Release 5 Ballot
MedicationsThis page is part of the FHIR Specification (v5.0.0-ballot: R5 Ballot - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
| Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner, RelatedPerson |
Raw Turtle (+ also see Turtle/RDF Format Specification)
Patient reports they are taking Tylenol PM and has the bottle
@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 -------------------------------------------------------------------
[a fhir:MedicationUsage;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "example001"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationUsage</b><a name=\"example001\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationUsage "example001" </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: recorded</p><p><b>category</b>: Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (medication-statement-category#inpatient)</span></p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><span title=\" Linked to a RESOURCE Medication \"><a name=\"med0309\"> </a></span><blockquote><p/><p><a name=\"med0309\"> </a></p><p><b>code</b>: Tylenol PM <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ndc.html\">National drug codes</a>#50580-608-02)</span></p><p><b>doseForm</b>: Film-coated tablet (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385057009)</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Acetaminophen 500 MG <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#315266)</span></td></tr></table><p><b>strength</b>: 500 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1(unit TAB from http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm)<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p></blockquote><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Diphenhydramine Hydrochloride 25 mg <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#901813)</span></td></tr></table><p><b>strength</b>: 25 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1(unit TAB from http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm)<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p></blockquote><h3>Batches</h3><table class=\"grid\"><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>9494788</td><td>2017-05-22</td></tr></table></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><p><b>effective</b>: 2015-01-23</p><p><b>dateAsserted</b>: 2015-02-22</p><p><b>informationSource</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><p><b>derivedFrom</b>: <a href=\"medicationrequestexample2.html\">MedicationRequest/medrx002</a></p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Restless Legs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#32914008)</span></td></tr></table><p><b>note</b>: Patient indicates they miss the occasional dose</p><blockquote><p><b>dosage</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 1-2 tablets once daily at bedtime as needed for restless legs</p><p><b>additionalInstruction</b>: Taking at bedtime <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Do Once per 1 days</p><p><b>asNeededFor</b>: Restless Legs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#32914008)</span></p><p><b>route</b>: Oral Route <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#26643006)</span></p></blockquote></div>"
];
fhir:DomainResource.contained [
a fhir:Medication;
fhir:index 0;
fhir:Resource.id [ fhir:value "med0309" ];
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 "50580-608-02" ];
fhir:Coding.display [ fhir:value "Tylenol PM" ]
]
];
fhir:Medication.doseForm [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:385057009;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "385057009" ];
fhir:Coding.display [ fhir:value "Film-coated tablet (qualifier value)" ]
]
];
fhir:Medication.ingredient [
fhir:index 0;
fhir:Medication.ingredient.item [
fhir:CodeableReference.concept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
fhir:Coding.code [ fhir:value "315266" ];
fhir:Coding.display [ fhir:value "Acetaminophen 500 MG" ]
]
]
];
fhir:Medication.ingredient.strengthRatio [
fhir:Ratio.numerator [
fhir:Quantity.value [ fhir:value "500"^^xsd:decimal ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "mg" ]
];
fhir:Ratio.denominator [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
fhir:Quantity.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm" ];
fhir:Quantity.code [ fhir:value "TAB" ]
]
]
], [
fhir:index 1;
fhir:Medication.ingredient.item [
fhir:CodeableReference.concept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
fhir:Coding.code [ fhir:value "901813" ];
fhir:Coding.display [ fhir:value "Diphenhydramine Hydrochloride 25 mg" ]
]
]
];
fhir:Medication.ingredient.strengthRatio [
fhir:Ratio.numerator [
fhir:Quantity.value [ fhir:value "25"^^xsd:decimal ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "mg" ]
];
fhir:Ratio.denominator [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
fhir:Quantity.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm" ];
fhir:Quantity.code [ fhir:value "TAB" ]
]
]
];
fhir:Medication.batch [
fhir:Medication.batch.lotNumber [ fhir:value "9494788" ];
fhir:Medication.batch.expirationDate [ fhir:value "2017-05-22"^^xsd:date ]
]
];
fhir:MedicationUsage.identifier [
fhir:index 0;
fhir:Identifier.use [ fhir:value "official" ];
fhir:Identifier.system [ fhir:value "http://www.bmc.nl/portal/medstatements" ];
fhir:Identifier.value [ fhir:value "12345689" ]
];
fhir:MedicationUsage.status [ fhir:value "recorded"];
fhir:MedicationUsage.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medication-statement-category" ];
fhir:Coding.code [ fhir:value "inpatient" ];
fhir:Coding.display [ fhir:value "Inpatient" ]
]
];
fhir:MedicationUsage.medication [
fhir:CodeableReference.reference [
fhir:Reference.reference [ fhir:value "#med0309" ]
]
];
fhir:MedicationUsage.subject [
fhir:Reference.reference [ fhir:value "Patient/pat1" ];
fhir:Reference.display [ fhir:value "Donald Duck" ]
];
fhir:MedicationUsage.effectiveDateTime [ fhir:value "2015-01-23"^^xsd:date];
fhir:MedicationUsage.dateAsserted [ fhir:value "2015-02-22"^^xsd:date];
fhir:MedicationUsage.informationSource [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Patient/pat1" ];
fhir:Reference.display [ fhir:value "Donald Duck" ]
];
fhir:MedicationUsage.derivedFrom [
fhir:index 0;
fhir:Reference.reference [ fhir:value "MedicationRequest/medrx002" ]
];
fhir:MedicationUsage.reason [
fhir:index 0;
fhir:CodeableReference.concept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:32914008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "32914008" ];
fhir:Coding.display [ fhir:value "Restless Legs" ]
]
]
];
fhir:MedicationUsage.note [
fhir:index 0;
fhir:Annotation.text [ fhir:value "Patient indicates they miss the occasional dose" ]
];
fhir:MedicationUsage.dosage [
fhir:index 0;
fhir:Dosage.sequence [ fhir:value "1"^^xsd:integer ];
fhir:Dosage.text [ fhir:value "1-2 tablets once daily at bedtime as needed for restless legs" ];
fhir:Dosage.additionalInstruction [
fhir:index 0;
fhir:CodeableConcept.text [ fhir:value "Taking at bedtime" ]
];
fhir:Dosage.timing [
fhir:Timing.repeat [
fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ];
fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
fhir:Timing.repeat.periodUnit [ fhir:value "d" ]
]
];
fhir:Dosage.asNeededFor [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:32914008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "32914008" ];
fhir:Coding.display [ fhir:value "Restless Legs" ]
]
];
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.doseAndRate [
fhir:index 0;
fhir:Dosage.doseAndRate.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/dose-rate-type" ];
fhir:Coding.code [ fhir:value "ordered" ];
fhir:Coding.display [ fhir:value "Ordered" ]
]
];
fhir:Dosage.doseAndRate.doseRange [
fhir:Range.low [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "TAB" ];
fhir:Quantity.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm" ];
fhir:Quantity.code [ fhir:value "TAB" ]
];
fhir:Range.high [
fhir:Quantity.value [ fhir:value "2"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "TAB" ];
fhir:Quantity.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm" ];
fhir:Quantity.code [ fhir:value "TAB" ]
]
]
]
]] .
# - ontology header ------------------------------------------------------------
[a owl:Ontology;
owl:imports fhir:fhir.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.
FHIR ®© HL7.org 2011+. FHIR R5 Ballot hl7.fhir.core#5.0.0-ballot generated on Sat, Sep 10, 2022 05:04+1000.
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