Release 4B R5 Final QA

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - STU see ballot notes ). 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

Medicationrequest0301.ttl

Example MedicationRequest/medrx0301 (Turtle)

Pharmacy Work Group Maturity Level : N/A Standards Status : Informative Compartments : Encounter , Patient , Practitioner

Raw Turtle (+ also see Turtle/RDF Format Specification )

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</b></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 &quot;medrx0301&quot; </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>statusReason</b>: Try another treatment first <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-medicationrequest-status-reason.html\">MedicationRequest Status Reason Codes</a>#altchoice)</span></p><p><b>intent</b>: order</p><p><b>category</b>: Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-medicationrequest-admin-location.html\">Medication request  administration  location  codes</a>#inpatient)</span></p><p><b>medication</b>: <a name=\"med0310\"> </a></p><blockquote><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 &quot;med0310&quot; </p></div><p><b>code</b>: Oral Form Oxycodone (product) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#430127000)</span></p></blockquote><p><b>subject</b>: <a href=\"patient-pat1.html\">Patient/pat1: Donald Duck</a> &quot;Duck DONALD&quot;</p><p><b>encounter</b>: <a href=\"encounter-f201.html\">Encounter/f201: encounter who leads to this prescription</a></p><p><b>supportingInformation</b>: <a href=\"procedure-biopsy.html\">Procedure/biopsy</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href=\"practitioner-f007.html\">Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</p><p><b>performer</b>: <a href=\"practitioner-f204.html\">Practitioner/f204: Carla Espinosa</a> &quot;Carla Espinosa&quot;</p><p><b>performerType</b>: Public Health Nurse <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#26369006)</span></p><p><b>reasonCode</b>: Rib Pain (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#297217002)</span></p><p><b>insurance</b>: <a href=\"coverage-9876b1.html\">Coverage/9876B1</a></p><p><b>note</b>: Patient told to take with food</p><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --&gt; 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 0</p><p><b>quantity</b>: 30 TAB<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><p><b>performer</b>: <a href=\"organization-2.16.840.1.113883.19.5.html\">Organization/2.16.840.1.113883.19.5</a> &quot;Good Health Clinic&quot;</p></blockquote><h3>Substitutions</h3><table class=\"grid\"><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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActReason.html\">ActReason</a>#FP)</span></td></tr></table><p><b>detectedIssue</b>: <a href=\"detectedissue-allergy.html\">DetectedIssue/allergy</a></p><p><b>eventHistory</b>: <a name=\"signature\"> </a></p><blockquote><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 &quot;signature&quot; </p></div><p><b>target</b>: <a href=\"servicerequest-physiotherapy.html\">ServiceRequest/physiotherapy</a></p><p><b>recorded</b>: 02/02/2017 4:23:07 AM</p><h3>Agents</h3><table class=\"grid\"><tr><td>-</td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td>*</td><td>author (originator) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#AUT)</span></td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> &quot;Adam CAREFUL&quot;</td></tr></table></blockquote></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:MedicationRequest ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "medrx0301"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"medrx0301\"> </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;medrx0301&quot; </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>status</b>: completed</p><p><b>statusReason</b>: Try another treatment first <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-medicationrequest-status-reason.html\">MedicationRequest Status Reason Codes</a>#altchoice)</span></p><p><b>intent</b>: order</p><p><b>category</b>: Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-medicationrequest-admin-location.html\">Medication request  administration  location  codes</a>#inpatient)</span></p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><span title=\"  Linked to a RESOURCE Medication  \"><a name=\"med0310\"> </a></span><blockquote><p/><p><a name=\"med0310\"> </a></p><p><b>code</b>: Oral Form Oxycodone (product) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#430127000)</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>encounter</b>: <a href=\"encounter-example-f201-20130404.html\">Encounter/f201: encounter who leads to this prescription</a></p><p><b>supportingInformation</b>: <a href=\"procedure-example-biopsy.html\">Procedure/biopsy</a></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><p><b>performerType</b>: Public Health Nurse <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#26369006)</span></p><p><b>performer</b>: <a href=\"practitioner-example-f204-ce.html\">Practitioner/f204: Carla Espinosa</a> &quot;Carla Espinosa&quot;</p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Rib Pain (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#297217002)</span></td></tr></table><p><b>insurance</b>: <a href=\"coverage-example.html\">Coverage/9876B1</a></p><p><b>note</b>: Patient told to take with food</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: one to two tablets every 4-6 hours as needed for rib pain</p><p><b>additionalInstruction</b>: Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#418914006)</span></p><p><b>patientInstruction</b>: Take one to two tablets every four to six hours as needed for rib pain</p><p><b>timing</b>: Once per 4-6 hours</p><p><b>asNeededFor</b>: Rib Pain (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#297217002)</span></p><p><b>route</b>: Oral Route <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#26643006)</span></p><p><b>method</b>: Swallow - dosing instruction imperative (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#421521009)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --&gt; 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 0</p><p><b>quantity</b>: 30 TAB<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td>-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>10</td><td>days</td><td><a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ucum.html\">Unified Code for Units of Measure (UCUM)</a></td><td>d</td></tr></table><p><b>dispenser</b>: <a href=\"organization-example-good-health-care.html\">Organization/2.16.840.1.113883.19.5</a> &quot;Good Health Clinic&quot;</p></blockquote><h3>Substitutions</h3><table class=\"grid\"><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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ActReason.html\">ActReason</a>#FP)</span></td></tr></table><p><b>eventHistory</b>: <a name=\"signature\"> </a></p><blockquote><p/><p><a name=\"signature\"> </a></p><p><b>target</b>: <a href=\"servicerequest-example2.html\">ServiceRequest/physiotherapy</a></p><p><b>recorded</b>: 2 Feb 2017, 4:23:07 am</p><h3>Agents</h3><table class=\"grid\"><tr><td>-</td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td>*</td><td>author (originator) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#AUT)</span></td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> &quot;Adam CAREFUL&quot;</td></tr></table><h3>Signatures</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>TargetFormat</b></td><td><b>SigFormat</b></td><td><b>Data</b></td></tr><tr><td>*</td><td>Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'Author's Signature')</td><td>2 Feb 2017, 4:23:07 am</td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> &quot;Adam CAREFUL&quot;</td><td>application/fhir+xml</td><td>application/signature+xml</td><td>dGhpcyBibG9iIGlzIHNuaXBwZWQ=</td></tr></table></blockquote></div>"
  ] ; # 
  fhir:contained ( [
     a fhir:Medication ;
     fhir:id [ fhir:v "med0310" ] ;
     fhir:code [
       fhir:coding ( [
         a sct:430127000 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "430127000" ] ;
         fhir:display [ fhir:v "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/ServiceRequest/physiotherapy>;
       fhir:Reference.reference [ fhir:value "ServiceRequest/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://terminology.hl7.org/CodeSystem/v3-ParticipationType" ];
           fhir:Coding.code [ fhir:value "AUT" ]
         ]
       ];
       fhir:Provenance.agent.who [
         fhir:link <http://hl7.org/fhir/Practitioner/example>;
         fhir:Reference.reference [ fhir:value "Practitioner/example" ];
         fhir:Reference.display [ fhir:value "Dr Adam Careful" ]

  ] [
     a fhir:Provenance ;
     fhir:id [ fhir:v "signature" ] ;
     fhir:target ( [
       fhir:reference [ fhir:v "ServiceRequest/physiotherapy" ]
     ] ) ;
     fhir:recorded [ fhir:v "2017-02-01T17:23:07Z"^^xsd:dateTime ] ;
     fhir:agent ( [
       fhir:role ( [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "AUT" ]
         ] )
       ] ) ;
       fhir:who [
         fhir:reference [ fhir:v "Practitioner/example" ] ;
         fhir:display [ fhir:v "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.who [
         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.targetFormat [ fhir:value "application/fhir+xml" ];
       fhir:Signature.sigFormat [ fhir:value "application/signature+xml" ];
       fhir:Signature.data [ 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 "completed"];
  fhir:MedicationRequest.statusReason [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason" ];
       fhir:Coding.code [ fhir:value "altchoice" ];
       fhir:Coding.display [ fhir:value "Try another treatment first" ]
     ]
  ];
  fhir:MedicationRequest.intent [ fhir:value "order"];
  fhir:MedicationRequest.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medicationrequest-admin-location" ];
       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.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/f201>;
     fhir:Reference.reference [ fhir:value "Encounter/f201" ];
     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:link <http://hl7.org/fhir/Practitioner/f007>;
     fhir:Reference.reference [ fhir:value "Practitioner/f007" ];
     fhir:Reference.display [ fhir:value "Patrick Pump" ]
  ];
  fhir:MedicationRequest.performer [
     fhir:link <http://hl7.org/fhir/Practitioner/f204>;
     fhir:Reference.reference [ fhir:value "Practitioner/f204" ];
     fhir:Reference.display [ fhir:value "Carla Espinosa" ]
  ];
  fhir:MedicationRequest.performerType [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:26369006;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "26369006" ];
       fhir:Coding.display [ fhir:value "Public Health Nurse" ]
     ]
  ];
  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:signature ( [
       fhir:type ( [
         fhir:system [ fhir:v "urn:iso-astm:E1762-95:2013"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "1.2.840.10065.1.12.1.1" ] ;
         fhir:display [ fhir:v "Author's Signature" ]
       ] ) ;
       fhir:when [ fhir:v "2017-02-01T17:23:07Z"^^xsd:dateTime ] ;
       fhir:who [
         fhir:reference [ fhir:v "Practitioner/example" ] ;
         fhir:display [ fhir:v "Dr Adam Careful" ]
       ] ;
       fhir:targetFormat [ fhir:v "application/fhir+xml" ] ;
       fhir:sigFormat [ fhir:v "application/signature+xml" ] ;
       fhir:data [ fhir:v "dGhpcyBibG9iIGlzIHNuaXBwZWQ="^^xsd:base64Binary ]
     ] )
  ] ) ; # 
  fhir:identifier ( [
     fhir:use [ fhir:v "official" ] ;
     fhir:system [ fhir:v "http://www.bmc.nl/portal/prescriptions"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "12345689" ]
  ] ) ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:statusReason [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "altchoice" ] ;
       fhir:display [ fhir:v "Try another treatment first" ]
     ] )
  ] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:category ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-admin-location"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "inpatient" ] ;
       fhir:display [ fhir:v "Inpatient" ]
     ] )
  ] ) ; # 
  fhir:medication [
     fhir:reference [
       fhir:reference [ fhir:v "#med0310" ]
     ] #    Linked to a RESOURCE Medication   
  ] ; # 
  fhir:subject [
     fhir:reference [ fhir:v "Patient/pat1" ] ; #    Linked to the resource patient who needs the medication   
     fhir:display [ fhir:v "Donald Duck" ]
  ] ; # 
  fhir:encounter [
     fhir:reference [ fhir:v "Encounter/f201" ] ; #    Linked to a resource Encounter between patient and practitioner  
     fhir:display [ fhir:v "encounter who leads to this prescription" ]
  ] ; # 
  fhir:supportingInformation ( [
     fhir:reference [ fhir:v "Procedure/biopsy" ]
  ] ) ; # 
  fhir:authoredOn [ fhir:v "2015-01-15"^^xsd:date] ; # 
  fhir:requester [
     fhir:reference [ fhir:v "Practitioner/f007" ] ;
     fhir:display [ fhir:v "Patrick Pump" ]
  ] ; # 
  fhir:performerType [
     fhir:coding ( [
       a sct:26369006 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "26369006" ] ;
       fhir:display [ fhir:v "Public Health Nurse" ]
     ] )
  ] ; # 
  fhir:performer ( [
     fhir:reference [ fhir:v "Practitioner/f204" ] ;
     fhir:display [ fhir:v "Carla Espinosa" ]
  ] ) ; # 
  fhir:reason ( [
     fhir:concept [
       fhir:coding ( [
         a sct:297217002 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "297217002" ] ;
         fhir:display [ fhir:v "Rib Pain (finding)" ]
       ] )

     ]
  ];
  fhir:MedicationRequest.insurance [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Coverage/9876B1>;
     fhir:Reference.reference [ fhir:value "Coverage/9876B1" ]
  ];
  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:positiveInteger ];
         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:insurance ( [
     fhir:reference [ fhir:v "Coverage/9876B1" ]
  ] ) ; # 
  fhir:note ( [
     fhir:text [ fhir:v "Patient told to take with food" ]
  ] ) ; # 
  fhir:dosageInstruction ( [
     fhir:sequence [ fhir:v "1"^^xsd:integer ] ;
     fhir:text [ fhir:v "one to two tablets every 4-6 hours as needed for rib pain" ] ;
     fhir:additionalInstruction ( [
       fhir:coding ( [
         a sct:418914006 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "418914006" ] ;
         fhir:display [ fhir:v "Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)" ]
       ] )
     ] ) ;
     fhir:patientInstruction [ fhir:v "Take one to two tablets every four to six hours as needed for rib pain" ] ;
     fhir:timing [
       fhir:repeat [
         fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
         fhir:period [ fhir:v "4"^^xsd:decimal ] ;
         fhir:periodMax [ fhir:v "6"^^xsd:decimal ] ;
         fhir:periodUnit [ fhir:v "h" ]

       ]
     ];
     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.doseRange [
         fhir:Range.low [
           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:Range.high [
           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:asNeededFor ( [
       fhir:coding ( [
         a sct:297217002 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "297217002" ] ;
         fhir:display [ fhir:v "Rib Pain (finding)" ]
       ] )
     ] ) ;
     fhir:route [
       fhir:coding ( [
         a sct:26643006 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         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: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:code [ fhir:v "ordered" ] ;
           fhir:display [ fhir:v "Ordered" ]
         ] )
       ] ;
       fhir:dose [
         a fhir:Range ;
         fhir:low [
           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:code [ fhir:v "TAB" ]
         ] ;
         fhir:high [
           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: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 "0"^^xsd:nonNegativeInteger ] ;
     fhir:quantity [
       fhir:value [ fhir:v "30"^^xsd:decimal ] ;
       fhir:unit [ fhir:v "TAB" ] ;
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "TAB" ]
     ] ;
     fhir:expectedSupplyDuration [
       fhir:value [ fhir:v "10"^^xsd:decimal ] ;
       fhir:unit [ fhir:v "days" ] ;
       fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "d" ]
     ] ;
     fhir:dispenser [
       fhir:reference [ fhir:v "Organization/2.16.840.1.113883.19.5" ]

     ]
  ];
  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 "0"^^xsd:nonNegativeInteger ];
     fhir:MedicationRequest.dispenseRequest.quantity [
       fhir:Quantity.value [ fhir:value "30"^^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 "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.dispenseRequest.performer [
       fhir:link <http://hl7.org/fhir/Organization/2.16.840.1.113883.19.5>;
       fhir:Reference.reference [ fhir:value "Organization/2.16.840.1.113883.19.5" ]
     ]
  ];
  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 [ fhir:v "true"^^xsd:boolean ] ;
     fhir:reason [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "FP" ] ;
         fhir:display [ fhir:v "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/ServiceRequest/physiotherapy> a fhir:ServiceRequest .

<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .

<http://hl7.org/fhir/Patient/pat1> a fhir:Patient .

<http://hl7.org/fhir/Encounter/f201> 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/Practitioner/f204> a fhir:Practitioner .

<http://hl7.org/fhir/Coverage/9876B1> a fhir:Coverage .

<http://hl7.org/fhir/Organization/2.16.840.1.113883.19.5> 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://build.fhir.org/MedicationRequest/medrx0301.ttl> .

  ] ; # 
  fhir:eventHistory ( [
     fhir:reference [ fhir:v "#signature" ] ;
     fhir:display [ fhir:v "Author's Signature" ]
  ] )] . # 


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

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.