Order for as needed (PRN) dosage - Vicodin - completed with dosageInstruction with additionalInstruction (coded) and as needed with reason, dispenseRequest and substitution
{
"resourceType" : "MedicationRequest",
"id" : "medrx0308",
"identifier" : [{
"use" : "official",
"system" : "http://www.bmc.nl/portal/prescriptions",
"value" : "12345689"
}],
"status" : "completed",
"intent" : "order",
"medication" : {
"concept" : {
"coding" : [{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "856907",
"display" : "Vicodin 5/500 (hydrocodone bitartrate / APAP) Oral Tablet"
}]
}
},
"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"
},
"recorder" : {
"reference" : "Practitioner/f204",
"display" : "Carla Espinoza"
},
"dosageInstruction" : [{
"sequence" : 1,
"text" : "1 tablet every four hours as needed for 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,
"periodUnit" : "h"
}
},
"asNeededFor" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "203082005",
"display" : "Fibromyalgia (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"
}
}]
}],
"dispenseRequest" : {
"validityPeriod" : {
"start" : "2015-01-15",
"end" : "2016-01-15"
},
"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" : false,
"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.