R5 Final QA
MedicationsThis page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - 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 
. Page versions: R5 R4B R4 R3
| Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
Raw Turtle (+ also see Turtle/RDF Format Specification)
Order with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution
@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:MedicationRequest ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "medrx0301"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"medrx0301\"> </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 MedicationRequest "medrx0301" </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>status</b>: completed</p><p><b>statusReason</b>: Try another treatment first <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-medicationrequest-status-reason.html\">MedicationRequest Status Reason Codes</a>#altchoice)</span></p><p><b>intent</b>: order</p><p><b>category</b>: Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-medicationrequest-admin-location.html\">Medication request administration location codes</a>#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=\"med0310\"> </a></span><blockquote><p/><p><a name=\"med0310\"> </a></p><p><b>code</b>: Oral Form Oxycodone (product) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#430127000)</span></p></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><p><b>encounter</b>: <a href=\"encounter-example-f201-20130404.html\">Encounter/f201: encounter who leads to this prescription</a></p><p><b>supportingInformation</b>: <a href=\"procedure-example-biopsy.html\">Procedure/biopsy</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href=\"practitioner-example-f007-sh.html\">Practitioner/f007: Patrick Pump</a> "Simone HEPS"</p><p><b>performerType</b>: Public Health Nurse <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#26369006)</span></p><p><b>performer</b>: <a href=\"practitioner-example-f204-ce.html\">Practitioner/f204: Carla Espinosa</a> "Carla Espinosa"</p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Rib Pain (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#297217002)</span></td></tr></table><p><b>insurance</b>: <a href=\"coverage-example.html\">Coverage/9876B1</a></p><p><b>note</b>: Patient told to take with food</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: one to two tablets every 4-6 hours as needed for rib pain</p><p><b>additionalInstruction</b>: Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#418914006)</span></p><p><b>patientInstruction</b>: Take one to two tablets every four to six hours as needed for rib pain</p><p><b>timing</b>: Once per 4-6 hours</p><p><b>asNeededFor</b>: Rib Pain (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#297217002)</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><p><b>method</b>: Swallow - dosing instruction imperative (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#421521009)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --> 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 0</p><p><b>quantity</b>: 30 TAB<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td>-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>10</td><td>days</td><td><a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ucum.html\">Unified Code for Units of Measure (UCUM)</a></td><td>d</td></tr></table><p><b>dispenser</b>: <a href=\"organization-example-good-health-care.html\">Organization/2.16.840.1.113883.19.5</a> "Good Health Clinic"</p></blockquote><h3>Substitutions</h3><table class=\"grid\"><tr><td>-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td>formulary policy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ActReason.html\">ActReason</a>#FP)</span></td></tr></table><p><b>eventHistory</b>: <a name=\"signature\"> </a></p><blockquote><p/><p><a name=\"signature\"> </a></p><p><b>target</b>: <a href=\"servicerequest-example2.html\">ServiceRequest/physiotherapy</a></p><p><b>recorded</b>: 2 Feb 2017, 4:23:07 am</p><h3>Agents</h3><table class=\"grid\"><tr><td>-</td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td>*</td><td>author (originator) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#AUT)</span></td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</td></tr></table><h3>Signatures</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>TargetFormat</b></td><td><b>SigFormat</b></td><td><b>Data</b></td></tr><tr><td>*</td><td>Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'Author's Signature')</td><td>2 Feb 2017, 4:23:07 am</td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</td><td>application/fhir+xml</td><td>application/signature+xml</td><td>dGhpcyBibG9iIGlzIHNuaXBwZWQ=</td></tr></table></blockquote></div>"
] ; #
fhir:contained ( [
a fhir:Medication ;
fhir:id [ fhir:v "med0310" ] ;
fhir:code [
fhir:coding ( [
a sct:430127000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "430127000" ] ;
fhir:display [ fhir:v "Oral Form Oxycodone (product)" ]
] )
]
] [
a fhir:Provenance ;
fhir:id [ fhir:v "signature" ] ;
fhir:target ( [
fhir:reference [ fhir:v "ServiceRequest/physiotherapy" ]
] ) ;
fhir:recorded [ fhir:v "2017-02-01T17:23:07Z"^^xsd:dateTime ] ;
fhir:agent ( [
fhir:role ( [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ;
fhir:code [ fhir:v "AUT" ]
] )
] ) ;
fhir:who [
fhir:reference [ fhir:v "Practitioner/example" ] ;
fhir:display [ fhir:v "Dr Adam Careful" ]
]
] ) ;
fhir:signature ( [
fhir:type ( [
fhir:system [ fhir:v "urn:iso-astm:E1762-95:2013"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1.2.840.10065.1.12.1.1" ] ;
fhir:display [ fhir:v "Author's Signature" ]
] ) ;
fhir:when [ fhir:v "2017-02-01T17:23:07Z"^^xsd:dateTime ] ;
fhir:who [
fhir:reference [ fhir:v "Practitioner/example" ] ;
fhir:display [ fhir:v "Dr Adam Careful" ]
] ;
fhir:targetFormat [ fhir:v "application/fhir+xml" ] ;
fhir:sigFormat [ fhir:v "application/signature+xml" ] ;
fhir:data [ fhir:v "dGhpcyBibG9iIGlzIHNuaXBwZWQ="^^xsd:base64Binary ]
] )
] ) ; #
fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "http://www.bmc.nl/portal/prescriptions"^^xsd:anyURI ] ;
fhir:value [ fhir:v "12345689" ]
] ) ; #
fhir:status [ fhir:v "completed"] ; #
fhir:statusReason [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "altchoice" ] ;
fhir:display [ fhir:v "Try another treatment first" ]
] )
] ; #
fhir:intent [ fhir:v "order"] ; #
fhir:category ( [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-admin-location"^^xsd:anyURI ] ;
fhir:code [ fhir:v "inpatient" ] ;
fhir:display [ fhir:v "Inpatient" ]
] )
] ) ; #
fhir:medication [
fhir:reference [
fhir:reference [ fhir:v "#med0310" ]
] # Linked to a RESOURCE Medication
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/pat1" ] ; # Linked to the resource patient who needs the medication
fhir:display [ fhir:v "Donald Duck" ]
] ; #
fhir:encounter [
fhir:reference [ fhir:v "Encounter/f201" ] ; # Linked to a resource Encounter between patient and practitioner
fhir:display [ fhir:v "encounter who leads to this prescription" ]
] ; #
fhir:supportingInformation ( [
fhir:reference [ fhir:v "Procedure/biopsy" ]
] ) ; #
fhir:authoredOn [ fhir:v "2015-01-15"^^xsd:date] ; #
fhir:requester [
fhir:reference [ fhir:v "Practitioner/f007" ] ;
fhir:display [ fhir:v "Patrick Pump" ]
] ; #
fhir:performerType [
fhir:coding ( [
a sct:26369006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "26369006" ] ;
fhir:display [ fhir:v "Public Health Nurse" ]
] )
] ; #
fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/f204" ] ;
fhir:display [ fhir:v "Carla Espinosa" ]
] ) ; #
fhir:reason ( [
fhir:concept [
fhir:coding ( [
a sct:297217002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "297217002" ] ;
fhir:display [ fhir:v "Rib Pain (finding)" ]
] )
]
] ) ; #
fhir:insurance ( [
fhir:reference [ fhir:v "Coverage/9876B1" ]
] ) ; #
fhir:note ( [
fhir:text [ fhir:v "Patient told to take with food" ]
] ) ; #
fhir:dosageInstruction ( [
fhir:sequence [ fhir:v "1"^^xsd:integer ] ;
fhir:text [ fhir:v "one to two tablets every 4-6 hours as needed for rib pain" ] ;
fhir:additionalInstruction ( [
fhir:coding ( [
a sct:418914006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "418914006" ] ;
fhir:display [ fhir:v "Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)" ]
] )
] ) ;
fhir:patientInstruction [ fhir:v "Take one to two tablets every four to six hours as needed for rib pain" ] ;
fhir:timing [
fhir:repeat [
fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "4"^^xsd:decimal ] ;
fhir:periodMax [ fhir:v "6"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "h" ]
]
] ;
fhir:asNeededFor ( [
fhir:coding ( [
a sct:297217002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "297217002" ] ;
fhir:display [ fhir:v "Rib Pain (finding)" ]
] )
] ) ;
fhir:route [
fhir:coding ( [
a sct:26643006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "26643006" ] ;
fhir:display [ fhir:v "Oral Route" ]
] )
] ;
fhir:method [
fhir:coding ( [
a sct:421521009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "421521009" ] ;
fhir:display [ fhir:v "Swallow - dosing instruction imperative (qualifier value)" ]
] )
] ;
fhir:doseAndRate ( [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/dose-rate-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ordered" ] ;
fhir:display [ fhir:v "Ordered" ]
] )
] ;
fhir:dose [
a fhir:Range ;
fhir:low [
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:unit [ fhir:v "TAB" ] ;
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TAB" ]
] ;
fhir:high [
fhir:value [ fhir:v "2"^^xsd:decimal ] ;
fhir:unit [ fhir:v "TAB" ] ;
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TAB" ]
]
]
] )
] ) ; #
fhir:dispenseRequest [
fhir:validityPeriod [
fhir:start [ fhir:v "2015-01-15"^^xsd:date ] ;
fhir:end [ fhir:v "2016-01-15"^^xsd:date ]
] ;
fhir:numberOfRepeatsAllowed [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:quantity [
fhir:value [ fhir:v "30"^^xsd:decimal ] ;
fhir:unit [ fhir:v "TAB" ] ;
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TAB" ]
] ;
fhir:expectedSupplyDuration [
fhir:value [ fhir:v "10"^^xsd:decimal ] ;
fhir:unit [ fhir:v "days" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "d" ]
] ;
fhir:dispenser [
fhir:reference [ fhir:v "Organization/2.16.840.1.113883.19.5" ]
]
] ; #
fhir:substitution [
fhir:allowed [ fhir:v "true"^^xsd:boolean ] ;
fhir:reason [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "FP" ] ;
fhir:display [ fhir:v "formulary policy" ]
] )
]
] ; #
fhir:eventHistory ( [
fhir:reference [ fhir:v "#signature" ] ;
fhir:display [ fhir:v "Author's Signature" ]
] )] . #
# -------------------------------------------------------------------------------------
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 hl7.fhir.core#5.0.0-draft-final generated on Wed, Mar 1, 2023 23:07+1100.
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