Medicationrequest0308.json

Order for as needed (PRN) dosage - Vicodin - completed with dosageInstruction with additionalInstruction (coded) and as needed with reason, dispenseRequest and substitution

{
  "resourceType": "MedicationRequest",
  "id": "medrx0308",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span></a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></p><p><b>recorder</b>: <a>Carla Espinoza. Generated Summary: UZI-nummer: 12345678904 (OFFICIAL); Carla Espinosa; Phone: +31715262169; gender: female; birthDate: 1967-11-05</a></p><h3>DosageInstructions</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --&gt; 2016-01-15</p><p><b>quantity</b>: 30 TAB</p><h3>ExpectedSupplyDurations</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><h3>Substitutions</h3><table><tr><td>-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>false</td><td><span>formulary policy</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://www.nlm.nih.gov/research/umls/rxnorm",
          "code": "856907",
          "display": "Vicodin 5/500 Oral Tablet"
        }
      ]
    }
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "encounter": {
    "reference": "Encounter/f001",
    "display": "encounter who leads to this prescription"
  },
  "authoredOn": "2015-01-15",
  "requester": {
    "reference": "Practitioner/f007",
    "display": "Patrick Pump"
  },
  "recorder": {
    "reference": "Practitioner/f204",
    "display": "Carla Espinoza"
  },
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "1 tablet every four hours as needed for 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,
          "periodUnit": "h"
        }
      },
      "asNeededCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "203082005",
            "display": "Fibromyalgia (disorder)"
          }
        ]
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral Route"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 1,
            "unit": "TAB",
            "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
            "code": "TAB"
          }
        }
      ]
    }
  ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2015-01-15",
      "end": "2016-01-15"
    },
    "quantity": {
      "value": 30,
      "unit": "TAB",
      "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
      "code": "TAB"
    },
    "expectedSupplyDuration": {
      "value": 10,
      "unit": "days",
      "system": "http://unitsofmeasure.org",
      "code": "d"
    }
  },
  "substitution": {
    "allowedBoolean": false,
    "reason": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
          "code": "FP",
          "display": "formulary policy"
        }
      ]
    }
  }
}