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

Dispense medication before the prescription is available

Example 3. Dispense medication before the prescription is available

This example shows a dispense of a medication that is made before an existing prescription

• After a GP visit, the patient Pia Peters (75 years) is prescribed diclofenac for arthritis.
• While making the dispense, the pharmacist understands that the patient has a history of stomachal ulcers. Since diclofenac creates stomachal irritations, the pharmacy also dispenses a stomach protector to prevent any case of stomach irritation or bleeding and advises to tell the information to the GP.
• The pharmacist tells the patient to comeback with a prescription for the protector after meeting the doctor.
• The patient goes to the GP and returns to the pharmacy with the prescription.

Prescription 1 attributes

1. Produt Identification - medication
   • VOS - diclofenac oral 50 mg (9050)

2. Dosage - dosageInstruction

3. Date of the prescription - authoredOn

4. Patient for whom the prescription is - subject

5. Requester - requester

6. Encounter - encounter

7. Status (active) - status

Dispense 1 attributes

1. Produt Identification - medicationReference or medicationCodeableConcept
   • VOS - diclofenac oral 50 mg (9050)
   • mppcv - Voltaren compr. gastro-résist. 50x 50mg (0817940)

2. Total quantity (50) - quantity

3. Reason for dispense (acute symptom) - note

4. Date of the dispense - whenHandedOver

5. Dosage - dosageInstruction

6. Subject - subject

7. Dispenser - performer

Dispense 2 attributes

1. Produt Identification - medicationReference or medicationCodeableConcept
   • VOS - pantoprazole oral 20 mg (24646)
   • mppcv - Pantogastrix compr. gastro-résist. 14x 20mg (2807014)

2. Total quantity (14) - quantity

3. Reason for dispense (acute symptom) - note

4. Date of the dispense - whenHandedOver

5. Dosage - dosageInstruction

6. Subject - subject

7. Dispenser - performer

Prescription 2 attributes

1. Produt Identification - medication
   • VOS - pantoprazole oral 20 mg (24646)

2. Dosage - dosageInstruction

3. Date of the prescription - authoredOn

4. Patient for whom the prescription is - subject

5. Requester - requester

6. Encounter - encounter

7. Status (active) - status

Update Dispense 2

1. Identification of Prescription - authorizingPrescription

Notes:

• The dispense starts a new treatment and treatmentline???
• So, if the prescription occurs, it is connected to the same prescription line throuhht the treatmentLine.
• But what if the prescription is a different drug?