# entry[].resource.text.div
Theophylline 200mg twice a day

# entry[].resource.text.div
Generated Narrative with Details

id: 3123

status: unknown

intent: order

medication: Medication/example

subject: Patient/347

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0301

contained: ,

identifier: 12345689 (OFFICIAL)

status: completed

statusReason: Try another treatment first (Details : {http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason code 'altchoice' = 'Try another treatment first', given as 'Try another treatment first'})

intent: order

category: Inpatient (Details : {http://terminology.hl7.org/CodeSystem/medicationrequest-category code 'inpatient' = 'Inpatient', given as 'Inpatient'})

medication: id: med0310; Oral Form Oxycodone (product) (Details : {SNOMED CT code '430127000' = 'Oral form oxycodone', given as 'Oral Form Oxycodone (product)'})

subject: Donald Duck

encounter: encounter who leads to this prescription

supportingInformation: Procedure/biopsy

authoredOn: 15/01/2015

requester: Patrick Pump

performer: Carla Espinosa

performerType: Public Health Nurse (Details : {SNOMED CT code '26369006' = 'Public health nurse', given as 'Public Health Nurse'})

reasonCode: Rib Pain (finding) (Details : {SNOMED CT code '297217002' = 'Rib pain', given as 'Rib Pain (finding)'})

insurance: Coverage/9876B1

note: Patient told to take with food

dosageInstruction:

DispenseRequests

- | ValidityPeriod | NumberOfRepeatsAllowed | Quantity | ExpectedSupplyDuration | Performer
* | 15/01/2015 --> 15/01/2016 | 0 | 30 TAB (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet') | 10 days (Details: UCUM code d = 'd') | Practitioner/f001

Substitutions

- | Allowed[x] | Reason
* | true | formulary policy (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})

detectedIssue: DetectedIssue/allergy

eventHistory: Author's Signature. Generated Summary: id: signature; recorded: 01/02/2017 5:23:07 PM;

# entry[].resource.encounter.display
encounter who leads to this prescription

# entry[].resource.dosageInstruction[].text
one to two tablets every 4-6 hours as needed for rib pain

# entry[].resource.dosageInstruction[].additionalInstruction[].coding[].display
Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)

# entry[].resource.dosageInstruction[].patientInstruction
Take one to two tablets every four to six hours as needed for rib pain

# entry[].resource.dosageInstruction[].method.coding[].display
Swallow - dosing instruction imperative (qualifier value)

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0302

contained:

identifier: 12345689 (OFFICIAL)

status: active

intent: order

medication: id: med0320; Azithromycin 250mg capsule (product) (Details : {SNOMED CT code '324252006' = 'Azithromycin 250mg capsule', given as 'Azithromycin 250mg capsule (product)'})

subject: Donald Duck

encounter: encounter who leads to this prescription

supportingInformation: Coverage/SP1234

authoredOn: 15/01/2015

requester: Patrick Pump

reasonCode: Traveller's Diarrhea (disorder) (Details : {SNOMED CT code '11840006' = 'Traveler's diarrhea', given as 'Traveller's Diarrhea (disorder)'})

note: Patient told to take with food

dosageInstruction: ,

DispenseRequests

- | ValidityPeriod | NumberOfRepeatsAllowed | Quantity | ExpectedSupplyDuration
* | 15/01/2015 --> 15/01/2016 | 1 | 6 TAB (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet') | 5 days (Details: UCUM code d = 'd')

Substitutions

- | Allowed[x] | Reason
* | true | formulary policy (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})

# entry[].resource.encounter.display
encounter who leads to this prescription

# entry[].resource.dosageInstruction[].method.coding[].display
Swallow - dosing instruction imperative (qualifier value)

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0303

contained:

identifier: 12345689 (OFFICIAL)

status: active

intent: order

medication: id: med0311; Prednisone 5mg tablet (Product) (Details : {SNOMED CT code '373994007' = 'Prednisone 5mg tablet', given as 'Prednisone 5mg tablet (Product)'})

subject: Donald Duck

encounter: encounter who leads to this prescription

authoredOn: 15/01/2015

requester: Patrick Pump

basedOn: CarePlan/gpvisit

groupIdentifier: 983939393 (OFFICIAL)

note: Patient told to take with food

dosageInstruction: , ,

DispenseRequests

- | ValidityPeriod | NumberOfRepeatsAllowed | Quantity | ExpectedSupplyDuration | Performer
* | 15/01/2015 --> 15/01/2016 | 1 | 51 TAB (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet') | 21 days (Details: UCUM code d = 'd') | Organization/f001

Substitutions

- | Allowed[x] | Reason
* | Therapeutic Brand (Details : {http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution code 'TB' = 'therapeutic brand', given as 'Therapeutic Brand'}) | formulary policy (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})

# entry[].resource.encounter.display
encounter who leads to this prescription

# entry[].resource.dosageInstruction[].text
Take 4 tablets daily for 7 days starting January 16, 2015

# entry[].resource.dosageInstruction[].method.coding[].display
Swallow - dosing instruction imperative (qualifier value)

# entry[].resource.dosageInstruction[].text
Take 2 tablets daily for 7 days starting January 23, 2015

# entry[].resource.dosageInstruction[].method.coding[].display
Swallow - dosing instruction imperative (qualifier value)

# entry[].resource.dosageInstruction[].text
Take 1 tablets daily for 7 days starting January 31, 2015

# entry[].resource.dosageInstruction[].method.coding[].display
Swallow - dosing instruction imperative (qualifier value)

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0304

contained:

identifier: 12345689 (OFFICIAL)

status: completed

intent: order

medication: Nystatin 100,000 u/ml oral suspension. Generated Summary: id: med0312; Nystatin 100,000 units/ml oral suspension (product) (Details : {SNOMED CT code '324689003' = 'Nystatin 100,000units/mL oral suspension', given as 'Nystatin 100,000 units/ml oral suspension (product)'})

subject: Donald Duck

authoredOn: 15/01/2015

requester: Patrick Pump

dosageInstruction:

DispenseRequests

- | ValidityPeriod | NumberOfRepeatsAllowed | Quantity | ExpectedSupplyDuration
* | 15/01/2015 --> 15/01/2016 | 3 | 10 ml (Details: UCUM code ml = 'ml') | 10 days (Details: UCUM code d = 'd')

# entry[].resource.contained[].code.coding[].display
Nystatin 100,000 units/ml oral suspension (product)

# entry[].resource.dosageInstruction[].text
10 drops four times daily - apply in mouth using cotton swab or finger

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0305

contained:

identifier: 12345689 (OFFICIAL)

status: completed

intent: order

medication: id: med0314; Alprazolam 0.25mg Oral Tablet (Details : {RxNorm code '308047' = 'ALPRAZolam 0.25 MG Oral Tablet', given as 'Alprazolam 0.25mg Oral Tablet'})

subject: Donald Duck

encounter: encounter who leads to this prescription

authoredOn: 15/01/2015

requester: Patrick Pump

dosageInstruction:

DispenseRequests

- | ValidityPeriod | NumberOfRepeatsAllowed | Quantity | ExpectedSupplyDuration
* | 15/01/2015 --> 15/01/2016 | 1 | 30 TAB (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet') | 10 days (Details: UCUM code d = 'd')

Substitutions

- | Allowed[x] | Reason
* | true | formulary policy (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})

# entry[].resource.encounter.display
encounter who leads to this prescription

# entry[].resource.dosageInstruction[].text
0.25mg PO every 6-12 hours as needed for menses from Jan 15-20, 2015.  Do not exceed more than 4mg per day

# entry[].resource.dosageInstruction[].additionalInstruction[].coding[].display
Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0306

contained:

identifier: 12345689 (OFFICIAL)

status: active

intent: order

medication: Myleran 2mg tablet. Generated Summary: id: med0304; Myleran 2mg tablet, film coated (Details : {http://hl7.org/fhir/sid/ndc code '76388-713-25' = '76388-713-25', given as 'Myleran 2mg tablet, film coated'})

subject: Donald Duck

authoredOn: 15/01/2015

requester: Patrick Pump

reasonCode: Chronic myeloid Leukemia (disorder) (Details : {SNOMED CT code '92818009' = 'Chronic myeloid leukemia', given as 'Chronic myeloid Leukemia (disorder)'})

dosageInstruction:

# entry[].resource.dosageInstruction[].text
6 mg PO daily for remission induction; adjust dosage to white blood cell (WBC) count.  With hold treatment if WBC is less than 15,000/µL; resume when WBC is greater than 50,000/µL

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0307

contained:

identifier: 12345689 (OFFICIAL)

status: completed

intent: order

medication: id: med0308; Percocet tablet (Details : {http://hl7.org/fhir/sid/ndc code '16590-619-30' = '16590-619-30', given as 'Percocet tablet'})

subject: Donald Duck

encounter: encounter who leads to this prescription

authoredOn: 15/01/2015

requester: Patrick Pump

dosageInstruction:

DispenseRequests

- | ValidityPeriod | Quantity | ExpectedSupplyDuration
* | 15/01/2015 --> 15/01/2016 | 30 TAB (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet') | 10 days (Details: UCUM code d = 'd')

Substitutions

- | Allowed[x] | Reason
* | true | formulary policy (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})

# entry[].resource.encounter.display
encounter who leads to this prescription

# entry[].resource.dosageInstruction[].text
1 tablet every four hours as needed for pain

# entry[].resource.dosageInstruction[].additionalInstruction[].coding[].display
Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0308

identifier: 12345689 (OFFICIAL)

status: completed

intent: order

medication: Vicodin 5/500 Oral Tablet (Details : {RxNorm code '856907' = 'Vicodin 5 MG / 500 MG Oral Tablet', given as 'Vicodin 5/500 Oral Tablet'})

subject: Donald Duck

encounter: encounter who leads to this prescription

authoredOn: 15/01/2015

requester: Patrick Pump

recorder: Carla Espinoza

dosageInstruction:

DispenseRequests

- | ValidityPeriod | Quantity | ExpectedSupplyDuration
* | 15/01/2015 --> 15/01/2016 | 30 TAB (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet') | 10 days (Details: UCUM code d = 'd')

Substitutions

- | Allowed[x] | Reason
* | false | formulary policy (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})

# entry[].resource.encounter.display
encounter who leads to this prescription

# entry[].resource.dosageInstruction[].text
1 tablet every four hours as needed for pain

# entry[].resource.dosageInstruction[].additionalInstruction[].coding[].display
Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0309

contained:

identifier: 12345689 (OFFICIAL)

status: active

intent: order

medication: id: med0321; Capecitabine (product) (Details : {SNOMED CT code '108761006' = 'Capecitabine', given as 'Capecitabine (product)'})

subject: Donald Duck

encounter: encounter who leads to this prescription

authoredOn: 15/01/2015

requester: Patrick Pump

dosageInstruction:

# entry[].resource.encounter.display
encounter who leads to this prescription

# entry[].resource.dosageInstruction[].text
1000 mg/m2 orally twice daily from days 1-14 of cycle

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0310

contained:

identifier: 12345689 (OFFICIAL)

status: active

intent: order

medication: id: med0309; Tylenol PM (Details : {http://hl7.org/fhir/sid/ndc code '50580-506-02' = '50580-506-02', given as 'Tylenol PM'})

subject: Donald Duck

encounter: encounter who leads to this prescription

authoredOn: 15/01/2015

requester: Patrick Pump

dosageInstruction:

# entry[].resource.encounter.display
encounter who leads to this prescription

# entry[].resource.dosageInstruction[].text
Take 1-2 tablets once daily at bedtime as needed for restless legs

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0312

identifier: 12345689 (OFFICIAL)

status: active

intent: order

medication: Phenytoin 25mg/ml oral suspension (Details : {RxNorm code '1313112' = 'Phenytoin 25 MG/ML Oral Suspension', given as 'Phenytoin 25mg/ml oral suspension'})

subject: Donald Duck

authoredOn: 15/01/2015

requester: Patrick Pump

reasonCode: Status epilepticus (disorder) (Details : {SNOMED CT code '230456007' = 'Status epilepticus', given as 'Status epilepticus (disorder)'})

note: Patient should be counselled to ensure good dental hygiene

dosageInstruction:

DispenseRequests

- | ValidityPeriod | NumberOfRepeatsAllowed | Quantity | ExpectedSupplyDuration
* | 15/01/2015 --> 15/01/2016 | 3 | 360 mL (Details: UCUM code mL = 'mL') | 30 days (Details: UCUM code d = 'd')

Substitutions

- | Allowed[x] | Reason
* | true | Continuing therapy (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'CT' = 'continuing therapy', given as 'Continuing therapy'})

priorPrescription: MedicationRequest/medrx0304

# entry[].resource.note[].text
Patient should be counselled to ensure good dental hygiene

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0313

identifier: 12345689 (OFFICIAL)

status: completed

intent: order

medication: Azithromycin 250mg capsule (product) (Details : {SNOMED CT code '324252006' = 'Azithromycin 250mg capsule', given as 'Azithromycin 250mg capsule (product)'})

subject: Donald Duck

authoredOn: 15/01/2015

requester: Patrick Pump

reasonCode: Traveller's Diarrhea (disorder) (Details : {SNOMED CT code '11840006' = 'Traveler's diarrhea', given as 'Traveller's Diarrhea (disorder)'})

dosageInstruction:

DispenseRequests

- | ValidityPeriod | Quantity | ExpectedSupplyDuration
* | 15/01/2015 --> 15/01/2016 | 5 Tab (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code Tab = 'Tab') | 5 days (Details: UCUM code d = 'd')

priorPrescription: Vancomycin IV

# entry[].resource.dosageInstruction[].additionalInstruction[].coding[].display
Until finished - dosing instruction fragment (qualifier value)

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0314

identifier: 12345689 (OFFICIAL)

status: completed

intent: order

priority: routine

medication: Levothyroxine Sodium 75micrograms tablet (product) (Details : {SNOMED CT code '376988009' = 'Levothyroxine sodium 75micrograms tablet', given as 'Levothyroxine Sodium 75micrograms tablet (product)'})

subject: Donald Duck

authoredOn: 15/01/2015

requester: Patrick Pump

reasonCode: Hypothyroidism (disorder) (Details : {SNOMED CT code '40930008' = 'Hypothyroidism', given as 'Hypothyroidism (disorder)'})

dosageInstruction:

DispenseRequests

- | ValidityPeriod | Quantity | ExpectedSupplyDuration
* | 15/01/2015 --> 15/01/2016 | 100 Tab (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code Tab = 'Tab') | 30 days (Details: UCUM code d = 'd')

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0315

contained:

identifier: 12345689 (OFFICIAL)

status: active

intent: order

medication: id: med0313; Lorazepam 2mg/ml injection solution 1ml vial (product) (Details : {SNOMED CT code '400621001' = 'Lorazepam 2mg/mL injection solution 1mL vial', given as 'Lorazepam 2mg/ml injection solution 1ml vial (product)'}); Injection solution (qualifier value) (Details : {SNOMED CT code '385219001' = 'Injection solution', given as 'Injection solution (qualifier value)'})

subject: Donald Duck

encounter: encounter who leads to this prescription

authoredOn: 15/01/2015

requester: Patrick Pump

reasonCode: Epilepsy (disorder) (Details : {SNOMED CT code '84757009' = 'Epilepsy', given as 'Epilepsy (disorder)'})

dosageInstruction:

# entry[].resource.contained[].code.coding[].display
Lorazepam 2mg/ml injection solution 1ml vial (product)

# entry[].resource.encounter.display
encounter who leads to this prescription

# entry[].resource.dosageInstruction[].text
0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed

# entry[].resource.dosageInstruction[].method.coding[].display
Push - dosing instruction imperative (qualifier value)

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0316

contained:

identifier: 12345689 (OFFICIAL)

status: completed

intent: order

medication: id: med0306; Adcetris (Details : {http://hl7.org/fhir/sid/ndc code '51144-050-01' = '51144-050-01', given as 'Adcetris'}); Lyophilized powder for injectable solution (qualifier value) (Details : {SNOMED CT code '421637006' = 'Lyophilised powder for injectable solution', given as 'Lyophilized powder for injectable solution (qualifier value) '})

subject: Donald Duck

encounter: encounter who leads to this prescription

authoredOn: 15/01/2015

requester: Patrick Pump

instantiatesUri: http://www.bccancer.bc.ca/chemotherapy-protocols-site/Documents/Lymphoma-Myeloma/ULYBRENTUX%20Protocol_1Jun2017.pdf

dosageInstruction:

# entry[].resource.contained[].form.coding[].display
Lyophilized powder for injectable solution (qualifier value)

# entry[].resource.encounter.display
encounter who leads to this prescription

# entry[].resource.dosageInstruction[].text
1.8 mg/kg IV infusion over 20 minutes every 3 weeks for 16 cycles

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0317

contained:

identifier: 12345689 (OFFICIAL)

status: completed

intent: order

medication: id: med0303; Alemtuzumab 10mg/ml (Lemtrada) (Details : {RxNorm code '1594660' = 'alemtuzumab 10 MG/ML [Lemtrada]', given as 'Alemtuzumab 10mg/ml (Lemtrada)'})

subject: Donald Duck

authoredOn: 15/01/2015

requester: Patrick Pump

reasonCode: Chronic Lymphoid Leukemia (disorder) (Details : {SNOMED CT code '92814006' = 'Chronic lymphoid leukemia', given as 'Chronic Lymphoid Leukemia (disorder)'})

dosageInstruction: , ,

# entry[].resource.dosageInstruction[].text
Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk

# entry[].resource.dosageInstruction[].method.coding[].display
Inject - dosing instruction imperative (qualifier value)

# entry[].resource.dosageInstruction[].text
Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk

# entry[].resource.dosageInstruction[].method.coding[].display
Inject - dosing instruction imperative (qualifier value)

# entry[].resource.dosageInstruction[].text
Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk

# entry[].resource.dosageInstruction[].method.coding[].display
Inject - dosing instruction imperative (qualifier value)

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0318

contained:

identifier: 12345689 (OFFICIAL)

status: active

intent: order

medication: id: med0301; Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE) (Details : {http://hl7.org/fhir/sid/ndc code '0069-2587-10' = '0069-2587-10', given as 'Vancomycin Hydrochloride (VANCOMYCIN HYDROCHLORIDE)'})

subject: Donald Duck

encounter: encounter who leads to this prescription

authoredOn: 15/01/2015

requester: Patrick Pump

reasonCode: Traveller's Diarrhea (disorder) (Details : {SNOMED CT code '11840006' = 'Traveler's diarrhea', given as 'Traveller's Diarrhea (disorder)'})

note: culture expected back in 12 hours - may switch depending on results

dosageInstruction:

# entry[].resource.encounter.display
encounter who leads to this prescription

# entry[].resource.note[].text
culture expected back in 12 hours - may switch depending on results

# entry[].resource.dosageInstruction[].method.coding[].display
Push - dosing instruction imperative (qualifier value)

# entry[].resource.text.div
Generated Narrative with Details

id: medrx0319

contained:

identifier: 12345689 (OFFICIAL)

status: completed

intent: order

medication: Piperacillin/Tazobactam 4.5gm. Generated Summary: id: med0302; Zosyn (piperacillin/tazobactam) 4.5gm injection (Details : {http://hl7.org/fhir/sid/ndc code '0206-8862-02' = '0206-8862-02', given as 'Zosyn (piperacillin/tazobactam) 4.5gm injection'})

subject: Donald Duck

authoredOn: 15/01/2015

requester: Patrick Pump

reasonCode: Community acquired pneumonia (disorder) (Details : {SNOMED CT code '385093006' = 'Community acquired pneumonia', given as 'Community acquired pneumonia (disorder)'})

dosageInstruction:

# entry[].resource.dosageInstruction[].text
4.5 grams in D5W 250 ml. IV every 6 hours.Infuse over 30 min at 8L/min