Order with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution (id = "medrx0301")

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                Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic
         drink (qualifier value)
            
        
        
        
            
                
                
                
                
            
        
        
            
                
                
                
            
        
        
            
                
                
                
            
        
        
            
                
                
                
            
        
        
            
                
                    
                    
                    
                
            
            
                
                    
                    
                    
                     
                
                
                    
                    
                    
                     
                
            
        
        
    
    
        
            
            
        
        
        
            
            
            
             
        
        
            
            
            
             
        
        
            
        
       
    
        
        
            
                
                
                             
            
        
    
    
        
    
    
        
        
    

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0301"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationRequest</b> <a name="medrx0301"> </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 MedicationRequest &quot;medrx0301&quot; </p> </div> <p> <b> identifier</b> : id: 12345689 (use: OFFICIAL)</p> <p> <b> status</b> : completed</p> <p> <b> statusReason</b> : Try another treatment first <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-medicationrequest-status-reason.html">MedicationRequest Status Reason Codes</a> #altchoice)</span> </p> <p> <b> intent</b> : order</p> <p> <b> category</b> : Inpatient <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-medicationrequest-admin-location.html">Medication request  administration  location  codes</a> #inpatient)</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> : Oral Form Oxycodone (product) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #430127000)</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> <p> <b> encounter</b> : <a href="encounter-example-f201-20130404.html">Encounter/f201: encounter who leads to this prescription</a> </p> <p> <b> supportingInformation</b> : <a href="procedure-example-biopsy.html">Procedure/biopsy</a> </p> <p> <b> authoredOn</b> : 2015-01-15</p> <p> <b> requester</b> : <a href="practitioner-example-f007-sh.html">Practitioner/f007: Patrick Pump</a>  &quot;Simone HEPS&quot;</p> <p> <b> performerType</b> : Public Health Nurse <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #26369006)</span> </p> <p> <b> performer</b> : <a href="practitioner-example-f204-ce.html">Practitioner/f204: Carla Espinosa</a>  &quot;Carla Espinosa&quot;</p> <h3> Reasons</h3> <table class="grid"><tr> <td> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</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> </tr> </table> <p> <b> insurance</b> : <a href="coverage-example.html">Coverage/9876B1</a> </p> <p> <b> note</b> : Patient told to take with food</p> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : one to two tablets every 4-6 hours as needed for rib pain</p> <p> <b> additionalInstruction</b> : 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> </p> <p> <b> patientInstruction</b> : Take one to two tablets every four to six hours as needed for rib pain</p> <p> <b> timing</b> : Once per 4-6 hours</p> <p> <b> asNeededFor</b> : Rib Pain (finding) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #297217002)</span> </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> dispenseRequest</b> </p> <p> <b> validityPeriod</b> : 2015-01-15 --&gt; 2016-01-15</p> <p> <b> numberOfRepeatsAllowed</b> : 0</p> <p> <b> quantity</b> : 30 TAB<span style="background: LightGoldenRodYellow"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB
             = 'Tablet')</span> </p> <h3> ExpectedSupplyDurations</h3> <table class="grid"><tr> <td> -</td> <td> <b> Value</b> </td> <td> <b> Unit</b> </td> <td> <b> System</b> </td> <td> <b> Code</b> </td> </tr> <tr> <td> *</td> <td> 10</td> <td> days</td> <td> <a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ucum.html">Unified Code for Units of Measure (UCUM)</a> </td> <td> d</td> </tr> </table> <p> <b> dispenser</b> : <a href="organization-example-good-health-care.html">Organization/2.16.840.1.113883.19.5</a>  &quot;Good Health Clinic&quot;</p> </blockquote> <h3> Substitutions</h3> <table class="grid"><tr> <td> -</td> <td> <b> Allowed[x]</b> </td> <td> <b> Reason</b> </td> </tr> <tr> <td> *</td> <td> true</td> <td> formulary policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html">ActReason</a> #FP)</span> </td> </tr> </table> <p> <b> eventHistory</b> : <a name="signature"> </a> </p> <blockquote> <p/>  <p> <a name="signature"> </a> </p> <p> <b> target</b> : <a href="servicerequest-example2.html">ServiceRequest/physiotherapy</a> </p> <p> <b> recorded</b> : 2 Feb 2017, 4:23:07 am</p> <h3> Agents</h3> <table class="grid"><tr> <td> -</td> <td> <b> Role</b> </td> <td> <b> Who</b> </td> </tr> <tr> <td> *</td> <td> author (originator) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ParticipationType.html">ParticipationType</a> #AUT)</span> </td> <td> <a href="practitioner-example.html">Practitioner/example: Dr Adam Careful</a>  &quot;Adam CAREFUL&quot;</td> </tr> </table> <h3> Signatures</h3> <table class="grid"><tr> <td> -</td> <td> <b> Type</b> </td> <td> <b> When</b> </td> <td> <b> Who</b> </td> <td> <b> TargetFormat</b> </td> <td> <b> SigFormat</b> </td> <td> <b> Data</b> </td> </tr> <tr> <td> *</td> <td> 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')</td> <td> 2 Feb 2017, 4:23:07 am</td> <td> <a href="practitioner-example.html">Practitioner/example: Dr Adam Careful</a>  &quot;Adam CAREFUL&quot;</td> <td> application/fhir+xml</td> <td> application/signature+xml</td> <td> dGhpcyBibG9iIGlzIHNuaXBwZWQ=</td> </tr> </table> </blockquote> </div> </text> <contained> 
      <Medication>           <id value="med0310"/>           <code>               <coding>                   <system value="http://snomed.info/sct"/>                   <code value="430127000"/>                   <display value="Oral Form Oxycodone (product)"/>               </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"/>                 <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-location"/>             <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>         <sequence value="1"/>         <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> 
        
    </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

>