These medicationRequest examples are fully machine-readable in that they do not include any free-text instructions within either additionalInstruction, patientInstruction or text.
Examples use combinations of the following elements of the CareConnect medicationRequest and FHIR Dosage structure;
- frequency, period and frequencyMax
Where clinically appropriate, each example is shown as both a dose-based and product-based instruction.
Oxytetracycline, 250mg, oral, 6 hourly
Omeprazole, 10mg, gastro-resistant, oral, once daily
Trimethoprim, 200mg, oral, twice a day, for 3 days
Sodium citrate / Micralax Micro-enema enema, once daily
Diprobase ointment, 1 application, Topical, 3 times a day
The VTM related to the Diprobase AMP’s is a multi-ingredient concept “White soft paraffin + Liquid paraffin” and cannot be used as a prescribing concept.
Beclometasone 0.025% cream, Apply Thigh, twice a day
Where a concentration is required it is expected that the prescribing concept would be a VMP or AMP.
Zopiclone 3.75mg tablets, 1 tablet, at BEDTIME, PRN, oral
Ibuprofen 400mg orally three times daily for 5 days to start tomorrow
For this example, assume today’s date is 9th March 2019, hence ‘tomorrow’ is 10th March 2019.
Timolol 0.1% gel eye drops, 1 drop in the left eye once daily
Epoetin alfa, 4500units, ONCE a DAY, subcutaneous injection
Morphine modified release capsule, 20mg orally every 12 hours
Morphine, 30mg, intravenously, injection, four times a day, for 1 day
Zoladex 3.6mg implant SafeSystem pre-filled syringes (AstraZeneca UK Ltd), one to be given by IM injection into the anterior abdominal wall on 1st November 2019
Hyoscine 1mg/72hours transdermal patches, one patch to be applied once every 3 days
Co-trimoxazole 80mg/400mg tablets (Actavis UK Ltd), one tablet to be taken twice daily on Mondays, Wednesdays and Fridays
Furosemide 40mg tablets, take two in the morning and one at midday for one week
Metformin 500mg tablets, initially 500 mg once daily for 1 week, dose to be taken with breakfast, then 500 mg twice daily for week, dose to be taken with breakfast and evening meal, then 500 mg 3 times a day, dose to be taken with breakfast, lunch and evening meal; maximum 2 g per day
Metoclopramide, orally 10mg to be taken when required for nausea up to three times daily
Aspirin suppository, 600mg rectally every 4 hours. Maximum 3.6gm per 24 hours
Glucose 5% infusion 500ml bags, 500ml, intravenous, continuous infusion, over 8 hours
Glucose 5% infusion, intravenous, 100ml/hour, continuous infusion, over 8 hours
Voluven 10% infusion 500ml Freeflex bags (Fresenius Kabi Ltd), infuse intravenously at a rate of 30ml/kg for 10 hours
Includes a rateRatio and a duration.
Note. The rateRatio could also be modelled using a UCUM unit within a doseQuantity. In this example we are using the slightly more complex rateRatio structure.
<doseQuantity> <value value="30"/> <unit value="millilitres per kilogram"/> <system value="http://unitsofmeasure.org"/> <code value="ml/kg"/> </doseQuantity>