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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 )
Request for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. Dosage includes additionalInstructions as text
@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/medrx0321> a fhir:MedicationRequest; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "medrx0321"]; 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>: medrx0321</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>: Novolog 100u/ml. Generated Summary: id: med0307; Novolog 100u/ml <span>(Details : {http://hl7.org/fhir/sid/ndc code '0169-7501-11' = 'n/a', given as 'Novolog 100u/ml'})</span>; Injection solution (qualifier value) <span>(Details : {SNOMED CT code '385219001' = 'Injection solution', given as 'Injection solution (qualifier value)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>authoredOn</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>reasonCode</b>: Diabetes mellitus type 2 (disorder) <span>(Details : {SNOMED CT code '44054006' = 'Diabetes mellitus type II', given as 'Diabetes mellitus type 2 (disorder)'})</span></p><p><b>note</b>: Check blood sugar levels before taking insulin</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>3</td><td>10 ml<span> (Details: UCUM code ml = 'ml')</span></td><td>30 days<span> (Details: UCUM code d = 'd')</span></td></tr></table></div>" ]; fhir:DomainResource.contained [ a fhir:Medication; fhir:index 0; fhir:Resource.id [ fhir:value "med0307" ]; fhir:Medication.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/ndc" ]; fhir:Coding.code [ fhir:value "0169-7501-11" ]; fhir:Coding.display [ fhir:value "Novolog 100u/ml" ] ] ]; fhir:Medication.form [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:385219001; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "385219001" ]; fhir:Coding.display [ fhir:value "Injection solution (qualifier value)" ] ] ]; fhir:Medication.ingredient [ fhir:index 0; fhir:Medication.ingredient.itemCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:325072002; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "325072002" ]; fhir:Coding.display [ fhir:value "Insulin Aspart (substance)" ]<http://hl7.org/fhir/MedicationRequest/medrx0321> a fhir:MedicationRequest ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "medrx0321"] ; # fhir:contained ( [ a fhir:Medication ; fhir:id [ fhir:v "med0307" ] ; fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/sid/ndc"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/sid/ndc> ] ; fhir:code [ fhir:v "0169-7501-11" ] ; fhir:display [ fhir:v "NOVOLOG, 1 VIAL, GLASS in 1 CARTON (0169-7501-11) > 10 mL in 1 VIAL, GLASS (package)" ] ] ) ; fhir:text [ fhir:v "Novolog 100u/ml" ] ] ; fhir:doseForm [ fhir:coding ( [ a sct:385219001 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l <http://snomed.info/sct> ] ; fhir:code [ fhir:v "385219001" ] ; fhir:display [ fhir:v "Solution for injection" ] ] ) ] ; fhir:ingredient ( [ fhir:item [ fhir:concept [ fhir:coding ( [ a sct:325072002 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l <http://snomed.info/sct> ] ; fhir:code [ fhir:v "325072002" ] ; fhir:display [ fhir:v "Insulin Aspart (substance)" ] ] ) ]]; fhir:Medication.ingredient.strength [ fhir:Ratio.numerator [ fhir:Quantity.value [ fhir:value "100"^^xsd:decimal ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "U" ] ]; fhir:Ratio.denominator [ fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "mL" ]] ; fhir:strength [ a fhir:Ratio ; fhir:numerator [ fhir:value [ fhir:v "100"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l <http://unitsofmeasure.org> ] ; fhir:code [ fhir:v "U" ] ] ; fhir:denominator [ fhir:value [ fhir:v "1"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l <http://unitsofmeasure.org> ] ; fhir:code [ fhir:v "mL" ] ] ]]; fhir:Medication.batch [ fhir:Medication.batch.lotNumber [ fhir:value "12345" ]; fhir:Medication.batch.expirationDate [ fhir:value "2019-10-31"^^xsd:date ]] ) ] ) ; # 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 <#med0307> ; fhir:reference [ fhir:v "#med0307" ] ; fhir:display [ fhir:v "NOVOLOG, 1 VIAL, GLASS in 1 CARTON (0169-7501-11) > 10 mL in 1 VIAL, GLASS (package)" ] ]]; 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 "#med0307" ]; fhir:Reference.display [ fhir:value "Novolog 100u/ml" ] ]; 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.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:44054006; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "44054006" ]; fhir:Coding.display [ fhir:value "Diabetes mellitus type 2 (disorder)" ]] ; # 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: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:44054006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l <http://snomed.info/sct> ] ; fhir:code [ fhir:v "44054006" ] ; fhir:display [ fhir:v "Diabetes mellitus type 2 (disorder)" ] ] ) ]]; fhir:MedicationRequest.note [ fhir:index 0; fhir:Annotation.text [ fhir:value "Check blood sugar levels before taking insulin" ] ]; fhir:MedicationRequest.dosageInstruction [ fhir:index 0; fhir:Dosage.sequence [ fhir:value "2"^^xsd:integer ]; fhir:Dosage.text [ fhir:value "inject 10 units subcut 10 minutes before breakfast" ]; 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:Timing.repeat.when [ fhir:value "ACM"; fhir:index 0 ]; fhir:Timing.repeat.offset [ fhir:value "10"^^xsd:nonNegativeInteger ]] ) ; # fhir:note ( [ fhir:text [ fhir:v "Check blood sugar levels before taking insulin" ] ] ) ; # fhir:dosageInstruction ( [ fhir:sequence [ fhir:v 2 ] ; fhir:text [ fhir:v "inject 10 units subcut 10 minutes before breakfast" ] ; fhir:timing [ fhir:repeat [ fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:period [ fhir:v "1"^^xsd:decimal ] ; fhir:periodUnit [ fhir:v "d" ] ; fhir:when ( [ fhir:v "ACM" ] ) ; fhir:offset [ fhir:v "10"^^xsd:nonNegativeInteger ] ]]; 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 "10"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "U" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "U" ]] ; 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 "10"^^xsd:decimal ] ; fhir:unit [ fhir:v "U" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l <http://unitsofmeasure.org> ] ; fhir:code [ fhir:v "U" ] ]] ], [ fhir:index 1; fhir:Dosage.sequence [ fhir:value "2"^^xsd:integer ]; fhir:Dosage.text [ fhir:value "15 units before lunch" ]; fhir:Dosage.additionalInstruction [ fhir:index 0; fhir:CodeableConcept.text [ fhir:value "Before Lunch" ] ]; 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:sequence [ fhir:v 2 ] ; fhir:text [ fhir:v "15 units before lunch" ] ; fhir:additionalInstruction ( [ fhir:text [ fhir:v "Before Lunch" ] ] ) ; 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.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 "15"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "U" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "U" ]] ; 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 "15"^^xsd:decimal ] ; fhir:unit [ fhir:v "U" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l <http://unitsofmeasure.org> ] ; fhir:code [ fhir:v "U" ] ]] ], [ fhir:index 2; fhir:Dosage.sequence [ fhir:value "1"^^xsd:integer ]; fhir:Dosage.text [ fhir:value "20 units before dinner" ]; fhir:Dosage.additionalInstruction [ fhir:index 0; fhir:CodeableConcept.text [ fhir:value "Before Dinner" ] ]; 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:sequence [ fhir:v 1 ] ; fhir:text [ fhir:v "20 units before dinner" ] ; fhir:additionalInstruction ( [ fhir:text [ fhir:v "Before Dinner" ] ] ) ; 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.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 "20"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "U" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "U" ]] ; 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 "20"^^xsd:decimal ] ; fhir:unit [ fhir:v "U" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l <http://unitsofmeasure.org> ] ; fhir:code [ fhir:v "U" ] ] ] ) ] ) ; # 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 "3"^^xsd:nonNegativeInteger ] ; fhir:quantity [ fhir:value [ fhir:v "10"^^xsd:decimal ] ; fhir:unit [ fhir:v "ml" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l <http://unitsofmeasure.org> ] ; fhir:code [ fhir:v "ml" ] ] ; fhir:expectedSupplyDuration [ fhir:value [ fhir:v "30"^^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 "3"^^xsd:nonNegativeInteger ]; fhir:MedicationRequest.dispenseRequest.quantity [ fhir:Quantity.value [ fhir:value "10"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "ml" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "ml" ] ]; fhir:MedicationRequest.dispenseRequest.expectedSupplyDuration [ fhir:Quantity.value [ fhir:value "30"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "days" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "d" ] ] ] .] . # <http://hl7.org/fhir/Patient/pat1> a fhir:Patient . <http://hl7.org/fhir/Practitioner/f007> a fhir:Practitioner .# - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/MedicationRequest/medrx0321.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/MedicationRequest/medrx0321.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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