Medications
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| Responsible Owner: Pharmacy Work Group | Standards Status : Informative | Compartments : Encounter , Group , Patient , Practitioner |
Raw XML ( canonical form + also see XML Format Specification )
Order with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution (id = "medrx0301")
<?xml version="1.0" encoding="UTF-8"?> <MedicationRequest xmlns="http://hl7.org/fhir">display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%: Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value) (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'Author's Signature')<id value="medrx0301"/> <contained> <Medication> <id value="med0310"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="430127000"/> <display value="Oxycodone-containing product in oral dose form"/> </coding> </code> </Medication> </contained><contained> <Provenance> <id value="signature"/> <target> <reference value="ServiceRequest/physiotherapy"/> </target> <recorded value="2017-02-01T17:23:07Z"/> <agent> <role> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> <code value="AUT"/> </coding> </role> <who> <reference value="Practitioner/example"/> <display value="Dr Adam Careful"/> </who> </agent> <signature> <type> <system value="urn:iso-astm:E1762-95:2013"/> <code value="1.2.840.10065.1.12.1.1"/> <display value="Author's Signature"/> </type> <when value="2017-02-01T17:23:07Z"/> <who><reference value="Practitioner/example"/> <display value="Dr Adam Careful"/> </who><targetFormat value="application/fhir+xml"/> <sigFormat value="application/signature+xml"/>Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)<data value="dGhpcyBibG9iIGlzIHNuaXBwZWQ="/> </signature> </Provenance> </contained> <identifier> <use value="official"/> <system value="http://www.bmc.nl/portal/prescriptions"/> <value value="12345689"/> </identifier> <status value="completed"/> <statusReason> <coding> <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason"/> <code value="altchoice"/> <display value="Try another treatment first"/> </coding> </statusReason> <intent value="order"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-admin-category"/> <code value="inpatient"/> <display value="Inpatient"/> </coding> </category> <medication> <!-- Linked to a RESOURCE Medication --> <reference> <reference value="#med0310"/> </reference> </medication> <subject> <!-- Linked to the resource patient who needs the medication --> <reference value="Patient/pat1"/> <display value="Donald Duck"/> </subject> <encounter> <!-- Linked to a resource Encounter between patient and practitioner --> <reference value="Encounter/f201"/> <display value="encounter who leads to this prescription"/> </encounter> <supportingInformation> <reference value="Procedure/biopsy"/> </supportingInformation> <authoredOn value="2015-01-15"/> <requester> <reference value="Practitioner/f007"/> <display value="Patrick Pump"/> </requester> <performerType> <coding> <system value="http://snomed.info/sct"/> <code value="26369006"/> <display value="Public Health Nurse"/> </coding> </performerType> <performer> <reference value="Practitioner/f204"/> <display value="Carla Espinosa"/> </performer> <reason> <concept> <coding> <system value="http://snomed.info/sct"/> <code value="297217002"/> <display value="Rib Pain (finding)"/> </coding> </concept> </reason> <insurance> <reference value="Coverage/9876B1"/> </insurance> <note> <text value="Patient told to take with food"/> </note> <dosageInstruction> <simple> <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> <patientInstruction value="Take one to two tablets every four to six hours as needed for rib pain"/> <timing> <repeat> <frequency value="1"/> <period value="4"/> <periodMax value="6"/> <periodUnit value="h"/> </repeat> </timing> <asNeededFor> <coding> <system value="http://snomed.info/sct"/> <code value="297217002"/> <display value="Rib Pain (finding)"/> </coding> </asNeededFor> <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> <doseAndRate> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> <code value="ordered"/> <display value="Ordered"/> </coding> </type> <doseRange> <low> <value value="1"/> <unit value="TAB"/> <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> <code value="TAB"/> </low> <high> <value value="2"/> <unit value="TAB"/> <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> <code value="TAB"/> </high> </doseRange> </doseAndRate> </simple> </dosageInstruction> <dispenseRequest> <validityPeriod> <start value="2015-01-15"/> <end value="2016-01-15"/> </validityPeriod> <numberOfRepeatsAllowed value="0"/> <quantity> <value value="30"/> <unit value="TAB"/> <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> <code value="TAB"/> </quantity> <expectedSupplyDuration> <value value="10"/> <unit value="days"/> <system value="http://unitsofmeasure.org"/> <code value="d"/> </expectedSupplyDuration> <dispenser> <reference value="Organization/2.16.840.1.113883.19.5"/> </dispenser> </dispenseRequest> <substitution> <allowedBoolean value="true"/> <reason> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="FP"/> <display value="formulary policy"/> </coding> </reason> </substitution> <eventHistory> <reference value="#signature"/> <display value="Author's Signature"/> </eventHistory> </ MedicationRequest >
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.
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