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)
Active Order with link to encounter, reasonCode, note multiple dosage lines, dispenseRequest and substitution - Azithromycin
@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 "medrx0302"] ; #
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=\"medrx0302\"> </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 "medrx0302" </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</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=\"med0320\"> </a></span><blockquote><p/><p><a name=\"med0320\"> </a></p><p><b>code</b>: Azithromycin 250mg capsule (product) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#324252006)</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-f001-heart.html\">Encounter/f001: encounter who leads to this prescription</a></p><p><b>supportingInformation</b>: <a href=\"coverage-example-selfpay.html\">Coverage/SP1234</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><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Traveller's Diarrhea (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#11840006)</span></td></tr></table><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>: Two tablets at once</p><p><b>additionalInstruction</b>: With or after food <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#311504000)</span></p><p><b>timing</b>: Once per 1 days</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>dosageInstruction</b></p><p><b>sequence</b>: 2</p><p><b>text</b>: One tablet daily for 4 days</p><p><b>additionalInstruction</b>: With or after food <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#311504000)</span></p><p><b>timing</b>: Once per 1 days</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><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>: 1</p><p><b>quantity</b>: 6 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>5</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></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></div>"
] ; #
fhir:contained ( [
a fhir:Medication ;
fhir:id [ fhir:v "med0320" ] ;
fhir:code [
fhir:coding ( [
a sct:324252006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "324252006" ] ;
fhir:display [ fhir:v "Azithromycin 250mg capsule (product)" ]
] )
]
] ) ; #
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 "active"] ; #
fhir:intent [ fhir:v "order"] ; #
fhir:medication [
fhir:reference [
fhir:reference [ fhir:v "#med0320" ]
] # 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/f001" ] ; # 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 "Coverage/SP1234" ]
] ) ; #
fhir:authoredOn [ fhir:v "2015-01-15"^^xsd:date] ; #
fhir:requester [
fhir:reference [ fhir:v "Practitioner/f007" ] ;
fhir:display [ fhir:v "Patrick Pump" ]
] ; #
fhir:reason ( [
fhir:concept [
fhir:coding ( [
a sct:11840006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11840006" ] ;
fhir:display [ fhir:v "Traveller's Diarrhea (disorder)" ]
] )
]
] ) ; #
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 "Two tablets at once" ] ;
fhir:additionalInstruction ( [
fhir:coding ( [
a sct:311504000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "311504000" ] ;
fhir:display [ fhir:v "With or after food" ]
] )
] ) ;
fhir:timing [
fhir:repeat [
fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "1"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "d" ]
]
] ;
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:Quantity ;
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:sequence [ fhir:v "2"^^xsd:integer ] ;
fhir:text [ fhir:v "One tablet daily for 4 days" ] ;
fhir:additionalInstruction ( [
fhir:coding ( [
a sct:311504000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "311504000" ] ;
fhir:display [ fhir:v "With or after food" ]
] )
] ) ;
fhir:timing [
fhir:repeat [
fhir:bounds [
a fhir:Duration ;
fhir:value [ fhir:v "4"^^xsd:decimal ] ;
fhir:unit [ fhir:v "days" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "d" ]
] ;
fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "1"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "d" ]
]
] ;
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: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:Quantity ;
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: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 "1"^^xsd:nonNegativeInteger ] ;
fhir:quantity [
fhir:value [ fhir:v "6"^^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 "5"^^xsd:decimal ] ;
fhir:unit [ fhir:v "days" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "d" ]
]
] ; #
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" ]
] )
]
]] . #
# -------------------------------------------------------------------------------------
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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