Release 4
MedicationsThis page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). 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 -------------------------------------------------------------------
<http://hl7.org/fhir/MedicationRequest/medrx0302> a fhir:MedicationRequest;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "medrx0302"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0302</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: id: med0320; Azithromycin 250mg capsule (product) <span>(Details : {SNOMED CT code '324252006' = 'Azithromycin 250mg capsule', given as 'Azithromycin 250mg capsule (product)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription</a></p><p><b>supportingInformation</b>: <a>Coverage/SP1234</a></p><p><b>authoredOn</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Traveller's Diarrhea (disorder) <span>(Details : {SNOMED CT code '11840006' = 'Traveler's diarrhea', given as 'Traveller's Diarrhea (disorder)'})</span></p><p><b>note</b>: Patient told to take with food</p><p><b>dosageInstruction</b>: , </p><h3>DispenseRequests</h3><table><tr><td>-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td><td><b>ExpectedSupplyDuration</b></td></tr><tr><td>*</td><td>15/01/2015 --> 15/01/2016</td><td>1</td><td>6 TAB<span> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></td><td>5 days<span> (Details: UCUM code d = 'd')</span></td></tr></table><h3>Substitutions</h3><table><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>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})</span></td></tr></table></div>"
];
fhir:DomainResource.contained [
a fhir:Medication;
fhir:index 0;
fhir:Resource.id [ fhir:value "med0320" ];
fhir:Medication.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:324252006;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "324252006" ];
fhir:Coding.display [ fhir:value "Azithromycin 250mg capsule (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 "#med0320" ]
];
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.supportingInformation [
fhir:index 0;
fhir:link <http://hl7.org/fhir/Coverage/SP1234>;
fhir:Reference.reference [ fhir:value "Coverage/SP1234" ]
];
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.reasonCode [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:11840006;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "11840006" ];
fhir:Coding.display [ fhir:value "Traveller's Diarrhea (disorder)" ]
]
];
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 "Two tablets at once" ];
fhir:Dosage.additionalInstruction [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:311504000;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "311504000" ];
fhir:Coding.display [ fhir:value "With or after food" ]
]
];
fhir:Dosage.timing [
fhir:Timing.repeat [
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 1;
fhir:Dosage.sequence [ fhir:value "2"^^xsd:integer ];
fhir:Dosage.text [ fhir:value "One tablet daily for 4 days" ];
fhir:Dosage.additionalInstruction [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:311504000;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "311504000" ];
fhir:Coding.display [ fhir:value "With or after food" ]
]
];
fhir:Dosage.timing [
fhir:Timing.repeat [
fhir:Timing.repeat.frequency [ fhir:value "4"^^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.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 "6"^^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 "5"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "days" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "d" ]
]
];
fhir:MedicationRequest.substitution [
fhir:MedicationRequest.substitution.allowedBoolean [ fhir:value "true"^^xsd:boolean ];
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/Coverage/SP1234> a fhir:Coverage .
<http://hl7.org/fhir/Practitioner/f007> a fhir:Practitioner .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/MedicationRequest/medrx0302.ttl> a owl:Ontology;
owl:imports fhir:fhir.ttl;
owl:versionIRI <http://build.fhir.org/MedicationRequest/medrx0302.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.
®© HL7.org 2011+. FHIR Release 4 (Technical Correction #1) (v4.0.1) generated on Fri, Nov 1, 2019 09:35+1100. QA Page
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