{"authoredOn":"2015-01-15","category":[{"coding":[{"code":"inpatient","display":"Inpatient","system":"http://terminology.hl7.org/CodeSystem/medicationrequest-admin-location"}]}],"contained":[{"code":{"coding":[{"code":"430127000","display":"Oral Form Oxycodone (product)","system":"http://snomed.info/sct"}]},"id":"med0310","resourceType":"Medication"},{"agent":[{"role":[{"coding":[{"code":"AUT","system":"http://terminology.hl7.org/CodeSystem/v3-ParticipationType"}]}],"who":{"display":"Dr Adam Careful","reference":"Practitioner/example"}}],"id":"signature","recorded":"2017-02-01T17:23:07Z","resourceType":"Provenance","signature":[{"data":"dGhpcyBibG9iIGlzIHNuaXBwZWQ=","sigFormat":"application/signature+xml","targetFormat":"application/fhir+xml","type":[{"code":"1.2.840.10065.1.12.1.1","display":"Author's Signature","system":"urn:iso-astm:E1762-95:2013"}],"when":"2017-02-01T17:23:07Z","who":{"display":"Dr Adam Careful","reference":"Practitioner/example"}}],"target":[{"reference":"ServiceRequest/physiotherapy"}]}],"dispenseRequest":{"dispenser":{"reference":"Organization/2.16.840.1.113883.19.5"},"expectedSupplyDuration":{"code":"d","system":"http://unitsofmeasure.org","unit":"days","value":10},"numberOfRepeatsAllowed":0,"quantity":{"code":"TAB","system":"http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm","unit":"TAB","value":30},"validityPeriod":{"end":"2016-01-15","start":"2015-01-15"}},"dosageInstruction":[{"additionalInstruction":[{"coding":[{"code":"418914006","display":"Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)","system":"http://snomed.info/sct"}]}],"asNeededFor":[{"coding":[{"code":"297217002","display":"Rib Pain (finding)","system":"http://snomed.info/sct"}]}],"doseAndRate":[{"doseRange":{"high":{"code":"TAB","system":"http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm","unit":"TAB","value":2},"low":{"code":"TAB","system":"http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm","unit":"TAB","value":1}},"type":{"coding":[{"code":"ordered","display":"Ordered","system":"http://terminology.hl7.org/CodeSystem/dose-rate-type"}]}}],"method":{"coding":[{"code":"421521009","display":"Swallow - dosing instruction imperative (qualifier value)","system":"http://snomed.info/sct"}]},"patientInstruction":"Take one to two tablets every four to six hours as needed for rib pain","route":{"coding":[{"code":"26643006","display":"Oral Route","system":"http://snomed.info/sct"}]},"sequence":1,"text":"one to two tablets every 4-6 hours as needed for rib pain","timing":{"repeat":{"frequency":1,"period":4,"periodMax":6,"periodUnit":"h"}}}],"encounter":{"display":"encounter who leads to this prescription","reference":"Encounter/f201"},"eventHistory":[{"display":"Author's Signature","reference":"#signature"}],"id":"medrx0301","identifier":[{"system":"http://www.bmc.nl/portal/prescriptions","use":"official","value":"12345689"}],"insurance":[{"reference":"Coverage/9876B1"}],"intent":"order","medication":{"reference":{"reference":"#med0310"}},"note":[{"text":"Patient told to take with food"}],"performer":[{"display":"Carla Espinosa","reference":"Practitioner/f204"}],"performerType":{"coding":[{"code":"26369006","display":"Public Health Nurse","system":"http://snomed.info/sct"}]},"reason":[{"concept":{"coding":[{"code":"297217002","display":"Rib Pain (finding)","system":"http://snomed.info/sct"}]}}],"requester":{"display":"Patrick Pump","reference":"Practitioner/f007"},"resourceType":"MedicationRequest","status":"completed","statusReason":{"coding":[{"code":"altchoice","display":"Try another treatment first","system":"http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason"}]},"subject":{"display":"Donald Duck","reference":"Patient/pat1"},"substitution":{"allowedBoolean":true,"reason":{"coding":[{"code":"FP","display":"formulary policy","system":"http://terminology.hl7.org/CodeSystem/v3-ActReason"}]}},"supportingInformation":[{"reference":"Procedure/biopsy"}],"text":{"div":"

Generated Narrative: MedicationRequest

Resource MedicationRequest "medrx0301"

identifier: id:\u00a012345689\u00a0(use:\u00a0OFFICIAL)

status: completed

statusReason: Try another treatment first (MedicationRequest Status Reason Codes#altchoice)

intent: order

category: Inpatient (Medication request administration location codes#inpatient)

Medications

-Reference
*

code: Oral Form Oxycodone (product) (SNOMED CT#430127000)

subject: Patient/pat1: Donald Duck "Donald DUCK"

encounter: Encounter/f201: encounter who leads to this prescription

supportingInformation: Procedure/biopsy

authoredOn: 2015-01-15

requester: Practitioner/f007: Patrick Pump "Simone HEPS"

performerType: Public Health Nurse (SNOMED CT#26369006)

performer: Practitioner/f204: Carla Espinosa "Carla Espinosa"

Reasons

-Concept
*Rib Pain (finding) (SNOMED CT#297217002)

insurance: Coverage/9876B1

note: Patient told to take with food

dosageInstruction

sequence: 1

text: one to two tablets every 4-6 hours as needed for rib pain

additionalInstruction: Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value) (SNOMED CT#418914006)

patientInstruction: Take one to two tablets every four to six hours as needed for rib pain

timing: Once per 4-6 hours

asNeededFor: Rib Pain (finding) (SNOMED CT#297217002)

route: Oral Route (SNOMED CT#26643006)

method: Swallow - dosing instruction imperative (qualifier value) (SNOMED CT#421521009)

doseAndRate

dispenseRequest

validityPeriod: 2015-01-15 --> 2016-01-15

numberOfRepeatsAllowed: 0

quantity: 30 TAB (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')

ExpectedSupplyDurations

-ValueUnitSystemCode
*10daysUnified Code for Units of Measure (UCUM)d

dispenser: Organization/2.16.840.1.113883.19.5 "Good Health Clinic"

Substitutions

-Allowed[x]Reason
*trueformulary policy (ActReason#FP)

eventHistory:

target: ServiceRequest/physiotherapy

recorded: 2 Feb 2017, 4:23:07 am

Agents

-RoleWho
*author (originator) (ParticipationType#AUT)Practitioner/example: Dr Adam Careful "Adam CAREFUL"

Signatures

-TypeWhenWhoTargetFormatSigFormatData
*Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'Author's Signature')2 Feb 2017, 4:23:07 amPractitioner/example: Dr Adam Careful "Adam CAREFUL"application/fhir+xmlapplication/signature+xmldGhpcyBibG9iIGlzIHNuaXBwZWQ=
","status":"generated"}}