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 of new brand medication that is given because the old is unavailable, so giving to continue the treatment and not to replace it

Example 5. Dispense of new brand medication that is given because the old is unavailable, so giving to continue the treatment and not to replace it

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 because there is no stock.

• After a GP visit, the patient Pia Peters is prescribed dafalgan Forte 1000 mg cp (TID) for headaches.
• When reaching the pharmacy for dispense, the pharmacy does not have dafalgan Forte now but dispenses Paracetabs Forte 1000 mg instead.
• It is possible to capture that the original prescription was dafalgan but the dispense was Paracetabs.
• 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 - paracetamol oral 1G (24745)
   • mppcv - Dafalgan compr. pellic. (séc.) Forte 16x 1g (cnk: 1799147)

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

1. Status (active) - status

Dispense attributes

1. Produt Identification - medicationReference or medicationCodeableConcept
   • VOS - paracetamol oral 1G (24745)
   • mppcv - Paracetabs compr. pellic. (séc.) Forte 30x 1g (3440260)

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