R5 Final QA
MedicationsThis page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - 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 JSON (canonical form + also see JSON Format Specification)
Dispense for Prednisone (RxNorm code) Tapering Dose - entered-in-error with multiple Dosage lines that include coded additionalInstructions and multiple EventHistory elements
{
"resourceType" : "MedicationDispense",
"id" : "meddisp0305",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"meddisp0305\"> </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 "meddisp0305" </p></div><p><b>status</b>: entered-in-error</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=\"med0311\"> </a></span><blockquote><p/><p><a name=\"med0311\"> </a></p><p><b>code</b>: Prednisone 5mg Oral Tablet 48 Count Pack <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#763179)</span></p></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</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=\"medicationrequest0303.html\">MedicationRequest/medrx0303</a></p><p><b>type</b>: First Fill <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#FF)</span></p><p><b>quantity</b>: 49 TAB<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><p><b>daysSupply</b>: 21 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2015-01-15T10:20:00Z</p><p><b>whenHandedOver</b>: 2015-01-15T16:20:00Z</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Take 4 tablets daily for 7 days starting January 16, 2015</p><p><b>additionalInstruction</b>: With or after Food <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#311504000)</span></p><p><b>timing</b>: Starting 2015-01-16, Once per 1 days, Until 2015-01-20</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>method</b>: 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></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 2</p><p><b>text</b>: Take 2 tablets daily for 7 days starting January 23, 2015</p><p><b>additionalInstruction</b>: With or after Food <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#311504000)</span></p><p><b>timing</b>: Starting 2015-01-23, Once per 1 days, Until 2015-01-30</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>method</b>: 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></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 3</p><p><b>text</b>: Take 1 tablets daily for 7 days starting January 31, 2015</p><p><b>additionalInstruction</b>: With or after Food <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#311504000)</span></p><p><b>timing</b>: Starting 2015-01-31, Once per 1 days, Until 2015-02-06</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>method</b>: 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></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></div>"
},
"contained" : [{
"resourceType" : "Medication",
"id" : "med0311",
"code" : {
"coding" : [{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "763179",
"display" : "Prednisone 5mg Oral Tablet 48 Count Pack"
}]
}
}],
"status" : "entered-in-error",
"medication" : {
"reference" : {
"reference" : "#med0311",
"display" : "Prednisone"
}
},
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"performer" : [{
"actor" : {
"reference" : "Practitioner/f006"
}
}],
"authorizingPrescription" : [{
"reference" : "MedicationRequest/medrx0303"
}],
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "FF",
"display" : "First Fill"
}]
},
"quantity" : {
"value" : 49,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
},
"daysSupply" : {
"value" : 21,
"unit" : "Day",
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"whenPrepared" : "2015-01-15T10:20:00Z",
"whenHandedOver" : "2015-01-15T16:20:00Z",
"dosageInstruction" : [{
"sequence" : 1,
"text" : "Take 4 tablets daily for 7 days starting January 16, 2015",
"additionalInstruction" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "311504000",
"display" : "With or after Food"
}]
}],
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2015-01-16",
"end" : "2015-01-20"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"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)"
}]
},
"doseAndRate" : [{
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "calculated",
"display" : "Calculated"
}]
},
"doseQuantity" : {
"value" : 4,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}]
},
{
"sequence" : 2,
"text" : "Take 2 tablets daily for 7 days starting January 23, 2015",
"additionalInstruction" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "311504000",
"display" : "With or after Food"
}]
}],
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2015-01-23",
"end" : "2015-01-30"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"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)"
}]
},
"doseAndRate" : [{
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "calculated",
"display" : "Calculated"
}]
},
"doseQuantity" : {
"value" : 2,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}]
},
{
"sequence" : 3,
"text" : "Take 1 tablets daily for 7 days starting January 31, 2015",
"additionalInstruction" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "311504000",
"display" : "With or after Food"
}]
}],
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2015-01-31",
"end" : "2015-02-06"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"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)"
}]
},
"doseAndRate" : [{
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "calculated",
"display" : "Calculated"
}]
},
"doseQuantity" : {
"value" : 1,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}]
}]
}
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 hl7.fhir.core#5.0.0-draft-final generated on Wed, Mar 1, 2023 23:07+1100.
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