Medications
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| Pharmacy Work Group | Maturity Level : N/A | Standards Status : Informative | Compartments : Encounter , Patient , Practitioner |
Raw JSON ( canonical form + also see JSON Format Specification )
Dispense for Oxycodone (RxNorm code) - PRN dose with dose range, coded additional instructions and PRN coded pre-condition
{
"resourceType": "MedicationDispense",
"id": "meddisp0303",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "meddisp0303" </p></div><p><b>partOf</b>: <a href=\"procedure-biopsy.html\">Procedure/biopsy</a></p><p><b>status</b>: on-hold</p><p><b>statusReason</b>: <a href=\"detectedissue-allergy.html\">DetectedIssue/allergy</a></p><p><b>category</b>: Outpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-medicationdispense-category.html\">Medication Dispense Category Codes</a>#outpatient)</span></p><p><b>medication</b>: <a name=\"med0310\"> </a></p><blockquote><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "med0310" </p></div><p><b>code</b>: Oxycodone Hydrochloride 5mg oral tablet (Roxicodone <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#1049623)</span></p></blockquote><p><b>subject</b>: <a href=\"patient-pat1.html\">Patient/pat1: Donald Duck</a> "Duck DONALD"</p><p><b>context</b>: <a href=\"encounter-f001.html\">Encounter/f001</a></p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"practitioner-f006.html\">Practitioner/f006</a> "Rob VAN DEN BERK"</td></tr></table><p><b>authorizingPrescription</b>: <a href=\"medicationrequest-medrx0310.html\">MedicationRequest/medrx0310</a></p><p><b>type</b>: Emergency Supply <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActCode.html\">ActCode</a>#EM)</span></p><p><b>quantity</b>: 30(unit TAB from http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm)<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><p><b>daysSupply</b>: 10 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2016-04-15T07:14:00+05:00</p><p><b>detectedIssue</b>: <a href=\"detectedissue-allergy.html\">DetectedIssue/allergy</a></p></div>"
"resourceType" : "MedicationDispense",
"id" : "meddisp0303",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"meddisp0303\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationDispense "meddisp0303" </p></div><p><b>partOf</b>: <a href=\"procedure-example-biopsy.html\">Procedure/biopsy</a></p><p><b>status</b>: on-hold</p><h3>NotPerformedReasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a href=\"detectedissue-example-allergy.html\">DetectedIssue/allergy</a></td></tr></table><p><b>category</b>: Outpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (medicationdispense-category#outpatient)</span></p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><span title=\" Linked to a RESOURCE Medication \"><a name=\"med0310\"> </a></span><blockquote><p/><p><a name=\"med0310\"> </a></p><p><b>code</b>: Oxycodone Hydrochloride 5mg oral tablet (Roxicodone <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#1049623)</span></p></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><p><b>encounter</b>: <a href=\"encounter-example-f001-heart.html\">Encounter/f001</a></p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"practitioner-example-f006-rvdb.html\">Practitioner/f006</a> "Rob VAN DEN BERK"</td></tr></table><p><b>authorizingPrescription</b>: <a href=\"medicationrequest0310.html\">MedicationRequest/medrx0310</a></p><p><b>type</b>: Emergency Supply <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActCode.html\">ActCode</a>#EM)</span></p><p><b>quantity</b>: 30(unit TAB from http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm)<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><p><b>daysSupply</b>: 10 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2016-04-15T07:14:00+05:00</p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>Text</b></td><td><b>AdditionalInstruction</b></td><td><b>Timing</b></td><td><b>AsNeededFor</b></td><td><b>Route</b></td><td><b>Method</b></td></tr><tr><td>*</td><td>1</td><td>one to two tablets every 4-6 hours as needed for rib pain</td><td>Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#418914006)</span></td><td>Once per 4-6 hours</td><td>Rib Pain (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#297217002)</span></td><td>Oral Route <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#26643006)</span></td><td>Swallow - dosing instruction imperative (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#421521009)</span></td></tr></table></div>"
},
"contained": [
{
"resourceType": "Medication",
"id": "med0310",
"code": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049623",
"display": "Oxycodone Hydrochloride 5mg oral tablet (Roxicodone"
}
]
}
"contained" : [{
"resourceType" : "Medication",
"id" : "med0310",
"code" : {
"coding" : [{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "1049623",
"display" : "Oxycodone Hydrochloride 5mg oral tablet (Roxicodone"
}]
}
],
"partOf": [
{
"reference": "Procedure/biopsy"
}],
"partOf" : [{
"reference" : "Procedure/biopsy"
}],
"status" : "on-hold",
"notPerformedReason" : {
"reference" : {
"reference" : "DetectedIssue/allergy"
}
],
"status": "on-hold",
"statusReasonReference": {
"reference": "DetectedIssue/allergy"
},
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationdispense-category",
"code": "outpatient",
"display": "Outpatient"
}
]
},
"medicationReference": {
"reference": "#med0310"
"category" : [{
"coding" : [{
"system" : "http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category",
"code" : "outpatient",
"display" : "Outpatient"
}]
}],
"medication" : {
"reference" : {
"reference" : "#med0310"
}
},
"subject": {
"reference": "Patient/pat1",
"display": "Donald Duck"
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"context": {
"reference": "Encounter/f001"
"encounter" : {
"reference" : "Encounter/f001"
},
"performer": [
{
"actor": {
"reference": "Practitioner/f006"
}
}
],
"authorizingPrescription": [
{
"reference": "MedicationRequest/medrx0310"
"performer" : [{
"actor" : {
"reference" : "Practitioner/f006"
}
],
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "EM",
"display": "Emergency Supply"
}
]
}],
"authorizingPrescription" : [{
"reference" : "MedicationRequest/medrx0310"
}],
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "EM",
"display" : "Emergency Supply"
}]
},
"quantity": {
"value": 30,
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "TAB"
"quantity" : {
"value" : 30,
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
},
"daysSupply": {
"value": 10,
"unit": "Day",
"system": "http://unitsofmeasure.org",
"code": "d"
"daysSupply" : {
"value" : 10,
"unit" : "Day",
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"whenPrepared": "2016-04-15T07:14:00+05:00",
"dosageInstruction": [
{
"sequence": 1,
"text": "one to two tablets every 4-6 hours as needed for rib 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,
"periodMax": 6,
"periodUnit": "h"
}
},
"asNeededCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "297217002",
"display": "Rib Pain (finding)"
}
]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "Oral Route"
}
]
},
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "421521009",
"display": "Swallow - dosing instruction imperative (qualifier value)"
}
]
"whenPrepared" : "2016-04-15T07:14:00+05:00",
"dosageInstruction" : [{
"sequence" : 1,
"text" : "one to two tablets every 4-6 hours as needed for rib 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,
"periodMax" : 6,
"periodUnit" : "h"
}
},
"asNeededFor" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "297217002",
"display" : "Rib Pain (finding)"
}]
}],
"route" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "26643006",
"display" : "Oral Route"
}]
},
"method" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "421521009",
"display" : "Swallow - dosing instruction imperative (qualifier value)"
}]
}
],
"detectedIssue": [
{
"reference": "DetectedIssue/allergy"
}
]
}]
}
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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Sun,
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