Dispense for Oxycodone (RxNorm code) - PRN dose with dose range, coded additional instructions and PRN coded pre-condition
{
"resourceType" : "MedicationDispense",
"id" : "meddisp0303",
"contained" : [{
"resourceType" : "Medication",
"id" : "med0310",
"code" : {
"coding" : [{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "1049623",
"display" : "oxycodone hydrochloride 5 MG 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.