STU 3 Ballot

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

Medicationorder0303.json

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Order for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod

{
  "resourceType": "MedicationOrder",
  "id": "medrx0303",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0303</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>medication</b>: id: med0311; Prednisone 5mg tablet (Product) <span>(Details : {SNOMED CT code '373994007' = 'Prednisone 5mg tablet (product)', given as 'Prednisone 5mg tablet (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>note</b>: Patient told to take with food</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>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>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>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><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>51 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></td><td>21 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>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0311",
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "373994007",
            "display": "Prednisone 5mg tablet (Product)"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "status": "active",
  "medicationReference": {
    "reference": "#med0311"
  },
  "patient": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "encounter": {
    "reference": "Encounter/f001",
    "display": "encounter who leads to this prescription"
  },
  "dateWritten": "2015-01-15",
  "prescriber": {
    "reference": "Practitioner/f007",
    "display": "Patrick Pump"
  },
  "note": [
    {
      "text": "Patient told to take with food"
    }
  ],
  "dosageInstruction": [
    {
      "text": "Take 4 tablets daily for 7 days starting January 16, 2015",
      "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",
      "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",
      "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"
      }
    }
  ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2015-01-15",
      "end": "2016-01-15"
    },
    "numberOfRepeatsAllowed": 1,
    "quantity": {
      "value": 51,
      "unit": "TAB",
      "system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm",
      "code": "TAB"
    },
    "expectedSupplyDuration": {
      "value": 21,
      "unit": "days",
      "system": "http://unitsofmeasure.org",
      "code": "d"
    }
  },
  "substitution": {
    "allowed": true,
    "reason": {
      "coding": [
        {
          "system": "http://hl7.org/fhir",
          "code": "FP",
          "display": "formulary policy"
        }
      ]
    }
  }
}

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.