This page is part of the FHIR Specification (v4.3.0: R4B - STU). 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 |
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Order for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod
@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 ------------------------------------------------------------------- <http://hl7.org/fhir/MedicationRequest/medrx0303> a fhir:MedicationRequest; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "medrx0303"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 "medrx0303" </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a name=\"med0311\"> </a></p><blockquote><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 "med0311" </p></div><p><b>code</b>: Prednisone 5mg tablet (Product) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373994007)</span></p></blockquote><p><b>subject</b>: <a href=\"patient-pat1.html\">Patient/pat1: Donald Duck</a> "Duck DONALD"</p><p><b>encounter</b>: <a href=\"encounter-f001.html\">Encounter/f001: encounter who leads to this prescription</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href=\"practitioner-f007.html\">Practitioner/f007: Patrick Pump</a> "Simone HEPS"</p><p><b>basedOn</b>: <a href=\"careplan-gpvisit.html\">CarePlan/gpvisit</a></p><p><b>groupIdentifier</b>: id: 983939393 (OFFICIAL)</p><p><b>note</b>: Patient told to take with food</p><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>: 51 TAB<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><p><b>performer</b>: <a href=\"organization-f001.html\">Organization/f001</a> "Burgers University Medical Center"</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>Therapeutic Brand <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-substanceAdminSubstitution.html\">Substance Admin Substitution</a>#TB)</span></td><td>formulary policy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActReason.html\">ActReason</a>#FP)</span></td></tr></table></div>" ]; fhir:DomainResource.contained [ a fhir:Medication; fhir:index 0; fhir:Resource.id [ fhir:value "med0311" ]; fhir:Medication.code [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:373994007; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "373994007" ]; fhir:Coding.display [ fhir:value "Prednisone 5mg tablet (Product)" ] ] ] ]; fhir:MedicationRequest.identifier [ fhir:index 0; fhir:Identifier.use [ fhir:value "official" ]; fhir:Identifier.system [ fhir:value "http://www.bmc.nl/portal/prescriptions" ]; fhir:Identifier.value [ fhir:value "12345689" ] ]; fhir:MedicationRequest.status [ fhir:value "active"]; fhir:MedicationRequest.intent [ fhir:value "order"]; fhir:MedicationRequest.medicationReference [ fhir:Reference.reference [ fhir:value "#med0311" ] ]; fhir:MedicationRequest.subject [ fhir:link <http://hl7.org/fhir/Patient/pat1>; fhir:Reference.reference [ fhir:value "Patient/pat1" ]; fhir:Reference.display [ fhir:value "Donald Duck" ] ]; fhir:MedicationRequest.encounter [ fhir:link <http://hl7.org/fhir/Encounter/f001>; fhir:Reference.reference [ fhir:value "Encounter/f001" ]; fhir:Reference.display [ fhir:value "encounter who leads to this prescription" ] ]; fhir:MedicationRequest.authoredOn [ fhir:value "2015-01-15"^^xsd:date]; fhir:MedicationRequest.requester [ fhir:link <http://hl7.org/fhir/Practitioner/f007>; fhir:Reference.reference [ fhir:value "Practitioner/f007" ]; fhir:Reference.display [ fhir:value "Patrick Pump" ] ]; fhir:MedicationRequest.basedOn [ fhir:index 0; fhir:link <http://hl7.org/fhir/CarePlan/gpvisit>; fhir:Reference.reference [ fhir:value "CarePlan/gpvisit" ] ]; fhir:MedicationRequest.groupIdentifier [ fhir:Identifier.use [ fhir:value "official" ]; fhir:Identifier.system [ fhir:value "http://www.bmc.nl/portal/prescriptions" ]; fhir:Identifier.value [ fhir:value "983939393" ] ]; fhir:MedicationRequest.note [ fhir:index 0; fhir:Annotation.text [ fhir:value "Patient told to take with food" ] ]; fhir:MedicationRequest.dosageInstruction [ fhir:index 0; fhir:Dosage.sequence [ fhir:value "1"^^xsd:integer ]; fhir:Dosage.text [ fhir:value "Take 4 tablets daily for 7 days starting January 16, 2015" ]; fhir:Dosage.timing [ fhir:Timing.repeat [ fhir:Timing.repeat.boundsPeriod [ fhir:Period.start [ fhir:value "2015-01-16"^^xsd:date ]; fhir:Period.end [ fhir:value "2015-01-20"^^xsd:date ] ]; fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ]; fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ]; fhir:Timing.repeat.periodUnit [ fhir:value "d" ] ] ]; 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)" ] ] ]; fhir:Dosage.doseAndRate [ fhir:index 0; fhir:Dosage.doseAndRate.type [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/dose-rate-type" ]; fhir:Coding.code [ fhir:value "ordered" ]; fhir:Coding.display [ fhir:value "Ordered" ] ] ]; fhir:Dosage.doseAndRate.doseQuantity [ fhir:Quantity.value [ fhir:value "4"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "TAB" ]; fhir:Quantity.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm" ]; fhir:Quantity.code [ fhir:value "TAB" ] ] ] ], [ fhir:index 1; fhir:Dosage.sequence [ fhir:value "2"^^xsd:integer ]; fhir:Dosage.text [ fhir:value "Take 2 tablets daily for 7 days starting January 23, 2015" ]; fhir:Dosage.timing [ fhir:Timing.repeat [ fhir:Timing.repeat.boundsPeriod [ fhir:Period.start [ fhir:value "2015-01-23"^^xsd:date ]; fhir:Period.end [ fhir:value "2015-01-30"^^xsd:date ] ]; fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ]; fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ]; fhir:Timing.repeat.periodUnit [ fhir:value "d" ] ] ]; 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)" ] ] ]; fhir:Dosage.doseAndRate [ fhir:index 0; fhir:Dosage.doseAndRate.type [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/dose-rate-type" ]; fhir:Coding.code [ fhir:value "ordered" ]; fhir:Coding.display [ fhir:value "Ordered" ] ] ]; fhir:Dosage.doseAndRate.doseQuantity [ fhir:Quantity.value [ fhir:value "2"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "TAB" ]; fhir:Quantity.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm" ]; fhir:Quantity.code [ fhir:value "TAB" ] ] ] ], [ fhir:index 2; fhir:Dosage.sequence [ fhir:value "3"^^xsd:integer ]; fhir:Dosage.text [ fhir:value "Take 1 tablets daily for 7 days starting January 31, 2015" ]; fhir:Dosage.timing [ fhir:Timing.repeat [ fhir:Timing.repeat.boundsPeriod [ fhir:Period.start [ fhir:value "2015-01-31"^^xsd:date ]; fhir:Period.end [ fhir:value "2015-02-06"^^xsd:date ] ]; fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ]; fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ]; fhir:Timing.repeat.periodUnit [ fhir:value "d" ] ] ]; 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)" ] ] ]; fhir:Dosage.doseAndRate [ fhir:index 0; fhir:Dosage.doseAndRate.type [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/dose-rate-type" ]; fhir:Coding.code [ fhir:value "ordered" ]; fhir:Coding.display [ fhir:value "Ordered" ] ] ]; fhir:Dosage.doseAndRate.doseQuantity [ fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "TAB" ]; fhir:Quantity.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm" ]; fhir:Quantity.code [ fhir:value "TAB" ] ] ] ]; fhir:MedicationRequest.dispenseRequest [ fhir:MedicationRequest.dispenseRequest.validityPeriod [ fhir:Period.start [ fhir:value "2015-01-15"^^xsd:date ]; fhir:Period.end [ fhir:value "2016-01-15"^^xsd:date ] ]; fhir:MedicationRequest.dispenseRequest.numberOfRepeatsAllowed [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:MedicationRequest.dispenseRequest.quantity [ fhir:Quantity.value [ fhir:value "51"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "TAB" ]; fhir:Quantity.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm" ]; fhir:Quantity.code [ fhir:value "TAB" ] ]; fhir:MedicationRequest.dispenseRequest.expectedSupplyDuration [ fhir:Quantity.value [ fhir:value "21"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "days" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "d" ] ]; fhir:MedicationRequest.dispenseRequest.performer [ fhir:link <http://hl7.org/fhir/Organization/f001>; fhir:Reference.reference [ fhir:value "Organization/f001" ] ] ]; fhir:MedicationRequest.substitution [ fhir:MedicationRequest.substitution.allowedCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution" ]; fhir:Coding.code [ fhir:value "TB" ]; fhir:Coding.display [ fhir:value "Therapeutic Brand" ] ] ]; fhir:MedicationRequest.substitution.reason [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ]; fhir:Coding.code [ fhir:value "FP" ]; fhir:Coding.display [ fhir:value "formulary policy" ] ] ] ] . <http://hl7.org/fhir/Patient/pat1> a fhir:Patient . <http://hl7.org/fhir/Encounter/f001> a fhir:Encounter . <http://hl7.org/fhir/Practitioner/f007> a fhir:Practitioner . <http://hl7.org/fhir/CarePlan/gpvisit> a fhir:CarePlan . <http://hl7.org/fhir/Organization/f001> a fhir:Organization . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/MedicationRequest/medrx0303.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/MedicationRequest/medrx0303.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.