R6 Ballot (2nd Draft)

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Example MedicationDispense/meddisp0303 (XML)

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner

Raw XML (canonical form + also see XML Format Specification)

Dispense for Oxycodone (RxNorm code) - PRN dose with dose range, coded additional instructions and PRN coded pre-condition (id = "meddisp0303")

<?xml version="1.0" encoding="UTF-8"?>

<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="meddisp0303"/> 
  <contained> 
    <Medication> 
      <id value="med0310"/> 
      <code> 
        <coding> 
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
          <code value="1049623"/> 
          <display value="oxycodone hydrochloride 5 MG Oral Tablet [Roxicodone]"/> 
        </coding> 
      </code> 
    </Medication> 
  </contained> 
  <partOf> 
    <reference value="Procedure/biopsy"/> 
  </partOf> 
  <status value="on-hold"/> 
  <notPerformedReason> 
    <reference> 
      <reference value="DetectedIssue/allergy"/> 
    </reference> 
  </notPerformedReason> 
  <category> 
    <coding> 
      <system value="http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category"/> 
      <code value="outpatient"/> 
      <display value="Outpatient"/> 
    </coding> 
  </category> 
  <medication> 
    <!--   Linked to a RESOURCE Medication   -->
    <reference> 
      <reference value="#med0310"/> 
    </reference> 
  </medication> 
  <subject> 
    <reference value="Patient/pat1"/> 
    <display value="Donald Duck"/> 
  </subject> 
  <encounter> 
    <reference value="Encounter/f001"/> 
  </encounter> 
  <performer> 
    <actor> 
      <reference value="Practitioner/f006"/> 
    </actor> 
  </performer> 
  <authorizingPrescription> 
    <reference value="MedicationRequest/medrx0310"/> 
  </authorizingPrescription> 
  <type> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
      <code value="EM"/> 
      <display value="Emergency Supply"/> 
    </coding> 
  </type> 
  <quantity> 
    <value value="30"/> 
    <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
    <code value="TAB"/> 
  </quantity> 
  <daysSupply> 
    <value value="10"/> 
    <unit value="Day"/> 
    <system value="http://unitsofmeasure.org"/> 
    <code value="d"/> 
  </daysSupply> 
  <whenPrepared value="2016-04-15T07:14:00+05:00"/> 
  <dosageInstruction> 
    <sequence value="1"/> 
    <text value="one to two tablets every 4-6 hours as needed for rib pain"/> 
    <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> 
        <frequency value="1"/> 
        <period value="4"/> 
        <periodMax value="6"/> 
        <periodUnit value="h"/> 
      </repeat> 
    </timing> 
    <asNeededFor> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="297217002"/> 
        <display value="Rib Pain (finding)"/> 
      </coding> 
    </asNeededFor> 
    <route> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="26643006"/> 
        <display value="Oral Route"/> 
      </coding> 
    </route> 
    <method> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="421521009"/> 
        <display value="Swallow - dosing instruction imperative (qualifier value)"/> 
      </coding> 
    </method> 
  </dosageInstruction> 
</MedicationDispense> 

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.