This page is part of the FHIR Specification (v3.0.2: STU 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 | 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><h3>Requesters</h3><table><tr><td>-</td><td><b>Agent</b></td><td><b>OnBehalfOf</b></td></tr><tr><td>*</td><td><a>Patrick Pump</a></td><td><a>Organization/f002</a></td></tr></table><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>1</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/ProcedureRequest/physiotherapy>; fhir:Reference.reference [ fhir:value "ProcedureRequest/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.contentType [ 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: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:MedicationRequest.requester.agent [ fhir:link <http://hl7.org/fhir/Practitioner/f007>; fhir:Reference.reference [ fhir:value "Practitioner/f007" ]; fhir:Reference.display [ fhir:value "Patrick Pump" ] ]; fhir:MedicationRequest.requester.onBehalfOf [ fhir:link <http://hl7.org/fhir/Organization/f002>; fhir:Reference.reference [ fhir:value "Organization/f002" ] ] ]; 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 "1"^^xsd:positiveInteger ]; 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/ProcedureRequest/physiotherapy> a fhir:ProcedureRequest . <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/Organization/f002> a fhir:Organization . <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://hl7.org/fhir/STU3/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.