Medicationrequest0303.json

Order for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod

{
  "resourceType": "MedicationRequest",
  "id": "medrx0303",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0303</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>definition</b>: <a>ActivityDefinition/example</a></p><p><b>basedOn</b>: <a>CarePlan/gpvisit</a></p><p><b>requisition</b>: 983939393 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>stage</b>: original-order <span>(Details : {[not stated] code 'original-order' = 'original-order)</span></p><p><b>medication</b>: id: med0311; Prednisone 5mg tablet (Product) <span>(Details : {SNOMED CT code '373994007' = 'Prednisone 5mg tablet (product)', given as 'Prednisone 5mg tablet (Product)'})</span></p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>context</b>: <a>encounter who leads to this prescription</a></p><p><b>dateWritten</b>: 2015-1-15</p><p><b>requester</b>: <a>Patrick Pump</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>2015-1-15 --&gt; 2016-1-15</td><td>1</td><td>51 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = 'TAB')</span></td><td>21 days<span> (Details: UCUM code d = 'd')</span></td><td><a>Organization/f001</a></td></tr></table><h3>Substitutions</h3><table><tr><td>-</td><td><b>Allowed</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td>formulary policy <span>(Details : {http://hl7.org/fhir code 'FP' = 'FP', given as 'formulary policy'})</span></td></tr></table></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0311",
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "373994007",
            "display": "Prednisone 5mg tablet (Product)"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/prescriptions",
      "value": "12345689"
    }
  ],
  "definition": [
    {
      "reference": "ActivityDefinition/example"
    }
  ],
  "basedOn": [
    {
      "reference": "CarePlan/gpvisit"
    }
  ],
  "requisition": {
    "use": "official",
    "system": "http://www.bmc.nl/portal/prescriptions",
    "value": "983939393"
  },
  "status": "active",
  "stage": {
    "coding": [
      {
        "code": "original-order"
      }
    ]
  },
  "medicationReference": {
    "reference": "#med0311"
  },
  "patient": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "context": {
    "reference": "Encounter/f001",
    "display": "encounter who leads to this prescription"
  },
  "dateWritten": "2015-01-15",
  "requester": {
    "reference": "Practitioner/f007",
    "display": "Patrick Pump"
  },
  "note": [
    {
      "text": "Patient told to take with food"
    }
  ],
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "Take 4 tablets daily for 7 days starting January 16, 2015",
      "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)"
          }
        ]
      },
      "doseQuantity": {
        "value": 4,
        "unit": "TAB",
        "system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm",
        "code": "TAB"
      }
    },
    {
      "sequence": 2,
      "text": "Take 2 tablets daily for 7 days starting January 23, 2015",
      "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)"
          }
        ]
      },
      "doseQuantity": {
        "value": 2,
        "unit": "TAB",
        "system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm",
        "code": "TAB"
      }
    },
    {
      "sequence": 3,
      "text": "Take 1 tablets daily for 7 days starting January 31, 2015",
      "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)"
          }
        ]
      },
      "doseQuantity": {
        "value": 1,
        "unit": "TAB",
        "system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm",
        "code": "TAB"
      }
    }
  ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2015-01-15",
      "end": "2016-01-15"
    },
    "numberOfRepeatsAllowed": 1,
    "quantity": {
      "value": 51,
      "unit": "TAB",
      "system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm",
      "code": "TAB"
    },
    "expectedSupplyDuration": {
      "value": 21,
      "unit": "days",
      "system": "http://unitsofmeasure.org",
      "code": "d"
    },
    "performer": {
      "reference": "Organization/f001"
    }
  },
  "substitution": {
    "allowed": true,
    "reason": {
      "coding": [
        {
          "system": "http://hl7.org/fhir",
          "code": "FP",
          "display": "formulary policy"
        }
      ]
    }
  }
}