This page is part of the FHIR Specification (v4.5.0: R5 Preview #3). 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 |
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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 ------------------------------------------------------------------- <http://hl7.org/fhir/MedicationDispense/meddisp0305> a fhir:MedicationDispense; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "meddisp0305"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: meddisp0305</p><p><b>status</b>: entered-in-error</p><p><b>medication</b>: </p><p><b>subject</b>: <a>Donald Duck. Generated Summary: id: pat1; Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male; </a></p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Generated Summary: id: f006; id: 937223645 (OFFICIAL), id: 134IDY41W988 (USUAL); Rob van den Berk (OFFICIAL); ph: 0205569288(WORK), R.A.vandenberk@bmc.nl(WORK), fax: 0205664987(WORK); gender: male; birthDate: 1975-12-07</a></td></tr></table><p><b>authorizingPrescription</b>: <a>Generated Summary: id: medrx0303; id: 12345689 (OFFICIAL); status: active; intent: order; <span>#med0311</span>; authoredOn: 2015-01-15; id: 983939393 (OFFICIAL); Patient told to take with food; </a></p><p><b>type</b>: <span>First Fill</span></p><p><b>quantity</b>: 49 TAB</p><p><b>daysSupply</b>: 21 Day</p><p><b>whenPrepared</b>: 15/01/2015 9:20:00 PM</p><p><b>whenHandedOver</b>: 16/01/2015 3:20:00 AM</p><p><b>dosageInstruction</b>: , , </p></div>" ]; fhir:DomainResource.contained [ a fhir:Medication; fhir:index 0; fhir:Resource.id [ fhir:value "med0311" ]; fhir:Medication.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ]; fhir:Coding.code [ fhir:value "763179" ]; fhir:Coding.display [ fhir:value "Prednisone 5mg Oral Tablet 48 Count Pack" ] ] ] ]; fhir:MedicationDispense.status [ fhir:value "entered-in-error"]; fhir:MedicationDispense.medication [ fhir:CodeableReference.reference [ fhir:Reference.reference [ fhir:value "#med0311" ]; fhir:Reference.display [ fhir:value "Prednisone" ] ] ]; fhir:MedicationDispense.subject [ fhir:link <http://hl7.org/fhir/Patient/pat1>; fhir:Reference.reference [ fhir:value "Patient/pat1" ]; fhir:Reference.display [ fhir:value "Donald Duck" ] ]; fhir:MedicationDispense.performer [ fhir:index 0; fhir:MedicationDispense.performer.actor [ fhir:link <http://hl7.org/fhir/Practitioner/f006>; fhir:Reference.reference [ fhir:value "Practitioner/f006" ] ] ]; fhir:MedicationDispense.authorizingPrescription [ fhir:index 0; fhir:link <http://hl7.org/fhir/MedicationRequest/medrx0303>; fhir:Reference.reference [ fhir:value "MedicationRequest/medrx0303" ] ]; fhir:MedicationDispense.type [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ]; fhir:Coding.code [ fhir:value "FF" ]; fhir:Coding.display [ fhir:value "First Fill" ] ] ]; fhir:MedicationDispense.quantity [ fhir:Quantity.value [ fhir:value "49"^^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:MedicationDispense.daysSupply [ fhir:Quantity.value [ fhir:value "21"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "Day" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "d" ] ]; fhir:MedicationDispense.whenPrepared [ fhir:value "2015-01-15T10:20:00Z"^^xsd:dateTime]; fhir:MedicationDispense.whenHandedOver [ fhir:value "2015-01-15T16:20:00Z"^^xsd:dateTime]; fhir:MedicationDispense.dosageInstruction [ fhir:index 0; fhir:Dosage.sequence [ fhir:value "1"^^xsd:integer ]; fhir:Dosage.text [ fhir:value "Take 4 tablets daily for 7 days starting January 16, 2015" ]; 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.boundsPeriod [ fhir:Period.start [ fhir:value "2015-01-16"^^xsd:date ]; fhir:Period.end [ fhir:value "2015-01-20"^^xsd:date ] ]; 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 "calculated" ]; fhir:Coding.display [ fhir:value "Calculated" ] ] ]; fhir:Dosage.doseAndRate.doseQuantity [ fhir:Quantity.value [ fhir:value "4"^^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 "Take 2 tablets daily for 7 days starting January 23, 2015" ]; 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.boundsPeriod [ fhir:Period.start [ fhir:value "2015-01-23"^^xsd:date ]; fhir:Period.end [ fhir:value "2015-01-30"^^xsd:date ] ]; 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 "calculated" ]; fhir:Coding.display [ fhir:value "Calculated" ] ] ]; 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 2; fhir:Dosage.sequence [ fhir:value "3"^^xsd:integer ]; fhir:Dosage.text [ fhir:value "Take 1 tablets daily for 7 days starting January 31, 2015" ]; 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.boundsPeriod [ fhir:Period.start [ fhir:value "2015-01-31"^^xsd:date ]; fhir:Period.end [ fhir:value "2015-02-06"^^xsd:date ] ]; 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 "calculated" ]; fhir:Coding.display [ fhir:value "Calculated" ] ] ]; 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" ] ] ] ] . <http://hl7.org/fhir/Patient/pat1> a fhir:Patient . <http://hl7.org/fhir/Practitioner/f006> a fhir:Practitioner . <http://hl7.org/fhir/MedicationRequest/medrx0303> a fhir:MedicationRequest . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/MedicationDispense/meddisp0305.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/MedicationDispense/meddisp0305.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.