Medications
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| Responsible Owner: Pharmacy Work Group | Standards Status : Informative | Compartments : Encounter , Group , Patient , Practitioner |
Raw Turtle (+ also see Turtle/RDF Format Specification )
Active Order with link to encounter, reasonCode, note multiple dosage lines, dispenseRequest and substitution - Azithromycin
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @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/medrx0302> a fhir:MedicationRequest; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "medrx0302"]; 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>: medrx0302</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>medication</b>: id: med0320; Azithromycin 250mg capsule (product) <span>(Details : {SNOMED CT code '324252006' = 'Azithromycin 250mg capsule', given as 'Azithromycin 250mg capsule (product)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription</a></p><p><b>supportingInformation</b>: <a>Coverage/SP1234</a></p><p><b>authoredOn</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Traveller's Diarrhea (disorder) <span>(Details : {SNOMED CT code '11840006' = 'Traveler's diarrhea', given as 'Traveller's Diarrhea (disorder)'})</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>6 TAB<span> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></td><td>5 days<span> (Details: UCUM code d = 'd')</span></td></tr></table><h3>Substitutions</h3><table><tr><td>-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td>formulary policy <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'formulary policy'})</span></td></tr></table></div>" ]; fhir:DomainResource.contained [ a fhir:Medication; fhir:index 0; fhir:Resource.id [ fhir:value "med0320" ]; fhir:Medication.code [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:324252006; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "324252006" ]; fhir:Coding.display [ fhir:value "Azithromycin 250mg capsule (product)" ] ] ] ]; 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.medicationReference [ fhir:Reference.reference [ fhir:value "#med0320" ] ]; 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.encounter [ 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/Coverage/SP1234>; fhir:Reference.reference [ fhir:value "Coverage/SP1234" ] ]; 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.reasonCode [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; a sct:11840006; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "11840006" ]; fhir:Coding.display [ fhir:value "Traveller's Diarrhea (disorder)" ]<http://hl7.org/fhir/MedicationRequest/medrx0302> a fhir:MedicationRequest ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "medrx0302"] ; # fhir:contained ( [ a fhir:Medication ; fhir:id [ fhir:v "med0320" ] ; fhir:code [ fhir:coding ( [ a sct:324252006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l <http://snomed.info/sct> ] ; fhir:code [ fhir:v "324252006" ] ; fhir:display [ fhir:v "Azithromycin (as azithromycin dihydrate) 250 mg oral capsule" ] ] ) ]]; 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 "Two tablets at once" ]; 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.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 "ordered" ]; fhir:Coding.display [ fhir:value "Ordered" ] ] ]; 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:identifier ( [ fhir:use [ fhir:v "official" ] ; fhir:system [ fhir:v "http://www.bmc.nl/portal/prescriptions"^^xsd:anyURI ; fhir:l <http://www.bmc.nl/portal/prescriptions> ] ; fhir:value [ fhir:v "12345689" ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:intent [ fhir:v "order"] ; # fhir:medication [ fhir:reference [ fhir:l <#med0320> ; fhir:reference [ fhir:v "#med0320" ] ] # Linked to a RESOURCE Medication ] ; # fhir:subject [ fhir:l <http://hl7.org/fhir/Patient/pat1> ; fhir:reference [ fhir:v "Patient/pat1" ] ; # Linked to the resource patient who needs the medication fhir:display [ fhir:v "Donald Duck" ] ] ; # fhir:encounter [ fhir:l <http://hl7.org/fhir/Encounter/f001> ; 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:supportingInformation ( [ fhir:l <http://hl7.org/fhir/Coverage/SP1234> ; fhir:reference [ fhir:v "Coverage/SP1234" ] ] ) ; # fhir:authoredOn [ fhir:v "2015-01-15"^^xsd:date] ; # fhir:requester [ fhir:l <http://hl7.org/fhir/Practitioner/f007> ; fhir:reference [ fhir:v "Practitioner/f007" ] ; fhir:display [ fhir:v "Patrick Pump" ] ] ; # fhir:reason ( [ fhir:concept [ fhir:coding ( [ a sct:11840006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l <http://snomed.info/sct> ] ; fhir:code [ fhir:v "11840006" ] ; fhir:display [ fhir:v "Traveler's diarrhea (disorder)" ] ] ) ]], [ fhir:index 1; fhir:Dosage.sequence [ fhir:value "2"^^xsd:integer ]; fhir:Dosage.text [ fhir:value "One tablet daily for 4 days" ]; 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:note ( [ fhir:text [ fhir:v "Patient told to take with food" ] ] ) ; # fhir:dosageInstruction ( [ fhir:sequence [ fhir:v 1 ] ; fhir:text [ fhir:v "Two tablets at once" ] ; fhir:additionalInstruction ( [ fhir:coding ( [ a sct:311504000 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l <http://snomed.info/sct> ] ; fhir:code [ fhir:v "311504000" ] ; fhir:display [ fhir:v "With or after food" ] ] ) ] ) ; fhir:timing [ fhir:repeat [ fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:period [ fhir:v "1"^^xsd:decimal ] ; fhir:periodUnit [ fhir:v "d" ] ]]; fhir:Dosage.timing [ fhir:Timing.repeat [ fhir:Timing.repeat.frequency [ fhir:value "4"^^xsd:positiveInteger ]; fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ]; fhir:Timing.repeat.periodUnit [ fhir:value "d" ]] ; fhir:route [ fhir:coding ( [ a sct:26643006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l <http://snomed.info/sct> ] ; fhir:code [ fhir:v "26643006" ] ; fhir:display [ fhir:v "Oral Route" ] ] ) ] ; fhir:method [ fhir:coding ( [ a sct:421521009 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l <http://snomed.info/sct> ] ; fhir:code [ fhir:v "421521009" ] ; fhir:display [ fhir:v "Swallow - dosing instruction imperative (qualifier value)" ] ] ) ] ; fhir:doseAndRate ( [ fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/dose-rate-type"^^xsd:anyURI ; fhir:l <http://terminology.hl7.org/CodeSystem/dose-rate-type> ] ; fhir:code [ fhir:v "ordered" ] ; fhir:display [ fhir:v "Ordered" ] ] ) ] ; fhir:dose [ a fhir:Quantity ; fhir:value [ fhir:v "2"^^xsd:decimal ] ; fhir:unit [ fhir:v "TAB" ] ; fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"^^xsd:anyURI ; fhir:l <http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm> ] ; fhir:code [ fhir:v "TAB" ] ]]; 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:sequence [ fhir:v 2 ] ; fhir:text [ fhir:v "One tablet daily for 4 days" ] ; fhir:additionalInstruction ( [ fhir:coding ( [ a sct:311504000 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l <http://snomed.info/sct> ] ; fhir:code [ fhir:v "311504000" ] ; fhir:display [ fhir:v "With or after food" ] ] ) ] ) ; fhir:timing [ fhir:repeat [ fhir:bounds [ a fhir:Duration ; fhir:value [ fhir:v "4"^^xsd:decimal ] ; fhir:unit [ fhir:v "days" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l <http://unitsofmeasure.org> ] ; fhir:code [ fhir:v "d" ] ] ; fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:period [ fhir:v "1"^^xsd:decimal ] ; fhir:periodUnit [ fhir:v "d" ] ]]; 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 "ordered" ]; fhir:Coding.display [ fhir:value "Ordered" ] ] ]; 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" ]] ; fhir:route [ fhir:coding ( [ a sct:26643006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l <http://snomed.info/sct> ] ; 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:l <http://terminology.hl7.org/CodeSystem/dose-rate-type> ] ; 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:l <http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm> ] ; 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:numberOfRepeatsAllowed [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:quantity [ fhir:value [ fhir:v "6"^^xsd:decimal ] ; fhir:unit [ fhir:v "TAB" ] ; fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"^^xsd:anyURI ; fhir:l <http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm> ] ; fhir:code [ fhir:v "TAB" ] ] ; fhir:expectedSupplyDuration [ fhir:value [ fhir:v "5"^^xsd:decimal ] ; fhir:unit [ fhir:v "days" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l <http://unitsofmeasure.org> ] ; fhir:code [ fhir:v "d" ] ]]; 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:nonNegativeInteger ]; fhir:MedicationRequest.dispenseRequest.quantity [ fhir:Quantity.value [ fhir:value "6"^^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:MedicationRequest.dispenseRequest.expectedSupplyDuration [ fhir:Quantity.value [ fhir:value "5"^^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.allowedBoolean [ fhir:value "true"^^xsd:boolean ]; fhir:MedicationRequest.substitution.reason [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ]; fhir:Coding.code [ fhir:value "FP" ]; fhir:Coding.display [ fhir:value "formulary policy" ] ]] ; # fhir:substitution [ fhir:allowed [ a fhir:Boolean ; fhir:v true ] ; fhir:reason [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ; fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActReason> ] ; fhir:code [ fhir:v "FP" ] ; fhir:display [ fhir:v "formulary policy" ] ] ) ]] .] . # <http://hl7.org/fhir/Patient/pat1> a fhir:Patient . <http://hl7.org/fhir/Encounter/f001> a fhir:Encounter . <http://hl7.org/fhir/Coverage/SP1234> a fhir:Coverage . <http://hl7.org/fhir/Practitioner/f007> a fhir:Practitioner .# - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/MedicationRequest/medrx0302.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/MedicationRequest/medrx0302.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.
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