Medicationrequest0301.json

Order with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution

{
  "resourceType": "MedicationRequest",
  "id": "medrx0301",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0301</p><p><b>contained</b>: , </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Inpatient <span>(Details : {http://hl7.org/fhir/medication-request-category code 'inpatient' = 'Inpatient', given as 'Inpatient'})</span></p><p><b>medication</b>: id: med0310; Oral Form Oxycodone (product) <span>(Details : {SNOMED CT code '430127000' = 'Oral form oxycodone', given as 'Oral Form Oxycodone (product)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>context</b>: <a>encounter who leads to this prescription</a></p><p><b>supportingInformation</b>: <a>Procedure/biopsy</a></p><p><b>authoredOn</b>: 15/01/2015</p><h3>Requesters</h3><table><tr><td>-</td><td><b>Agent</b></td><td><b>OnBehalfOf</b></td></tr><tr><td>*</td><td><a>Patrick Pump</a></td><td><a>Organization/f002</a></td></tr></table><p><b>reasonCode</b>: Rib Pain (finding) <span>(Details : {SNOMED CT code '297217002' = 'Rib pain', given as 'Rib Pain (finding)'})</span></p><p><b>note</b>: Patient told to take with food</p><p><b>dosageInstruction</b>: </p><h3>DispenseRequests</h3><table><tr><td>-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td><td><b>ExpectedSupplyDuration</b></td></tr><tr><td>*</td><td>15/01/2015 --&gt; 15/01/2016</td><td>1</td><td>30 TAB<span> (Details: http://hl7.org/fhir/v3/orderableDrugForm code TAB = 'Tablet')</span></td><td>10 days<span> (Details: UCUM code d = 'd')</span></td></tr></table><h3>Substitutions</h3><table><tr><td>-</td><td><b>Allowed</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td>formulary policy <span>(Details : {http://hl7.org/fhir/v3/ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})</span></td></tr></table><p><b>detectedIssue</b>: <a>DetectedIssue/allergy</a></p><p><b>eventHistory</b>: Author's Signature. Generated Summary: id: signature; recorded: 01/02/2017 5:23:07 PM; </p></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0310",
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "430127000",
            "display": "Oral Form Oxycodone (product)"
          }
        ]
      }
    },
    {
      "resourceType": "Provenance",
      "id": "signature",
      "target": [
        {
          "reference": "ProcedureRequest/physiotherapy"
        }
      ],
      "recorded": "2017-02-01T17:23:07Z",
      "agent": [
        {
          "role": [
            {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v3/ParticipationType",
                  "code": "AUT"
                }
              ]
            }
          ],
          "whoReference": {
            "reference": "Practitioner/example",
            "display": "Dr Adam Careful"
          }
        }
      ],
      "signature": [
        {
          "type": [
            {
              "system": "urn:iso-astm:E1762-95:2013",
              "code": "1.2.840.10065.1.12.1.1",
              "display": "Author's Signature"
            }
          ],
          "when": "2017-02-01T17:23:07Z",
          "whoReference": {
            "reference": "Practitioner/example",
            "display": "Dr Adam Careful"
          },
          "contentType": "application/signature+xml",
          "blob": "dGhpcyBibG9iIGlzIHNuaXBwZWQ="
        }
      ]
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "status": "active",
  "intent": "order",
  "category": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/medication-request-category",
        "code": "inpatient",
        "display": "Inpatient"
      }
    ]
  },
  "medicationReference": {
    "reference": "#med0310"
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "context": {
    "reference": "Encounter/f001",
    "display": "encounter who leads to this prescription"
  },
  "supportingInformation": [
    {
      "reference": "Procedure/biopsy"
    }
  ],
  "authoredOn": "2015-01-15",
  "requester": {
    "agent": {
      "reference": "Practitioner/f007",
      "display": "Patrick Pump"
    },
    "onBehalfOf": {
      "reference": "Organization/f002"
    }
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "297217002",
          "display": "Rib Pain (finding)"
        }
      ]
    }
  ],
  "note": [
    {
      "text": "Patient told to take with food"
    }
  ],
  "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)"
            }
          ]
        }
      ],
      "patientInstruction": "Take one to two tablets every four to six hours as needed for rib pain",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 4,
          "periodMax": 6,
          "periodUnit": "h"
        }
      },
      "asNeededCodeableConcept": {
        "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)"
          }
        ]
      },
      "doseRange": {
        "low": {
          "value": 1,
          "unit": "TAB",
          "system": "http://hl7.org/fhir/v3/orderableDrugForm",
          "code": "TAB"
        },
        "high": {
          "value": 2,
          "unit": "TAB",
          "system": "http://hl7.org/fhir/v3/orderableDrugForm",
          "code": "TAB"
        }
      }
    }
  ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2015-01-15",
      "end": "2016-01-15"
    },
    "numberOfRepeatsAllowed": 1,
    "quantity": {
      "value": 30,
      "unit": "TAB",
      "system": "http://hl7.org/fhir/v3/orderableDrugForm",
      "code": "TAB"
    },
    "expectedSupplyDuration": {
      "value": 10,
      "unit": "days",
      "system": "http://unitsofmeasure.org",
      "code": "d"
    }
  },
  "substitution": {
    "allowed": true,
    "reason": {
      "coding": [
        {
          "system": "http://hl7.org/fhir/v3/ActReason",
          "code": "FP",
          "display": "formulary policy"
        }
      ]
    }
  },
  "detectedIssue": [
    {
      "reference": "DetectedIssue/allergy"
    }
  ],
  "eventHistory": [
    {
      "reference": "#signature",
      "display": "Author's Signature"
    }
  ]
}