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 |
Raw XML (canonical form + also see XML Format Specification)
Dispense for Oxycodone (RxNorm code) - PRN dose with dose range, coded additional instructions and PRN coded pre-condition (id = "meddisp0303")
<?xml version="1.0" encoding="UTF-8"?> <MedicationDispense xmlns="http://hl7.org/fhir"> <id value="meddisp0303"/> <text> <status value="generated"/> <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> </text> <contained> <Medication> <id value="med0310"/> <code> <coding> <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> <code value="1049623"/> <display value="Oxycodone Hydrochloride 5mg oral tablet (Roxicodone"/> </coding> </code> </Medication> </contained> <partOf> <reference value="Procedure/biopsy"/> </partOf> <status value="on-hold"/> <statusReason> <reference> <reference value="DetectedIssue/allergy"/> </reference> </statusReason> <category> <coding> <system value="http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category"/> <code value="outpatient"/> <display value="Outpatient"/> </coding> </category> <medication> <!-- Linked to a RESOURCE Medication --> <reference> <reference value="#med0310"/> </reference> </medication> <subject> <reference value="Patient/pat1"/> <display value="Donald Duck"/> </subject> <encounter> <reference value="Encounter/f001"/> </encounter> <performer> <actor> <reference value="Practitioner/f006"/> </actor> </performer> <authorizingPrescription> <reference value="MedicationRequest/medrx0310"/> </authorizingPrescription> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="EM"/> <display value="Emergency Supply"/> </coding> </type> <quantity> <value value="30"/> <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> <code value="TAB"/> </quantity> <daysSupply> <value value="10"/> <unit value="Day"/> <system value="http://unitsofmeasure.org"/> <code value="d"/> </daysSupply> <whenPrepared value="2016-04-15T07:14:00+05:00"/> <dosageInstruction> <sequence value="1"/> <text value="one to two tablets every 4-6 hours as needed for rib pain"/> <additionalInstruction> <coding> <system value="http://snomed.info/sct"/> <code value="418914006"/> <display value="Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)"/> </coding> </additionalInstruction> <timing> <repeat> <frequency value="1"/> <period value="4"/> <periodMax value="6"/> <periodUnit value="h"/> </repeat> </timing> <asNeededCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="297217002"/> <display value="Rib Pain (finding)"/> </coding> </asNeededCodeableConcept> <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> </dosageInstruction> <detectedIssue> <reference value="DetectedIssue/allergy"/> </detectedIssue> </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.