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Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
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Request using Medication Code for Rectal Suppository - Acetaminophen - completed with reasonCode, dispenseRequest and substitution
{ "resourceType" : "MedicationRequest", "id" : "medrx0324", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"medrx0324\"> </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 MedicationRequest "medrx0324" </p></div><p><b>identifier</b>: id:\u00a012345689\u00a0(use:\u00a0OFFICIAL)</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Paracetamol 240mg suppository (product) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#322254008)</span></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href=\"practitioner-example-f007-sh.html\">Practitioner/f007: Patrick Pump</a> "Simone HEPS"</p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Scarlet Fever (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#30242009)</span></td></tr></table><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Insert one suppository rectally twice daily as needed for fever to a maximim of 3 per day</p><p><b>additionalInstruction</b>: Do not take with any other paracetamol products (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#418637003)</span></p><p><b>timing</b>: 2 per 1 days</p><p><b>asNeededFor</b>: Fever (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#386661006)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote><p><b>maxDosePerPeriod</b>: 720 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1 d<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --> 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 3</p><p><b>quantity</b>: 30 RECSUPP<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code RECSUPP = 'Rectal Suppository')</span></p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td>-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>10</td><td>days</td><td><a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ucum.html\">Unified Code for Units of Measure (UCUM)</a></td><td>d</td></tr></table></blockquote><h3>Substitutions</h3><table class=\"grid\"><tr><td>-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td>formulary policy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html\">ActReason</a>#FP)</span></td></tr></table></div>" }, "identifier" : [{ "use" : "official", "system" : "http://www.bmc.nl/portal/prescriptions", "value" : "12345689" }], "status" : "completed", "intent" : "order", "medication" : { "concept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "322254008", "display" : "Paracetamol 240mg suppository (product)" }] } }, "subject" : { "reference" : "Patient/pat1", "display" : "Donald Duck" }, "authoredOn" : "2015-01-15", "requester" : { "reference" : "Practitioner/f007", "display" : "Patrick Pump" }, "reason" : [{ "concept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "30242009", "display" : "Scarlet Fever (disorder)" }] } }], "dosageInstruction" : [{ "sequence" : 1, "text" : "Insert one suppository rectally twice daily as needed for fever to a maximim of 3 per day", "additionalInstruction" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "418637003", "display" : "Do not take with any other paracetamol products (qualifier value)" }] }], "timing" : { "repeat" : { "frequency" : 2, "period" : 1, "periodUnit" : "d" } }, "asNeededFor" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "386661006", "display" : "Fever (finding)" }] }], "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "ordered", "display" : "Ordered" }] }, "doseQuantity" : { "value" : 240, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } }], "maxDosePerPeriod" : [{ "numerator" : { "value" : 720, "system" : "http://unitsofmeasure.org", "code" : "mg" }, "denominator" : { "value" : 1, "system" : "http://unitsofmeasure.org", "code" : "d" } }] }], "dispenseRequest" : { "validityPeriod" : { "start" : "2015-01-15", "end" : "2016-01-15" }, "numberOfRepeatsAllowed" : 3, "quantity" : { "value" : 30, "unit" : "RECSUPP", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "RECSUPP" }, "expectedSupplyDuration" : { "value" : 10, "unit" : "days", "system" : "http://unitsofmeasure.org", "code" : "d" } }, "substitution" : { "allowedBoolean" : true, "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.
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