Medicationorder0305.xml

Order with Dosage with a Pre-Condition - Alprazolam - dosageInstructions includes boundsPeriod with periodMax and asNeededCodeableConcept (id = "medrx0305")

<MedicationOrder xmlns="http://hl7.org/fhir">
    <id value="medrx0305"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0305</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>medication</b>: id: med0314; Alprazolam 0.25mg Oral Tablet <span>(Details : {RxNorm code '308047' = '??', given as 'Alprazolam 0.25mg Oral Tablet'})</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><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>Dose[x]</b></td><td><b>MaxDosePerAdministration</b></td></tr><tr><td>*</td><td>0.25mg PO every 6-12 hours as needed for menses from Jan 15-20, 2015.  Do not exceed more
             than 4mg per day</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>Starting 15/01/2015, Do Once per 6-12 hours, Until 20/01/2015</td><td>Dysmenorrhea (disorder) <span>(Details : {SNOMED CT code '266599000' = 'Dysmenorrhea', given as 'Dysmenorrhea (disorder)'})</span></td><td>Oral Route <span>(Details : {SNOMED CT code '26643006' = 'Oral route (qualifier value)', given as 'Oral
               Route'})</span></td><td>1 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></td><td>4 mg<span> (Details: http://unitsofmeasure.org code mg = 'mg')</span></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="med0314"/>
          <code>
              <coding>
                  <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
                  <code value="308047"/>
                  <display value="Alprazolam 0.25mg Oral Tablet"/>
              </coding>
          </code>
      </Medication>
  </contained>
    <identifier>
        <use value="official"/>
        <system value="http://www.bmc.nl/portal/prescriptions"/>
        <value value="12345689"/>
    </identifier>
    <status value="completed"/>
    <medicationReference> <!--    Linked to a RESOURCE Medication    -->
           <reference value="#med0314"/>
    </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>
    <dosageInstruction>
        <text value="0.25mg PO every 6-12 hours as needed for menses from Jan 15-20, 2015.  Do not exceed more
     than 4mg per day"/>
        <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>
                <boundsPeriod>
                    <start value="2015-01-15"/>
                    <end value="2015-01-20"/>
                </boundsPeriod>
                <frequency value="1"/>
                <period value="6"/>
                <periodMax value="12"/>
                <periodUnit value="h"/>
            </repeat>
        </timing>
        <asNeededCodeableConcept>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="266599000"/>
                <display value="Dysmenorrhea (disorder)"/>
            </coding>
        </asNeededCodeableConcept>
        <route>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="26643006"/>
                <display value="Oral Route"/>
            </coding>
        </route>
        <doseQuantity>
            <value value="1"/>
            <unit value="TAB"/>
            <system value="http://hl7.org/fhir/ValueSet/v3-orderableDrugForm"/>
            <code value="TAB"/> 
        </doseQuantity>
        <maxDosePerAdministration>
            <value value="4"/>
            <unit value="mg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/> 
        </maxDosePerAdministration>
    </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>