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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 for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod (id = "medrx0303")
<?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% (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')<id value="medrx0303"/> <contained> <Medication> <id value="med0311"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="373994007"/> <display value="Prednisone 5 mg oral tablet"/> </coding> </code> </Medication> </contained><identifier> <use value="official"/> <system value="http://www.bmc.nl/portal/prescriptions"/> <value value="12345689"/> </identifier> <basedOn> <reference value="CarePlan/gpvisit"/> </basedOn> <groupIdentifier> <use value="official"/> <system value="http://www.bmc.nl/portal/prescriptions"/> <value value="983939393"/> </groupIdentifier> <status value="active"/> <intent value="order"/> <medication> <!-- Linked to a RESOURCE Medication --> <reference><reference value="#med0311"/> </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/f001"/> <display value="encounter who leads to this prescription"/> </encounter> <authoredOn value="2015-01-15"/> <requester> <reference value="Practitioner/f007"/> <display value="Patrick Pump"/> </requester> <note> <text value="Patient told to take with food"/> </note> <dosageInstruction> <step> <component> <text value="Take 4 tablets daily for 7 days starting January 16, 2015"/> <timing> <repeat> <boundsPeriod> <start value="2015-01-16"/> <end value="2015-01-22"/> </boundsPeriod> <frequency value="1"/> <period value="1"/> <periodUnit value="d"/> </repeat> </timing> <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> <doseQuantity> <value value="4"/> <unit value="TAB"/> <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> <code value="TAB"/> </doseQuantity> </doseAndRate> </component> </step> <step> <component> <text value="Take 2 tablets daily for 7 days starting January 23, 2015"/> <timing> <repeat> <boundsPeriod> <start value="2015-01-23"/> <end value="2015-01-29"/> </boundsPeriod> <frequency value="1"/> <period value="1"/> <periodUnit value="d"/> </repeat> </timing> <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> <doseQuantity> <value value="2"/> <unit value="TAB"/> <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> <code value="TAB"/> </doseQuantity> </doseAndRate> </component> </step> <step> <component> <text value="Take 1 tablets daily for 7 days starting January 30, 2015"/> <timing> <repeat> <boundsPeriod> <start value="2015-01-30"/> <end value="2015-02-05"/> </boundsPeriod> <frequency value="1"/> <period value="1"/> <periodUnit value="d"/> </repeat> </timing> <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> <doseQuantity> <value value="1"/> <unit value="TAB"/> <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> <code value="TAB"/> </doseQuantity> </doseAndRate> </component> </step> </dosageInstruction> <dispenseRequest> <validityPeriod> <start value="2015-01-15"/> <end value="2016-01-15"/> </validityPeriod> <numberOfRepeatsAllowed value="1"/> <quantity> <value value="51"/> <unit value="TAB"/> <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> <code value="TAB"/> </quantity> <expectedSupplyDuration> <value value="21"/> <unit value="days"/> <system value="http://unitsofmeasure.org"/> <code value="d"/> </expectedSupplyDuration> <dispenser> <reference value="Organization/f001"/> </dispenser> </dispenseRequest> <substitution> <allowedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/> <code value="TB"/> <display value="Therapeutic Brand"/> </coding> </allowedCodeableConcept> <reason> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="FP"/> <display value="formulary policy"/> </coding> </reason> </substitution> </ 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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