Medicationrequest0324.xml

Order using Medication Code for Rectal Suppository - Acetaminophen - completed with reasonCode, dispenseRequest and substitution (id = "medrx0324")

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0324"/>
    <text><status value="generated"/><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>stage</b>: original-order <span>(Details : {[not stated] code 'original-order' = 'original-order)</span></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>requester</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><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>30 RECSUPP<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code RECSUPP = 'RECSUPP')</span></td><td>10 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>formulary policy <span>(Details : {http://hl7.org/fhir code 'FP' = 'FP', given as 'formulary policy'})</span></td></tr></table></div></text><identifier>
        <use value="official"/>
        <system value="http://www.bmc.nl/portal/prescriptions"/>
        <value value="12345689"/>
    </identifier>
    <status value="completed"/>
    <stage>
        <coding>
            <code value="original-order"/>
        </coding>
    </stage>
    <medicationCodeableConcept>
        <coding>
        <system value="http://snomed.info/sct"/>
        <code value="322254008"/>
        <display value="Paracetamol 240mg suppository (product)"/>
        </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="30242009"/>
            <display value="Scarlet Fever (disorder)"/>
        </coding>
    </reasonCode>
    <dosageInstruction>
        <sequence value="1"/>
        <text value="Insert one suppository rectally twice daily as needed for fever to a maximim of 3 per
     day"/>
        <additionalInstructions>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="418637003"/>
                <display value="Do not take with any other paracetamol products (qualifier value)"/>
            </coding>
        </additionalInstructions>
        <timing>
            <repeat>
                <frequency value="2"/>
                <period value="1"/>
                <periodUnit value="d"/>
            </repeat>
        </timing>
    <asNeededCodeableConcept>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="386661006"/>
            <display value="Fever (finding)"/>
        </coding>
    </asNeededCodeableConcept>
        <doseQuantity>
            <value value="240"/>
            <unit value="mg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/>
        </doseQuantity>
        <maxDosePerPeriod>
            <numerator>
                <value value="720"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mg"/>
            </numerator>
            <denominator>
                <value value="1"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="d"/>
            </denominator>
        </maxDosePerPeriod>
    </dosageInstruction>
    <dispenseRequest>
        <validityPeriod>
            <start value="2015-01-15"/>
            <end value="2016-01-15"/>
        </validityPeriod>
        <numberOfRepeatsAllowed value="3"/>
        <quantity>
            <value value="30"/>
            <unit value="RECSUPP"/>
            <system value="http://hl7.org/fhir/ValueSet/v3-orderableDrugForm"/>
            <code value="RECSUPP"/> 
        </quantity>
        <expectedSupplyDuration>
            <value value="10"/>
            <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="FP"/>
                <display value="formulary policy"/>             
            </coding>
        </reason>
    </substitution>
</MedicationRequest>