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Example MedicationDispense/meddisp0305 (XML)

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner

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

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"?>

<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="meddisp0305"/> 
  <contained> 
    <Medication> 
      <id value="med0311"/> 
      <code> 
        <coding> 
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
          <code value="763179"/> 
          <display value="{48 (prednisone 5 MG Oral Tablet) } 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> 
</MedicationDispense>

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.