Release 5

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

Example MedicationRequest/medrx0321 (Turtle)

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner

Raw Turtle (+ also see Turtle/RDF Format Specification)

Request for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. Dosage includes additionalInstructions as text

@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 "medrx0321"] ; # 
  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=\"medrx0321\"> </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 &quot;medrx0321&quot; </p></div><p><b>identifier</b>: id: 12345689 (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><a name=\"med0307\"> </a><blockquote><p/><p><a name=\"med0307\"> </a></p><p><b>code</b>: Novolog 100u/ml <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0169-7501-11)</span></p><p><b>doseForm</b>: Injection solution (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385219001)</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>Insulin Aspart (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#325072002)</span></td></tr></table><p><b>strength</b>: 100 U<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code U = 'U')</span>/1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</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>12345</td><td>2019-10-31</td></tr></table></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</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> &quot;Simone HEPS&quot;</p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Diabetes mellitus type 2 (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#44054006)</span></td></tr></table><p><b>note</b>: Check blood sugar levels before taking insulin</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 2</p><p><b>text</b>: inject 10 units subcut 10 minutes before breakfast</p><p><b>timing</b>: 10min , before breakfast</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>: 15 units before lunch</p><p><b>additionalInstruction</b>: Before Lunch <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Once per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 20 units before dinner</p><p><b>additionalInstruction</b>: Before Dinner <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Once per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --&gt; 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 3</p><p><b>quantity</b>: 10 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code ml = 'ml')</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>30</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></blockquote></div>"
  ] ; # 
  fhir:contained ( [
     a fhir:Medication ;
     fhir:id [ fhir:v "med0307" ] ;
     fhir:code [
       fhir:coding ( [
         fhir:system [ fhir:v "http://hl7.org/fhir/sid/ndc"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "0169-7501-11" ] ;
         fhir:display [ fhir:v "Novolog 100u/ml" ]
       ] )
     ] ;
     fhir:doseForm [
       fhir:coding ( [
         a sct:385219001 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "385219001" ] ;
         fhir:display [ fhir:v "Injection solution (qualifier value)" ]
       ] )
     ] ;
     fhir:ingredient ( [
       fhir:item [
         fhir:concept [
           fhir:coding ( [
             a sct:325072002 ;
             fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
             fhir:code [ fhir:v "325072002" ] ;
             fhir:display [ fhir:v "Insulin Aspart (substance)" ]
           ] )
         ]
       ] ;
       fhir:strength [
         a fhir:Ratio ;
         fhir:numerator [
           fhir:value [ fhir:v "100"^^xsd:decimal ] ;
           fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "U" ]
         ] ;
         fhir:denominator [
           fhir:value [ fhir:v "1"^^xsd:decimal ] ;
           fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "mL" ]
         ]
       ]
     ] ) ;
     fhir:batch [
       fhir:lotNumber [ fhir:v "12345" ] ;
       fhir:expirationDate [ fhir:v "2019-10-31"^^xsd:date ]
     ]
  ] ) ; # 
  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:status [ fhir:v "active"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:medication [
     fhir:reference [
       fhir:reference [ fhir:v "#med0307" ] ;
       fhir:display [ fhir:v "Novolog 100u/ml" ]
     ]
  ] ; # 
  fhir:subject [
     fhir:reference [ fhir:v "Patient/pat1" ] ; #    Linked to the resource patient who needs the medication   
     fhir:display [ fhir:v "Donald Duck" ]
  ] ; # 
  fhir:authoredOn [ fhir:v "2015-01-15"^^xsd:date] ; # 
  fhir:requester [
     fhir:reference [ fhir:v "Practitioner/f007" ] ;
     fhir:display [ fhir:v "Patrick Pump" ]
  ] ; # 
  fhir:reason ( [
     fhir:concept [
       fhir:coding ( [
         a sct:44054006 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "44054006" ] ;
         fhir:display [ fhir:v "Diabetes mellitus type 2 (disorder)" ]
       ] )
     ]
  ] ) ; # 
  fhir:note ( [
     fhir:text [ fhir:v "Check blood sugar levels before taking insulin" ]
  ] ) ; # 
  fhir:dosageInstruction ( [
     fhir:sequence [ fhir:v "2"^^xsd:integer ] ;
     fhir:text [ fhir:v "inject 10 units subcut 10 minutes before breakfast" ] ;
     fhir:timing [
       fhir:repeat [
         fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
         fhir:period [ fhir:v "1"^^xsd:decimal ] ;
         fhir:periodUnit [ fhir:v "d" ] ;
         fhir:when ( [ fhir:v "ACM" ] ) ;
         fhir:offset [ fhir:v "10"^^xsd:nonNegativeInteger ]
       ]
     ] ;
     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 "10"^^xsd:decimal ] ;
         fhir:unit [ fhir:v "U" ] ;
         fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "U" ]
       ]
     ] )
  ] [
     fhir:sequence [ fhir:v "2"^^xsd:integer ] ;
     fhir:text [ fhir:v "15 units before lunch" ] ;
     fhir:additionalInstruction ( [
       fhir:text [ fhir:v "Before Lunch" ]
     ] ) ;
     fhir:timing [
       fhir:repeat [
         fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
         fhir:period [ fhir:v "1"^^xsd:decimal ] ;
         fhir:periodUnit [ fhir:v "d" ]
       ]
     ] ;
     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 "15"^^xsd:decimal ] ;
         fhir:unit [ fhir:v "U" ] ;
         fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "U" ]
       ]
     ] )
  ] [
     fhir:sequence [ fhir:v "1"^^xsd:integer ] ;
     fhir:text [ fhir:v "20 units before dinner" ] ;
     fhir:additionalInstruction ( [
       fhir:text [ fhir:v "Before Dinner" ]
     ] ) ;
     fhir:timing [
       fhir:repeat [
         fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
         fhir:period [ fhir:v "1"^^xsd:decimal ] ;
         fhir:periodUnit [ fhir:v "d" ]
       ]
     ] ;
     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 "20"^^xsd:decimal ] ;
         fhir:unit [ fhir:v "U" ] ;
         fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "U" ]
       ]
     ] )
  ] ) ; # 
  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 "3"^^xsd:nonNegativeInteger ] ;
     fhir:quantity [
       fhir:value [ fhir:v "10"^^xsd:decimal ] ;
       fhir:unit [ fhir:v "ml" ] ;
       fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "ml" ]
     ] ;
     fhir:expectedSupplyDuration [
       fhir:value [ fhir:v "30"^^xsd:decimal ] ;
       fhir:unit [ fhir:v "days" ] ;
       fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "d" ]
     ]
  ]] . # 

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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.