This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3
Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
Dispense for Prednisone (RxNorm code) Tapering Dose - entered-in-error with multiple Dosage lines that include coded additionalInstructions and multiple EventHistory elements
{ "resourceType" : "MedicationDispense", "id" : "meddisp0305", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"meddisp0305\"> </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 "meddisp0305" </p></div><p><b>status</b>: entered-in-error</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=\"med0311\"> </a></span><blockquote><p/><p><a name=\"med0311\"> </a></p><p><b>code</b>: Prednisone 5mg Oral Tablet 48 Count Pack <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>#763179)</span></p></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</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> "Rob VAN DEN BERK"</td></tr></table><p><b>authorizingPrescription</b>: <a href=\"medicationrequest0303.html\">MedicationRequest/medrx0303</a></p><p><b>type</b>: First Fill <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>#FF)</span></p><p><b>quantity</b>: 49 TAB<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><p><b>daysSupply</b>: 21 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2015-01-15T10:20:00Z</p><p><b>whenHandedOver</b>: 2015-01-15T16:20:00Z</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Take 4 tablets daily for 7 days starting January 16, 2015</p><p><b>additionalInstruction</b>: With or after Food <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#311504000)</span></p><p><b>timing</b>: Starting 2015-01-16, Once per 1 days, Until 2015-01-20</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>method</b>: 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></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 2</p><p><b>text</b>: Take 2 tablets daily for 7 days starting January 23, 2015</p><p><b>additionalInstruction</b>: With or after Food <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#311504000)</span></p><p><b>timing</b>: Starting 2015-01-23, Once per 1 days, Until 2015-01-30</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>method</b>: 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></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 3</p><p><b>text</b>: Take 1 tablets daily for 7 days starting January 31, 2015</p><p><b>additionalInstruction</b>: With or after Food <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#311504000)</span></p><p><b>timing</b>: Starting 2015-01-31, Once per 1 days, Until 2015-02-06</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>method</b>: 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></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></div>" }, "contained" : [{ "resourceType" : "Medication", "id" : "med0311", "code" : { "coding" : [{ "system" : "http://www.nlm.nih.gov/research/umls/rxnorm", "code" : "763179", "display" : "Prednisone 5mg Oral Tablet 48 Count Pack" }] } }], "status" : "entered-in-error", "medication" : { "reference" : { "reference" : "#med0311", "display" : "Prednisone" } }, "subject" : { "reference" : "Patient/pat1", "display" : "Donald Duck" }, "performer" : [{ "actor" : { "reference" : "Practitioner/f006" } }], "authorizingPrescription" : [{ "reference" : "MedicationRequest/medrx0303" }], "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "FF", "display" : "First Fill" }] }, "quantity" : { "value" : 49, "unit" : "TAB", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" }, "daysSupply" : { "value" : 21, "unit" : "Day", "system" : "http://unitsofmeasure.org", "code" : "d" }, "whenPrepared" : "2015-01-15T10:20:00Z", "whenHandedOver" : "2015-01-15T16:20:00Z", "dosageInstruction" : [{ "sequence" : 1, "text" : "Take 4 tablets daily for 7 days starting January 16, 2015", "additionalInstruction" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "311504000", "display" : "With or after Food" }] }], "timing" : { "repeat" : { "boundsPeriod" : { "start" : "2015-01-16", "end" : "2015-01-20" }, "frequency" : 1, "period" : 1, "periodUnit" : "d" } }, "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)" }] }, "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "calculated", "display" : "Calculated" }] }, "doseQuantity" : { "value" : 4, "unit" : "TAB", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" } }] }, { "sequence" : 2, "text" : "Take 2 tablets daily for 7 days starting January 23, 2015", "additionalInstruction" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "311504000", "display" : "With or after Food" }] }], "timing" : { "repeat" : { "boundsPeriod" : { "start" : "2015-01-23", "end" : "2015-01-30" }, "frequency" : 1, "period" : 1, "periodUnit" : "d" } }, "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)" }] }, "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "calculated", "display" : "Calculated" }] }, "doseQuantity" : { "value" : 2, "unit" : "TAB", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" } }] }, { "sequence" : 3, "text" : "Take 1 tablets daily for 7 days starting January 31, 2015", "additionalInstruction" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "311504000", "display" : "With or after Food" }] }], "timing" : { "repeat" : { "boundsPeriod" : { "start" : "2015-01-31", "end" : "2015-02-06" }, "frequency" : 1, "period" : 1, "periodUnit" : "d" } }, "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)" }] }, "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "calculated", "display" : "Calculated" }] }, "doseQuantity" : { "value" : 1, "unit" : "TAB", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" } }] }] }
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.
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