This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions
Dispense for Prednisone (RxNorm code) Tapering Dose - entered-in-error with multiple Dosage lines that include coded additionalInstructions and multiple EventHistory elements
{
"resourceType" : "MedicationDispense",
"id" : "meddisp0305",
"contained" : [{
"resourceType" : "Medication",
"id" : "med0311",
"code" : {
"coding" : [{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "763179",
"display" : "{48 (prednisone 5 MG Oral Tablet) } Pack"
}]
}
}],
"status" : "entered-in-error",
"medication" : {
"reference" : {
"reference" : "#med0311",
"display" : "Prednisone"
}
},
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"performer" : [{
"actor" : {
"reference" : "Practitioner/f006"
}
}],
"authorizingPrescription" : [{
"reference" : "MedicationRequest/medrx0303"
}],
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "FF",
"display" : "First Fill"
}]
},
"quantity" : {
"value" : 49,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
},
"daysSupply" : {
"value" : 21,
"unit" : "Day",
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"whenPrepared" : "2015-01-15T10:20:00Z",
"whenHandedOver" : "2015-01-15T16:20:00Z",
"dosageInstruction" : [{
"sequence" : 1,
"text" : "Take 4 tablets daily for 7 days starting January 16, 2015",
"additionalInstruction" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "311504000",
"display" : "With or after Food"
}]
}],
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2015-01-16",
"end" : "2015-01-20"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"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" : "calculated",
"display" : "Calculated"
}]
},
"doseQuantity" : {
"value" : 4,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}]
},
{
"sequence" : 2,
"text" : "Take 2 tablets daily for 7 days starting January 23, 2015",
"additionalInstruction" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "311504000",
"display" : "With or after Food"
}]
}],
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2015-01-23",
"end" : "2015-01-30"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"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" : "calculated",
"display" : "Calculated"
}]
},
"doseQuantity" : {
"value" : 2,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}]
},
{
"sequence" : 3,
"text" : "Take 1 tablets daily for 7 days starting January 31, 2015",
"additionalInstruction" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "311504000",
"display" : "With or after Food"
}]
}],
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2015-01-31",
"end" : "2015-02-06"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"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" : "calculated",
"display" : "Calculated"
}]
},
"doseQuantity" : {
"value" : 1,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}]
}]
}
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.