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</b></p><p><b>partOf</b>: <a>Generated Summary: status: completed; <span>Diagnostic procedure</span>; <span>Biopsy of suspected melanoma L) arm</span>; occurrence: 2014-02-03; recorded: 2014-02-03; <span>Left forearm</span>; <span>Ineffective airway clearance</span>; <span>Review in clinic</span>; Standard Biopsy</a></p><p><b>status</b>: on-hold</p><h3>StatusReasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>category</b>: <span>Outpatient</span></p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>encounter</b>: <a>Generated Summary: id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span></a></p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Generated Summary: id: 937223645 (OFFICIAL), id: 134IDY41W988 (USUAL); Rob van den Berk (OFFICIAL); Phone: 0205569288, R.A.vandenberk@bmc.nl, Fax: 0205664987; gender: male; birthDate: 1975-12-07</a></td></tr></table><p><b>authorizingPrescription</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: active; intent: order; authoredOn: 2015-01-15</a></p><p><b>type</b>: <span>Emergency Supply</span></p><p><b>quantity</b>: 30 TAB</p><p><b>daysSupply</b>: 10 Day</p><p><b>whenPrepared</b>: 15 Apr. 2016, 12:14:00 pm</p><h3>DosageInstructions</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>detectedIssue</b>: <a>Generated Summary: status: final</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"
    }
  ]
}