Levothyroxine 100mcg on one day alternating with 125mcg on another day
The dose should be 100mcg/125mcg, and it the label on the dispensed item for the patient will likely by a VTM such as:
Levothyroxine sodium 100mcg tablets - one to be taken daily and Levothyroxine sodium 25mcg tablets - one to be taken on alternate days
To account for this, the example below shows how to describe a dose instruction containing concurrent sequences.
<Medication>
</coding>
</code>
</Medication>
</contained>
</medicationReference>
</identifier>
</subject>
</timing>
</doseQuantity>
</dosageInstruction>
</timing>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
{
{
]
}
}
],
},
},
{
},
}
},
{
},
}
}
]
}
| MedicationRequest.id[0] | efaae147-81bb-4abd-b1d4-dd394a7ffc0c |
| MedicationRequest.contained[0].id[0] | med1 |
| MedicationRequest.contained[0].code[0].coding[0].system[0] | http://snomed.info/sct |
| MedicationRequest.contained[0].code[0].coding[0].code[0] | 126202002 |
| MedicationRequest.contained[0].code[0].coding[0].display[0] | Levothyroxine sodium |
| MedicationRequest.status[0] | active |
| MedicationRequest.intent[0] | order |
| MedicationRequest.medication[0].reference[0] | #med1 |
| MedicationRequest.subject[0].identifier[0].system[0] | https://fhir.nhs.uk/Id/nhs-number |
| MedicationRequest.subject[0].identifier[0].value[0] | 4857773456 |
| MedicationRequest.dosageInstruction[0].sequence[0] | 1 |
| MedicationRequest.dosageInstruction[0].timing[0].repeat[0].frequency[0] | 1 |
| MedicationRequest.dosageInstruction[0].timing[0].repeat[0].period[0] | 1 |
| MedicationRequest.dosageInstruction[0].timing[0].repeat[0].periodUnit[0] | d |
| MedicationRequest.dosageInstruction[0].dose[0].value[0] | 100 |
| MedicationRequest.dosageInstruction[0].dose[0].unit[0] | microgram |
| MedicationRequest.dosageInstruction[0].dose[0].system[0] | http://unitsofmeasure.org |
| MedicationRequest.dosageInstruction[0].dose[0].code[0] | ug |
| MedicationRequest.dosageInstruction[1].sequence[0] | 1 |
| MedicationRequest.dosageInstruction[1].timing[0].repeat[0].frequency[0] | 1 |
| MedicationRequest.dosageInstruction[1].timing[0].repeat[0].period[0] | 2 |
| MedicationRequest.dosageInstruction[1].timing[0].repeat[0].periodUnit[0] | d |
| MedicationRequest.dosageInstruction[1].dose[0].value[0] | 25 |
| MedicationRequest.dosageInstruction[1].dose[0].unit[0] | microgram |
| MedicationRequest.dosageInstruction[1].dose[0].system[0] | http://unitsofmeasure.org |
| MedicationRequest.dosageInstruction[1].dose[0].code[0] | ug |
| MedicationRequest |
| id : efaae147-81bb-4abd-b1d4-dd394a7ffc0c |
| contained |
| id : med1 |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 126202002 |
| display : Levothyroxine sodium |
| status : active |
| intent : order |
| medication |
| reference : #med1 |
| subject |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 4857773456 |
| dosageInstruction |
| sequence : 1 |
| timing |
| repeat |
| frequency : 1 |
| period : 1 |
| periodUnit : d |
| dose |
| value : 100 |
| unit : microgram |
| system : http://unitsofmeasure.org |
| code : ug |
| dosageInstruction |
| sequence : 1 |
| timing |
| repeat |
| frequency : 1 |
| period : 2 |
| periodUnit : d |
| dose |
| value : 25 |
| unit : microgram |
| system : http://unitsofmeasure.org |
| code : ug |