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Medicationdispense0305.xml

Raw XML (canonical form)
Dispense for Prednisone (RxNorm code) Tapering Dose - entered-in-error with multiple DosageInstruction lines that include coded additionalInstructions and multiple EventHistory elements (id = "meddisp0305")
<MedicationDispense xmlns="http://hl7.org/fhir">
    <id value="meddisp0305"/>
    <text><status value="generated"/><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></text><contained>
        <Medication>
            <id value="med0311"/>
            <code>
                <coding>
                    <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
                    <code value="763179"/>
                    <display value="Prednisone 5mg Oral Tablet 48 Count Pack"/>
                </coding>
            </code>
        </Medication>
    </contained>
    <status value="entered-in-error"/>
    <medicationReference>
        <!--    Linked to a RESOURCE Medication    -->
        <reference value="#med0311"/>
        <display value="Prednisone"/>
    </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/medrx0303"/>
    </authorizingPrescription>
    <type>
        <coding>
            <system value="http:hl7.org/fhir"/>
            <code value="FF"/>
            <display value="First Fill"/>
        </coding>
    </type>
    <quantity>
        <value value="49"/>
        <unit value="TAB"/>
        <system value="http://hl7.org/fhir/ValueSet/v3-orderableDrugForm"/>
        <code value="TAB"/> 
    </quantity>
    <daysSupply>
        <value value="21"/>
        <unit value="Day"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="d"/>
    </daysSupply>
    <whenPrepared value="2015-01-15T10:20:00Z"/>
    <whenHandedOver value="2015-01-15T16:20:00Z"/>
    <dosageInstruction>
        <text value="Take 4 tablets daily for 7 days starting January 16, 2015"/>
        <additionalInstructions>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="311504000"/>
                <display value="With or after Food"/>
            </coding>
        </additionalInstructions>
        <timing>
            <repeat>
                <boundsPeriod>
                    <start value="2015-01-16"/>
                    <end value="2015-01-20"/>
                </boundsPeriod>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="d"/>
            </repeat>
        </timing>
        <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>
        <doseQuantity>
            <value value="4"/>
            <unit value="TAB"/>
            <system value="http://hl7.org/fhir/ValueSet/v3-orderableDrugForm"/>
            <code value="TAB"/> 
        </doseQuantity>
    </dosageInstruction>
    <dosageInstruction>
        <text value="Take 2 tablets daily for 7 days starting January 23, 2015"/>
        <additionalInstructions>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="311504000"/>
                <display value="With or after Food"/>
            </coding>
        </additionalInstructions>
        <timing>
            <repeat>
                <boundsPeriod>
                    <start value="2015-01-23"/>
                    <end value="2015-01-30"/>
                </boundsPeriod>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="d"/>
            </repeat>
        </timing>
        <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>
        <doseQuantity>
            <value value="2"/>
            <unit value="TAB"/>
            <system value="http://hl7.org/fhir/ValueSet/v3-orderableDrugForm"/>
            <code value="TAB"/> 
        </doseQuantity>
    </dosageInstruction>
    <dosageInstruction>
        <text value="Take 1 tablets daily for 7 days starting January 31, 2015"/>
        <additionalInstructions>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="311504000"/>
                <display value="With or after Food"/>
            </coding>
        </additionalInstructions>
        <timing>
            <repeat>
                <boundsPeriod>
                    <start value="2015-01-31"/>
                    <end value="2015-02-06"/>
                </boundsPeriod>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="d"/>
            </repeat>
        </timing>
        <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>
        <doseQuantity>
            <value value="1"/>
            <unit value="TAB"/>
            <system value="http://hl7.org/fhir/ValueSet/v3-orderableDrugForm"/>
            <code value="TAB"/> 
        </doseQuantity>
    </dosageInstruction>
    <eventHistory>
        <status value="completed"/>
        <dateTime value="2015-01-15T16:20:00Z"/>
    </eventHistory>
    <eventHistory>
        <status value="in-progress"/>
        <dateTime value="2015-01-15T16:20:00Z"/>
    </eventHistory>
</MedicationDispense>
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.