Medicationrequest0303.xml

Order for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod (id = "medrx0303")

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0303"/>
    <text><status value="generated"/><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>definition</b>: <a>ActivityDefinition/example</a></p><p><b>basedOn</b>: <a>CarePlan/gpvisit</a></p><p><b>requisition</b>: 983939393 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>stage</b>: original-order <span>(Details : {[not stated] code 'original-order' = 'original-order)</span></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>context</b>: <a>encounter who leads to this prescription</a></p><p><b>dateWritten</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>note</b>: Patient told to take with food</p><p><b>dosageInstruction</b>: , , </p><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><td><b>Performer</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 = 'TAB')</span></td><td>21 days<span> (Details: UCUM code d = 'd')</span></td><td><a>Organization/f001</a></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' = 'FP', given as 'formulary policy'})</span></td></tr></table></div></text><contained>
      <Medication>
          <id value="med0311"/>
          <code>
              <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="373994007"/>
                  <display value="Prednisone 5mg tablet (Product)"/>
              </coding>
          </code>
      </Medication>
  </contained>
    <identifier>
        <use value="official"/>
        <system value="http://www.bmc.nl/portal/prescriptions"/>
        <value value="12345689"/>
    </identifier>
    <definition>
        <reference value="ActivityDefinition/example"/>
    </definition>
    <basedOn>
        <reference value="CarePlan/gpvisit"/>
    </basedOn>
    <requisition>
        <use value="official"/>
        <system value="http://www.bmc.nl/portal/prescriptions"/>
        <value value="983939393"/>
    </requisition>
    <status value="active"/>
    <stage>
        <coding>
            <code value="original-order"/>
        </coding>
    </stage>
    <medicationReference> <!--    Linked to a RESOURCE Medication    -->
           <reference value="#med0311"/>
    </medicationReference> 
    <patient> <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/>
        <display value="Donald Duck"/>        
    </patient>
    <context> <!--    Linked to a resource Encounter between patient and practitioner   -->
        <reference value="Encounter/f001"/>
        <display value="encounter who leads to this prescription"/>
    </context>
    <dateWritten value="2015-01-15"/>
    <requester> 
        <reference value="Practitioner/f007"/>
        <display value="Patrick Pump"/>
    </requester>
    <note>
        <text value="Patient told to take with food"/>
    </note>
    <dosageInstruction>
        <sequence value="1"/>
        <text value="Take 4 tablets daily for 7 days starting January 16, 2015"/>
        <timing>
            <repeat>
                <boundsPeriod>
                    <start value="2015-01-16"/>
                    <end value="2015-01-20"/>
                </boundsPeriod>
                <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="4"/>
            <unit value="TAB"/>
            <system value="http://hl7.org/fhir/ValueSet/v3-orderableDrugForm"/>
            <code value="TAB"/> 
        </doseQuantity>
    </dosageInstruction>
    <dosageInstruction>
        <sequence value="2"/>
        <text value="Take 2 tablets daily for 7 days starting January 23, 2015"/>
        <timing>
            <repeat>
                <boundsPeriod>
                    <start value="2015-01-23"/>
                    <end value="2015-01-30"/>
                </boundsPeriod>
                <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="2"/>
            <unit value="TAB"/>
            <system value="http://hl7.org/fhir/ValueSet/v3-orderableDrugForm"/>
            <code value="TAB"/> 
        </doseQuantity>
    </dosageInstruction>
    <dosageInstruction>
        <sequence value="3"/>
        <text value="Take 1 tablets daily for 7 days starting January 31, 2015"/>
        <timing>
            <repeat>
                <boundsPeriod>
                    <start value="2015-01-31"/>
                    <end value="2015-02-06"/>
                </boundsPeriod>
                <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="51"/>
            <unit value="TAB"/>
            <system value="http://hl7.org/fhir/ValueSet/v3-orderableDrugForm"/>
            <code value="TAB"/> 
        </quantity>
        <expectedSupplyDuration>
            <value value="21"/>
            <unit value="days"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="d"/> 
        </expectedSupplyDuration>
        <performer>
            <reference value="Organization/f001"/>
        </performer>
    </dispenseRequest>   
    <substitution>
        <allowed value="true"/>
        <reason>
            <coding>
                <system value="http://hl7.org/fhir"/>
                <code value="FP"/>
                <display value="formulary policy"/>             
            </coding>
        </reason>
    </substitution>
</MedicationRequest>