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

Medicationrequest0315.ttl

Example MedicationRequest/medrx0315 (Turtle)

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

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

Request for an injectable medication - Lorazepam - active - with link to encounter, reasonCode and dosageInstruction 

@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/medrx0315> a fhir:MedicationRequest;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "medrx0315"];
  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;medrx0315&quot; </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a name=\"med0313\"> </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;med0313&quot; </p></div><p><b>code</b>: Lorazepam 2mg/ml injection solution 1ml vial (product) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#400621001)</span></p><p><b>form</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><h3>Ingredients</h3><table class=\"grid\"><tr><td>-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td>*</td><td>Lorazepam (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#387106007)</span></td><td>2 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></td></tr></table></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-f001.html\">Encounter/f001: encounter who leads to this prescription</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>reasonCode</b>: Epilepsy (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#84757009)</span></p></div>"
  ];
  fhir:DomainResource.contained [
     a fhir:Medication;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "med0313" ];
     fhir:Medication.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:400621001;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "400621001" ];
         fhir:Coding.display [ fhir:value "Lorazepam 2mg/ml injection solution 1ml vial (product)" ]
       ]
     ];
     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:387106007;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "387106007" ];
           fhir:Coding.display [ fhir:value "Lorazepam (substance)" ]

[a fhir:MedicationRequest ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "medrx0315"] ; # 
  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=\"medrx0315\"> </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;medrx0315&quot; </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>status</b>: active</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><span title=\"  Linked to a RESOURCE Medication  \"><a name=\"med0313\"> </a></span><blockquote><p/><p><a name=\"med0313\"> </a></p><p><b>code</b>: Lorazepam 2mg/ml injection solution 1ml vial (product) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#400621001)</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>Lorazepam (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#387106007)</span></td></tr></table><p><b>strength</b>: 2 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p></blockquote></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-f001-heart.html\">Encounter/f001: encounter who leads to this prescription</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><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Epilepsy (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#84757009)</span></td></tr></table><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed</p><p><b>timing</b>: Once per 15 minutes</p><p><b>asNeeded</b>: true</p><p><b>route</b>: Intravenous <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255560000)</span></p><p><b>method</b>: Push - dosing instruction imperative (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#420620005)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></div>"
  ] ; # 
  fhir:contained ( [
     a fhir:Medication ;
     fhir:id [ fhir:v "med0313" ] ;
     fhir:code [
       fhir:coding ( [
         a sct:400621001 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "400621001" ] ;
         fhir:display [ fhir:v "Lorazepam 2mg/ml injection solution 1ml vial (product)" ]
       ] )
     ] ;
     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:387106007 ;
             fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
             fhir:code [ fhir:v "387106007" ] ;
             fhir:display [ fhir:v "Lorazepam (substance)" ]
           ] )

         ]
       ];
       fhir:Medication.ingredient.strength [
         fhir:Ratio.numerator [
           fhir:Quantity.value [ fhir:value "2"^^xsd:decimal ];
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
           fhir:Quantity.code [ fhir:value "mg" ]
         ];
         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 "2"^^xsd:decimal ] ;
           fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "mg" ]
         ] ;
         fhir:denominator [
           fhir:value [ fhir:v "1"^^xsd:decimal ] ;
           fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "mL" ]

         ]
       ]
     ] )
  ] ) ; # 
  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 "active"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:medication [
     fhir:reference [
       fhir:reference [ fhir:v "#med0313" ]
     ] #    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/f001" ] ; #    Linked to a resource Encounter between patient and practitioner  
     fhir:display [ fhir:v "encounter who leads to this prescription" ]
  ] ; # 
  fhir:authoredOn [ fhir:v "2015-01-15"^^xsd:date] ; # 
  fhir:requester [
     fhir:reference [ fhir:v "Practitioner/f007" ] ;
     fhir:display [ fhir:v "Patrick Pump" ]
  ] ; # 
  fhir:reason ( [
     fhir:concept [
       fhir:coding ( [
         a sct:84757009 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "84757009" ] ;
         fhir:display [ fhir:v "Epilepsy (disorder)" ]
       ] )

     ]
  ];
  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 "#med0313" ]
  ];
  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.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:84757009;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "84757009" ];
       fhir:Coding.display [ fhir:value "Epilepsy (disorder)" ]
     ]
  ];
  fhir:MedicationRequest.dosageInstruction [
     fhir:index 0;
     fhir:Dosage.sequence [ fhir:value "1"^^xsd:integer ];
     fhir:Dosage.text [ fhir:value "0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed" ];
     fhir:Dosage.timing [
       fhir:Timing.repeat [
         fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ];
         fhir:Timing.repeat.period [ fhir:value "15"^^xsd:decimal ];
         fhir:Timing.repeat.periodUnit [ fhir:value "min" ]
       ]
     ];
     fhir:Dosage.asNeededBoolean [ fhir:value "true"^^xsd:boolean ];
     fhir:Dosage.route [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:255560000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "255560000" ];
         fhir:Coding.display [ fhir:value "Intravenous" ]
       ]
     ];
     fhir:Dosage.method [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:420620005;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "420620005" ];
         fhir:Coding.display [ fhir:value "Push - dosing instruction imperative (qualifier value)" ]

  ] ) ; # 
  fhir:dosageInstruction ( [
     fhir:sequence [ fhir:v "1"^^xsd:integer ] ;
     fhir:text [ fhir:v "0.05 - 0.1mg/kg IV over 2-5 minutes every 15 minutes as needed" ] ;
     fhir:timing [
       fhir:repeat [
         fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
         fhir:period [ fhir:v "15"^^xsd:decimal ] ;
         fhir:periodUnit [ fhir:v "min" ]

       ]
     ];
     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 "0.05"^^xsd:decimal ];
           fhir:Quantity.unit [ fhir:value "mg/kg" ];
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
           fhir:Quantity.code [ fhir:value "mg/kg" ]
         ];
         fhir:Range.high [
           fhir:Quantity.value [ fhir:value "0.1"^^xsd:decimal ];
           fhir:Quantity.unit [ fhir:value "mg/kg" ];
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
           fhir:Quantity.code [ fhir:value "mg/kg" ]

     ] ;
     fhir:asNeeded [ fhir:v "true"^^xsd:boolean ] ;
     fhir:route [
       fhir:coding ( [
         a sct:255560000 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "255560000" ] ;
         fhir:display [ fhir:v "Intravenous" ]
       ] )
     ] ;
     fhir:method [
       fhir:coding ( [
         a sct:420620005 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "420620005" ] ;
         fhir:display [ fhir:v "Push - 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 "0.05"^^xsd:decimal ] ;
           fhir:unit [ fhir:v "mg/kg" ] ;
           fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "mg/kg" ]
         ] ;
         fhir:high [
           fhir:value [ fhir:v "0.1"^^xsd:decimal ] ;
           fhir:unit [ fhir:v "mg/kg" ] ;
           fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "mg/kg" ]

         ]
       ];
       fhir:Dosage.doseAndRate.rateRange [
         fhir:Range.low [
           fhir:Quantity.value [ fhir:value "2"^^xsd:decimal ];
           fhir:Quantity.unit [ fhir:value "min" ];
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
           fhir:Quantity.code [ fhir:value "min" ]
         ];
         fhir:Range.high [
           fhir:Quantity.value [ fhir:value "5"^^xsd:decimal ];
           fhir:Quantity.unit [ fhir:value "min" ];
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
           fhir:Quantity.code [ fhir:value "min" ]

       ] ;
       fhir:rate [
         a fhir:Range ;
         fhir:low [
           fhir:value [ fhir:v "2"^^xsd:decimal ] ;
           fhir:unit [ fhir:v "min" ] ;
           fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "min" ]
         ] ;
         fhir:high [
           fhir:value [ fhir:v "5"^^xsd:decimal ] ;
           fhir:unit [ fhir:v "min" ] ;
           fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "min" ]

         ]
       ]
     ]
  ] .

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

<http://hl7.org/fhir/Encounter/f001> a fhir:Encounter .

<http://hl7.org/fhir/Practitioner/f007> a fhir:Practitioner .

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

<http://hl7.org/fhir/MedicationRequest/medrx0315.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/MedicationRequest/medrx0315.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.