This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 4.0.1. For a full list of available versions, see the Directory of published versions 
Dispense for Prednisone (RxNorm code) Tapering Dose - entered-in-error with multiple DosageInstruction lines that include coded additionalInstructions and multiple EventHistory elements
{
"resourceType": "MedicationDispense",
"id": "meddisp0305",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0305</p><p><b>contained</b>: </p><p><b>status</b>: entered-in-error</p><p><b>medication</b>: Prednisone. Generated Summary: id: med0311; Prednisone 5mg Oral Tablet 48 Count Pack <span>(Details : {RxNorm code '763179' = '??', given as 'Prednisone 5mg Oral Tablet 48 Count Pack'})</span></p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>dispenser</b>: <a>Rob van den Berk</a></p><p><b>authorizingPrescription</b>: <a>MedicationOrder/medrx0303</a></p><p><b>type</b>: First Fill <span>(Details : {http:hl7.org/fhir code 'FF' = '??', given as 'First Fill'})</span></p><p><b>quantity</b>: 49 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></p><p><b>daysSupply</b>: 21 Day<span> (Details: http://unitsofmeasure.org code d = 'd')</span></p><p><b>whenPrepared</b>: 15/01/2015 9:20:00 PM</p><p><b>whenHandedOver</b>: 16/01/2015 3:20:00 AM</p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Take 4 tablets daily for 7 days starting January 16, 2015</p><p><b>additionalInstructions</b>: With or after Food <span>(Details : {SNOMED CT code '311504000' = 'With or after food (qualifier value)', given as 'With or after Food'})</span></p><p><b>timing</b>: Starting 16/01/2015, Do Once per 1 days, Until 20/01/2015</p><p><b>route</b>: Oral Route <span>(Details : {SNOMED CT code '26643006' = 'Oral route (qualifier value)', given as 'Oral Route'})</span></p><p><b>method</b>: Swallow - dosing instruction imperative (qualifier value) <span>(Details : {SNOMED CT code '421521009' = 'Swallow - dosing instruction imperative (qualifier value)', given as 'Swallow - dosing instruction imperative (qualifier value)'})</span></p><p><b>dose</b>: 4 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></p></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Take 2 tablets daily for 7 days starting January 23, 2015</p><p><b>additionalInstructions</b>: With or after Food <span>(Details : {SNOMED CT code '311504000' = 'With or after food (qualifier value)', given as 'With or after Food'})</span></p><p><b>timing</b>: Starting 23/01/2015, Do Once per 1 days, Until 30/01/2015</p><p><b>route</b>: Oral Route <span>(Details : {SNOMED CT code '26643006' = 'Oral route (qualifier value)', given as 'Oral Route'})</span></p><p><b>method</b>: Swallow - dosing instruction imperative (qualifier value) <span>(Details : {SNOMED CT code '421521009' = 'Swallow - dosing instruction imperative (qualifier value)', given as 'Swallow - dosing instruction imperative (qualifier value)'})</span></p><p><b>dose</b>: 2 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></p></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Take 1 tablets daily for 7 days starting January 31, 2015</p><p><b>additionalInstructions</b>: With or after Food <span>(Details : {SNOMED CT code '311504000' = 'With or after food (qualifier value)', given as 'With or after Food'})</span></p><p><b>timing</b>: Starting 31/01/2015, Do Once per 1 days, Until 06/02/2015</p><p><b>route</b>: Oral Route <span>(Details : {SNOMED CT code '26643006' = 'Oral route (qualifier value)', given as 'Oral Route'})</span></p><p><b>method</b>: Swallow - dosing instruction imperative (qualifier value) <span>(Details : {SNOMED CT code '421521009' = 'Swallow - dosing instruction imperative (qualifier value)', given as 'Swallow - dosing instruction imperative (qualifier value)'})</span></p><p><b>dose</b>: 1 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></p></blockquote><blockquote><p><b>eventHistory</b></p><p><b>status</b>: completed</p><p><b>dateTime</b>: 16/01/2015 3:20:00 AM</p></blockquote><blockquote><p><b>eventHistory</b></p><p><b>status</b>: in-progress</p><p><b>dateTime</b>: 16/01/2015 3:20:00 AM</p></blockquote></div>"
},
"contained": [
{
"resourceType": "Medication",
"id": "med0311",
"code": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "763179",
"display": "Prednisone 5mg Oral Tablet 48 Count Pack"
}
]
}
}
],
"status": "entered-in-error",
"medicationReference": {
"reference": "#med0311",
"display": "Prednisone"
},
"patient": {
"reference": "Patient/pat1",
"display": "Donald Duck"
},
"dispenser": {
"reference": "Practitioner/f006",
"display": "Rob van den Berk"
},
"authorizingPrescription": [
{
"reference": "MedicationOrder/medrx0303"
}
],
"type": {
"coding": [
{
"system": "http:hl7.org/fhir",
"code": "FF",
"display": "First Fill"
}
]
},
"quantity": {
"value": 49,
"unit": "TAB",
"system": "http://hl7.org/fhir/ValueSet/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": [
{
"text": "Take 4 tablets daily for 7 days starting January 16, 2015",
"additionalInstructions": [
{
"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)"
}
]
},
"doseQuantity": {
"value": 4,
"unit": "TAB",
"system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm",
"code": "TAB"
}
},
{
"text": "Take 2 tablets daily for 7 days starting January 23, 2015",
"additionalInstructions": [
{
"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)"
}
]
},
"doseQuantity": {
"value": 2,
"unit": "TAB",
"system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm",
"code": "TAB"
}
},
{
"text": "Take 1 tablets daily for 7 days starting January 31, 2015",
"additionalInstructions": [
{
"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)"
}
]
},
"doseQuantity": {
"value": 1,
"unit": "TAB",
"system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm",
"code": "TAB"
}
}
],
"eventHistory": [
{
"status": "completed",
"dateTime": "2015-01-15T16:20:00Z"
},
{
"status": "in-progress",
"dateTime": "2015-01-15T16:20:00Z"
}
]
}
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.