Release 5
MedicationsThis page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). 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)
Dispense for Prednisone (RxNorm code) Tapering Dose - entered-in-error with multiple Dosage lines that include coded additionalInstructions and multiple EventHistory elements
@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:id [ fhir:v "meddisp0305"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"meddisp0305\"> </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 "meddisp0305" </p></div><p><b>status</b>: entered-in-error</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=\"med0311\"> </a></span><blockquote><p/><p><a name=\"med0311\"> </a></p><p><b>code</b>: Prednisone 5mg Oral Tablet 48 Count Pack <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#763179)</span></p></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</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> "Rob VAN DEN BERK"</td></tr></table><p><b>authorizingPrescription</b>: <a href=\"medicationrequest0303.html\">MedicationRequest/medrx0303</a></p><p><b>type</b>: First Fill <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActCode.html\">ActCode</a>#FF)</span></p><p><b>quantity</b>: 49 TAB<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><p><b>daysSupply</b>: 21 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2015-01-15T10:20:00Z</p><p><b>whenHandedOver</b>: 2015-01-15T16:20:00Z</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Take 4 tablets daily for 7 days starting January 16, 2015</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>: Starting 2015-01-16, Once per 1 days, Until 2015-01-20</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>: Take 2 tablets daily for 7 days starting January 23, 2015</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>: Starting 2015-01-23, Once per 1 days, Until 2015-01-30</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>: 3</p><p><b>text</b>: Take 1 tablets daily for 7 days starting January 31, 2015</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>: Starting 2015-01-31, Once per 1 days, Until 2015-02-06</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></div>"
] ; #
fhir:contained ( [
a fhir:Medication ;
fhir:id [ fhir:v "med0311" ] ;
fhir:code [
fhir:coding ( [
fhir:system [ fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "763179" ] ;
fhir:display [ fhir:v "Prednisone 5mg Oral Tablet 48 Count Pack" ]
] )
]
] ) ; #
fhir:status [ fhir:v "entered-in-error"] ; #
fhir:medication [
fhir:reference [
fhir:reference [ fhir:v "#med0311" ] ;
fhir:display [ fhir:v "Prednisone" ]
] # Linked to a RESOURCE Medication
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/pat1" ] ;
fhir:display [ fhir:v "Donald Duck" ]
] ; #
fhir:performer ( [
fhir:actor [
fhir:reference [ fhir:v "Practitioner/f006" ]
]
] ) ; #
fhir:authorizingPrescription ( [
fhir:reference [ fhir:v "MedicationRequest/medrx0303" ]
] ) ; #
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "FF" ] ;
fhir:display [ fhir:v "First Fill" ]
] )
] ; #
fhir:quantity [
fhir:value [ fhir:v "49"^^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:daysSupply [
fhir:value [ fhir:v "21"^^xsd:decimal ] ;
fhir:unit [ fhir:v "Day" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "d" ]
] ; #
fhir:whenPrepared [ fhir:v "2015-01-15T10:20:00Z"^^xsd:dateTime] ; #
fhir:whenHandedOver [ fhir:v "2015-01-15T16:20:00Z"^^xsd:dateTime] ; #
fhir:dosageInstruction ( [
fhir:sequence [ fhir:v "1"^^xsd:integer ] ;
fhir:text [ fhir:v "Take 4 tablets daily for 7 days starting January 16, 2015" ] ;
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:Period ;
fhir:start [ fhir:v "2015-01-16"^^xsd:date ] ;
fhir:end [ fhir:v "2015-01-20"^^xsd:date ]
] ;
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 "calculated" ] ;
fhir:display [ fhir:v "Calculated" ]
] )
] ;
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "4"^^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 "Take 2 tablets daily for 7 days starting January 23, 2015" ] ;
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:Period ;
fhir:start [ fhir:v "2015-01-23"^^xsd:date ] ;
fhir:end [ fhir:v "2015-01-30"^^xsd:date ]
] ;
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 "calculated" ] ;
fhir:display [ fhir:v "Calculated" ]
] )
] ;
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 "3"^^xsd:integer ] ;
fhir:text [ fhir:v "Take 1 tablets daily for 7 days starting January 31, 2015" ] ;
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:Period ;
fhir:start [ fhir:v "2015-01-31"^^xsd:date ] ;
fhir:end [ fhir:v "2015-02-06"^^xsd:date ]
] ;
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 "calculated" ] ;
fhir:display [ fhir:v "Calculated" ]
] )
] ;
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" ]
]
] )
] )] . #
# -------------------------------------------------------------------------------------
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.
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