R4 Draft for Comment

This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationdispense0305.xml

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

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Dispense for Prednisone (RxNorm code) Tapering Dose - entered-in-error with multiple Dosage lines that include coded additionalInstructions and multiple EventHistory elements (id = "meddisp0305")

<MedicationDispense xmlns="http://hl7.org/fhir">
    <id value="meddisp0305"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : meddisp0305</p> <p> <b> contained</b> : </p> <p> <b> status</b> : entered-in-error</p> <p> <b> medication</b> : Prednisone. Generated Summary: id: med0311; Prednisone 5mg Oral Tablet 48 Count Pack
         <span> (Details : {RxNorm code '763179' = 'predniSONE 5 MG Oral Tablet 48 Count Pack', given
           as 'Prednisone 5mg Oral Tablet 48 Count Pack'})</span> </p> <p> <b> subject</b> : <a> Donald Duck</a> </p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Practitioner/f006</a> </td> </tr> </table> <p> <b> authorizingPrescription</b> : <a> MedicationRequest/medrx0303</a> </p> <p> <b> type</b> : First Fill <span> (Details : {http:hl7.org/fhir code 'FF' = 'FF', given as 'First Fill'})</span> </p> <p> <b> quantity</b> : 49 TAB<span>  (Details: http://hl7.org/fhir/v3/orderableDrugForm code TAB = 'Tablet')</span> </p> <p> <b> daysSupply</b> : 21 Day<span>  (Details: UCUM code d = 'd')</span> </p> <p> <b> whenPrepared</b> : 15/01/2015 10:20:00 AM</p> <p> <b> whenHandedOver</b> : 15/01/2015 4:20:00 PM</p> <p> <b> dosageInstruction</b> : , , </p> </div> </text> <contained> 
        <Medication> 
            <id value="med0311"/> 
            <code> 
                <coding> 
                    <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
                    <code value="763179"/> 
                    <display value="Prednisone 5mg Oral Tablet 48 Count Pack"/> 
                </coding> 
            </code> 
        </Medication> 
    </contained> 
    <status value="entered-in-error"/> 
    <medicationReference> 
        <!--    Linked to a RESOURCE Medication    -->
        <reference value="#med0311"/> 
        <display value="Prednisone"/> 
    </medicationReference> 
    <subject> 
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/> 
    </subject> 
    <performer> 
        <actor> 
            <reference value="Practitioner/f006"/> 
        </actor> 
    </performer> 
    <authorizingPrescription> 
        <reference value="MedicationRequest/medrx0303"/> 
    </authorizingPrescription> 
    <type> 
        <coding> 
            <system value="http:hl7.org/fhir"/> 
            <code value="FF"/> 
            <display value="First Fill"/> 
        </coding> 
    </type> 
    <quantity> 
        <value value="49"/> 
        <unit value="TAB"/> 
        <system value="http://hl7.org/fhir/v3/orderableDrugForm"/> 
        <code value="TAB"/>  
    </quantity> 
    <daysSupply> 
        <value value="21"/> 
        <unit value="Day"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="d"/> 
    </daysSupply> 
    <whenPrepared value="2015-01-15T10:20:00Z"/> 
    <whenHandedOver value="2015-01-15T16:20:00Z"/> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="Take 4 tablets daily for 7 days starting January 16, 2015"/> 
        <additionalInstruction> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="311504000"/> 
                <display value="With or after Food"/> 
            </coding> 
        </additionalInstruction> 
        <timing> 
            <repeat> 
                <boundsPeriod> 
                    <start value="2015-01-16"/> 
                    <end value="2015-01-20"/> 
                </boundsPeriod> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
        <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> 
        <doseQuantity> 
            <value value="4"/> 
            <unit value="TAB"/> 
            <system value="http://hl7.org/fhir/v3/orderableDrugForm"/> 
            <code value="TAB"/>  
        </doseQuantity> 
    </dosageInstruction> 
    <dosageInstruction> 
        <sequence value="2"/> 
        <text value="Take 2 tablets daily for 7 days starting January 23, 2015"/> 
        <additionalInstruction> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="311504000"/> 
                <display value="With or after Food"/> 
            </coding> 
        </additionalInstruction> 
        <timing> 
            <repeat> 
                <boundsPeriod> 
                    <start value="2015-01-23"/> 
                    <end value="2015-01-30"/> 
                </boundsPeriod> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
        <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> 
        <doseQuantity> 
            <value value="2"/> 
            <unit value="TAB"/> 
            <system value="http://hl7.org/fhir/v3/orderableDrugForm"/> 
            <code value="TAB"/>  
        </doseQuantity> 
    </dosageInstruction> 
    <dosageInstruction> 
        <sequence value="3"/> 
        <text value="Take 1 tablets daily for 7 days starting January 31, 2015"/> 
        <additionalInstruction> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="311504000"/> 
                <display value="With or after Food"/> 
            </coding> 
        </additionalInstruction> 
        <timing> 
            <repeat> 
                <boundsPeriod> 
                    <start value="2015-01-31"/> 
                    <end value="2015-02-06"/> 
                </boundsPeriod> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
        <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> 
        <doseQuantity> 
            <value value="1"/> 
            <unit value="TAB"/> 
            <system value="http://hl7.org/fhir/v3/orderableDrugForm"/> 
            <code value="TAB"/>  
        </doseQuantity> 
    </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.