Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationdispense0305.xml

Example MedicationDispense/meddisp0305 (XML)

Pharmacy Work Group Maturity Level : N/A Standards Status : Informative Compartments : Encounter , Patient , Practitioner

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative

Dispense for Prednisone (RxNorm code) Tapering Dose - entered-in-error with multiple Dosage lines that include coded additionalInstructions and multiple EventHistory elements (id = "meddisp0305") 

<?xml version="1.0" encoding="UTF-8"?>


    
    : Prednisone. Generated Summary: id: med0311; Prednisone 5mg Oral Tablet 48 Count Pack
         (Details : {RxNorm code '763179' = 'predniSONE 5 MG Oral Tablet 48 Count Pack', given
           as 'Prednisone 5mg Oral Tablet 48 Count Pack'})(Details : {http://terminology.hl7.org/CodeSystem/v3-ActCode code 'FF' = 'First Fill',
           given as 'First Fill'})
        
            
            
                
                    
                    
                    
                
            
        
    
    
    
        
        
        
    
    
        
        
    
    
        
            
        
    
    
        
    
    
        
            
            
            
        
    
    
        
        
        
         
    
    
        
        
        
        
    
    
    
    
        
        
        
            
                
                
                
            
        
        
            
                
                    
                    
                
                
                
                
            
        
        
            
                
                
                
            
        
        
            
                
                
                
            
        
        
            
                
                    
                    
                    
                
            
        
            
            
            
             
        
        
    
    
        
        
        
            
                
                
                
            
        
        
            
                
                    
                    
                
                
                
                
            
        
        
            
                
                
                
            
        
        
            
                
                
                
            
        
        
            
                
                    
                    
                    
                
            
            
                
                
                
                 
            
        

    
    
        
        
        
            
                
                
                
            
        
        
            
                
                    
                    
                
                
                
                
            
        
        
            
                
                
                
            
        
        
            
                
                
                
            
        
        
            
                
                    
                    
                    
                
            
            
                
                
                
                 
            
        

    

<MedicationDispense xmlns="http://hl7.org/fhir">
    <id value="meddisp0305"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationDispense</b> <a name="meddisp0305"> </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 &quot;meddisp0305&quot; </p> </div> <p> <b> status</b> : entered-in-error</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="med0311"> </a> </span> <blockquote> <p/>  <p> <a name="med0311"> </a> </p> <p> <b> code</b> : Prednisone 5mg Oral Tablet 48 Count Pack <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> #763179)</span> </p> </blockquote> </td> </tr> </table> <p> <b> subject</b> : <a href="patient-example-a.html">Patient/pat1: Donald Duck</a>  &quot;Donald DUCK&quot;</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>  &quot;Rob VAN DEN BERK&quot;</td> </tr> </table> <p> <b> authorizingPrescription</b> : <a href="medicationrequest0303.html">MedicationRequest/medrx0303</a> </p> <p> <b> type</b> : First Fill <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> #FF)</span> </p> <p> <b> quantity</b> : 49 TAB<span style="background: LightGoldenRodYellow"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB
           = 'Tablet')</span> </p> <p> <b> daysSupply</b> : 21 Day<span style="background: LightGoldenRodYellow"> (Details: UCUM code d = 'd')</span> </p> <p> <b> whenPrepared</b> : 2015-01-15T10:20:00Z</p> <p> <b> whenHandedOver</b> : 2015-01-15T16:20:00Z</p> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : Take 4 tablets daily for 7 days starting January 16, 2015</p> <p> <b> additionalInstruction</b> : With or after Food <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #311504000)</span> </p> <p> <b> timing</b> : Starting 2015-01-16, Once per 1 days, Until 2015-01-20</p> <p> <b> route</b> : Oral Route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #26643006)</span> </p> <p> <b> method</b> : 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> </p> <blockquote> <p> <b> doseAndRate</b> </p> </blockquote> </blockquote> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 2</p> <p> <b> text</b> : Take 2 tablets daily for 7 days starting January 23, 2015</p> <p> <b> additionalInstruction</b> : With or after Food <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #311504000)</span> </p> <p> <b> timing</b> : Starting 2015-01-23, Once per 1 days, Until 2015-01-30</p> <p> <b> route</b> : Oral Route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #26643006)</span> </p> <p> <b> method</b> : 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> </p> <blockquote> <p> <b> doseAndRate</b> </p> </blockquote> </blockquote> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 3</p> <p> <b> text</b> : Take 1 tablets daily for 7 days starting January 31, 2015</p> <p> <b> additionalInstruction</b> : With or after Food <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #311504000)</span> </p> <p> <b> timing</b> : Starting 2015-01-31, Once per 1 days, Until 2015-02-06</p> <p> <b> route</b> : Oral Route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #26643006)</span> </p> <p> <b> method</b> : 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> </p> <blockquote> <p> <b> doseAndRate</b> </p> </blockquote> </blockquote> </div> </text> <contained> 
        <Medication>             <id value="med0311"/>             <code>                 <coding>                     <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>                     <code value="763179"/>                     <display value="Prednisone 5mg Oral Tablet 48 Count Pack"/>                 </coding>             </code>         </Medication>     </contained>     <status value="entered-in-error"/>     <medication>             <!--    Linked to a RESOURCE Medication    -->        <reference>         <reference value="#med0311"/>         <display value="Prednisone"/>         </reference>     </medication>     <subject>         <reference value="Patient/pat1"/>         <display value="Donald Duck"/>     </subject>     <performer>         <actor>             <reference value="Practitioner/f006"/>         </actor>     </performer>     <authorizingPrescription>         <reference value="MedicationRequest/medrx0303"/>     </authorizingPrescription>     <type>         <coding>             <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>             <code value="FF"/>             <display value="First Fill"/>         </coding>     </type>     <quantity>         <value value="49"/>         <unit value="TAB"/>         <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>         <code value="TAB"/>      </quantity>     <daysSupply>         <value value="21"/>         <unit value="Day"/>         <system value="http://unitsofmeasure.org"/>         <code value="d"/>     </daysSupply>     <whenPrepared value="2015-01-15T10:20:00Z"/>     <whenHandedOver value="2015-01-15T16:20:00Z"/>     <dosageInstruction>         <sequence value="1"/>         <text value="Take 4 tablets daily for 7 days starting January 16, 2015"/>         <additionalInstruction>             <coding>                 <system value="http://snomed.info/sct"/>                 <code value="311504000"/>                 <display value="With or after Food"/>             </coding>         </additionalInstruction>         <timing>             <repeat>                 <boundsPeriod>                     <start value="2015-01-16"/>                     <end value="2015-01-20"/>                 </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="calculated"/>                     <display value="Calculated"/>                 </coding>             </type>         <doseQuantity>             <value value="4"/>             <unit value="TAB"/>             <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>             <code value="TAB"/>          </doseQuantity>         </doseAndRate>     </dosageInstruction>     <dosageInstruction>         <sequence value="2"/>         <text value="Take 2 tablets daily for 7 days starting January 23, 2015"/>         <additionalInstruction>             <coding>                 <system value="http://snomed.info/sct"/>                 <code value="311504000"/>                 <display value="With or after Food"/>             </coding>         </additionalInstruction>         <timing>             <repeat>                 <boundsPeriod>                     <start value="2015-01-23"/>                     <end value="2015-01-30"/>                 </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="calculated"/>                     <display value="Calculated"/>                 </coding>             </type>             <doseQuantity>                 <value value="2"/>                 <unit value="TAB"/>                 <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>                 <code value="TAB"/>              </doseQuantity>         </doseAndRate>     </dosageInstruction>     <dosageInstruction>         <sequence value="3"/>         <text value="Take 1 tablets daily for 7 days starting January 31, 2015"/>         <additionalInstruction>             <coding>                 <system value="http://snomed.info/sct"/>                 <code value="311504000"/>                 <display value="With or after Food"/>             </coding>         </additionalInstruction>         <timing>             <repeat>                 <boundsPeriod>                     <start value="2015-01-31"/>                     <end value="2015-02-06"/>                 </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="calculated"/>                     <display value="Calculated"/>                 </coding>             </type>             <doseQuantity>                 <value value="1"/>                 <unit value="TAB"/>                 <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>                 <code value="TAB"/>              </doseQuantity>         </doseAndRate>     </dosageInstruction> 


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MedicationDispense

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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.