Release 5 Draft Ballot
This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot). 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
Medicationdispense0303.ttl

Pharmacy Work Group
Maturity Level: N/A
Standards Status: Informative
Compartments: Encounter, Patient, Practitioner
Raw Turtle (+ also see Turtle/RDF Format Specification)
Dispense for Oxycodone (RxNorm code) - PRN dose with dose range, coded additional instructions and PRN coded pre-condition
@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/meddisp0303> a fhir:MedicationDispense;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "meddisp0303"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>partOf</b>: <a>Generated Summary: status: completed; <span>Diagnostic procedure</span>; <span>Biopsy of suspected melanoma L) arm</span>; occurrence: 2014-02-03; recorded: 2014-02-03; <span>Left forearm</span>; <span>Ineffective airway clearance</span>; <span>Review in clinic</span>; Standard Biopsy</a></p><p><b>status</b>: on-hold</p><h3>StatusReasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>category</b>: <span>Outpatient</span></p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>encounter</b>: <a>Generated Summary: id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span></a></p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Generated Summary: id: 937223645 (OFFICIAL), id: 134IDY41W988 (USUAL); Rob van den Berk (OFFICIAL); Phone: 0205569288, R.A.vandenberk@bmc.nl, Fax: 0205664987; gender: male; birthDate: 1975-12-07</a></td></tr></table><p><b>authorizingPrescription</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: active; intent: order; authoredOn: 2015-01-15</a></p><p><b>type</b>: <span>Emergency Supply</span></p><p><b>quantity</b>: 30 TAB</p><p><b>daysSupply</b>: 10 Day</p><p><b>whenPrepared</b>: 15 Apr. 2016, 12:14:00 pm</p><h3>DosageInstructions</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>detectedIssue</b>: <a>Generated Summary: status: final</a></p></div>"
  ];
  fhir:DomainResource.contained [
     a fhir:Medication;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "med0310" ];
     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 "1049623" ];
         fhir:Coding.display [ fhir:value "Oxycodone Hydrochloride 5mg oral tablet (Roxicodone" ]
       ]
     ]
  ];
  fhir:MedicationDispense.partOf [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Procedure/biopsy>;
     fhir:Reference.reference [ fhir:value "Procedure/biopsy" ]
  ];
  fhir:MedicationDispense.status [ fhir:value "on-hold"];
  fhir:MedicationDispense.statusReason [
     fhir:CodeableReference.reference [
       fhir:link <http://hl7.org/fhir/DetectedIssue/allergy>;
       fhir:Reference.reference [ fhir:value "DetectedIssue/allergy" ]
     ]
  ];
  fhir:MedicationDispense.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category" ];
       fhir:Coding.code [ fhir:value "outpatient" ];
       fhir:Coding.display [ fhir:value "Outpatient" ]
     ]
  ];
  fhir:MedicationDispense.medication [
     fhir:CodeableReference.reference [
       fhir:Reference.reference [ fhir:value "#med0310" ]
     ]
  ];
  fhir:MedicationDispense.subject [
     fhir:link <http://hl7.org/fhir/Patient/pat1>;
     fhir:Reference.reference [ fhir:value "Patient/pat1" ];
     fhir:Reference.display [ fhir:value "Donald Duck" ]
  ];
  fhir:MedicationDispense.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/f001>;
     fhir:Reference.reference [ fhir:value "Encounter/f001" ]
  ];
  fhir:MedicationDispense.performer [
     fhir:index 0;
     fhir:MedicationDispense.performer.actor [
       fhir:link <http://hl7.org/fhir/Practitioner/f006>;
       fhir:Reference.reference [ fhir:value "Practitioner/f006" ]
     ]
  ];
  fhir:MedicationDispense.authorizingPrescription [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/MedicationRequest/medrx0310>;
     fhir:Reference.reference [ fhir:value "MedicationRequest/medrx0310" ]
  ];
  fhir:MedicationDispense.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
       fhir:Coding.code [ fhir:value "EM" ];
       fhir:Coding.display [ fhir:value "Emergency Supply" ]
     ]
  ];
  fhir:MedicationDispense.quantity [
     fhir:Quantity.value [ fhir:value "30"^^xsd:decimal ];
     fhir:Quantity.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm" ];
     fhir:Quantity.code [ fhir:value "TAB" ]
  ];
  fhir:MedicationDispense.daysSupply [
     fhir:Quantity.value [ fhir:value "10"^^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 "2016-04-15T07:14:00+05:00"^^xsd:dateTime];
  fhir:MedicationDispense.dosageInstruction [
     fhir:index 0;
     fhir:Dosage.sequence [ fhir:value "1"^^xsd:integer ];
     fhir:Dosage.text [ fhir:value "one to two tablets every 4-6 hours as needed for rib pain" ];
     fhir:Dosage.additionalInstruction [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:418914006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "418914006" ];
         fhir:Coding.display [ fhir:value "Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)" ]
       ]
     ];
     fhir:Dosage.timing [
       fhir:Timing.repeat [
         fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ];
         fhir:Timing.repeat.period [ fhir:value "4"^^xsd:decimal ];
         fhir:Timing.repeat.periodMax [ fhir:value "6"^^xsd:decimal ];
         fhir:Timing.repeat.periodUnit [ fhir:value "h" ]
       ]
     ];
     fhir:Dosage.asNeededCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:297217002;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "297217002" ];
         fhir:Coding.display [ fhir:value "Rib Pain (finding)" ]
       ]
     ];
     fhir:Dosage.route [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a 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:Dosage.method [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a 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.detectedIssue [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/DetectedIssue/allergy>;
     fhir:Reference.reference [ fhir:value "DetectedIssue/allergy" ]
  ] .

<http://hl7.org/fhir/Procedure/biopsy> a fhir:Procedure .

<http://hl7.org/fhir/DetectedIssue/allergy> a fhir:DetectedIssue .

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

<http://hl7.org/fhir/Encounter/f001> a fhir:Encounter .

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

<http://hl7.org/fhir/MedicationRequest/medrx0310> a fhir:MedicationRequest .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/MedicationDispense/meddisp0303.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/MedicationDispense/meddisp0303.ttl> .

# -------------------------------------------------------------------------------------
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.