Medicationrequest0308.xml

Order for as needed (PRN) dosage - Vicodin - completed with dosageInstruction with additionalInstruction (coded) and as needed with reason, dispenseRequest and substitution (id = "medrx0308")

<?xml version="1.0" encoding="UTF-8"?>

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0308"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : medrx0308</p> <p> <b> identifier</b> : 12345689 (OFFICIAL)</p> <p> <b> status</b> : completed</p> <p> <b> intent</b> : order</p> <p> <b> medication</b> : Vicodin 5/500 Oral Tablet <span> (Details : {RxNorm code '856907' = 'Vicodin 5 MG / 500 MG Oral Tablet', given as 'Vicodin
           5/500 Oral Tablet'})</span> </p> <p> <b> subject</b> : <a> Donald Duck</a> </p> <p> <b> context</b> : <a> encounter who leads to this prescription</a> </p> <p> <b> authoredOn</b> : 15/01/2015</p> <p> <b> requester</b> : <a> Patrick Pump</a> </p> <p> <b> recorder</b> : <a> Carla Espinoza</a> </p> <p> <b> dosageInstruction</b> : </p> <h3> DispenseRequests</h3> <table> <tr> <td> -</td> <td> <b> ValidityPeriod</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> 30 TAB<span>  (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</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> false</td> <td> formulary policy <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary
               policy', 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"/> 
    <intent value="order">
    </intent> 
    <medicationCodeableConcept> 
        <coding> 
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
            <code value="856907"/> 
            <display value="Vicodin 5/500 Oral Tablet"/> 
        </coding> 
    </medicationCodeableConcept> 
    <subject>  <!--    Linked to the resource patient who needs the medication    -->
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/>         
    </subject> 
    <context>  <!--    Linked to a resource Encounter between patient and practitioner   -->
        <reference value="Encounter/f001"/> 
        <display value="encounter who leads to this prescription"/> 
    </context> 
    <authoredOn value="2015-01-15"/> 
    <requester> 
        <reference value="Practitioner/f007"/> 
        <display value="Patrick Pump"/> 
    </requester> 
    <recorder> 
        <reference value="Practitioner/f204"/> 
        <display value="Carla Espinoza"/> 
    </recorder> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="1 tablet every four hours as needed for pain"/> 
        <additionalInstruction> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="418914006"/> 
                <display value="Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic
         drink (qualifier value)"/> 
            </coding> 
        </additionalInstruction> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="4"/> 
                <periodUnit value="h"/> 
            </repeat> 
        </timing> 
        <asNeededCodeableConcept> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="203082005"/> 
                <display value="Fibromyalgia (disorder)"/> 
            </coding> 
        </asNeededCodeableConcept> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="26643006"/> 
                <display value="Oral Route"/> 
            </coding> 
        </route> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                    </coding> 
            </type> 
            <doseQuantity> 
                <value value="1"/> 
                <unit value="TAB"/> 
                <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
                <code value="TAB"/>  
            </doseQuantity> 
        </doseAndRate> 

    </dosageInstruction> 
    <dispenseRequest> 
        <validityPeriod> 
            <start value="2015-01-15"/> 
            <end value="2016-01-15"/> 
        </validityPeriod> 
        <quantity> 
            <value value="30"/> 
            <unit value="TAB"/> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
            <code value="TAB"/>  
        </quantity> 
        <expectedSupplyDuration> 
            <value value="10"/> 
            <unit value="days"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="d"/>  
        </expectedSupplyDuration> 
    </dispenseRequest>    
    <substitution> 
        <allowed value="false"/> 
        <reason> 
            <coding> 
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> 
                <code value="FP"/> 
                <display value="formulary policy"/>              
            </coding> 
        </reason> 
    </substitution> 
</MedicationRequest>