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Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Patient, Practitioner |
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Dispense for Oxycodone (RxNorm code) - PRN dose with dose range, coded additional instructions and PRN coded pre-condition
@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/meddisp0303> a fhir:MedicationDispense; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "meddisp0303"]; 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>partOf</b>: <a>Generated Summary: status: completed; <span>Diagnostic procedure</span>; <span>Biopsy of suspected melanoma L) arm</span>; performed: 2014-02-03; <span>Dark lesion l) forearm. getting darker last 3 months.</span>; <span>Left forearm</span>; <span>Ineffective airway clearance</span>; <span>Review in clinic</span>; Standard Biopsy; <span>30-guage needle</span></a></p><p><b>status</b>: on-hold</p><p><b>statusReason</b>: <a>Generated Summary: status: final</a></p><p><b>category</b>: <span>Outpatient</span></p><p><b>medication</b>: <a> </a></p><blockquote><p><b>code</b>: <span>Oxycodone Hydrochloride 5mg oral tablet (Roxicodone</span></p></blockquote><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>context</b>: <a>Generated Summary: id: v1451 (OFFICIAL); status: finished; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span>; <span>Heart valve replacement</span></a></p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Generated Summary: id: 937223645 (OFFICIAL), id: 134IDY41W988 (USUAL); Rob van den Berk (OFFICIAL); Phone: 0205569288, R.A.vandenberk@bmc.nl, Fax: 0205664987; gender: male; birthDate: 1975-12-07</a></td></tr></table><p><b>authorizingPrescription</b>: <a>Generated Summary: id: 12345689 (OFFICIAL); status: active; intent: order; ?ngen-3; authoredOn: 2015-01-15</a></p><p><b>type</b>: <span>Emergency Supply</span></p><p><b>quantity</b>: 30 TAB</p><p><b>daysSupply</b>: 10 Day</p><p><b>whenPrepared</b>: 15 Apr. 2016, 12:14:00 pm</p><h3>DosageInstructions</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>detectedIssue</b>: <a>Generated Summary: status: final</a></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; fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ]; fhir:Coding.code [ fhir:value "1049623" ]; fhir:Coding.display [ fhir:value "Oxycodone Hydrochloride 5mg oral tablet (Roxicodone" ] ] ] ]; fhir:MedicationDispense.partOf [ fhir:index 0; fhir:link <http://hl7.org/fhir/Procedure/biopsy>; fhir:Reference.reference [ fhir:value "Procedure/biopsy" ] ]; fhir:MedicationDispense.status [ fhir:value "on-hold"]; fhir:MedicationDispense.statusReasonReference [ fhir:link <http://hl7.org/fhir/DetectedIssue/allergy>; fhir:Reference.reference [ fhir:value "DetectedIssue/allergy" ] ]; fhir:MedicationDispense.category [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category" ]; fhir:Coding.code [ fhir:value "outpatient" ]; fhir:Coding.display [ fhir:value "Outpatient" ] ] ]; fhir:MedicationDispense.medicationReference [ fhir:Reference.reference [ fhir:value "#med0310" ] ]; 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.context [ fhir:link <http://hl7.org/fhir/Encounter/f001>; fhir:Reference.reference [ fhir:value "Encounter/f001" ] ]; 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/medrx0310>; fhir:Reference.reference [ fhir:value "MedicationRequest/medrx0310" ] ]; 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 "EM" ]; fhir:Coding.display [ fhir:value "Emergency Supply" ] ] ]; fhir:MedicationDispense.quantity [ fhir:Quantity.value [ fhir:value "30"^^xsd:decimal ]; 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 "10"^^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 "2016-04-15T07:14:00+05:00"^^xsd:dateTime]; fhir:MedicationDispense.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.timing [ fhir:Timing.repeat [ fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ]; 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:MedicationDispense.detectedIssue [ fhir:index 0; fhir:link <http://hl7.org/fhir/DetectedIssue/allergy>; fhir:Reference.reference [ fhir:value "DetectedIssue/allergy" ] ] . <http://hl7.org/fhir/Procedure/biopsy> a fhir:Procedure . <http://hl7.org/fhir/DetectedIssue/allergy> a fhir:DetectedIssue . <http://hl7.org/fhir/Patient/pat1> a fhir:Patient . <http://hl7.org/fhir/Encounter/f001> a fhir:Encounter . <http://hl7.org/fhir/Practitioner/f006> a fhir:Practitioner . <http://hl7.org/fhir/MedicationRequest/medrx0310> a fhir:MedicationRequest . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/MedicationDispense/meddisp0303.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/MedicationDispense/meddisp0303.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.