednisone 5mg Oral Tablet 48 Count Pack <span>(Details : {RxNorm code '763179' = '??', given as 'Prednisone 5mg Oral Tablet 48 Count Pack'})</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/medrx0303</a></p><p><b>type</b>: First Fill <span>(Details : {http:hl7.org/fhir code 'FF' = '??', given as 'First Fill'})</span></p><p><b>quantity</b>: 49 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></p><p><b>daysSupply</b>: 21 Day<span> (Details: http://unitsofmeasure.org code d = 'd')</span></p><p><b>whenPrepared</b>: 15/01/2015 9:20:00 PM</p><p><b>whenHandedOver</b>: 16/01/2015 3:20:00 AM</p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Take 4 tablets daily for 7 days starting January 16, 2015</p><p><b>additionalInstructions</b>: With or after Food <span>(Details : {SNOMED CT code '311504000' = 'With or after food (qualifier value)', given as 'With or after Food'})</span></p><p><b>timing</b>: Starting 16/01/2015, Do Once per 1 days, Until 20/01/2015</p><p><b>route</b>: Oral Route <span>(Details : {SNOMED CT code '26643006' = 'Oral route (qualifier value)', given as 'Oral Route'})</span></p><p><b>method</b>: 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></p><p><b>dose</b>: 4 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></p></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Take 2 tablets daily for 7 days starting January 23, 2015</p><p><b>additionalInstructions</b>: With or after Food <span>(Details : {SNOMED CT code '311504000' = 'With or after food (qualifier value)', given as 'With or after Food'})</span></p><p><b>timing</b>: Starting 23/01/2015, Do Once per 1 days, Until 30/01/2015</p><p><b>route</b>: Oral Route <span>(Details : {SNOMED CT code '26643006' = 'Oral route (qualifier value)', given as 'Oral Route'})</span></p><p><b>method</b>: 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></p><p><b>dose</b>: 2 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></p></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Take 1 tablets daily for 7 days starting January 31, 2015</p><p><b>additionalInstructions</b>: With or after Food <span>(Details : {SNOMED CT code '311504000' = 'With or after food (qualifier value)', given as 'With or after Food'})</span></p><p><b>timing</b>: Starting 31/01/2015, Do Once per 1 days, Until 06/02/2015</p><p><b>route</b>: Oral Route <span>(Details : {SNOMED CT code '26643006' = 'Oral route (qualifier value)', given as 'Oral Route'})</span></p><p><b>method</b>: 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></p><p><b>dose</b>: 1 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></p></blockquote><blockquote><p><b>eventHistory</b></p><p><b>status</b>: completed</p><p><b>dateTime</b>: 16/01/2015 3:20:00 AM</p></blockquote><blockquote><p><b>eventHistory</b></p><p><b>status</b>: in-progress</p><p><b>dateTime</b>: 16/01/2015 3:20:00 AM</p></blockquote></div>" }, "contained": [ { "resourceType": "Medication", "id": "med0311", "code": { "coding": [ { "system": "http://www.nlm.nih.gov/research/umls/rxnorm", "code": "763179", "display": "Prednisone 5mg Oral Tablet 48 Count Pack" } ] } } ], "status": "entered-in-error", "medicationReference": { "reference": "#med0311", "display": "Prednisone" }, "patient": { "reference": "Patient/pat1", "display": "Donald Duck" }, "dispenser": { "reference": "Practitioner/f006", "display": "Rob van den Berk" }, "authorizingPrescription": [ { "reference": "MedicationOrder/medrx0303" } ], "type": { "coding": [ { "system": "http:hl7.org/fhir", "code": "FF", "display": "First Fill" } ] }, "quantity": { "value": 49, "unit": "TAB", "system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm", "code": "TAB" }, "daysSupply": { "value": 21, "unit": "Day", "system": "http://unitsofmeasure.org", "code": "d" }, "whenPrepared": "2015-01-15T10:20:00Z", "whenHandedOver": "2015-01-15T16:20:00Z", "dosageInstruction": [ { "text": "Take 4 tablets daily for 7 days starting January 16, 2015", "additionalInstructions": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "311504000", "display": "With or after Food" } ] } ], "timing": { "repeat": { "boundsPeriod": { "start": "2015-01-16", "end": "2015-01-20" }, "frequency": 1, "period": 1, "periodUnit": "d" } }, "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)" } ] }, "doseQuantity": { "value": 4, "unit": "TAB", "system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm", "code": "TAB" } }, { "text": "Take 2 tablets daily for 7 days starting January 23, 2015", "additionalInstructions": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "311504000", "display": "With or after Food" } ] } ], "timing": { "repeat": { "boundsPeriod": { "start": "2015-01-23", "end": "2015-01-30" }, "frequency": 1, "period": 1, "periodUnit": "d" } }, "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)" } ] }, "doseQuantity": { "value": 2, "unit": "TAB", "system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm", "code": "TAB" } }, { "text": "Take 1 tablets daily for 7 days starting January 31, 2015", "additionalInstructions": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "311504000", "display": "With or after Food" } ] } ], "timing": { "repeat": { "boundsPeriod": { "start": "2015-01-31", "end": "2015-02-06" }, "frequency": 1, "period": 1, "periodUnit": "d" } }, "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)" } ] }, "doseQuantity": { "value": 1, "unit": "TAB", "system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm", "code": "TAB" } } ], "eventHistory": [ { "status": "completed", "dateTime": "2015-01-15T16:20:00Z" }, { "status": "in-progress", "dateTime": "2015-01-15T16:20:00Z" } ] }
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.