Release 5 Ballot
Clinical ReasoningThis page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). 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
| Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Not linked to any defined compartments |
Raw Turtle (+ also see Turtle/RDF Format Specification)
Opioid CDS Recommendation 4 Logic
@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:Library;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "opioidcds-recommendation-04"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <h2>Participants</h2>\n <table class=\"grid\">\n <tr>\n <td>Author</td>\n <td>Kensaku Kawamoto, MD, PhD, MHS</td>\n </tr>\n <tr>\n <td>Author</td>\n <td>Bryn Rhodes</td>\n </tr>\n <tr>\n <td>Author</td>\n <td>Floyd Eisenberg, MD, MPH</td>\n </tr>\n <tr>\n <td>Author</td>\n <td>Robert McClure, MD, MPH</td>\n </tr>\n </table>\n <h2>Related Artifacts</h2>\n <table class=\"grid\">\n <tr>\n <td>Documentation</td>\n <td>CDC guideline for prescribing opioids for chronic pain</td>\n <td>\n <p>\n <code>\n <a href=\"https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420\">https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420</a>\n </code> (\n <code/>)\n </p>\n </td>\n </tr>\n <tr>\n <td>Depends On</td>\n <td/>\n <td>\n <code>http://example.org/fhir/Library/opioidcds-common</code>\n </td>\n </tr>\n </table>\n <h2>Data Requirements</h2>\n <table class=\"grid\">\n <tr>\n <td colspan=\"2\">\n <b>Type</b>: \n <a href=\"medicationrequest.html\">MedicationRequest</a>\n </td>\n </tr>\n <tr style=\"background-color: #efefef\">\n <td>Filter</td>\n <td>Value</td>\n </tr>\n <tr>\n <td>medicationCodeableConcept</td>\n <td>In ValueSet \n <a href=\"http://example.org/fhir/ValueSet/opioids-abused-in-ambulatory-care\">http://example.org/fhir/ValueSet/opioids-abused-in-ambulatory-care</a>\n </td>\n </tr>\n </table>\n <table class=\"grid\">\n <tr>\n <td colspan=\"2\">\n <b>Type</b>: \n <a href=\"encounter.html\">Encounter</a>\n </td>\n </tr>\n </table>\n <h2>Contents</h2>\n <p>\n <code>application/elm+xml</code>\n </p>\n <pre>\n <code class=\"language-xml\"><?xml version="1.0" encoding="UTF-8"?>\n<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">\n <annotation startLine="67" startChar="5" endLine="67" endChar="68" message="Could not resolve code path medicationCodeableConcept for the type of the retrieve FHIR.MedicationRequest." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>\n <annotation startLine="67" startChar="5" endLine="67" endChar="68" message="Could not resolve membership operator for terminology target of the retrieve." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>\n <annotation startLine="78" startChar="83" endLine="78" endChar="126" message="List-valued expression was demoted to a singleton." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>\n <identifier id="OpioidCDS_STU4_REC_04" version="0.1.0"/>\n <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>\n <usings>\n <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>\n <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="3.2.0"/>\n </usings>\n <includes>\n <def localIdentifier="Common" path="OpioidCDS_STU4_Common" version="0.1.0"/>\n </includes>\n <parameters>\n <def name="ContextPrescriptions" accessLevel="Public">\n <parameterTypeSpecifier xsi:type="ListTypeSpecifier">\n <elementType name="fhir:MedicationRequest" xsi:type="NamedTypeSpecifier"/>\n </parameterTypeSpecifier>\n </def>\n </parameters>\n <statements>\n <def name="Patient" context="Patient">\n <expression xsi:type="SingletonFrom">\n <operand dataType="fhir:Patient" xsi:type="Retrieve"/>\n </expression>\n </def>\n <def name="Inclusion Period" context="Patient" accessLevel="Public">\n <expression lowClosed="true" highClosed="true" xsi:type="Interval">\n <low xsi:type="Subtract">\n <operand xsi:type="Today"/>\n <operand value="91" unit="days" xsi:type="Quantity"/>\n </low>\n <high xsi:type="Subtract">\n <operand xsi:type="Today"/>\n <operand value="1" unit="days" xsi:type="Quantity"/>\n </high>\n </expression>\n </def>\n <def name="Encounter Period" context="Patient" accessLevel="Public">\n <expression lowClosed="true" highClosed="true" xsi:type="Interval">\n <low xsi:type="Subtract">\n <operand xsi:type="Subtract">\n <operand xsi:type="Today"/>\n <operand value="12" unit="months" xsi:type="Quantity"/>\n </operand>\n <operand value="1" unit="days" xsi:type="Quantity"/>\n </low>\n <high xsi:type="Subtract">\n <operand xsi:type="Today"/>\n <operand value="1" unit="days" xsi:type="Quantity"/>\n </high>\n </expression>\n </def>\n <def name="Get Trigger Event Prescriptions" context="Patient" accessLevel="Public">\n <expression xsi:type="Query">\n <source alias="triggerScripts">\n <expression name="ContextPrescriptions" xsi:type="ParameterRef"/>\n </source>\n <let identifier="rxNormCode">\n <expression name="ToCode" libraryName="Common" xsi:type="FunctionRef">\n <operand xsi:type="Indexer">\n <operand path="coding" xsi:type="Property">\n <source path="medication" scope="triggerScripts" xsi:type="Property"/>\n </operand>\n <operand valueType="t:Integer" value="0" xsi:type="Literal"/>\n </operand>\n </expression>\n </let>\n <where xsi:type="And">\n <operand name="IsOpioidWithAmbulatoryAbusePotential" libraryName="Common" xsi:type="FunctionRef">\n <operand name="rxNormCode" xsi:type="QueryLetRef"/>\n </operand>\n <operand name="IsLongActingOpioid" libraryName="Common" xsi:type="FunctionRef">\n <operand name="rxNormCode" xsi:type="QueryLetRef"/>\n </operand>\n </where>\n </expression>\n </def>\n <def name="Get Trigger Trigger Event Prescription Ids" context="Patient" accessLevel="Public">\n <expression xsi:type="Query">\n <source alias="triggerScripts">\n <expression name="Get Trigger Event Prescriptions" xsi:type="ExpressionRef"/>\n </source>\n <let identifier="codeString">\n <expression valueType="t:String" value="" xsi:type="Literal"/>\n </let>\n <return>\n <expression xsi:type="Concatenate">\n <operand xsi:type="Concatenate">\n <operand name="codeString" xsi:type="QueryLetRef"/>\n <operand path="value" xsi:type="Property">\n <source path="id" scope="triggerScripts" xsi:type="Property"/>\n </operand>\n </operand>\n <operand valueType="t:String" value=" " xsi:type="Literal"/>\n </expression>\n </return>\n </expression>\n </def>\n <def name="Validate Trigger Event" context="Patient" accessLevel="Public">\n <expression xsi:type="Exists">\n <operand name="Get Trigger Event Prescriptions" xsi:type="ExpressionRef"/>\n </expression>\n </def>\n <def name="Opioid with Ambulatory Care Abuse Potential in Past 90 Days" context="Patient" accessLevel="Public">\n <expression xsi:type="Exists">\n <operand xsi:type="Query">\n <source alias="orders">\n <expression dataType="fhir:MedicationRequest" codeProperty="medicationCodeableConcept" xsi:type="Retrieve">\n <codes name="Ambulatory Abuse Potential Opioids" libraryName="Common" xsi:type="ValueSetRef"/>\n </expression>\n </source>\n <where xsi:type="In">\n <operand xsi:type="DateFrom">\n <operand path="value" xsi:type="Property">\n <source path="authoredOn" scope="orders" xsi:type="Property"/>\n </operand>\n </operand>\n <operand name="Inclusion Period" xsi:type="ExpressionRef"/>\n </where>\n </operand>\n </expression>\n </def>\n <def name="Inclusion Criteria" context="Patient" accessLevel="Public">\n <expression xsi:type="And">\n <operand xsi:type="And">\n <operand name="Validate Trigger Event" xsi:type="ExpressionRef"/>\n <operand xsi:type="Not">\n <operand name="Opioid with Ambulatory Care Abuse Potential in Past 90 Days" xsi:type="ExpressionRef"/>\n </operand>\n </operand>\n <operand xsi:type="Exists">\n <operand xsi:type="Query">\n <source alias="encounters">\n <expression dataType="fhir:Encounter" xsi:type="Retrieve"/>\n </source>\n <where xsi:type="In">\n <operand xsi:type="DateFrom">\n <operand path="value" xsi:type="Property">\n <source path="start" xsi:type="Property">\n <source path="period" scope="encounters" xsi:type="Property"/>\n </source>\n </operand>\n </operand>\n <operand name="Encounter Period" xsi:type="ExpressionRef"/>\n </where>\n </operand>\n </operand>\n </expression>\n </def>\n <def name="Get Indicator" context="Patient" accessLevel="Public">\n <expression valueType="t:String" value="warning" xsi:type="Literal"/>\n </def>\n <def name="Get Summary" context="Patient" accessLevel="Public">\n <expression valueType="t:String" value="Recommend use of immediate-release opioids instead of extended release/long acting opioids when starting patient on opioids." xsi:type="Literal"/>\n </def>\n <def name="Get Detail" context="Patient" accessLevel="Public">\n <expression xsi:type="Concatenate">\n <operand valueType="t:String" value="The following medication requests(s) release rates should be re-evaluated: " xsi:type="Literal"/>\n <operand xsi:type="SingletonFrom">\n <operand name="Get Trigger Trigger Event Prescription Ids" xsi:type="ExpressionRef"/>\n </operand>\n </expression>\n </def>\n </statements>\n</library>\n</code>\n </pre>\n </div>"
];
fhir:Library.identifier [
fhir:index 0;
fhir:Identifier.use [ fhir:value "official" ];
fhir:Identifier.value [ fhir:value "OpioidCDS_REC_04" ]
];
fhir:Library.version [ fhir:value "0.1.0"];
fhir:Library.title [ fhir:value "Opioid CDS Logic for recommendation #4"];
fhir:Library.status [ fhir:value "active"];
fhir:Library.experimental [ fhir:value "false"^^xsd:boolean];
fhir:Library.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/library-type" ];
fhir:Coding.code [ fhir:value "logic-library" ];
fhir:Coding.display [ fhir:value "Logic Library" ]
]
];
fhir:Library.date [ fhir:value "2018-03-25T13:49:09-06:00"^^xsd:dateTime];
fhir:Library.publisher [ fhir:value "Centers for Disease Control and Prevention (CDC)"];
fhir:Library.description [ fhir:value "Opioid decision support logic for prescribing extended-release/long-acting (ER/LA) opioids when starting a patient on opioids."];
fhir:Library.useContext [
fhir:index 0;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
fhir:Coding.code [ fhir:value "focus" ];
fhir:Coding.display [ fhir:value "Clinical Focus" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:182888003;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "182888003" ];
fhir:Coding.display [ fhir:value "Medication requested (situation)" ]
]
]
], [
fhir:index 1;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
fhir:Coding.code [ fhir:value "focus" ];
fhir:Coding.display [ fhir:value "Clinical Focus" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:82423001;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "82423001" ];
fhir:Coding.display [ fhir:value "Chronic pain (finding)" ]
]
]
];
fhir:Library.jurisdiction [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
fhir:Coding.code [ fhir:value "US" ];
fhir:Coding.display [ fhir:value "United States of America" ]
]
];
fhir:Library.purpose [ fhir:value "The purpose of this library is to determine the appropriateness of extended-release opioids with ambulatory abuse potential for the patient."];
fhir:Library.usage [ fhir:value "This library is used to notify the prescriber/user that immediate-release opioids are recommended when starting a patient on opioids."];
fhir:Library.copyright [ fhir:value "© CDC 2016+."];
fhir:Library.topic [
fhir:index 0;
fhir:CodeableConcept.text [ fhir:value "Opioid Prescribing" ]
];
fhir:Library.author [
fhir:index 0;
fhir:ContactDetail.name [ fhir:value "Kensaku Kawamoto, MD, PhD, MHS" ]
], [
fhir:index 1;
fhir:ContactDetail.name [ fhir:value "Bryn Rhodes" ]
], [
fhir:index 2;
fhir:ContactDetail.name [ fhir:value "Floyd Eisenberg, MD, MPH" ]
], [
fhir:index 3;
fhir:ContactDetail.name [ fhir:value "Robert McClure, MD, MPH" ]
];
fhir:Library.relatedArtifact [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "documentation" ];
fhir:RelatedArtifact.display [ fhir:value "CDC guideline for prescribing opioids for chronic pain" ];
fhir:RelatedArtifact.document [
fhir:Attachment.url [ fhir:value "https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420" ]
]
], [
fhir:index 1;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.resource [
fhir:value "http://example.org/fhir/Library/opioidcds-common";
fhir:link <http://example.org/fhir/Library/opioidcds-common>
]
];
fhir:Library.dataRequirement [
fhir:index 0;
fhir:DataRequirement.type [ fhir:value "MedicationRequest" ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "medicationCodeableConcept" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://example.org/fhir/ValueSet/opioids-abused-in-ambulatory-care";
fhir:link <http://example.org/fhir/ValueSet/opioids-abused-in-ambulatory-care>
]
]
], [
fhir:index 1;
fhir:DataRequirement.type [ fhir:value "Encounter" ]
];
fhir:Library.content [
fhir:index 0;
fhir:Attachment.contentType [ fhir:value "application/elm+xml" ];
fhir:Attachment.data [ fhir:value "<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">
   <annotation startLine="67" startChar="5" endLine="67" endChar="68" message="Could not resolve code path medicationCodeableConcept for the type of the retrieve FHIR.MedicationRequest." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation startLine="67" startChar="5" endLine="67" endChar="68" message="Could not resolve membership operator for terminology target of the retrieve." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation startLine="78" startChar="83" endLine="78" endChar="126" message="List-valued expression was demoted to a singleton." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <identifier id="OpioidCDS_STU4_REC_04" version="0.1.0"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="3.2.0"/>
   </usings>
   <includes>
      <def localIdentifier="Common" path="OpioidCDS_STU4_Common" version="0.1.0"/>
   </includes>
   <parameters>
      <def name="ContextPrescriptions" accessLevel="Public">
         <parameterTypeSpecifier xsi:type="ListTypeSpecifier">
            <elementType name="fhir:MedicationRequest" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <statements>
      <def name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand dataType="fhir:Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def name="Inclusion Period" context="Patient" accessLevel="Public">
         <expression lowClosed="true" highClosed="true" xsi:type="Interval">
            <low xsi:type="Subtract">
               <operand xsi:type="Today"/>
               <operand value="91" unit="days" xsi:type="Quantity"/>
            </low>
            <high xsi:type="Subtract">
               <operand xsi:type="Today"/>
               <operand value="1" unit="days" xsi:type="Quantity"/>
            </high>
         </expression>
      </def>
      <def name="Encounter Period" context="Patient" accessLevel="Public">
         <expression lowClosed="true" highClosed="true" xsi:type="Interval">
            <low xsi:type="Subtract">
               <operand xsi:type="Subtract">
                  <operand xsi:type="Today"/>
                  <operand value="12" unit="months" xsi:type="Quantity"/>
               </operand>
               <operand value="1" unit="days" xsi:type="Quantity"/>
            </low>
            <high xsi:type="Subtract">
               <operand xsi:type="Today"/>
               <operand value="1" unit="days" xsi:type="Quantity"/>
            </high>
         </expression>
      </def>
      <def name="Get Trigger Event Prescriptions" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="triggerScripts">
               <expression name="ContextPrescriptions" xsi:type="ParameterRef"/>
            </source>
            <let identifier="rxNormCode">
               <expression name="ToCode" libraryName="Common" xsi:type="FunctionRef">
                  <operand xsi:type="Indexer">
                     <operand path="coding" xsi:type="Property">
                        <source path="medication" scope="triggerScripts" xsi:type="Property"/>
                     </operand>
                     <operand valueType="t:Integer" value="0" xsi:type="Literal"/>
                  </operand>
               </expression>
            </let>
            <where xsi:type="And">
               <operand name="IsOpioidWithAmbulatoryAbusePotential" libraryName="Common" xsi:type="FunctionRef">
                  <operand name="rxNormCode" xsi:type="QueryLetRef"/>
               </operand>
               <operand name="IsLongActingOpioid" libraryName="Common" xsi:type="FunctionRef">
                  <operand name="rxNormCode" xsi:type="QueryLetRef"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Get Trigger Trigger Event Prescription Ids" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="triggerScripts">
               <expression name="Get Trigger Event Prescriptions" xsi:type="ExpressionRef"/>
            </source>
            <let identifier="codeString">
               <expression valueType="t:String" value="" xsi:type="Literal"/>
            </let>
            <return>
               <expression xsi:type="Concatenate">
                  <operand xsi:type="Concatenate">
                     <operand name="codeString" xsi:type="QueryLetRef"/>
                     <operand path="value" xsi:type="Property">
                        <source path="id" scope="triggerScripts" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand valueType="t:String" value=" " xsi:type="Literal"/>
               </expression>
            </return>
         </expression>
      </def>
      <def name="Validate Trigger Event" context="Patient" accessLevel="Public">
         <expression xsi:type="Exists">
            <operand name="Get Trigger Event Prescriptions" xsi:type="ExpressionRef"/>
         </expression>
      </def>
      <def name="Opioid with Ambulatory Care Abuse Potential in Past 90 Days" context="Patient" accessLevel="Public">
         <expression xsi:type="Exists">
            <operand xsi:type="Query">
               <source alias="orders">
                  <expression dataType="fhir:MedicationRequest" codeProperty="medicationCodeableConcept" xsi:type="Retrieve">
                     <codes name="Ambulatory Abuse Potential Opioids" libraryName="Common" xsi:type="ValueSetRef"/>
                  </expression>
               </source>
               <where xsi:type="In">
                  <operand xsi:type="DateFrom">
                     <operand path="value" xsi:type="Property">
                        <source path="authoredOn" scope="orders" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand name="Inclusion Period" xsi:type="ExpressionRef"/>
               </where>
            </operand>
         </expression>
      </def>
      <def name="Inclusion Criteria" context="Patient" accessLevel="Public">
         <expression xsi:type="And">
            <operand xsi:type="And">
               <operand name="Validate Trigger Event" xsi:type="ExpressionRef"/>
               <operand xsi:type="Not">
                  <operand name="Opioid with Ambulatory Care Abuse Potential in Past 90 Days" xsi:type="ExpressionRef"/>
               </operand>
            </operand>
            <operand xsi:type="Exists">
               <operand xsi:type="Query">
                  <source alias="encounters">
                     <expression dataType="fhir:Encounter" xsi:type="Retrieve"/>
                  </source>
                  <where xsi:type="In">
                     <operand xsi:type="DateFrom">
                        <operand path="value" xsi:type="Property">
                           <source path="start" xsi:type="Property">
                              <source path="period" scope="encounters" xsi:type="Property"/>
                           </source>
                        </operand>
                     </operand>
                     <operand name="Encounter Period" xsi:type="ExpressionRef"/>
                  </where>
               </operand>
            </operand>
         </expression>
      </def>
      <def name="Get Indicator" context="Patient" accessLevel="Public">
         <expression valueType="t:String" value="warning" xsi:type="Literal"/>
      </def>
      <def name="Get Summary" context="Patient" accessLevel="Public">
         <expression valueType="t:String" value="Recommend use of immediate-release opioids instead of extended release/long acting opioids when starting patient on opioids." xsi:type="Literal"/>
      </def>
      <def name="Get Detail" context="Patient" accessLevel="Public">
         <expression xsi:type="Concatenate">
            <operand valueType="t:String" value="The following medication requests(s) release rates should be re-evaluated: " xsi:type="Literal"/>
            <operand xsi:type="SingletonFrom">
               <operand name="Get Trigger Trigger Event Prescription Ids" xsi:type="ExpressionRef"/>
            </operand>
         </expression>
      </def>
   </statements>
</library>
"^^xsd:base64Binary ]
]] .
# - 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 Wed, Sep 7, 2022 11:09+1000.
Links: Search |
Version History |
Contents |
Glossary |
QA |
Compare to R4 |
Compare to R5 Draft |
|
Propose a change