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

Refusal to dispense the prescribed medication

Example 6. Refusal to dispense the prescribed medication

This example shows a prescription that is made by VOS and the pharmacist refuses to dispense the medication due to interaction with previous medication.

• After a GP visit, the patient Pia Peters (75 years) is prescribed ibuprofen 400 mg cp (TID) for headaches.
• The pharmacist, after a conversation with the patient, got to know that he was doing Tritace (ramipril) 10 mg for hypertension.
• Since the ibuprofen interacts with ramipril, the pharmacist chose to refuse the dispense of the medication;

Prescriptions attributes

1. Produt Identification - medication
   • VOS - ibuproféne oral 400 mg (16279)

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 attributes

1. Reason for refusal (drug-drug interaction) - note

2. Identification of Prescription - authorizingPrescription

3. Date of the dispense - whenHandedOver

4. Subject - subject

5. Dispenser - performer

6. ?? do we add the code/reference of the medication that was not dispensed ??
7. do we add quantity? in IHE, we do Medication=X, QTY = 0

Notes:

• The prescription starts a new treatment and treatmentline.
• As the dispense is rejected, a new prescription should emerge from this.
• Since the new prescription is for the same purpose, but only a new drug, the treatment stays the same but a new treatment line is created.

The final result of these interactions is: