Medicationdispense0305.json

Dispense for Prednisone (RxNorm code) Tapering Dose - entered-in-error with multiple DosageInstruction lines that include coded additionalInstructions and multiple EventHistory elements

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0305",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0305</p><p><b>contained</b>: </p><p><b>status</b>: entered-in-error</p><p><b>medication</b>: Prednisone. Generated Summary: id: med0311; Prednisone 5mg Oral Tablet 48 Count Pack <span>(Details : {RxNorm code '763179' = '763179', given as 'Prednisone 5mg Oral Tablet 48 Count Pack'})</span></p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>dispenser</b>: <a>Rob van den Berk</a></p><p><b>authorizingPrescription</b>: <a>MedicationRequest/medrx0303</a></p><p><b>type</b>: First Fill <span>(Details : {http:hl7.org/fhir code 'FF' = 'FF', given as 'First Fill'})</span></p><p><b>quantity</b>: 49 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = 'TAB')</span></p><p><b>daysSupply</b>: 21 Day<span> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 15/01/2015 9:20:00 PM</p><p><b>whenHandedOver</b>: 16/01/2015 3:20:00 AM</p><p><b>dosageInstruction</b>: , , </p></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0311",
      "code": {
        "coding": [
          {
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code": "763179",
            "display": "Prednisone 5mg Oral Tablet 48 Count Pack"
          }
        ]
      }
    }
  ],
  "status": "entered-in-error",
  "medicationReference": {
    "reference": "#med0311",
    "display": "Prednisone"
  },
  "patient": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "dispenser": {
    "reference": "Practitioner/f006",
    "display": "Rob van den Berk"
  },
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0303"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http:hl7.org/fhir",
        "code": "FF",
        "display": "First Fill"
      }
    ]
  },
  "quantity": {
    "value": 49,
    "unit": "TAB",
    "system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm",
    "code": "TAB"
  },
  "daysSupply": {
    "value": 21,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenPrepared": "2015-01-15T10:20:00Z",
  "whenHandedOver": "2015-01-15T16:20:00Z",
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "Take 4 tablets daily for 7 days starting January 16, 2015",
      "additionalInstructions": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "311504000",
              "display": "With or after Food"
            }
          ]
        }
      ],
      "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"
      }
    },
    {
      "sequence": 2,
      "text": "Take 2 tablets daily for 7 days starting January 23, 2015",
      "additionalInstructions": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "311504000",
              "display": "With or after Food"
            }
          ]
        }
      ],
      "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"
      }
    },
    {
      "sequence": 3,
      "text": "Take 1 tablets daily for 7 days starting January 31, 2015",
      "additionalInstructions": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "311504000",
              "display": "With or after Food"
            }
          ]
        }
      ],
      "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"
      }
    }
  ]
}