This is Snapshot #3 for FHIR R5, released to support Connectathon 32. For a full list of available versions, see the Directory of published versions.
Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
Order with Dosage with a Pre-Condition - Alprazolam - dosageInstructions includes boundsPeriod with periodMax and asNeededCodeableConcept
{ "resourceType" : "MedicationRequest", "id" : "medrx0305", "text" : { "status" : "generated", "div" : "<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 (use: 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/4.0.0/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, 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/4.0.0/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/4.0.0/CodeSystem-v3-ActReason.html\">ActReason</a>#FP)</span></td></tr></table></div>" }, "contained" : [{ "resourceType" : "Medication", "id" : "med0314", "code" : { "coding" : [{ "system" : "http://www.nlm.nih.gov/research/umls/rxnorm", "code" : "308047", "display" : "Alprazolam 0.25mg Oral Tablet" }] } }], "identifier" : [{ "use" : "official", "system" : "http://www.bmc.nl/portal/prescriptions", "value" : "12345689" }], "status" : "completed", "intent" : "order", "medication" : { "reference" : { "reference" : "#med0314" } }, "subject" : { "reference" : "Patient/pat1", "display" : "Donald Duck" }, "encounter" : { "reference" : "Encounter/f001", "display" : "encounter who leads to this prescription" }, "authoredOn" : "2015-01-15", "requester" : { "reference" : "Practitioner/f007", "display" : "Patrick Pump" }, "dose" : { "dosageInstruction" : [{ "sequence" : 1, "text" : "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" : "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" : { "boundsPeriod" : { "start" : "2015-01-15", "end" : "2015-01-20" }, "frequency" : 1, "period" : 6, "periodMax" : 12, "periodUnit" : "h" } }, "asNeededFor" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "266599000", "display" : "Dysmenorrhea (disorder)" }] }], "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral Route" }] }, "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "ordered", "display" : "Ordered" }] }, "doseQuantity" : { "value" : 1, "unit" : "TAB", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" } }], "maxDosePerAdministration" : { "value" : 4, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } }] }, "dispenseRequest" : { "validityPeriod" : { "start" : "2015-01-15", "end" : "2016-01-15" }, "numberOfRepeatsAllowed" : 1, "quantity" : { "value" : 30, "unit" : "TAB", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" }, "expectedSupplyDuration" : { "value" : 10, "unit" : "days", "system" : "http://unitsofmeasure.org", "code" : "d" } }, "substitution" : { "allowedBoolean" : true, "reason" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "code" : "FP", "display" : "formulary policy" }] } } }
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-snapshot3 generated on Wed, Dec 14, 2022 07:16+1100.
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