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Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
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: MedicationDispense</b><a name=\"meddisp0303\"> </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 MedicationDispense "meddisp0303" </p></div><p><b>partOf</b>: <a href=\"procedure-example-biopsy.html\">Procedure/biopsy</a></p><p><b>status</b>: on-hold</p><h3>NotPerformedReasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a href=\"detectedissue-example-allergy.html\">DetectedIssue/allergy</a></td></tr></table><p><b>category</b>: Outpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (medicationdispense-category#outpatient)</span></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=\"med0310\"> </a></span><blockquote><p/><p><a name=\"med0310\"> </a></p><p><b>code</b>: Oxycodone Hydrochloride 5mg oral tablet (Roxicodone <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>#1049623)</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</a></p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"practitioner-example-f006-rvdb.html\">Practitioner/f006</a> "Rob VAN DEN BERK"</td></tr></table><p><b>authorizingPrescription</b>: <a href=\"medicationrequest0310.html\">MedicationRequest/medrx0310</a></p><p><b>type</b>: Emergency Supply <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActCode.html\">ActCode</a>#EM)</span></p><p><b>quantity</b>: 30(unit TAB from http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm)<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><p><b>daysSupply</b>: 10 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2016-04-15T07:14:00+05:00</p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>Text</b></td><td><b>AdditionalInstruction</b></td><td><b>Timing</b></td><td><b>AsNeededFor</b></td><td><b>Route</b></td><td><b>Method</b></td></tr><tr><td>*</td><td>1</td><td>one to two tablets every 4-6 hours as needed for rib pain</td><td>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></td><td>Do Once per 4-6 hours</td><td>Rib Pain (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#297217002)</span></td><td>Oral Route <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#26643006)</span></td><td>Swallow - dosing instruction imperative (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#421521009)</span></td></tr></table></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", "notPerformedReason": { "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" } }, "asNeededFor": [ { "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)" } ] } } ] }
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.