Medications
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| Pharmacy Work Group | Maturity Level : N/A | Standards Status : Informative | Compartments : Encounter , 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"?>display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%<MedicationRequest xmlns="http://hl7.org/fhir"> <id value="medrx0303"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationRequest</b> <a name="medrx0303"> </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 "medrx0303" </p> </div> <p> <b> identifier</b> : id: 12345689 (use: OFFICIAL)</p> <p> <b> basedOn</b> : <a href="careplan-example-GPVisit.html">CarePlan/gpvisit</a> </p> <p> <b> groupIdentifier</b> : id: 983939393 (use: OFFICIAL)</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : order</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 tablet (Product) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #373994007)</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: encounter who leads to this prescription</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> "Simone HEPS"</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> : Take 4 tablets daily for 7 days starting January 16, 2015</p> <p> <b> timing</b> : Starting 2015-01-16, Once per 1 days, Until 2015-01-22</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> timing</b> : Starting 2015-01-23, Once per 1 days, Until 2015-01-29</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 30, 2015</p> <p> <b> timing</b> : Starting 2015-01-30, Once per 1 days, Until 2015-02-05</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 --> 2016-01-15</p> <p> <b> numberOfRepeatsAllowed</b> : 1</p> <p> <b> quantity</b> : 51 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> 21</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-f001-burgers.html">Organization/f001</a> "Burgers University Medical Center"</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> Therapeutic Brand <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-substanceAdminSubstitution.html">Substance Admin Substitution</a> #TB)</span> </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> </div> </text> <contained> <Medication> <id value="med0311"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="373994007"/> <display value="Prednisone 5mg tablet (Product)"/> </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> <sequence value="1"/> <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> </dosageInstruction> <dosageInstruction> <sequence value="2"/> <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> </dosageInstruction> <dosageInstruction> <sequence value="3"/> <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> </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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hl7.fhir.core#5.0.0
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Sun,
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