Snapshot 3: Connectathon 32 Base
MedicationsThis is Snapshot #3 for FHIR R5, released to support Connectathon 32. For a full list of available versions, see the Directory of published versions.
| Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner, RelatedPerson |
Raw JSON (canonical form + also see JSON Format Specification)
Patient reports they are taking Tylenol PM and has the bottle
{
"resourceType" : "MedicationUsage",
"id" : "example001",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationUsage</b><a name=\"example001\"> </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 MedicationUsage "example001" </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>status</b>: recorded</p><p><b>category</b>: Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (medication-statement-category#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=\"med0309\"> </a></span><blockquote><p/><p><a name=\"med0309\"> </a></p><p><b>code</b>: Tylenol PM <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ndc.html\">National drug codes</a>#50580-608-02)</span></p><p><b>doseForm</b>: Film-coated tablet (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385057009)</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Acetaminophen 500 MG <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>#315266)</span></td></tr></table><p><b>strength</b>: 500 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1(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></blockquote><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Diphenhydramine Hydrochloride 25 mg <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>#901813)</span></td></tr></table><p><b>strength</b>: 25 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1(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></blockquote><h3>Batches</h3><table class=\"grid\"><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>9494788</td><td>2017-05-22</td></tr></table></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><p><b>effective</b>: 2015-01-23</p><p><b>dateAsserted</b>: 2015-02-22</p><p><b>informationSource</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><p><b>derivedFrom</b>: <a href=\"medicationrequestexample2.html\">MedicationRequest/medrx002</a></p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Restless Legs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#32914008)</span></td></tr></table><p><b>note</b>: Patient indicates they miss the occasional dose</p><blockquote><p><b>dosage</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 1-2 tablets once daily at bedtime as needed for restless legs</p><p><b>additionalInstruction</b>: Taking at bedtime <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Once per 1 days</p><p><b>asNeededFor</b>: Restless Legs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#32914008)</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></blockquote></div>"
},
"contained" : [{
"resourceType" : "Medication",
"id" : "med0309",
"code" : {
"coding" : [{
"system" : "http://hl7.org/fhir/sid/ndc",
"code" : "50580-608-02",
"display" : "Tylenol PM"
}]
},
"doseForm" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "385057009",
"display" : "Film-coated tablet (qualifier value)"
}]
},
"ingredient" : [{
"item" : {
"concept" : {
"coding" : [{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "315266",
"display" : "Acetaminophen 500 MG"
}]
}
},
"strengthRatio" : {
"numerator" : {
"value" : 500,
"system" : "http://unitsofmeasure.org",
"code" : "mg"
},
"denominator" : {
"value" : 1,
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}
},
{
"item" : {
"concept" : {
"coding" : [{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "901813",
"display" : "Diphenhydramine Hydrochloride 25 mg"
}]
}
},
"strengthRatio" : {
"numerator" : {
"value" : 25,
"system" : "http://unitsofmeasure.org",
"code" : "mg"
},
"denominator" : {
"value" : 1,
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}
}],
"batch" : {
"lotNumber" : "9494788",
"expirationDate" : "2017-05-22"
}
}],
"identifier" : [{
"use" : "official",
"system" : "http://www.bmc.nl/portal/medstatements",
"value" : "12345689"
}],
"status" : "recorded",
"category" : [{
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/medication-statement-category",
"code" : "inpatient",
"display" : "Inpatient"
}]
}],
"medication" : {
"reference" : {
"reference" : "#med0309"
}
},
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"effectiveDateTime" : "2015-01-23",
"dateAsserted" : "2015-02-22",
"informationSource" : [{
"reference" : "Patient/pat1",
"display" : "Donald Duck"
}],
"derivedFrom" : [{
"reference" : "MedicationRequest/medrx002"
}],
"reason" : [{
"concept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "32914008",
"display" : "Restless Legs"
}]
}
}],
"note" : [{
"text" : "Patient indicates they miss the occasional dose"
}],
"dosage" : [{
"sequence" : 1,
"text" : "1-2 tablets once daily at bedtime as needed for restless legs",
"additionalInstruction" : [{
"text" : "Taking at bedtime"
}],
"timing" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"asNeededFor" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "32914008",
"display" : "Restless Legs"
}]
}],
"route" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "26643006",
"display" : "Oral Route"
}]
},
"doseAndRate" : [{
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}]
},
"doseRange" : {
"low" : {
"value" : 1,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
},
"high" : {
"value" : 2,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}
}]
}]
}
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-snapshot3 generated on Wed, Dec 14, 2022 07:17+1100.
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