STU3 Candidate

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Medicationrequest0321.ttl

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Order for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. DosageInstruction includes additionalInstructions as text

@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/MedicationRequest/medrx0321> a fhir:MedicationRequest;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "medrx0321"];
  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>: medrx0321</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>stage</b>: original-order <span>(Details : {[not stated] code 'original-order' = 'original-order)</span></p><p><b>medication</b>: Novolog 100u/ml. Generated Summary: id: med0307; Novolog 100u/ml <span>(Details : {http://hl7.org/fhir/sid/ndc code '0169-7501-11' = '0169-7501-11', given as 'Novolog 100u/ml'})</span>; isBrand</p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>dateWritten</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Diabetes mellitus type 2 (disorder) <span>(Details : {SNOMED CT code '44054006' = 'Type 2 diabetes mellitus', given as 'Diabetes mellitus type 2 (disorder)'})</span></p><p><b>note</b>: Check blood sugar levels before taking insulin</p><p><b>dosageInstruction</b>: , , </p><h3>DispenseRequests</h3><table><tr><td>-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td><td><b>ExpectedSupplyDuration</b></td></tr><tr><td>*</td><td>15/01/2015 --&gt; 15/01/2016</td><td>3</td><td>10 ml<span> (Details: UCUM code ml = 'ml')</span></td><td>30 days<span> (Details: UCUM code d = 'd')</span></td></tr></table></div>"
  ];
  fhir:DomainResource.contained [
     a fhir:Medication;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "med0307" ];
     fhir:Medication.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/ndc" ];
         fhir:Coding.code [ fhir:value "0169-7501-11" ];
         fhir:Coding.display [ fhir:value "Novolog 100u/ml" ]
       ]
     ];
     fhir:Medication.isBrand [ fhir:value "true"^^xsd:boolean ];
     fhir:Medication.product [
       fhir:Medication.product.form [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:concept sct:385219001;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "385219001" ];
           fhir:Coding.display [ fhir:value "Injection solution (qualifier value)" ]
         ]
       ];
       fhir:Medication.product.ingredient [
         fhir:index 0;
         fhir:Medication.product.ingredient.itemCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:concept sct:325072002;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "325072002" ];
             fhir:Coding.display [ fhir:value "Insulin Aspart (substance)" ]
           ]
         ];
         fhir:Medication.product.ingredient.amount [
           fhir:Ratio.numerator [
             fhir:Quantity.value [ fhir:value "100"^^xsd:decimal ];
             fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
             fhir:Quantity.code [ fhir:value "U" ]
           ];
           fhir:Ratio.denominator [
             fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
             fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
             fhir:Quantity.code [ fhir:value "mL" ]
           ]
         ]
       ];
       fhir:Medication.product.batch [
         fhir:index 0;
         fhir:Medication.product.batch.lotNumber [ fhir:value "12345" ];
         fhir:Medication.product.batch.expirationDate [ fhir:value "2019-10-31"^^xsd:date ]
       ]
     ];
     fhir:Medication.package [
       fhir:Medication.package.container [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:concept sct:415818006;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "415818006" ];
           fhir:Coding.display [ fhir:value "Vial" ]
         ]
       ];
       fhir:Medication.package.content [
         fhir:index 0;
         fhir:Medication.package.content.itemCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:concept sct:325072002;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "325072002" ];
             fhir:Coding.display [ fhir:value "Insulin Aspart (substance)" ]
           ]
         ];
         fhir:Medication.package.content.amount [
           fhir:Quantity.value [ fhir:value "10"^^xsd:decimal ];
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
           fhir:Quantity.code [ fhir:value "mL" ]
         ]
       ]
     ]
  ];
  fhir:MedicationRequest.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.system [ fhir:value "http://www.bmc.nl/portal/prescriptions" ];
     fhir:Identifier.value [ fhir:value "12345689" ]
  ];
  fhir:MedicationRequest.status [ fhir:value "active"];
  fhir:MedicationRequest.stage [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.code [ fhir:value "original-order" ]
     ]
  ];
  fhir:MedicationRequest.medicationReference [
     fhir:Reference.reference [ fhir:value "#med0307" ];
     fhir:Reference.display [ fhir:value "Novolog 100u/ml" ]
  ];
  fhir:MedicationRequest.patient [
     fhir:link <http://hl7.org/fhir/Patient/pat1>;
     fhir:Reference.reference [ fhir:value "Patient/pat1" ];
     fhir:Reference.display [ fhir:value "Donald Duck" ]
  ];
  fhir:MedicationRequest.dateWritten [ fhir:value "2015-01-15"^^xsd:date];
  fhir:MedicationRequest.requester [
     fhir:link <http://hl7.org/fhir/Practitioner/f007>;
     fhir:Reference.reference [ fhir:value "Practitioner/f007" ];
     fhir:Reference.display [ fhir:value "Patrick Pump" ]
  ];
  fhir:MedicationRequest.reasonCode [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:concept sct:44054006;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "44054006" ];
       fhir:Coding.display [ fhir:value "Diabetes mellitus type 2 (disorder)" ]
     ]
  ];
  fhir:MedicationRequest.note [
     fhir:index 0;
     fhir:Annotation.text [ fhir:value "Check blood sugar levels before taking insulin" ]
  ];
  fhir:MedicationRequest.dosageInstruction [
     fhir:index 0;
     fhir:DosageInstruction.sequence [ fhir:value "2"^^xsd:int ];
     fhir:DosageInstruction.text [ fhir:value "inject 10 units subcut before breakfast" ];
     fhir:DosageInstruction.additionalInstructions [
       fhir:index 0;
       fhir:CodeableConcept.text [ fhir:value "Before Breakfast" ]
     ];
     fhir:DosageInstruction.timing [
       fhir:Timing.repeat [
         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:DosageInstruction.doseQuantity [
       fhir:Quantity.value [ fhir:value "10"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "U" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "U" ]
     ]
  ], [
     fhir:index 1;
     fhir:DosageInstruction.sequence [ fhir:value "2"^^xsd:int ];
     fhir:DosageInstruction.text [ fhir:value "15 units before lunch" ];
     fhir:DosageInstruction.additionalInstructions [
       fhir:index 0;
       fhir:CodeableConcept.text [ fhir:value "Before Lunch" ]
     ];
     fhir:DosageInstruction.timing [
       fhir:Timing.repeat [
         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:DosageInstruction.doseQuantity [
       fhir:Quantity.value [ fhir:value "15"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "U" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "U" ]
     ]
  ], [
     fhir:index 2;
     fhir:DosageInstruction.sequence [ fhir:value "1"^^xsd:int ];
     fhir:DosageInstruction.text [ fhir:value "20 units before dinner" ];
     fhir:DosageInstruction.additionalInstructions [
       fhir:index 0;
       fhir:CodeableConcept.text [ fhir:value "Before Dinner" ]
     ];
     fhir:DosageInstruction.timing [
       fhir:Timing.repeat [
         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:DosageInstruction.doseQuantity [
       fhir:Quantity.value [ fhir:value "20"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "U" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "U" ]
     ]
  ];
  fhir:MedicationRequest.dispenseRequest [
     fhir:MedicationRequest.dispenseRequest.validityPeriod [
       fhir:Period.start [ fhir:value "2015-01-15"^^xsd:date ];
       fhir:Period.end [ fhir:value "2016-01-15"^^xsd:date ]
     ];
     fhir:MedicationRequest.dispenseRequest.numberOfRepeatsAllowed [ fhir:value "3"^^xsd:positiveInteger ];
     fhir:MedicationRequest.dispenseRequest.quantity [
       fhir:Quantity.value [ fhir:value "10"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "ml" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "ml" ]
     ];
     fhir:MedicationRequest.dispenseRequest.expectedSupplyDuration [
       fhir:Quantity.value [ fhir:value "30"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "days" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "d" ]
     ]
  ] .

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

<http://hl7.org/fhir/Practitioner/f007> a fhir:Practitioner .

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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.