Release 4B Snapshot #1

This page is part of the FHIR Specification (v4.3.0-snapshot1: Release 4B Snapshot #1). 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

Medicationrequest0321.ttl

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

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

Request for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. Dosage 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</b></p><div><p>Resource &quot;medrx0321&quot; </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a> </a></p><blockquote><div><p>Resource &quot;med0307&quot; </p></div><p><b>code</b>: Novolog 100u/ml <span> (<a>National drug codes</a>#0169-7501-11)</span></p><p><b>form</b>: Injection solution (qualifier value) <span> (<a>SNOMED CT</a>#385219001)</span></p><h3>Ingredients</h3><table><tr><td>-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td>*</td><td>Insulin Aspart (substance) <span> (<a>SNOMED CT</a>#325072002)</span></td><td>100 U<span> (Details: UCUM code U = 'U')</span>/1 mL<span> (Details: UCUM code mL = 'mL')</span></td></tr></table><h3>Batches</h3><table><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>12345</td><td>2019-10-31</td></tr></table></blockquote><p><b>subject</b>: <a>Patient/pat1: Donald Duck</a> &quot;Duck DONALD&quot;</p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a>Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</p><p><b>reasonCode</b>: Diabetes mellitus type 2 (disorder) <span> (<a>SNOMED CT</a>#44054006)</span></p><p><b>note</b>: Check blood sugar levels before taking insulin</p><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --&gt; 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 3</p><p><b>quantity</b>: 10 ml<span> (Details: UCUM code ml = 'ml')</span></p></blockquote></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.form [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a 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.ingredient [
       fhir:index 0;
       fhir:Medication.ingredient.itemCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a 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.ingredient.strength [
         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.batch [
       fhir:Medication.batch.lotNumber [ fhir:value "12345" ];
       fhir:Medication.batch.expirationDate [ fhir:value "2019-10-31"^^xsd:date ]
     ]
  ];
  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.intent [ fhir:value "order"];
  fhir:MedicationRequest.medicationReference [
     fhir:Reference.reference [ fhir:value "#med0307" ];
     fhir:Reference.display [ fhir:value "Novolog 100u/ml" ]
  ];
  fhir:MedicationRequest.subject [
     fhir:link <http://hl7.org/fhir/Patient/pat1>;
     fhir:Reference.reference [ fhir:value "Patient/pat1" ];
     fhir:Reference.display [ fhir:value "Donald Duck" ]
  ];
  fhir:MedicationRequest.authoredOn [ 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;
       a 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:Dosage.sequence [ fhir:value "2"^^xsd:integer ];
     fhir:Dosage.text [ fhir:value "inject 10 units subcut 10 minutes before breakfast" ];
     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:Timing.repeat.when [
           fhir:value "ACM";
           fhir:index 0
         ];
         fhir:Timing.repeat.offset [ fhir:value "10"^^xsd:nonNegativeInteger ]
       ]
     ];
     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.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:Dosage.sequence [ fhir:value "2"^^xsd:integer ];
     fhir:Dosage.text [ fhir:value "15 units before lunch" ];
     fhir:Dosage.additionalInstruction [
       fhir:index 0;
       fhir:CodeableConcept.text [ fhir:value "Before Lunch" ]
     ];
     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.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.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:Dosage.sequence [ fhir:value "1"^^xsd:integer ];
     fhir:Dosage.text [ fhir:value "20 units before dinner" ];
     fhir:Dosage.additionalInstruction [
       fhir:index 0;
       fhir:CodeableConcept.text [ fhir:value "Before Dinner" ]
     ];
     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.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.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:nonNegativeInteger ];
     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 .

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

<http://hl7.org/fhir/MedicationRequest/medrx0321.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/MedicationRequest/medrx0321.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.