Medicationdispense0303.json

Dispense for Oxycodone (RxNorm code) - PRN dose with dose range, coded additional instructions and PRN coded pre-condition

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0303",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0303</p><p><b>contained</b>: </p><p><b>partOf</b>: <a>Procedure/biopsy</a></p><p><b>status</b>: on-hold</p><p><b>statusReason</b>: </p><p><b>category</b>: Outpatient <span>(Details : {http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category code 'outpatient' = 'Outpatient', given as 'Outpatient'})</span></p><p><b>medication</b>: </p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>encounter</b>: <a>Encounter/f001</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/medrx0310</a></p><p><b>type</b>: Emergency Supply <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActCode code 'EM' = 'Emergency Supply', given as 'Emergency Supply'})</span></p><p><b>quantity</b>: 30 TAB<span> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><p><b>daysSupply</b>: 10 Day<span> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 15/04/2016 12:14:00 PM</p><p><b>dosageInstruction</b>: </p><p><b>detectedIssue</b>: <a>DetectedIssue/allergy</a></p></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0310",
      "code": {
        "coding": [
          {
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code": "1049623",
            "display": "Oxycodone Hydrochloride 5mg oral tablet (Roxicodone"
          }
        ]
      }
    }
  ],
  "partOf": [
    {
      "reference": "Procedure/biopsy"
    }
  ],
  "status": "on-hold",
  "statusReason": {
    "reference": {
      "reference": "DetectedIssue/allergy"
    }
  },
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category",
          "code": "outpatient",
          "display": "Outpatient"
        }
      ]
    }
  ],
  "medication": {
    "reference": {
      "reference": "#med0310"
    }
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "encounter": {
    "reference": "Encounter/f001"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f006"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0310"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "EM",
        "display": "Emergency Supply"
      }
    ]
  },
  "quantity": {
    "value": 30,
    "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
    "code": "TAB"
  },
  "daysSupply": {
    "value": 10,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenPrepared": "2016-04-15T07:14:00+05:00",
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "one to two tablets every 4-6 hours as needed for rib pain",
      "additionalInstruction": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "418914006",
              "display": "Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)"
            }
          ]
        }
      ],
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 4,
          "periodMax": 6,
          "periodUnit": "h"
        }
      },
      "asNeededCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "297217002",
            "display": "Rib Pain (finding)"
          }
        ]
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral Route"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "421521009",
            "display": "Swallow - dosing instruction imperative (qualifier value)"
          }
        ]
      }
    }
  ],
  "detectedIssue": [
    {
      "reference": "DetectedIssue/allergy"
    }
  ]
}