This page is part of the FHIR Specification (v4.5.0: R5 Preview #3). 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
Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: 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
{ "resourceType": "MedicationDispense", "id": "meddisp0303", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: meddisp0303</p><p><b>partOf</b>: <a>Generated Summary: id: biopsy; status: completed; <span>Diagnostic procedure</span>; <span>Biopsy of suspected melanoma L) arm</span>; occurrence: 2014-02-03; recorded: 2014-02-03; <span>Dark lesion l) forearm. getting darker last 3 months.</span>; <span>Left forearm</span>; <span>Ineffective airway clearance</span>; <span>Review in clinic</span>; Standard Biopsy; <span>30-guage needle</span></a></p><p><b>status</b>: on-hold</p><p><b>statusReason</b>: </p><p><b>category</b>: <span>Outpatient</span></p><p><b>medication</b>: </p><p><b>subject</b>: <a>Donald Duck. Generated Summary: id: pat1; Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male; </a></p><p><b>encounter</b>: <a>Generated Summary: id: f001; id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span>; 140 min; <span>Heart valve replacement</span></a></p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Generated Summary: id: f006; id: 937223645 (OFFICIAL), id: 134IDY41W988 (USUAL); Rob van den Berk (OFFICIAL); ph: 0205569288(WORK), R.A.vandenberk@bmc.nl(WORK), fax: 0205664987(WORK); gender: male; birthDate: 1975-12-07</a></td></tr></table><p><b>authorizingPrescription</b>: <a>Generated Summary: id: medrx0310; id: 12345689 (OFFICIAL); status: active; intent: order; <span>#med0309</span>; authoredOn: 2015-01-15; </a></p><p><b>type</b>: <span>Emergency Supply</span></p><p><b>quantity</b>: 30 TAB</p><p><b>daysSupply</b>: 10 Day</p><p><b>whenPrepared</b>: 15/04/2016 12:14:00 PM</p><p><b>dosageInstruction</b>: </p><p><b>detectedIssue</b>: <a>Generated Summary: id: allergy; status: final</a></p></div>" }, "contained": [ { "resourceType": "Medication", "id": "med0310", "code": { "coding": [ { "system": "http://www.nlm.nih.gov/research/umls/rxnorm", "code": "1049623", "display": "Oxycodone Hydrochloride 5mg oral tablet (Roxicodone" } ] } } ], "partOf": [ { "reference": "Procedure/biopsy" } ], "status": "on-hold", "statusReason": { "reference": { "reference": "DetectedIssue/allergy" } }, "category": [ { "coding": [ { "system": "http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category", "code": "outpatient", "display": "Outpatient" } ] } ], "medication": { "reference": { "reference": "#med0310" } }, "subject": { "reference": "Patient/pat1", "display": "Donald Duck" }, "encounter": { "reference": "Encounter/f001" }, "performer": [ { "actor": { "reference": "Practitioner/f006" } } ], "authorizingPrescription": [ { "reference": "MedicationRequest/medrx0310" } ], "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "EM", "display": "Emergency Supply" } ] }, "quantity": { "value": 30, "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "TAB" }, "daysSupply": { "value": 10, "unit": "Day", "system": "http://unitsofmeasure.org", "code": "d" }, "whenPrepared": "2016-04-15T07:14:00+05:00", "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)" } ] } ], "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)" } ] } } ], "detectedIssue": [ { "reference": "DetectedIssue/allergy" } ] }
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.