Release 5

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Example MedicationDispense/meddisp0303 (XML)

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

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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"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationDispense</b> <a name="meddisp0303"> </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 &quot;meddisp0303&quot; </p> </div> <p> <b> partOf</b> : <a href="procedure-example-biopsy.html">Procedure/biopsy</a> </p> <p> <b> status</b> : on-hold</p> <h3> NotPerformedReasons</h3> <table class="grid"><tr> <td> -</td> <td> <b> Reference</b> </td> </tr> <tr> <td> *</td> <td> <a href="detectedissue-example-allergy.html">DetectedIssue/allergy</a> </td> </tr> </table> <p> <b> category</b> : Outpatient <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (medicationdispense-category#outpatient)</span> </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="med0310"> </a> </span> <blockquote> <p/>  <p> <a name="med0310"> </a> </p> <p> <b> code</b> : Oxycodone Hydrochloride 5mg oral tablet (Roxicodone <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-rxNorm.html">RxNorm</a> #1049623)</span> </p> </blockquote> </td> </tr> </table> <p> <b> subject</b> : <a href="patient-example-a.html">Patient/pat1: Donald Duck</a>  &quot;Donald DUCK&quot;</p> <p> <b> encounter</b> : <a href="encounter-example-f001-heart.html">Encounter/f001</a> </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>  &quot;Rob VAN DEN BERK&quot;</td> </tr> </table> <p> <b> authorizingPrescription</b> : <a href="medicationrequest0310.html">MedicationRequest/medrx0310</a> </p> <p> <b> type</b> : Emergency Supply <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActCode.html">ActCode</a> #EM)</span> </p> <p> <b> quantity</b> : 30(unit TAB from http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm)<span style="background: LightGoldenRodYellow"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB
           = 'Tablet')</span> </p> <p> <b> daysSupply</b> : 10 Day<span style="background: LightGoldenRodYellow"> (Details: UCUM code d = 'd')</span> </p> <p> <b> whenPrepared</b> : 2016-04-15T07:14:00+05:00</p> <h3> DosageInstructions</h3> <table class="grid"><tr> <td> -</td> <td> <b> Sequence</b> </td> <td> <b> Text</b> </td> <td> <b> AdditionalInstruction</b> </td> <td> <b> Timing</b> </td> <td> <b> AsNeededFor</b> </td> <td> <b> Route</b> </td> <td> <b> Method</b> </td> </tr> <tr> <td> *</td> <td> 1</td> <td> one to two tablets every 4-6 hours as needed for rib pain</td> <td> 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> </td> <td> Once per 4-6 hours</td> <td> Rib Pain (finding) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #297217002)</span> </td> <td> Oral Route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #26643006)</span> </td> <td> 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> </td> </tr> </table> </div> </text> <contained> 
        <Medication> 
            <id value="med0310"/> 
            <code> 
                <coding> 
                    <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
                    <code value="1049623"/> 
                    <display value="Oxycodone Hydrochloride 5mg 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.