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 medication that was prescribed, but not taken till the end

Example 8. Dispense of medication that was prescribed, but not taken till the end

This example shows a prescription that is made by VOS and the pharmacist dispenses it. But at the time of administration, the treatment is stopped due to a reaction.

• After a GP visit, the patient Pia Peters is prescribed amoxicillin + clavulanic acid 875 mg + 125 mg for a pharyngitis for the conclusion of the package.
• The pharmacist, dispensed Amoxiclav Sandoz 875/125.
• However, after 1 take, the patient stopped doing the medication because the patient had an alergic reaction.
• This should result in a medication summary that can group treatment lines, enabling the visualization of the prescription, dispenses and administrations next to each other.

Prescriptions attributes

1. Produt Identification - medication
   • VOS - amoxicilline + acide clavulanique oral 875 mg + 125 mg (1941)
2. Dosage - dosageInstruction
   • PatientInstructions for taking.

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. Produt Identification medicationReference or medicationCodeableConcept
   • VOS - amoxicilline + acide clavulanique oral 875 mg + 125 mg (1941)
   • mppcv - Amoxiclav Sandoz 875/125 compr. (séc.) 20x (1715127)

2. Total quantity (20) - quantity

3. Identification of Prescription - authorizingPrescription

4. Date of the dispense - whenHandedOver

5. Dosage - dosageInstruction

6. Subject - subject

7. Dispenser - performer

Administration attributes

1. Product Identification - medication

2. Subject - subject

3. Encounter - encounter

4. Occurence - occurence

5. Performer - performer

6. Prescription - request

7. Dosage - dosage

8. Status (stopped) - status

9. Status Reason (allergic reaction) - statusReason

Medication Usage

1. Product Identification - medication

2. Subject - subject

3. Date of report - dateAsserted

4. InformationSource (Patient) - informationSource

5. Prescription link - derivedFrom

6. Status (not-taking) - adherence.code

7. Reason (Medication stopped - side effect) - adherence.reason

Notes:

• The prescription starts a new treatment and treatmentline.
• New prescription after feedback from administration
• 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: