Medicationdispense0302.ttl - FHIR v5.0.0-draft-final

This page is part of the FHIR Specification ~~(v4.0.1: R4~~ (v5.0.0-draft-final: Final QA Preview for R5 - ~~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 R2 Content Examples Detailed Descriptions Mappings Profiles & Extensions~~ R3 ~~Conversions 12.22.6 Resource SupplyDelivery - Detailed Descriptions~~

Example MedicationDispense/meddisp0302 (Turtle)

~~Orders and Observations~~ Pharmacy Work Group

Maturity Level : ~~1 Trial Use~~ N/A

~~Security Category~~ Standards Status : ~~Patient~~ Informative

Compartments : Encounter , Patient , Practitioner

Detailed Descriptions for the elements in the SupplyDelivery resource. SupplyDelivery Element Id SupplyDelivery Definition Record of delivery of what is supplied. Cardinality 0..* Type DomainResource SupplyDelivery.identifier Element Id SupplyDelivery.identifier Definition Identifier for the supply delivery event that is used to identify it across multiple disparate systems. Note This is a business identifier, not a resource identifier (see discussion ) Cardinality 0..* Type Identifier Comments This identifier is typically assigned by the dispenser, and may be used to reference the delivery when exchanging information about it with other systems. SupplyDelivery.basedOn Element Id SupplyDelivery.basedOn Definition A plan, proposal or order that is fulfilled in whole or in part by this event. Cardinality 0..*

~~Type~~ Narrative
~~Reference ( SupplyRequest~~ XML ~~) Requirements Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.~~
~~Summary~~ JSON ~~true~~
TTL ~~SupplyDelivery.partOf Element Id SupplyDelivery.partOf Definition~~

~~A larger event of which this particular event is a component or step. Cardinality 0..* Type Reference ( SupplyDelivery~~ Raw Turtle ~~| Contract~~ (+ also see Turtle/RDF Format Specification ) ~~Requirements E.g. Drug administration as part of a procedure, procedure as part of observation, etc. Summary true Comments Not to be used to link an event to an Encounter - use Event.context for that.~~

~~[The allowed reference resources may be adjusted as appropriate~~ Dispense for the event resource]. SupplyDelivery.status Element Id SupplyDelivery.status Definition A code specifying the state of the dispense event. Cardinality 0..1 Terminology Binding SupplyDeliveryStatus ( Required ) Type code Is Modifier true (Reason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid) Summary true Comments This element is labeled as a modifier because the status contains codes that mark the resource Subcutaneous injection with multiple dosage lines - Insulin - Novolog (NDC Code) - active - includes Destination, Receiver, note. Dosage includes additionalInstructions as not currently valid. SupplyDelivery.patient Element Id SupplyDelivery.patient Definition A link to a resource representing the person whom the delivered item is for. Cardinality 0..1 Type Reference ( Patient ) SupplyDelivery.type Element Id SupplyDelivery.type Definition Indicates the type of dispensing event that is performed. Examples include: Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. Cardinality 0..1 Terminology Binding Supply Item Type ( Required ) Type CodeableConcept SupplyDelivery.suppliedItem Element Id SupplyDelivery.suppliedItem Definition The item that is being delivered or has been supplied. text

~~Cardinality 0..1 SupplyDelivery.suppliedItem.quantity Element Id SupplyDelivery.suppliedItem.quantity Definition~~

@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:MedicationDispense ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "meddisp0302"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"meddisp0302\"> </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 MedicationDispense &quot;meddisp0302&quot; </p></div><p><b>status</b>: in-progress</p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a name=\"med0360\"> </a><blockquote><p/><p><a name=\"med0360\"> </a></p><p><b>code</b>: Novolog 100u/ml <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ndc.html\">National drug codes</a>#0169-7501-11)</span></p><p><b>doseForm</b>: Injection solution (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385219001)</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Insulin Aspart (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#325072002)</span></td></tr></table><p><b>strength</b>: 100 U<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code U = 'U')</span>/1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p></blockquote><h3>Batches</h3><table class=\"grid\"><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>12345</td><td>2019-10-31</td></tr></table></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td>Final Checker <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-medicationdispense-performer-function.html\">MedicationDispense Performer Function Codes</a>#finalchecker)</span></td><td><a href=\"practitioner-example-f006-rvdb.html\">Practitioner/f006</a> &quot;Rob VAN DEN BERK&quot;</td></tr></table><p><b>authorizingPrescription</b>: <a href=\"medicationrequest0321.html\">MedicationRequest/medrx0321</a></p><p><b>type</b>: Refill - Part Fill <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#RFP)</span></p><p><b>quantity</b>: 10 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code ml = 'ml')</span></p><p><b>daysSupply</b>: 30 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2015-01-15T10:20:00Z</p><p><b>whenHandedOver</b>: 2015-01-15T16:20:00Z</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Before Breakfast</p><p><b>additionalInstruction</b>: Check sugar level before taking Novolog <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Once per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 15 units before lunch</p><p><b>additionalInstruction</b>: Check sugar level before taking Novolog <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Once per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 20 units before dinner</p><p><b>additionalInstruction</b>: Check sugar level before taking Novolog <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Once per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></div>"
  ] ; # 
  fhir:contained ( [
     a fhir:Medication ;
     fhir:id [ fhir:v "med0360" ] ;
     fhir:code [
       fhir:coding ( [
         fhir:system [ fhir:v "http://hl7.org/fhir/sid/ndc"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "0169-7501-11" ] ;
         fhir:display [ fhir:v "Novolog 100u/ml" ]
       ] )
     ] ;
     fhir:doseForm [
       fhir:coding ( [
         a sct:385219001 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "385219001" ] ;
         fhir:display [ fhir:v "Injection solution (qualifier value)" ]
       ] )
     ] ;
     fhir:ingredient ( [
       fhir:item [
         fhir:concept [
           fhir:coding ( [
             a sct:325072002 ;
             fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
             fhir:code [ fhir:v "325072002" ] ;
             fhir:display [ fhir:v "Insulin Aspart (substance)" ]
           ] )
         ]
       ] ;
       fhir:strength [
         a fhir:Ratio ;
         fhir:numerator [
           fhir:value [ fhir:v "100"^^xsd:decimal ] ;
           fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "U" ]
         ] ;
         fhir:denominator [
           fhir:value [ fhir:v "1"^^xsd:decimal ] ;
           fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "mL" ]
         ]
       ]
     ] ) ;
     fhir:batch [
       fhir:lotNumber [ fhir:v "12345" ] ;
       fhir:expirationDate [ fhir:v "2019-10-31"^^xsd:date ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "in-progress"] ; # 
  fhir:medication [
     fhir:reference [
       fhir:reference [ fhir:v "#med0360" ] ;
       fhir:display [ fhir:v "Novolog 100u/ml" ]
     ]
  ] ; # 
  fhir:subject [
     fhir:reference [ fhir:v "Patient/pat1" ] ;
     fhir:display [ fhir:v "Donald Duck" ]
  ] ; # 
  fhir:performer ( [
     fhir:function [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "finalchecker" ] ;
         fhir:display [ fhir:v "Final Checker" ]
       ] )
     ] ;
     fhir:actor [
       fhir:reference [ fhir:v "Practitioner/f006" ]
     ]
  ] ) ; # 
  fhir:authorizingPrescription ( [
     fhir:reference [ fhir:v "MedicationRequest/medrx0321" ]
  ] ) ; # 
  fhir:type [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "RFP" ] ;
       fhir:display [ fhir:v "Refill - Part Fill" ]
     ] )
  ] ; # 
  fhir:quantity [
     fhir:value [ fhir:v "10"^^xsd:decimal ] ;
     fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
     fhir:code [ fhir:v "ml" ]
  ] ; # 
  fhir:daysSupply [
     fhir:value [ fhir:v "30"^^xsd:decimal ] ;
     fhir:unit [ fhir:v "Day" ] ;
     fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
     fhir:code [ fhir:v "d" ]
  ] ; # 
  fhir:whenPrepared [ fhir:v "2015-01-15T10:20:00Z"^^xsd:dateTime] ; # 
  fhir:whenHandedOver [ fhir:v "2015-01-15T16:20:00Z"^^xsd:dateTime] ; # 
  fhir:dosageInstruction ( [
     fhir:sequence [ fhir:v "1"^^xsd:integer ] ;
     fhir:text [ fhir:v "Before Breakfast" ] ;
     fhir:additionalInstruction ( [
       fhir:text [ fhir:v "Check sugar level before taking Novolog" ]
     ] ) ;
     fhir:timing [
       fhir:repeat [
         fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
         fhir:period [ fhir:v "1"^^xsd:decimal ] ;
         fhir:periodUnit [ fhir:v "d" ]
       ]
     ] ;
     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 "10"^^xsd:decimal ] ;
         fhir:unit [ fhir:v "U" ] ;
         fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "U" ]
       ]
     ] )
  ] [
     fhir:sequence [ fhir:v "1"^^xsd:integer ] ;
     fhir:text [ fhir:v "15 units before lunch" ] ;
     fhir:additionalInstruction ( [
       fhir:text [ fhir:v "Check sugar level before taking Novolog" ]
     ] ) ;
     fhir:timing [
       fhir:repeat [
         fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
         fhir:period [ fhir:v "1"^^xsd:decimal ] ;
         fhir:periodUnit [ fhir:v "d" ]
       ]
     ] ;
     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 "15"^^xsd:decimal ] ;
         fhir:unit [ fhir:v "U" ] ;
         fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "U" ]
       ]
     ] )
  ] [
     fhir:sequence [ fhir:v "1"^^xsd:integer ] ;
     fhir:text [ fhir:v "20 units before dinner" ] ;
     fhir:additionalInstruction ( [
       fhir:text [ fhir:v "Check sugar level before taking Novolog" ]
     ] ) ;
     fhir:timing [
       fhir:repeat [
         fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
         fhir:period [ fhir:v "1"^^xsd:decimal ] ;
         fhir:periodUnit [ fhir:v "d" ]
       ]
     ] ;
     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 "20"^^xsd:decimal ] ;
         fhir:unit [ fhir:v "U" ] ;
         fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "U" ]
       ]
     ] )
  ] )] . # 

# -------------------------------------------------------------------------------------

~~The amount of supply that~~ Usage note: every effort has been dispensed. Includes unit of measure. Cardinality 0..1 Type SimpleQuantity SupplyDelivery.suppliedItem.item[x] Element Id SupplyDelivery.suppliedItem.item[x] Definition Identifies the medication, substance or device being dispensed. This is either a link made to ~~a resource representing the details of the item or a code~~ ensure that ~~identifies~~ the ~~item from~~ examples are correct and useful, but they are not a known list. Cardinality 0..1 Terminology Binding SNOMED CT Supply Item ( Example ) Type CodeableConcept | Reference ( Medication | Substance | Device ) [x] Note See Choice of Data Types for further information about how to use [x] SupplyDelivery.occurrence[x] Element Id SupplyDelivery.occurrence[x] Definition The date or time(s) the activity occurred. Cardinality 0..1 Type dateTime | Period | Timing [x] Note See Choice of Data Types for further information about how to use [x] Summary true Comments [The list of types may be constrained as appropriate for the type of event]. SupplyDelivery.supplier Element Id SupplyDelivery.supplier Definition The individual responsible for dispensing the medication, supplier or device. Cardinality 0..1 Type Reference ( Practitioner | PractitionerRole | Organization ) SupplyDelivery.destination Element Id SupplyDelivery.destination Definition Identification of the facility/location where the Supply was shipped to, as normative part of the ~~dispense event. Cardinality 0..1 Type Reference ( Location ) SupplyDelivery.receiver Element Id SupplyDelivery.receiver Definition Identifies the person who picked up the Supply.~~ specification.

~~Cardinality 0..* Type Reference ( Practitioner | PractitionerRole )~~