Release 5 Ballot

This 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

Example MedicationUsage/example002 (Turtle)

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner, RelatedPerson

Raw Turtle (+ also see Turtle/RDF Format Specification)

Patient reports they are not taking Tylenol PM

@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 "example002"];
  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=\"example002\"> </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 &quot;example002&quot; </p></div><p><b>status</b>: recorded</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> &quot;Donald DUCK&quot;</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> &quot;Donald DUCK&quot;</p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Liver enzymes abnormal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#166643006)</span></td></tr></table><p><b>note</b>: Patient cannot take acetaminophen as per Dr instructions</p><h3>Adherences</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>Not Taking <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-medication-usage-adherence.html\">MedicationUsage Adherence Codes</a>#not-taking)</span></td><td>Drugs not taken/completed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#266710000)</span></td></tr></table></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.status [ fhir:value "recorded"];
  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.reason [
     fhir:index 0;
     fhir:CodeableReference.concept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:166643006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "166643006" ];
         fhir:Coding.display [ fhir:value "Liver enzymes abnormal" ]
       ]
     ]
  ];
  fhir:MedicationUsage.note [
     fhir:index 0;
     fhir:Annotation.text [ fhir:value "Patient cannot take acetaminophen as per Dr instructions" ]
  ];
  fhir:MedicationUsage.adherence [
     fhir:MedicationUsage.adherence.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/CodeSystem/medication-usage-adherence" ];
         fhir:Coding.code [ fhir:value "not-taking" ];
         fhir:Coding.display [ fhir:value "Not Taking" ]
       ]
     ];
     fhir:MedicationUsage.adherence.reason [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:266710000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "266710000" ];
         fhir:Coding.display [ fhir:value "Drugs not taken/completed" ]
       ]
     ]
  ]] .

# - 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.