STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationdispense0305.ttl

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Dispense for Prednisone (RxNorm code) Tapering Dose - entered-in-error with multiple DosageInstruction lines that include coded additionalInstructions and multiple EventHistory elements

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/MedicationDispense/meddisp0305> a fhir:MedicationDispense;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "meddisp0305"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0305</p><p><b>contained</b>: </p><p><b>status</b>: entered-in-error</p><p><b>medication</b>: Prednisone. Generated Summary: id: med0311; Prednisone 5mg Oral Tablet 48 Count Pack <span>(Details : {RxNorm code '763179' = '??', given as 'Prednisone 5mg Oral Tablet 48 Count Pack'})</span></p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>dispenser</b>: <a>Rob van den Berk</a></p><p><b>authorizingPrescription</b>: <a>MedicationOrder/medrx0303</a></p><p><b>type</b>: First Fill <span>(Details : {http:hl7.org/fhir code 'FF' = '??', given as 'First Fill'})</span></p><p><b>quantity</b>: 49 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></p><p><b>daysSupply</b>: 21 Day<span> (Details: http://unitsofmeasure.org code d = 'd')</span></p><p><b>whenPrepared</b>: 15/01/2015 9:20:00 PM</p><p><b>whenHandedOver</b>: 16/01/2015 3:20:00 AM</p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Take 4 tablets daily for 7 days starting January 16, 2015</p><p><b>additionalInstructions</b>: With or after Food <span>(Details : {SNOMED CT code '311504000' = 'With or after food (qualifier value)', given as 'With or after Food'})</span></p><p><b>timing</b>: Starting 16/01/2015, Do Once per 1 days, Until 20/01/2015</p><p><b>route</b>: Oral Route <span>(Details : {SNOMED CT code '26643006' = 'Oral route (qualifier value)', given as 'Oral Route'})</span></p><p><b>method</b>: Swallow - dosing instruction imperative (qualifier value) <span>(Details : {SNOMED CT code '421521009' = 'Swallow - dosing instruction imperative (qualifier value)', given as 'Swallow - dosing instruction imperative (qualifier value)'})</span></p><p><b>dose</b>: 4 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></p></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Take 2 tablets daily for 7 days starting January 23, 2015</p><p><b>additionalInstructions</b>: With or after Food <span>(Details : {SNOMED CT code '311504000' = 'With or after food (qualifier value)', given as 'With or after Food'})</span></p><p><b>timing</b>: Starting 23/01/2015, Do Once per 1 days, Until 30/01/2015</p><p><b>route</b>: Oral Route <span>(Details : {SNOMED CT code '26643006' = 'Oral route (qualifier value)', given as 'Oral Route'})</span></p><p><b>method</b>: Swallow - dosing instruction imperative (qualifier value) <span>(Details : {SNOMED CT code '421521009' = 'Swallow - dosing instruction imperative (qualifier value)', given as 'Swallow - dosing instruction imperative (qualifier value)'})</span></p><p><b>dose</b>: 2 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></p></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Take 1 tablets daily for 7 days starting January 31, 2015</p><p><b>additionalInstructions</b>: With or after Food <span>(Details : {SNOMED CT code '311504000' = 'With or after food (qualifier value)', given as 'With or after Food'})</span></p><p><b>timing</b>: Starting 31/01/2015, Do Once per 1 days, Until 06/02/2015</p><p><b>route</b>: Oral Route <span>(Details : {SNOMED CT code '26643006' = 'Oral route (qualifier value)', given as 'Oral Route'})</span></p><p><b>method</b>: Swallow - dosing instruction imperative (qualifier value) <span>(Details : {SNOMED CT code '421521009' = 'Swallow - dosing instruction imperative (qualifier value)', given as 'Swallow - dosing instruction imperative (qualifier value)'})</span></p><p><b>dose</b>: 1 TAB<span> (Details: http://hl7.org/fhir/ValueSet/v3-orderableDrugForm code TAB = '??')</span></p></blockquote><blockquote><p><b>eventHistory</b></p><p><b>status</b>: completed</p><p><b>dateTime</b>: 16/01/2015 3:20:00 AM</p></blockquote><blockquote><p><b>eventHistory</b></p><p><b>status</b>: in-progress</p><p><b>dateTime</b>: 16/01/2015 3:20:00 AM</p></blockquote></div>"
  ];
  fhir:DomainResource.contained [
     a fhir:Medication;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "med0311" ];
     fhir:Medication.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
         fhir:Coding.code [ fhir:value "763179" ];
         fhir:Coding.display [ fhir:value "Prednisone 5mg Oral Tablet 48 Count Pack" ]
       ]
     ]
  ];
  fhir:MedicationDispense.status [ fhir:value "entered-in-error"];
  fhir:MedicationDispense.medicationReference [
     fhir:Reference.reference [ fhir:value "#med0311" ];
     fhir:Reference.display [ fhir:value "Prednisone" ]
  ];
  fhir:MedicationDispense.patient [
     fhir:link <http://hl7.org/fhir/Patient/pat1>;
     fhir:Reference.reference [ fhir:value "Patient/pat1" ];
     fhir:Reference.display [ fhir:value "Donald Duck" ]
  ];
  fhir:MedicationDispense.dispenser [
     fhir:link <http://hl7.org/fhir/Practitioner/f006>;
     fhir:Reference.reference [ fhir:value "Practitioner/f006" ];
     fhir:Reference.display [ fhir:value "Rob van den Berk" ]
  ];
  fhir:MedicationDispense.authorizingPrescription [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/MedicationOrder/medrx0303>;
     fhir:Reference.reference [ fhir:value "MedicationOrder/medrx0303" ]
  ];
  fhir:MedicationDispense.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http:hl7.org/fhir" ];
       fhir:Coding.code [ fhir:value "FF" ];
       fhir:Coding.display [ fhir:value "First Fill" ]
     ]
  ];
  fhir:MedicationDispense.quantity [
     fhir:Quantity.value [ fhir:value "49"^^xsd:decimal ];
     fhir:Quantity.unit [ fhir:value "TAB" ];
     fhir:Quantity.system [ fhir:value "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm" ];
     fhir:Quantity.code [ fhir:value "TAB" ]
  ];
  fhir:MedicationDispense.daysSupply [
     fhir:Quantity.value [ fhir:value "21"^^xsd:decimal ];
     fhir:Quantity.unit [ fhir:value "Day" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "d" ]
  ];
  fhir:MedicationDispense.whenPrepared [ fhir:value "2015-01-15T10:20:00Z"^^xsd:dateTime];
  fhir:MedicationDispense.whenHandedOver [ fhir:value "2015-01-15T16:20:00Z"^^xsd:dateTime];
  fhir:MedicationDispense.dosageInstruction [
     fhir:index 0;
     fhir:MedicationDispense.dosageInstruction.text [ fhir:value "Take 4 tablets daily for 7 days starting January 16, 2015" ];
     fhir:MedicationDispense.dosageInstruction.additionalInstructions [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept sct:311504000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "311504000" ];
         fhir:Coding.display [ fhir:value "With or after Food" ]
       ]
     ];
     fhir:MedicationDispense.dosageInstruction.timing [
       fhir:Timing.repeat [
         fhir:Timing.repeat.boundsPeriod [
           fhir:Period.start [ fhir:value "2015-01-16"^^xsd:date ];
           fhir:Period.end [ fhir:value "2015-01-20"^^xsd:date ]
         ];
         fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:int ];
         fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
         fhir:Timing.repeat.periodUnit [ fhir:value "d" ]
       ]
     ];
     fhir:MedicationDispense.dosageInstruction.route [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept sct:26643006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "26643006" ];
         fhir:Coding.display [ fhir:value "Oral Route" ]
       ]
     ];
     fhir:MedicationDispense.dosageInstruction.method [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept sct:421521009;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "421521009" ];
         fhir:Coding.display [ fhir:value "Swallow - dosing instruction imperative (qualifier value)" ]
       ]
     ];
     fhir:MedicationDispense.dosageInstruction.doseQuantity [
       fhir:Quantity.value [ fhir:value "4"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "TAB" ];
       fhir:Quantity.system [ fhir:value "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm" ];
       fhir:Quantity.code [ fhir:value "TAB" ]
     ]
  ], [
     fhir:index 1;
     fhir:MedicationDispense.dosageInstruction.text [ fhir:value "Take 2 tablets daily for 7 days starting January 23, 2015" ];
     fhir:MedicationDispense.dosageInstruction.additionalInstructions [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept sct:311504000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "311504000" ];
         fhir:Coding.display [ fhir:value "With or after Food" ]
       ]
     ];
     fhir:MedicationDispense.dosageInstruction.timing [
       fhir:Timing.repeat [
         fhir:Timing.repeat.boundsPeriod [
           fhir:Period.start [ fhir:value "2015-01-23"^^xsd:date ];
           fhir:Period.end [ fhir:value "2015-01-30"^^xsd:date ]
         ];
         fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:int ];
         fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
         fhir:Timing.repeat.periodUnit [ fhir:value "d" ]
       ]
     ];
     fhir:MedicationDispense.dosageInstruction.route [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept sct:26643006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "26643006" ];
         fhir:Coding.display [ fhir:value "Oral Route" ]
       ]
     ];
     fhir:MedicationDispense.dosageInstruction.method [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept sct:421521009;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "421521009" ];
         fhir:Coding.display [ fhir:value "Swallow - dosing instruction imperative (qualifier value)" ]
       ]
     ];
     fhir:MedicationDispense.dosageInstruction.doseQuantity [
       fhir:Quantity.value [ fhir:value "2"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "TAB" ];
       fhir:Quantity.system [ fhir:value "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm" ];
       fhir:Quantity.code [ fhir:value "TAB" ]
     ]
  ], [
     fhir:index 2;
     fhir:MedicationDispense.dosageInstruction.text [ fhir:value "Take 1 tablets daily for 7 days starting January 31, 2015" ];
     fhir:MedicationDispense.dosageInstruction.additionalInstructions [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept sct:311504000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "311504000" ];
         fhir:Coding.display [ fhir:value "With or after Food" ]
       ]
     ];
     fhir:MedicationDispense.dosageInstruction.timing [
       fhir:Timing.repeat [
         fhir:Timing.repeat.boundsPeriod [
           fhir:Period.start [ fhir:value "2015-01-31"^^xsd:date ];
           fhir:Period.end [ fhir:value "2015-02-06"^^xsd:date ]
         ];
         fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:int ];
         fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
         fhir:Timing.repeat.periodUnit [ fhir:value "d" ]
       ]
     ];
     fhir:MedicationDispense.dosageInstruction.route [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept sct:26643006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "26643006" ];
         fhir:Coding.display [ fhir:value "Oral Route" ]
       ]
     ];
     fhir:MedicationDispense.dosageInstruction.method [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept sct:421521009;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "421521009" ];
         fhir:Coding.display [ fhir:value "Swallow - dosing instruction imperative (qualifier value)" ]
       ]
     ];
     fhir:MedicationDispense.dosageInstruction.doseQuantity [
       fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "TAB" ];
       fhir:Quantity.system [ fhir:value "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm" ];
       fhir:Quantity.code [ fhir:value "TAB" ]
     ]
  ];
  fhir:MedicationDispense.eventHistory [
     fhir:index 0;
     fhir:MedicationDispense.eventHistory.status [ fhir:value "completed" ];
     fhir:MedicationDispense.eventHistory.dateTime [ fhir:value "2015-01-15T16:20:00Z"^^xsd:dateTime ]
  ], [
     fhir:index 1;
     fhir:MedicationDispense.eventHistory.status [ fhir:value "in-progress" ];
     fhir:MedicationDispense.eventHistory.dateTime [ fhir:value "2015-01-15T16:20:00Z"^^xsd:dateTime ]
  ] .

<http://hl7.org/fhir/Patient/pat1> a fhir:Patient .

<http://hl7.org/fhir/Practitioner/f006> a fhir:Practitioner .

<http://hl7.org/fhir/MedicationOrder/medrx0303> a fhir:MedicationOrder .

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Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.