This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. 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 as needed (PRN) dosage - Vicodin - completed with dosageInstruction with additionalInstruction (coded) and as needed with reason, 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 ------------------------------------------------------------------- [a fhir:MedicationRequest ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "medrx0308"] ; # 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=\"medrx0308\"> </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 "medrx0308" </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Vicodin 5/500 Oral Tablet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#856907)</span></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>recorder</b>: <a href=\"practitioner-example-f204-ce.html\">Practitioner/f204: Carla Espinoza</a> "Carla Espinosa"</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 1 tablet every four hours as needed for pain</p><p><b>additionalInstruction</b>: Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#418914006)</span></p><p><b>timing</b>: Once per 4 hours</p><p><b>asNeededFor</b>: Fibromyalgia (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#203082005)</span></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><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>quantity</b>: 30 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>10</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><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>false</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: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 "completed"] ; # fhir:intent [ fhir:v "order"] ; # fhir:medication [ fhir:concept [ fhir:coding ( [ fhir:system [ fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ] ; fhir:code [ fhir:v "856907" ] ; fhir:display [ fhir:v "Vicodin 5/500 Oral Tablet" ] ] ) ] ] ; # 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:recorder [ fhir:reference [ fhir:v "Practitioner/f204" ] ; fhir:display [ fhir:v "Carla Espinoza" ] ] ; # fhir:dosageInstruction ( [ fhir:sequence [ fhir:v "1"^^xsd:integer ] ; fhir:text [ fhir:v "1 tablet every four hours as needed for pain" ] ; fhir:additionalInstruction ( [ fhir:coding ( [ a sct:418914006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "418914006" ] ; fhir:display [ fhir:v "Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)" ] ] ) ] ) ; fhir:timing [ fhir:repeat [ fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:period [ fhir:v "4"^^xsd:decimal ] ; fhir:periodUnit [ fhir:v "h" ] ] ] ; fhir:asNeededFor ( [ fhir:coding ( [ a sct:203082005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "203082005" ] ; fhir:display [ fhir:v "Fibromyalgia (disorder)" ] ] ) ] ) ; 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: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:quantity [ fhir:value [ fhir:v "30"^^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 "10"^^xsd:decimal ] ; fhir:unit [ fhir:v "days" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "d" ] ] ] ; # fhir:substitution [ fhir:allowed [ fhir:v "false"^^xsd:boolean ] ; 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.
FHIR ®© HL7.org 2011+. FHIR R5 hl7.fhir.core#5.0.0 generated on Sun, Mar 26, 2023 15:25+1100.
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