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Resource "medrx0301" Version "1" (MedicationRequest)

Tags:

XML or JSON representation . provenance for this resource

Generated Narrative with Details

id: medrx0301

contained: ,

identifier: 12345689 (OFFICIAL)

status: completed

statusReason: Try another treatment first (Details : {http://terminology.hl7.org/CodeSystem/med-request-status-reason code 'altchoice' = 'Try another treatment first', given as 'Try another treatment first'})

intent: order

category: Inpatient (Details : {http://terminology.hl7.org/CodeSystem/medication-request-category code 'inpatient' = 'Inpatient', given as 'Inpatient'})

medication: id: med0310; Oral Form Oxycodone (product) (Details : {SNOMED CT code '430127000' = 'Oral form oxycodone', given as 'Oral Form Oxycodone (product)'})

subject: Donald Duck

encounter: encounter who leads to this prescription

supportingInformation: Procedure/biopsy

authoredOn: Jan 15, 2015

requester: Patrick Pump

performer: Carla Espinosa

performerType: Public Health Nurse (Details : {SNOMED CT code '26369006' = '26369006', given as 'Public Health Nurse'})

reasonCode: Rib Pain (finding) (Details : {SNOMED CT code '297217002' = 'Rib pain', given as 'Rib Pain (finding)'})

insurance: Coverage/9876B1

note: Patient told to take with food

dosageInstruction:

DispenseRequests

-ValidityPeriodNumberOfRepeatsAllowedQuantityExpectedSupplyDurationPerformer
*Jan 15, 2015 --> Jan 15, 2016030 TAB (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')10 days (Details: UCUM code d = 'd')Practitioner/f001

Substitutions

-Allowed[x]Reason
*trueformulary policy (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})

detectedIssue: DetectedIssue/allergy

eventHistory: Author's Signature. Generated Summary: id: signature; recorded: Feb 1, 2017 5:23:07 PM;


{
  "resourceType" : "MedicationRequest",
  "id" : "medrx0301",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:35.707Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0301</p><p><b>contained</b>: , </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>statusReason</b>: Try another treatment first <span>(Details : {http://terminology.hl7.org/CodeSystem/med-request-status-reason code 'altchoice' = 'Try another treatment first', given as 'Try another treatment first'})</span></p><p><b>intent</b>: order</p><p><b>category</b>: Inpatient <span>(Details : {http://terminology.hl7.org/CodeSystem/medication-request-category code 'inpatient' = 'Inpatient', given as 'Inpatient'})</span></p><p><b>medication</b>: id: med0310; Oral Form Oxycodone (product) <span>(Details : {SNOMED CT code '430127000' = 'Oral form oxycodone', given as 'Oral Form Oxycodone (product)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription</a></p><p><b>supportingInformation</b>: <a>Procedure/biopsy</a></p><p><b>authoredOn</b>: Jan 15, 2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>performer</b>: <a>Carla Espinosa</a></p><p><b>performerType</b>: Public Health Nurse <span>(Details : {SNOMED CT code '26369006' = '26369006', given as 'Public Health Nurse'})</span></p><p><b>reasonCode</b>: Rib Pain (finding) <span>(Details : {SNOMED CT code '297217002' = 'Rib pain', given as 'Rib Pain (finding)'})</span></p><p><b>insurance</b>: <a>Coverage/9876B1</a></p><p><b>note</b>: Patient told to take with food</p><p><b>dosageInstruction</b>: </p><h3>DispenseRequests</h3><table><tr><td>-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td><td><b>ExpectedSupplyDuration</b></td><td><b>Performer</b></td></tr><tr><td>*</td><td>Jan 15, 2015 --&gt; Jan 15, 2016</td><td>0</td><td>30 TAB<span> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></td><td>10 days<span> (Details: UCUM code d = 'd')</span></td><td><a>Practitioner/f001</a></td></tr></table><h3>Substitutions</h3><table><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>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})</span></td></tr></table><p><b>detectedIssue</b>: <a>DetectedIssue/allergy</a></p><p><b>eventHistory</b>: Author's Signature. Generated Summary: id: signature; recorded: Feb 1, 2017 5:23:07 PM; </p></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "med0310",
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "430127000",
            "display" : "Oral Form Oxycodone (product)"
          }
        ]
      }
    },
    {
      "resourceType" : "Provenance",
      "id" : "signature",
      "target" : [
        {
          "reference" : "ServiceRequest/physiotherapy"
        }
      ],
      "recorded" : "2017-02-01T17:23:07Z",
      "agent" : [
        {
          "role" : [
            {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "AUT"
                }
              ]
            }
          ],
          "who" : {
            "reference" : "Practitioner/example",
            "display" : "Dr Adam Careful"
          }
        }
      ],
      "signature" : [
        {
          "type" : [
            {
              "system" : "urn:iso-astm:E1762-95:2013",
              "code" : "1.2.840.10065.1.12.1.1",
              "display" : "Author's Signature"
            }
          ],
          "when" : "2017-02-01T17:23:07Z",
          "who" : {
            "reference" : "Practitioner/example",
            "display" : "Dr Adam Careful"
          },
          "targetFormat" : "application/fhir+xml",
          "sigFormat" : "application/signature+xml",
          "data" : "dGhpcyBibG9iIGlzIHNuaXBwZWQ="
        }
      ]
    }
  ],
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://www.bmc.nl/portal/prescriptions",
      "value" : "12345689"
    }
  ],
  "status" : "completed",
  "statusReason" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/med-request-status-reason",
        "code" : "altchoice",
        "display" : "Try another treatment first"
      }
    ]
  },
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/medication-request-category",
          "code" : "inpatient",
          "display" : "Inpatient"
        }
      ]
    }
  ],
  "medicationReference" : {
    "reference" : "#med0310"
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "encounter" : {
    "reference" : "Encounter/f201",
    "display" : "encounter who leads to this prescription"
  },
  "supportingInformation" : [
    {
      "reference" : "Procedure/biopsy"
    }
  ],
  "authoredOn" : "2015-01-15",
  "requester" : {
    "reference" : "Practitioner/f007",
    "display" : "Patrick Pump"
  },
  "performer" : {
    "reference" : "Practitioner/f204",
    "display" : "Carla Espinosa"
  },
  "performerType" : {
    "coding" : [
      {
        "system" : "http://snomed.info.sct",
        "code" : "26369006",
        "display" : "Public Health Nurse"
      }
    ]
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "297217002",
          "display" : "Rib Pain (finding)"
        }
      ]
    }
  ],
  "insurance" : [
    {
      "reference" : "Coverage/9876B1"
    }
  ],
  "note" : [
    {
      "text" : "Patient told to take with food"
    }
  ],
  "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)"
            }
          ]
        }
      ],
      "patientInstruction" : "Take one to two tablets every four to six hours as needed for rib pain",
      "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)"
          }
        ]
      },
      "doseAndRate" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code" : "ordered",
                "display" : "Ordered"
              }
            ]
          },
          "doseRange" : {
            "low" : {
              "value" : 1,
              "unit" : "TAB",
              "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
              "code" : "TAB"
            },
            "high" : {
              "value" : 2,
              "unit" : "TAB",
              "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
              "code" : "TAB"
            }
          }
        }
      ]
    }
  ],
  "dispenseRequest" : {
    "validityPeriod" : {
      "start" : "2015-01-15",
      "end" : "2016-01-15"
    },
    "numberOfRepeatsAllowed" : 0,
    "quantity" : {
      "value" : 30,
      "unit" : "TAB",
      "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
      "code" : "TAB"
    },
    "expectedSupplyDuration" : {
      "value" : 10,
      "unit" : "days",
      "system" : "http://unitsofmeasure.org",
      "code" : "d"
    },
    "performer" : {
      "reference" : "Practitioner/f001"
    }
  },
  "substitution" : {
    "allowedBoolean" : true,
    "reason" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
          "code" : "FP",
          "display" : "formulary policy"
        }
      ]
    }
  },
  "detectedIssue" : [
    {
      "reference" : "DetectedIssue/allergy"
    }
  ],
  "eventHistory" : [
    {
      "reference" : "#signature",
      "display" : "Author's Signature"
    }
  ]
}