Medicationorder0324.json

Order using Medication Code for Rectal Suppository - Acetaminophen - completed with reasonCode, dispenseRequest and substitution

{
  "resourceType": "MedicationOrder",
  "id": "medrx0324",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0324</p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>medication</b>: Paracetamol 240mg suppository (product) <span>(Details : {SNOMED CT code '322254008' = 'Paracetamol 240mg suppository (product)', given as 'Paracetamol 240mg suppository (product)'})</span></p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>dateWritten</b>: 15/01/2015</p><p><b>prescriber</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Scarlet Fever (disorder) <span>(Details : {SNOMED CT code '30242009' = 'Scarlet fever', given as 'Scarlet Fever (disorder)'})</span></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>Dose[x]</b></td><td><b>MaxDosePerPeriod</b></td></tr><tr><td>*</td><td>Insert one suppository rectally twice daily as needed for fever to a maximim of 3 per day</td><td>Do not take with any other paracetamol products (qualifier value) <span>(Details : {SNOMED CT code '418637003' = 'Do not take with any other paracetamol products (qualifier value)', given as 'Do not take with any other paracetamol products (qualifier value)'})</span></td><td>Do 2 per 1 days</td><td>Fever (finding) <span>(Details : {SNOMED CT code '386661006' = 'Fever (finding)', given as 'Fever (finding)'})</span></td><td>240 mg<span> (Details: http://unitsofmeasure.org code mg = 'mg')</span></td><td>720 mg<span> (Details: http://unitsofmeasure.org code mg = 'mg')</span>/1 d<span> (Details: http://unitsofmeasure.org code d = 'd')</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>3</td><td>30 RECSUPP<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code RECSUPP = '??')</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>"
  },
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "status": "completed",
  "medicationCodeableConcept": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "322254008",
        "display": "Paracetamol 240mg suppository (product)"
      }
    ]
  },
  "patient": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "dateWritten": "2015-01-15",
  "prescriber": {
    "reference": "Practitioner/f007",
    "display": "Patrick Pump"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "30242009",
          "display": "Scarlet Fever (disorder)"
        }
      ]
    }
  ],
  "dosageInstruction": [
    {
      "text": "Insert one suppository rectally twice daily as needed for fever to a maximim of 3 per day",
      "additionalInstructions": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "418637003",
              "display": "Do not take with any other paracetamol products (qualifier value)"
            }
          ]
        }
      ],
      "timing": {
        "repeat": {
          "frequency": 2,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "asNeededCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "386661006",
            "display": "Fever (finding)"
          }
        ]
      },
      "doseQuantity": {
        "value": 240,
        "unit": "mg",
        "system": "http://unitsofmeasure.org",
        "code": "mg"
      },
      "maxDosePerPeriod": {
        "numerator": {
          "value": 720,
          "system": "http://unitsofmeasure.org",
          "code": "mg"
        },
        "denominator": {
          "value": 1,
          "system": "http://unitsofmeasure.org",
          "code": "d"
        }
      }
    }
  ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2015-01-15",
      "end": "2016-01-15"
    },
    "numberOfRepeatsAllowed": 3,
    "quantity": {
      "value": 30,
      "unit": "RECSUPP",
      "system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm",
      "code": "RECSUPP"
    },
    "expectedSupplyDuration": {
      "value": 10,
      "unit": "days",
      "system": "http://unitsofmeasure.org",
      "code": "d"
    }
  },
  "substitution": {
    "allowed": true,
    "reason": {
      "coding": [
        {
          "system": "http://hl7.org/fhir",
          "code": "FP",
          "display": "formulary policy"
        }
      ]
    }
  }
}