This 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 |
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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 ------------------------------------------------------------------- [a fhir:MedicationRequest ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "medrx0303"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"medrx0303\"> </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 MedicationRequest "medrx0303" </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>basedOn</b>: <a href=\"careplan-example-GPVisit.html\">CarePlan/gpvisit</a></p><p><b>groupIdentifier</b>: id: 983939393 (use: OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</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 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></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><p><b>encounter</b>: <a href=\"encounter-example-f001-heart.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-example-f007-sh.html\">Practitioner/f007: Patrick Pump</a> "Simone HEPS"</p><p><b>note</b>: Patient told to take with food</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>timing</b>: Starting 2015-01-16, Once per 1 days, Until 2015-01-22</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>timing</b>: Starting 2015-01-23, Once per 1 days, Until 2015-01-29</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 30, 2015</p><p><b>timing</b>: Starting 2015-01-30, Once per 1 days, Until 2015-02-05</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>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><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td>-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>21</td><td>days</td><td><a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ucum.html\">Unified Code for Units of Measure (UCUM)</a></td><td>d</td></tr></table><p><b>dispenser</b>: <a href=\"organization-example-f001-burgers.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/5.1.0/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/5.1.0/CodeSystem-v3-ActReason.html\">ActReason</a>#FP)</span></td></tr></table></div>" ] ; # fhir:contained ( [ a fhir:Medication ; fhir:id [ fhir:v "med0311" ] ; fhir:code [ fhir:coding ( [ a sct:373994007 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "373994007" ] ; fhir:display [ fhir:v "Prednisone 5mg tablet (Product)" ] ] ) ] ] ) ; # fhir:identifier ( [ fhir:use [ fhir:v "official" ] ; fhir:system [ fhir:v "http://www.bmc.nl/portal/prescriptions"^^xsd:anyURI ] ; fhir:value [ fhir:v "12345689" ] ] ) ; # fhir:basedOn ( [ fhir:reference [ fhir:v "CarePlan/gpvisit" ] ] ) ; # fhir:groupIdentifier [ fhir:use [ fhir:v "official" ] ; fhir:system [ fhir:v "http://www.bmc.nl/portal/prescriptions"^^xsd:anyURI ] ; fhir:value [ fhir:v "983939393" ] ] ; # fhir:status [ fhir:v "active"] ; # fhir:intent [ fhir:v "order"] ; # fhir:medication [ fhir:reference [ fhir:reference [ fhir:v "#med0311" ] ] # Linked to a RESOURCE Medication ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/pat1" ] ; # Linked to the resource patient who needs the medication fhir:display [ fhir:v "Donald Duck" ] ] ; # fhir:encounter [ fhir:reference [ fhir:v "Encounter/f001" ] ; # Linked to a resource Encounter between patient and practitioner fhir:display [ fhir:v "encounter who leads to this prescription" ] ] ; # fhir:authoredOn [ fhir:v "2015-01-15"^^xsd:date] ; # fhir:requester [ fhir:reference [ fhir:v "Practitioner/f007" ] ; fhir:display [ fhir:v "Patrick Pump" ] ] ; # fhir:note ( [ fhir:text [ fhir:v "Patient told to take with food" ] ] ) ; # 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:timing [ fhir:repeat [ fhir:bounds [ a fhir:Period ; fhir:start [ fhir:v "2015-01-16"^^xsd:date ] ; fhir:end [ fhir:v "2015-01-22"^^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 "ordered" ] ; fhir:display [ fhir:v "Ordered" ] ] ) ] ; 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:timing [ fhir:repeat [ fhir:bounds [ a fhir:Period ; fhir:start [ fhir:v "2015-01-23"^^xsd:date ] ; fhir:end [ fhir:v "2015-01-29"^^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 "ordered" ] ; fhir:display [ fhir:v "Ordered" ] ] ) ] ; 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 30, 2015" ] ; fhir:timing [ fhir:repeat [ fhir:bounds [ a fhir:Period ; fhir:start [ fhir:v "2015-01-30"^^xsd:date ] ; fhir:end [ fhir:v "2015-02-05"^^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 "ordered" ] ; fhir:display [ fhir:v "Ordered" ] ] ) ] ; 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" ] ] ] ) ] ) ; # fhir:dispenseRequest [ fhir:validityPeriod [ fhir:start [ fhir:v "2015-01-15"^^xsd:date ] ; fhir:end [ fhir:v "2016-01-15"^^xsd:date ] ] ; fhir:numberOfRepeatsAllowed [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:quantity [ fhir:value [ fhir:v "51"^^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:expectedSupplyDuration [ fhir:value [ fhir:v "21"^^xsd:decimal ] ; fhir:unit [ fhir:v "days" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "d" ] ] ; fhir:dispenser [ fhir:reference [ fhir:v "Organization/f001" ] ] ] ; # fhir:substitution [ fhir:allowed [ a fhir:CodeableConcept ; fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"^^xsd:anyURI ] ; fhir:code [ fhir:v "TB" ] ; fhir:display [ fhir:v "Therapeutic Brand" ] ] ) ] ; fhir:reason [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ; fhir:code [ fhir:v "FP" ] ; fhir:display [ fhir:v "formulary policy" ] ] ) ] ]] . # # -------------------------------------------------------------------------------------
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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