MedicationRecord, published by HL7 Belgium. This guide is not an authorized publication; it is the continuous build for version 0.1.0-test built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/medication-record and changes regularly. See the Directory of published versions

Prescribed branded medication is changed by another branded medication from the same VOS-cluster

Example 1. Prescribed branded medication is changed by another branded medication from the same VOS-cluster

This example shows a prescription that is made by brand name and the pharmacist changes the brand name for another brand name in the same VOS - Cluster.

• After a GP visit, the patient Pia Peters is prescribed Amlor hard capsules daily for hypertension.
• When reaching the pharmacy for dispense, the pharmacy does not have Amlor now but dispenses Amlodipin Sandoz instead.
• It is possible to capture that the original prescription was Amlor but the dispense was Amlodipin Sandoz.
• This could enable a medication summary that can for example group treatment lines, enabling the visualization of the prescription and related dispenses next to each other.

Prescriptions attributes

1. Produt Identification - medication
   • VOS - amlodipine oraal 5 mg [CAVE deelb.] (1701)
   • mppcv - Amlor harde caps. 98x 5mg (2837409)

2. Dosage - dosageInstruction

3. Reason for not prescribing VOS - substitution.allowed (F) and substitution.reason

4. Date of the prescription - authoredOn

5. Patient for whom the prescription is - subject

6. Requester - requester

7. Encounter - encounter

8. Status (active) - status

Dispense attributes

1. Produt Identification - medicationReference or medicationCodeableConcept
   • VOS - amlodipine oraal 5 mg [CAVE deelb.] (1701)
   • mppcv - Amlodipin Sandoz tabl. (deelb.) Besilaat 100x 5mg (2399640)

2. Total quantity (30) - quantity

3. Reason for change (out of stock) - note

4. Identification of Prescription - authorizingPrescription

5. Date of the dispense - whenHandedOver

6. Dosage Instruction - dosageInstruction

7. Subject - subject

8. Dispenser - performer

Notes:

• The prescription starts a new treatment and treatmentline.
• Meanwhile, the dispense occurs.
• Since the active principle is the same, the dispense also goes into the same treatment line.

The final result of these interactions is: