Medicationrequest0312.xml

Liquid Medication - Phenytoin with link to prior prescription (id = "medrx0312")

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0312"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0312</p><p><b>identifier</b>: 12345689 (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>: Phenytoin 25mg/ml oral suspension <span>(Details : {RxNorm code '1313112' = '1313112', given as 'Phenytoin 25mg/ml oral suspension'})</span></p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>dateWritten</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Status epilepticus (disorder) <span>(Details : {SNOMED CT code '230456007' = 'Status epilepticus (disorder)', given as 'Status
           epilepticus (disorder)'})</span></p><p><b>note</b>: Patient should be counselled to ensure good dental hygiene</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></tr><tr><td>*</td><td>15/01/2015 --&gt; 15/01/2016</td><td>3</td><td>360 mL<span> (Details: UCUM code mL = 'mL')</span></td><td>30 days<span> (Details: UCUM 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/v3/ActReason code 'CT' = 'continuing therapy', given as
               'Continuing therapy'})</span></td></tr></table><p><b>priorPrescription</b>: <a>MedicationRequest/medrx0304</a></p></div></text><identifier>
        <use value="official"/>
        <system value="http://www.bmc.nl/portal/prescriptions"/>
        <value value="12345689"/>
    </identifier>
    <status value="active"/>
    <stage>
        <coding>
            <code value="original-order"/>
        </coding>
    </stage>
    <medicationCodeableConcept>
        <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="1313112"/>
            <display value="Phenytoin 25mg/ml oral suspension"/>
        </coding>
    </medicationCodeableConcept>
    <patient> <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/>
        <display value="Donald Duck"/>            
    </patient>
    <dateWritten value="2015-01-15"/>
    <requester> 
        <reference value="Practitioner/f007"/>
        <display value="Patrick Pump"/>
    </requester>
    <reasonCode>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="230456007"/>
            <display value="Status epilepticus (disorder)"/>
        </coding>
    </reasonCode>
    <note>
        <text value="Patient should be counselled to ensure good dental hygiene"/>
    </note>
    <dosageInstruction>
        <sequence value="1"/>
        <text value="100mg (4ml) three times daily"/>
        <timing>
            <repeat>
                <frequency value="3"/>
                <period value="1"/>
                <periodUnit value="d"/>
            </repeat>
        </timing>
        <route>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="26643006"/>
                <display value="Oral Route (qualifier value)"/>
            </coding>
        </route>
        <doseQuantity>
            <value value="100"/>
            <unit value="mg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/>
        </doseQuantity>
    </dosageInstruction> 
    <dispenseRequest>
        <validityPeriod>
            <start value="2015-01-15"/>
            <end value="2016-01-15"/> 
        </validityPeriod>
        <numberOfRepeatsAllowed value="3"/>
        <quantity>
            <value value="360"/>
            <unit value="mL"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mL"/> 
        </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/v3/ActReason"/>
                <code value="CT"/>
                <display value="Continuing therapy"/>
            </coding>
        </reason>
    </substitution>
    <priorPrescription>
        <reference value="MedicationRequest/medrx0304"/>
    </priorPrescription>
</MedicationRequest>