Medicationrequest0317.ttl - FHIR v5.0.0-ballot

This page is part of the FHIR Specification ~~(v4.0.1: R4~~ (v5.0.0-ballot: R5 Ballot - ~~Mixed Normative and STU~~ see ballot notes ~~) in it's permanent home (it will always be available at this URL).~~ ). 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
~~Observation-example-genetics-5~~
Example MedicationRequest/medrx0317 (Turtle)

~~Orders and Observations~~ Pharmacy Work Group
Maturity Level : N/A
Standards Status : Informative
Compartments : ~~Device ,~~ Encounter , Patient , Practitioner ~~, RelatedPerson~~
~~This is the narrative for the resource. See also the XML , JSON or Turtle format. This example conforms to the profile Observation-genetics (FHIR Specification Core)).~~
~~Generated Narrative with Details~~
Narrative
~~id : example-genetics-5~~
XML ~~status : final~~
~~code : PCR validation (Details )~~ JSON
~~subject : Molecular Lab Patient ID: HOSP-23456~~ TTL ~~issued : 03/04/2013 3:30:10 PM~~
~~performer : Sequence Analysis Laboratory~~ Raw Turtle (+ also see Turtle/RDF Format Specification )
~~value : Negative (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})~~ Request for Intravenous Chemotherapy (inpatient order) - Alemtuzumab - completed with multiple dosageInstruction lines
@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:Resource.id [ fhir:value "medrx0317"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"medrx0317\"> </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 &quot;medrx0317&quot; </p></div><p><b>identifier</b>: id: 12345689 (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>Reference</b></td></tr><tr><td>*</td><td><a name=\"med0303\"> </a><blockquote><p/><p><a name=\"med0303\"> </a></p><p><b>code</b>: Alemtuzumab 10mg/ml (Lemtrada) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#1594660)</span></p></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</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> &quot;Simone HEPS&quot;</p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Chronic Lymphoid Leukemia (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#92814006)</span></td></tr></table><blockquote><p><b>dose</b></p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk</p><p><b>additionalInstruction</b>: Rapidly increase dose until tolerated <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span>, Administer on alternate days <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Duration 12weeks, Do 3 per 1 weeks</p><p><b>route</b>: Intravenous route (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#47625008)</span></p><p><b>method</b>: Inject - dosing instruction imperative (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#422145002)</span></p></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 2</p><p><b>text</b>: Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk</p><p><b>additionalInstruction</b>: Rapidly increase dose until tolerated <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span>, Administer on alternate days <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Duration 12weeks, Do 3 per 1 weeks</p><p><b>route</b>: Intravenous route (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#47625008)</span></p><p><b>method</b>: Inject - dosing instruction imperative (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#422145002)</span></p></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 3</p><p><b>text</b>: Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk</p><p><b>additionalInstruction</b>: Rapidly increase dose until tolerated <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span>, Administer on alternate days <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Duration 12weeks, Do 3 per 1 weeks</p><p><b>route</b>: Intravenous route (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#47625008)</span></p><p><b>method</b>: Inject - dosing instruction imperative (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#422145002)</span></p></blockquote></blockquote></div>"
  ];
  fhir:DomainResource.contained [
     a fhir:Medication;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "med0303" ];
     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 "1594660" ];
         fhir:Coding.display [ fhir:value "Alemtuzumab 10mg/ml (Lemtrada)" ]
       ]
     ]
  ];
  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 "completed"];
  fhir:MedicationRequest.intent [ fhir:value "order"];
  fhir:MedicationRequest.medication [
     fhir:CodeableReference.reference [
       fhir:Reference.reference [ fhir:value "#med0303" ]
     ]
  ];
  fhir:MedicationRequest.subject [
     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:Reference.reference [ fhir:value "Practitioner/f007" ];
     fhir:Reference.display [ fhir:value "Patrick Pump" ]
  ];
  fhir:MedicationRequest.reason [
     fhir:index 0;
     fhir:CodeableReference.concept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:92814006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "92814006" ];
         fhir:Coding.display [ fhir:value "Chronic Lymphoid Leukemia (disorder)" ]
       ]
     ]
  ];
  fhir:MedicationRequest.dose [
     fhir:MedicationRequest.dose.dosageInstruction [
       fhir:index 0;
       fhir:Dosage.sequence [ fhir:value "1"^^xsd:integer ];
       fhir:Dosage.text [ fhir:value "Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk" ];
       fhir:Dosage.additionalInstruction [
         fhir:index 0;
         fhir:CodeableConcept.text [ fhir:value "Rapidly increase dose until tolerated" ]
       ], [
         fhir:index 1;
         fhir:CodeableConcept.text [ fhir:value "Administer on alternate days" ]
       ];
       fhir:Dosage.timing [
         fhir:Timing.repeat [
           fhir:Timing.repeat.duration [ fhir:value "12"^^xsd:decimal ];
           fhir:Timing.repeat.durationUnit [ fhir:value "wk" ];
           fhir:Timing.repeat.frequency [ fhir:value "3"^^xsd:positiveInteger ];
           fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
           fhir:Timing.repeat.periodUnit [ fhir:value "wk" ]
         ]
       ];
       fhir:Dosage.route [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:47625008;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "47625008" ];
           fhir:Coding.display [ fhir:value "Intravenous route (qualifier value)" ]
         ]
       ];
       fhir:Dosage.method [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:422145002;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "422145002" ];
           fhir:Coding.display [ fhir:value "Inject - 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 "3"^^xsd:decimal ];
           fhir:Quantity.unit [ fhir:value "mg" ];
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
           fhir:Quantity.code [ fhir:value "mg" ]
         ]
       ]
     ], [
       fhir:index 1;
       fhir:Dosage.sequence [ fhir:value "2"^^xsd:integer ];
       fhir:Dosage.text [ fhir:value "Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk" ];
       fhir:Dosage.additionalInstruction [
         fhir:index 0;
         fhir:CodeableConcept.text [ fhir:value "Rapidly increase dose until tolerated" ]
       ], [
         fhir:index 1;
         fhir:CodeableConcept.text [ fhir:value "Administer on alternate days" ]
       ];
       fhir:Dosage.timing [
         fhir:Timing.repeat [
           fhir:Timing.repeat.duration [ fhir:value "12"^^xsd:decimal ];
           fhir:Timing.repeat.durationUnit [ fhir:value "wk" ];
           fhir:Timing.repeat.frequency [ fhir:value "3"^^xsd:positiveInteger ];
           fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
           fhir:Timing.repeat.periodUnit [ fhir:value "wk" ]
         ]
       ];
       fhir:Dosage.route [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:47625008;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "47625008" ];
           fhir:Coding.display [ fhir:value "Intravenous route (qualifier value)" ]
         ]
       ];
       fhir:Dosage.method [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:422145002;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "422145002" ];
           fhir:Coding.display [ fhir:value "Inject - 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 "10"^^xsd:decimal ];
           fhir:Quantity.unit [ fhir:value "mg" ];
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
           fhir:Quantity.code [ fhir:value "mg" ]
         ]
       ]
     ], [
       fhir:index 2;
       fhir:Dosage.sequence [ fhir:value "3"^^xsd:integer ];
       fhir:Dosage.text [ fhir:value "Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk" ];
       fhir:Dosage.additionalInstruction [
         fhir:index 0;
         fhir:CodeableConcept.text [ fhir:value "Rapidly increase dose until tolerated" ]
       ], [
         fhir:index 1;
         fhir:CodeableConcept.text [ fhir:value "Administer on alternate days" ]
       ];
       fhir:Dosage.timing [
         fhir:Timing.repeat [
           fhir:Timing.repeat.duration [ fhir:value "12"^^xsd:decimal ];
           fhir:Timing.repeat.durationUnit [ fhir:value "wk" ];
           fhir:Timing.repeat.frequency [ fhir:value "3"^^xsd:positiveInteger ];
           fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
           fhir:Timing.repeat.periodUnit [ fhir:value "wk" ]
         ]
       ];
       fhir:Dosage.route [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:47625008;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "47625008" ];
           fhir:Coding.display [ fhir:value "Intravenous route (qualifier value)" ]
         ]
       ];
       fhir:Dosage.method [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:422145002;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "422145002" ];
           fhir:Coding.display [ fhir:value "Inject - 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 "30"^^xsd:decimal ];
           fhir:Quantity.unit [ fhir:value "mg" ];
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
           fhir:Quantity.code [ fhir:value "mg" ]
         ]
       ]
     ]
  ]] .

# - ontology header ------------------------------------------------------------

[a owl:Ontology;
  owl:imports fhir:fhir.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.