Medicationdispense0303.xml

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> partOf</b> : <a> Generated Summary: status: completed; <span> Diagnostic procedure</span> ; <span> Biopsy of suspected melanoma L) arm</span> ; performed: 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> : <a> Generated Summary: status: final</a> </p> <p> <b> category</b> : <span> Outpatient</span> </p> <p> <b> medication</b> : <a>  </a> </p> <blockquote> <p> <b> code</b> : <span> Oxycodone Hydrochloride 5mg oral tablet (Roxicodone</span> </p> </blockquote> <p> <b> subject</b> : <a> Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald
           (OFFICIAL); gender: male</a> </p> <p> <b> context</b> : <a> Generated Summary: id: v1451 (OFFICIAL); status: finished; <span> ambulatory</span> ; <span> Patient-initiated encounter</span> ; <span> Non-urgent cardiological admission</span> ; <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: 937223645 (OFFICIAL), id: 134IDY41W988 (USUAL); Rob van den Berk
               (OFFICIAL); Phone: 0205569288, R.A.vandenberk@bmc.nl, Fax: 0205664987; gender: male; birthDate:
               1975-12-07</a> </td> </tr> </table> <p> <b> authorizingPrescription</b> : <a> Generated Summary: id: 12345689 (OFFICIAL); status: active; intent: order; ?ngen-3; 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 Apr. 2016, 12:14:00 pm</p> <h3> DosageInstructions</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> <p> <b> detectedIssue</b> : <a> Generated Summary: 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"/> 
    <statusReasonReference> 
        <reference value="DetectedIssue/allergy"/> 
    </statusReasonReference> 
    <category> 
        <coding> 
            <system value="http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category"/> 
            <code value="outpatient"/> 
            <display value="Outpatient"/> 
        </coding> 
    </category> 
    <medicationReference> 
        <!--    Linked to a RESOURCE Medication    -->
        <reference value="#med0310"/> 
    </medicationReference> 
    <subject> 
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/>   
    </subject> 
    <context> 
        <reference value="Encounter/f001"/> 
    </context> 
    <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>