This page is part of the FHIR Specification (v5.0.0-ballot: R5 Ballot - see ballot notes). 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)
Order with Dosage with a Pre-Condition - Alprazolam - dosageInstructions includes boundsPeriod with periodMax and asNeededCodeableConcept (id = "medrx0305")
<?xml version="1.0" encoding="UTF-8"?> <MedicationRequest xmlns="http://hl7.org/fhir"> <id value="medrx0305"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationRequest</b> <a name="medrx0305"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MedicationRequest "medrx0305" </p> </div> <p> <b> identifier</b> : id: 12345689 (OFFICIAL)</p> <p> <b> status</b> : completed</p> <p> <b> intent</b> : order</p> <h3> Medications</h3> <table class="grid"><tr> <td> -</td> <td> <b> Reference</b> </td> </tr> <tr> <td> *</td> <td> <span title=" Linked to a RESOURCE Medication "><a name="med0314"> </a> </span> <blockquote> <p/> <p> <a name="med0314"> </a> </p> <p> <b> code</b> : Alprazolam 0.25mg Oral Tablet <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html">RxNorm</a> #308047)</span> </p> </blockquote> </td> </tr> </table> <p> <b> subject</b> : <a href="patient-example-a.html">Patient/pat1: Donald Duck</a> "Donald DUCK"</p> <p> <b> encounter</b> : <a href="encounter-example-f001-heart.html">Encounter/f001: encounter who leads to this prescription</a> </p> <p> <b> authoredOn</b> : 2015-01-15</p> <p> <b> requester</b> : <a href="practitioner-example-f007-sh.html">Practitioner/f007: Patrick Pump</a> "Simone HEPS"</p> <blockquote> <p> <b> dose</b> </p> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : 0.25mg PO every 6-12 hours as needed for menses from Jan 15-20, 2015. Do not exceed more than 4mg per day</p> <p> <b> additionalInstruction</b> : Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #418914006)</span> </p> <p> <b> timing</b> : Starting 2015-01-15, Do Once per 6-12 hours, Until 2015-01-20</p> <p> <b> asNeededFor</b> : Dysmenorrhea (disorder) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #266599000)</span> </p> <p> <b> route</b> : Oral Route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #26643006)</span> </p> <p> <b> maxDosePerAdministration</b> : 4 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</span> </p> </blockquote> </blockquote> <blockquote> <p> <b> dispenseRequest</b> </p> <p> <b> validityPeriod</b> : 2015-01-15 --> 2016-01-15</p> <p> <b> numberOfRepeatsAllowed</b> : 1</p> <p> <b> quantity</b> : 30 TAB<span style="background: LightGoldenRodYellow"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span> </p> <h3> ExpectedSupplyDurations</h3> <table class="grid"><tr> <td> -</td> <td> <b> Value</b> </td> <td> <b> Unit</b> </td> <td> <b> System</b> </td> <td> <b> Code</b> </td> </tr> <tr> <td> *</td> <td> 10</td> <td> days</td> <td> <a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ucum.html">Unified Code for Units of Measure (UCUM)</a> </td> <td> d</td> </tr> </table> </blockquote> <h3> Substitutions</h3> <table class="grid"><tr> <td> -</td> <td> <b> Allowed[x]</b> </td> <td> <b> Reason</b> </td> </tr> <tr> <td> *</td> <td> true</td> <td> formulary policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActReason.html">ActReason</a> #FP)</span> </td> </tr> </table> </div> </text> <contained> <Medication> <id value="med0314"/> <code> <coding> <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> <code value="308047"/> <display value="Alprazolam 0.25mg Oral Tablet"/> </coding> </code> </Medication> </contained> <identifier> <use value="official"/> <system value="http://www.bmc.nl/portal/prescriptions"/> <value value="12345689"/> </identifier> <status value="completed"/> <intent value="order"/> <medication> <!-- Linked to a RESOURCE Medication --> <reference> <reference value="#med0314"/> </reference> </medication> <subject> <!-- Linked to the resource patient who needs the medication --> <reference value="Patient/pat1"/> <display value="Donald Duck"/> </subject> <encounter> <!-- Linked to a resource Encounter between patient and practitioner --> <reference value="Encounter/f001"/> <display value="encounter who leads to this prescription"/> </encounter> <authoredOn value="2015-01-15"/> <requester> <reference value="Practitioner/f007"/> <display value="Patrick Pump"/> </requester> <dose> <dosageInstruction> <sequence value="1"/> <text value="0.25mg PO every 6-12 hours as needed for menses from Jan 15-20, 2015. Do not exceed more than 4mg per day"/> <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> <boundsPeriod> <start value="2015-01-15"/> <end value="2015-01-20"/> </boundsPeriod> <frequency value="1"/> <period value="6"/> <periodMax value="12"/> <periodUnit value="h"/> </repeat> </timing> <asNeededFor> <coding> <system value="http://snomed.info/sct"/> <code value="266599000"/> <display value="Dysmenorrhea (disorder)"/> </coding> </asNeededFor> <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> <maxDosePerAdministration> <value value="4"/> <unit value="mg"/> <system value="http://unitsofmeasure.org"/> <code value="mg"/> </maxDosePerAdministration> </dosageInstruction> </dose> <dispenseRequest> <validityPeriod> <start value="2015-01-15"/> <end value="2016-01-15"/> </validityPeriod> <numberOfRepeatsAllowed value="1"/> <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> <allowedBoolean value="true"/> <reason> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="FP"/> <display value="formulary policy"/> </coding> </reason> </substitution> </MedicationRequest>
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.
FHIR ®© HL7.org 2011+. FHIR R5 Ballot hl7.fhir.core#5.0.0-ballot generated on Sat, Sep 10, 2022 05:04+1000.
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