This page is part of the FHIR Specification (v4.2.0: R5 Preview #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3
Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
Raw XML (canonical form + also see XML Format Specification)
Dispense for Prednisone (RxNorm code) Tapering Dose - entered-in-error with multiple Dosage lines that include coded additionalInstructions and multiple EventHistory elements (id = "meddisp0305")
<?xml version="1.0" encoding="UTF-8"?> <MedicationDispense xmlns="http://hl7.org/fhir"> <id value="meddisp0305"/> <text> <status value="generated"/> <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' = 'predniSONE 5 MG Tablet 12 Day 48 Count Pack', given as 'Prednisone 5mg Oral Tablet 48 Count Pack'})</span> </p> <p> <b> subject</b> : <a> Donald Duck</a> </p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Practitioner/f006</a> </td> </tr> </table> <p> <b> authorizingPrescription</b> : <a> MedicationRequest/medrx0303</a> </p> <p> <b> type</b> : First Fill <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ActCode code 'FF' = 'First Fill', given as 'First Fill'})</span> </p> <p> <b> quantity</b> : 49 TAB<span> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span> </p> <p> <b> daysSupply</b> : 21 Day<span> (Details: UCUM code d = 'd')</span> </p> <p> <b> whenPrepared</b> : 15 Jan. 2015, 10:20:00 am</p> <p> <b> whenHandedOver</b> : 15 Jan. 2015, 4:20:00 pm</p> <p> <b> dosageInstruction</b> : , , </p> </div> </text> <contained> <Medication> <id value="med0311"/> <code> <coding> <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> <code value="763179"/> <display value="Prednisone 5mg Oral Tablet 48 Count Pack"/> </coding> </code> </Medication> </contained> <status value="entered-in-error"/> <medicationReference> <!-- Linked to a RESOURCE Medication --> <reference value="#med0311"/> <display value="Prednisone"/> </medicationReference> <subject> <reference value="Patient/pat1"/> <display value="Donald Duck"/> </subject> <performer> <actor> <reference value="Practitioner/f006"/> </actor> </performer> <authorizingPrescription> <reference value="MedicationRequest/medrx0303"/> </authorizingPrescription> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="FF"/> <display value="First Fill"/> </coding> </type> <quantity> <value value="49"/> <unit value="TAB"/> <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> <code value="TAB"/> </quantity> <daysSupply> <value value="21"/> <unit value="Day"/> <system value="http://unitsofmeasure.org"/> <code value="d"/> </daysSupply> <whenPrepared value="2015-01-15T10:20:00Z"/> <whenHandedOver value="2015-01-15T16:20:00Z"/> <dosageInstruction> <sequence value="1"/> <text value="Take 4 tablets daily for 7 days starting January 16, 2015"/> <additionalInstruction> <coding> <system value="http://snomed.info/sct"/> <code value="311504000"/> <display value="With or after Food"/> </coding> </additionalInstruction> <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> <doseAndRate> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> <code value="calculated"/> <display value="Calculated"/> </coding> </type> <doseQuantity> <value value="4"/> <unit value="TAB"/> <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> <code value="TAB"/> </doseQuantity> </doseAndRate> </dosageInstruction> <dosageInstruction> <sequence value="2"/> <text value="Take 2 tablets daily for 7 days starting January 23, 2015"/> <additionalInstruction> <coding> <system value="http://snomed.info/sct"/> <code value="311504000"/> <display value="With or after Food"/> </coding> </additionalInstruction> <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> <doseAndRate> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> <code value="calculated"/> <display value="Calculated"/> </coding> </type> <doseQuantity> <value value="2"/> <unit value="TAB"/> <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> <code value="TAB"/> </doseQuantity> </doseAndRate> </dosageInstruction> <dosageInstruction> <sequence value="3"/> <text value="Take 1 tablets daily for 7 days starting January 31, 2015"/> <additionalInstruction> <coding> <system value="http://snomed.info/sct"/> <code value="311504000"/> <display value="With or after Food"/> </coding> </additionalInstruction> <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> <doseAndRate> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> <code value="calculated"/> <display value="Calculated"/> </coding> </type> <doseQuantity> <value value="1"/> <unit value="TAB"/> <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> <code value="TAB"/> </doseQuantity> </doseAndRate> </dosageInstruction> </MedicationDispense>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.