Medicationorder0301.xml

Order with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution (id = "medrx0301")

<MedicationOrder xmlns="http://hl7.org/fhir">
    <id value="medrx0301"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0301</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>medication</b>: id: med0310; Oral Form Oxycodone (product) <span>(Details : {SNOMED CT code '430127000' = 'Oral form oxycodone (product)', given as 'Oral
           Form Oxycodone (product)'})</span></p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription</a></p><p><b>dateWritten</b>: 15/01/2015</p><p><b>prescriber</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Rib Pain (finding) <span>(Details : {SNOMED CT code '297217002' = 'Rib pain', given as 'Rib Pain (finding)'})</span></p><p><b>note</b>: Patient told to take with food</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><td><b>Dose[x]</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><td>1-2 TAB</td></tr></table><h3>DispenseRequests</h3><table><tr><td>-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td><td><b>ExpectedSupplyDuration</b></td></tr><tr><td>*</td><td>15/01/2015 --&gt; 15/01/2016</td><td>1</td><td>30 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></td><td>10 days<span> (Details: http://unitsofmeasure.org code d = 'd')</span></td></tr></table><h3>Substitutions</h3><table><tr><td>-</td><td><b>Allowed</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td>formulary policy <span>(Details : {http://hl7.org/fhir code 'FP' = '??', given as 'formulary policy'})</span></td></tr></table></div></text><contained>
      <Medication>
          <id value="med0310"/>
          <code>
              <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="430127000"/>
                  <display value="Oral Form Oxycodone (product)"/>
              </coding>
          </code>
      </Medication>
  </contained>
    <identifier>
        <use value="official"/>
        <system value="http://www.bmc.nl/portal/prescriptions"/>
        <value value="12345689"/>
    </identifier>
    <status value="active"/>
    <medicationReference> <!--    Linked to a RESOURCE Medication    -->
           <reference value="#med0310"/>
    </medicationReference> 
    <patient> <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/>
        <display value="Donald Duck"/>           
    </patient>
    <encounter> <!--    Linked to a resource Encounter between patient and practitioner   -->
        <reference value="Encounter/f001"/>
        <display value="encounter who leads to this prescription"/>
    </encounter>
    <dateWritten value="2015-01-15"/>
    <prescriber> <!--    Linked to the practitioner who treats patient    -->
        <reference value="Practitioner/f007"/>
        <display value="Patrick Pump"/>
    </prescriber>
    <reasonCode>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="297217002"/>
            <display value="Rib Pain (finding)"/>
        </coding>
    </reasonCode>
    <note>
        <text value="Patient told to take with food"/>
    </note>
    <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>
       <doseRange>
           <low>
               <value value="1"/>
               <unit value="TAB"/>
               <system value="http://hl7.org/fhir/ValueSet/v3-orderableDrugForm"/>
               <code value="TAB"/> 
           </low>
           <high>
               <value value="2"/>
               <unit value="TAB"/>
               <system value="http://hl7.org/fhir/ValueSet/v3-orderableDrugForm"/>
               <code value="TAB"/> 
           </high>
       </doseRange>
    </dosageInstruction>
    <dispenseRequest>
        <validityPeriod>
            <start value="2015-01-15"/>
            <end value="2016-01-15"/>
        </validityPeriod>
        <numberOfRepeatsAllowed value="1"/>
        <quantity>
            <value value="30"/>
            <unit value="TAB"/>
            <system value="http://hl7.org/fhir/ValueSet/v3-orderableDrugForm"/>
            <code value="TAB"/> 
        </quantity>
        <expectedSupplyDuration>
            <value value="10"/>
            <unit value="days"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="d"/> 
        </expectedSupplyDuration>
    </dispenseRequest>   
    <substitution>
        <allowed value="true"/>
        <reason>
            <coding>
                <system value="http://hl7.org/fhir"/>
                <code value="FP"/>
                <display value="formulary policy"/>             
            </coding>
        </reason>
    </substitution>
</MedicationOrder>