Medicationorderexample1.xml

Fully populated example of a MedicationOrder - Chlorthalidone - active - with link to encounter, reasonReference, note, dispenseRequest, substitution and eventHistory (id = "medrx0311")

<MedicationOrder xmlns="http://hl7.org/fhir">
    <id value="medrx0311"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0311</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>medication</b>: id: med0316; Chlorthalidone 50mg tablet (product) <span>(Details : {SNOMED CT code '317935006' = 'Chlorthalidone 50mg tablet (product)', given
           as 'Chlorthalidone 50mg 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>reasonReference</b>: <a>condition for prescribing this medication</a></p><p><b>note</b>: Chlorthalidone increases urniation so take it in the morning</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>Route</b></td><td><b>Method</b></td><td><b>Dose[x]</b></td></tr><tr><td>*</td><td>One tablet daily</td><td>With or after food <span>(Details : {SNOMED CT code '311504000' = 'With or after food (qualifier value)', given
               as 'With or after food'})</span></td><td>Do Once per 1 days</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 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</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>30 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>continuing therapy <span>(Details : {http://hl7.org/fhir code 'CT' = '??', given as 'continuing therapy'})</span></td></tr></table><h3>EventHistories</h3><table><tr><td>-</td><td><b>Status</b></td><td><b>DateTime</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td>stopped</td><td>01/04/2016</td><td><a>Patrick Pump</a></td></tr></table></div></text><contained>
      <Medication>
          <id value="med0316"/>
          <code>
              <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="317935006"/>
                  <display value="Chlorthalidone 50mg tablet (product)"/>
              </coding>
          </code>
          <isBrand value="false"/>
          <product>
              <form>
                  <coding>
                      <system value="http://snomed.info/sct"/>
                      <code value="385055001"/>
                      <display value="Tablet dose form (qualifier value)"/>
                  </coding>
              </form>
          </product>
      </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="#med0316"/>
    </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>
    <reasonReference>
        <reference value="Condition/f201"/>
        <display value="condition for prescribing this medication"/>
    </reasonReference>
    <note>
        <text value="Chlorthalidone increases urniation so take it in the morning"/>
    </note>
    <dosageInstruction>
        <text value="One tablet daily"/>
        <additionalInstructions>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="311504000"/>
                <display value="With or after food"/>
            </coding>
        </additionalInstructions>
        <timing>
            <repeat>
                <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>
    <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="30"/>
            <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="CT"/>
                <display value="continuing therapy"/>             
            </coding>
        </reason>
    </substitution>
    <eventHistory>
        <status value="stopped"/>
        <dateTime value="2016-04-01"/>
        <actor>
            <reference value="Practitioner/f007"/>
            <display value="Patrick Pump"/>
        </actor>
    </eventHistory>
</MedicationOrder>