R4 Draft for Comment
MedicationsThis page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). 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 | Ballot Status: Informative | Compartments: Encounter, Patient, Practitioner |
Order with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution
@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/medrx0301> a fhir:MedicationRequest;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "medrx0301"];
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>: medrx0301</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>category</b>: Inpatient <span>(Details : {http://hl7.org/fhir/medication-request-category code 'inpatient' = 'Inpatient', given as 'Inpatient'})</span></p><p><b>medication</b>: id: med0310; Oral Form Oxycodone (product) <span>(Details : {SNOMED CT code '430127000' = 'Oral form oxycodone', given as 'Oral Form Oxycodone (product)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>context</b>: <a>encounter who leads to this prescription</a></p><p><b>supportingInformation</b>: <a>Procedure/biopsy</a></p><p><b>authoredOn</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>performer</b>: <a>Carla Espinosa</a></p><p><b>reasonCode</b>: Rib Pain (finding) <span>(Details : {SNOMED CT code '297217002' = 'Rib pain', given as 'Rib Pain (finding)'})</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>0</td><td>30 TAB<span> (Details: http://hl7.org/fhir/v3/orderableDrugForm code TAB = 'Tablet')</span></td><td>10 days<span> (Details: UCUM code d = 'd')</span></td></tr></table><h3>Substitutions</h3><table><tr><td>-</td><td><b>Allowed</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td>formulary policy <span>(Details : {http://hl7.org/fhir/v3/ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})</span></td></tr></table><p><b>detectedIssue</b>: <a>DetectedIssue/allergy</a></p><p><b>eventHistory</b>: Author's Signature. Generated Summary: id: signature; recorded: 01/02/2017 5:23:07 PM; </p></div>"
];
fhir:DomainResource.contained [
a fhir:Medication;
fhir:index 0;
fhir:Resource.id [ fhir:value "med0310" ];
fhir:Medication.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:430127000;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "430127000" ];
fhir:Coding.display [ fhir:value "Oral Form Oxycodone (product)" ]
]
]
], [
a fhir:Provenance;
fhir:index 1;
fhir:Resource.id [ fhir:value "signature" ];
fhir:Provenance.target [
fhir:index 0;
fhir:link <http://hl7.org/fhir/ServiceRequest/physiotherapy>;
fhir:Reference.reference [ fhir:value "ServiceRequest/physiotherapy" ]
];
fhir:Provenance.recorded [ fhir:value "2017-02-01T17:23:07Z"^^xsd:dateTime ];
fhir:Provenance.agent [
fhir:index 0;
fhir:Provenance.agent.role [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/v3/ParticipationType" ];
fhir:Coding.code [ fhir:value "AUT" ]
]
];
fhir:Provenance.agent.whoReference [
fhir:link <http://hl7.org/fhir/Practitioner/example>;
fhir:Reference.reference [ fhir:value "Practitioner/example" ];
fhir:Reference.display [ fhir:value "Dr Adam Careful" ]
]
];
fhir:Provenance.signature [
fhir:index 0;
fhir:Signature.type [
fhir:index 0;
fhir:Coding.system [ fhir:value "urn:iso-astm:E1762-95:2013" ];
fhir:Coding.code [ fhir:value "1.2.840.10065.1.12.1.1" ];
fhir:Coding.display [ fhir:value "Author's Signature" ]
];
fhir:Signature.when [ fhir:value "2017-02-01T17:23:07Z"^^xsd:dateTime ];
fhir:Signature.whoReference [
fhir:link <http://hl7.org/fhir/Practitioner/example>;
fhir:Reference.reference [ fhir:value "Practitioner/example" ];
fhir:Reference.display [ fhir:value "Dr Adam Careful" ]
];
fhir:Signature.targetFormat [ fhir:value "application/fhir+xml" ];
fhir:Signature.sigFormat [ fhir:value "application/signature+xml" ];
fhir:Signature.blob [ fhir:value "dGhpcyBibG9iIGlzIHNuaXBwZWQ="^^xsd:base64Binary ]
]
];
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.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/medication-request-category" ];
fhir:Coding.code [ fhir:value "inpatient" ];
fhir:Coding.display [ fhir:value "Inpatient" ]
]
];
fhir:MedicationRequest.medicationReference [
fhir:Reference.reference [ fhir:value "#med0310" ]
];
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.context [
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/Procedure/biopsy>;
fhir:Reference.reference [ fhir:value "Procedure/biopsy" ]
];
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.performer [
fhir:link <http://hl7.org/fhir/Practitioner/f204>;
fhir:Reference.reference [ fhir:value "Practitioner/f204" ];
fhir:Reference.display [ fhir:value "Carla Espinosa" ]
];
fhir:MedicationRequest.reasonCode [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:297217002;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "297217002" ];
fhir:Coding.display [ fhir:value "Rib Pain (finding)" ]
]
];
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 "one to two tablets every 4-6 hours as needed for rib pain" ];
fhir:Dosage.additionalInstruction [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:418914006;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "418914006" ];
fhir:Coding.display [ fhir:value "Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)" ]
]
];
fhir:Dosage.patientInstruction [ fhir:value "Take one to two tablets every four to six hours as needed for rib pain" ];
fhir:Dosage.timing [
fhir:Timing.repeat [
fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:integer ];
fhir:Timing.repeat.period [ fhir:value "4"^^xsd:decimal ];
fhir:Timing.repeat.periodMax [ fhir:value "6"^^xsd:decimal ];
fhir:Timing.repeat.periodUnit [ fhir:value "h" ]
]
];
fhir:Dosage.asNeededCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:297217002;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "297217002" ];
fhir:Coding.display [ fhir:value "Rib Pain (finding)" ]
]
];
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.doseRange [
fhir:Range.low [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "TAB" ];
fhir:Quantity.system [ fhir:value "http://hl7.org/fhir/v3/orderableDrugForm" ];
fhir:Quantity.code [ fhir:value "TAB" ]
];
fhir:Range.high [
fhir:Quantity.value [ fhir:value "2"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "TAB" ];
fhir:Quantity.system [ fhir:value "http://hl7.org/fhir/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 "0"^^xsd:nonNegativeInteger ];
fhir:MedicationRequest.dispenseRequest.quantity [
fhir:Quantity.value [ fhir:value "30"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "TAB" ];
fhir:Quantity.system [ fhir:value "http://hl7.org/fhir/v3/orderableDrugForm" ];
fhir:Quantity.code [ fhir:value "TAB" ]
];
fhir:MedicationRequest.dispenseRequest.expectedSupplyDuration [
fhir:Quantity.value [ fhir:value "10"^^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.allowed [ fhir:value "true"^^xsd:boolean ];
fhir:MedicationRequest.substitution.reason [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/v3/ActReason" ];
fhir:Coding.code [ fhir:value "FP" ];
fhir:Coding.display [ fhir:value "formulary policy" ]
]
]
];
fhir:MedicationRequest.detectedIssue [
fhir:index 0;
fhir:link <http://hl7.org/fhir/DetectedIssue/allergy>;
fhir:Reference.reference [ fhir:value "DetectedIssue/allergy" ]
];
fhir:MedicationRequest.eventHistory [
fhir:index 0;
fhir:Reference.reference [ fhir:value "#signature" ];
fhir:Reference.display [ fhir:value "Author's Signature" ]
] .
<http://hl7.org/fhir/ServiceRequest/physiotherapy> a fhir:ServiceRequest .
<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .
<http://hl7.org/fhir/Patient/pat1> a fhir:Patient .
<http://hl7.org/fhir/Encounter/f001> a fhir:Encounter .
<http://hl7.org/fhir/Procedure/biopsy> a fhir:Procedure .
<http://hl7.org/fhir/Practitioner/f007> a fhir:Practitioner .
<http://hl7.org/fhir/Practitioner/f204> a fhir:Practitioner .
<http://hl7.org/fhir/DetectedIssue/allergy> a fhir:DetectedIssue .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/MedicationRequest/medrx0301.ttl> a owl:Ontology;
owl:imports fhir:fhir.ttl;
owl:versionIRI <http://build.fhir.org/MedicationRequest/medrx0301.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 Draft for Comment (Jan-2018 v3.2.0-12885) generated on Wed, Dec 20, 2017 15:57+1100. QA Page
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