Snapshot 3: Connectathon 32 Base

This is Snapshot #3 for FHIR R5, released to support Connectathon 32. For a full list of available versions, see the Directory of published versions.

Example MedicationDispense/meddisp0303 (Turtle)

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

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

Dispense for Oxycodone (RxNorm code) - PRN dose with dose range, coded additional instructions and PRN coded pre-condition

@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:MedicationDispense;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "meddisp0303"]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"meddisp0303\"> </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 MedicationDispense &quot;meddisp0303&quot; </p></div><p><b>partOf</b>: <a href=\"procedure-example-biopsy.html\">Procedure/biopsy</a></p><p><b>status</b>: on-hold</p><h3>NotPerformedReasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a href=\"detectedissue-example-allergy.html\">DetectedIssue/allergy</a></td></tr></table><p><b>category</b>: Outpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (medicationdispense-category#outpatient)</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>: Oxycodone Hydrochloride 5mg oral tablet (Roxicodone <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#1049623)</span></p></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>encounter</b>: <a href=\"encounter-example-f001-heart.html\">Encounter/f001</a></p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"practitioner-example-f006-rvdb.html\">Practitioner/f006</a> &quot;Rob VAN DEN BERK&quot;</td></tr></table><p><b>authorizingPrescription</b>: <a href=\"medicationrequest0310.html\">MedicationRequest/medrx0310</a></p><p><b>type</b>: Emergency Supply <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#EM)</span></p><p><b>quantity</b>: 30(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><p><b>daysSupply</b>: 10 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2016-04-15T07:14:00+05:00</p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>Text</b></td><td><b>AdditionalInstruction</b></td><td><b>Timing</b></td><td><b>AsNeededFor</b></td><td><b>Route</b></td><td><b>Method</b></td></tr><tr><td>*</td><td>1</td><td>one to two tablets every 4-6 hours as needed for rib pain</td><td>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></td><td>Once per 4-6 hours</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><td>Oral Route <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#26643006)</span></td><td>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></td></tr></table></div>"
  ]; # 
  fhir:DomainResource.contained [
     a fhir:Medication;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "med0310" ];
     fhir:Medication.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
         fhir:Coding.code [ fhir:value "1049623" ];
         fhir:Coding.display [ fhir:value "Oxycodone Hydrochloride 5mg oral tablet (Roxicodone" ]
       ]
     ]
  ]; # 
  fhir:MedicationDispense.partOf [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Procedure/biopsy" ]
  ]; # 
  fhir:MedicationDispense.status [ fhir:value "on-hold"]; # 
  fhir:MedicationDispense.notPerformedReason [
     fhir:CodeableReference.reference [
       fhir:Reference.reference [ fhir:value "DetectedIssue/allergy" ]
     ]
  ]; # 
  fhir:MedicationDispense.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category" ];
       fhir:Coding.code [ fhir:value "outpatient" ];
       fhir:Coding.display [ fhir:value "Outpatient" ]
     ]
  ]; # 
  fhir:MedicationDispense.medication [
     fhir:CodeableReference.reference [
       fhir:Reference.reference [ fhir:value "#med0310" ]
     ] #    Linked to a RESOURCE Medication   
  ]; # 
  fhir:MedicationDispense.subject [
     fhir:Reference.reference [ fhir:value "Patient/pat1" ];
     fhir:Reference.display [ fhir:value "Donald Duck" ]
  ]; # 
  fhir:MedicationDispense.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/f001" ]
  ]; # 
  fhir:MedicationDispense.performer [
     fhir:index 0;
     fhir:MedicationDispense.performer.actor [
       fhir:Reference.reference [ fhir:value "Practitioner/f006" ]
     ]
  ]; # 
  fhir:MedicationDispense.authorizingPrescription [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "MedicationRequest/medrx0310" ]
  ]; # 
  fhir:MedicationDispense.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
       fhir:Coding.code [ fhir:value "EM" ];
       fhir:Coding.display [ fhir:value "Emergency Supply" ]
     ]
  ]; # 
  fhir:MedicationDispense.quantity [
     fhir:Quantity.value [ fhir:value "30"^^xsd:decimal ];
     fhir:Quantity.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm" ];
     fhir:Quantity.code [ fhir:value "TAB" ]
  ]; # 
  fhir:MedicationDispense.daysSupply [
     fhir:Quantity.value [ fhir:value "10"^^xsd:decimal ];
     fhir:Quantity.unit [ fhir:value "Day" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "d" ]
  ]; # 
  fhir:MedicationDispense.whenPrepared [ fhir:value "2016-04-15T07:14:00+05:00"^^xsd:dateTime]; # 
  fhir:MedicationDispense.dosageInstruction [
     fhir:index 0;
     fhir:Dosage.sequence [ fhir:value "1"^^xsd:integer ];
     fhir:Dosage.text [ fhir:value "one to two tablets every 4-6 hours as needed for rib pain" ];
     fhir:Dosage.additionalInstruction [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:418914006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "418914006" ];
         fhir:Coding.display [ fhir:value "Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)" ]
       ]
     ];
     fhir:Dosage.timing [
       fhir:Timing.repeat [
         fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ];
         fhir:Timing.repeat.period [ fhir:value "4"^^xsd:decimal ];
         fhir:Timing.repeat.periodMax [ fhir:value "6"^^xsd:decimal ];
         fhir:Timing.repeat.periodUnit [ fhir:value "h" ]
       ]
     ];
     fhir:Dosage.asNeededFor [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:297217002;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "297217002" ];
         fhir:Coding.display [ fhir:value "Rib Pain (finding)" ]
       ]
     ];
     fhir:Dosage.route [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:26643006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "26643006" ];
         fhir:Coding.display [ fhir:value "Oral Route" ]
       ]
     ];
     fhir:Dosage.method [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:421521009;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "421521009" ];
         fhir:Coding.display [ fhir:value "Swallow - dosing instruction imperative (qualifier value)" ]
       ]
     ]
  ]] . # 

# - 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.