Release 4 Snapshot 3: Connectathon 32 Base

This page is part of the Snapshot #3 for FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0 R5 , released to support Connectathon 32 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Content Examples Detailed Descriptions Mappings Profiles & Extensions R3 Conversions 11.1.5 Resource MedicationRequest - Examples

Example CodeSystem/audit-event-severity (Turtle)

Pharmacy Security Work Group Maturity Level : N/A Standards Status : Informative Security Category : Patient Compartments : Encounter , Patient , Practitioner
ORAL DOSAGE FORMS The following examples are MedicationRequest resources for Oral Dosage Forms that reference Medication Resources for generic formulations: Active Request with link to encounter, reasonCode, note multiple dosage lines, dispenseRequest and substitution - Azithromycin. Also includes non-clinical supportingInformation Request with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution Request for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod Request for Oral Drops - Nystatin Suspension - completed - with Dispense Request Request with Dosage with a Pre-Condition - Alprazolam - dosageInstructions includes boundsPeriod with periodMax and asNeededCodeableConcept Request for a Dosage that needs to be dispensed as different strength tablets - Warfarin - active The following examples are MedicationRequest resources for Oral Dosage Forms that reference Medication Resources for manufactured products: Oral Chemotherapy Request - Myleran - completed - with reasonCode Request with as needed (PRN) dosage - Percocet - completed with link to encounter, dispenseRequest and substitution Request for as needed (PRN) dosage - Vicodin - completed with dosageInstruction with additionalInstruction (coded) and as needed with reason, dispenseRequest and substitution Oral Chemotherapy Request - Capecitabine - active medication with dosing by Body Surface Area (BSA) (mg/m2) Request for Over the Counter Medication - Tylenol PM - with dosage range as needed with pre-condition for use Request for a medication that includes the dosage of a prescription in text Fully populated example of a MedicationRequest - Chlorthalidone - active - with link to encounter, reasonReference, note, dispenseRequest, substitution and eventHistory The following examples are MedicationRequest resources for Oral Dosage Forms that include a Medication Code Liquid Medication - Phenytoin with link to prior prescription

The following examples of MedicationRequest resources for Injectable Dosage Forms for Injectable Dosage Forms where the medication is a compounded (aka extemporaneous or magistral) product: Request for Intravenous Admixture with Dosage Rate (as rateRatio) - Potassium Chloride in D5W - completed with reason code Raw Turtle Request for TPN Solution with Dosage Rate (as rateRatio) - completed (+ also see Turtle/RDF Format Specification MISCELLAENOUS DOSAGE FORMS )

The following examples of MedicationRequest resources including miscellaneous dosage forms: Request using Medication Code for Rectal Suppository - Acetaminophen - completed with reasonCode, dispenseRequest and substitution Request using Medication Code for Topical Ointment - Nystatin - on hold and with dispense request Request using Medication Code Definition for Inhaler - Proventil - on hold with dispenseRequest and substitution Request using Medication Code for Patch - Fentanyl - active, with dispense request Medication Resource Reference - Nasal Spray - Nasonex Request referencing Medication Resource for Compounded Product - HC 1%, Salicylic Acid 5% in Glaxal Base - on hold with dispenseRequest Request referencing Medication Resource for Eye Drops - Timoptic - active - with link to encounter, dispenseRequest and substitution flag Request referencing Medication Resource for a Kit that contains 2 different dosage forms - Vagistat MISCELLAENOUS DOSAGE INSTRUCTIONS The following examples of MedicationRequest resources including miscellaneous dosage instructions: SystemAuditEventSeverity

Request that includes a dosage instruction for a medication that is intended to be given once only as single dose Request for a medication that is intended to be given in the morning Request that includes a dosage instruction for a medication that is given on a specific day of the week Request that includes a dosage instruction for a medication that is given at a specific time of the day Request with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution Request for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod Request with Dosage with a Pre-Condition - Alprazolam - dosageInstructions includes boundsPeriod with periodMax and asNeededCodeableConcept Request for an injectable medication - Lorazepam with Dosage Rate (as rateRange) - active - with link to encounter, reasonCode and dosageInstruction Request for Intravenous Admixture with Dosage Rate (as rateRatio) - Potassium Chloride in D5W - completed with reason code Request for Intravenous Dopamine - Weight based calculation with rateQuantity Request for Intravenous Admixture Dopamine - with rateQuantity Request for Intravenous Admixture Dopamine - with doseQuantity and rateQuantity Request for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. Dosage includes additionalInstructions as text Request for Intravenous Antibiotic with a Dosage Rate (as RateQuantity) - Piperacillin - completed with reason code Oral Chemotherapy Request - Capecitabine - active medication with dosing by Body Surface Area (BSA) (mg/m2) Request for as needed (PRN) dosage - Vicodin - completed with dosageInstruction with additionalInstruction (coded) and as needed with reason, dispenseRequest and substitution Example Name id Format Order for a medication that includes the dosage of a prescription in text medrx002 XML JSON Turtle Active Order with link to encounter, reasonCode, note multiple dosage lines, dispenseRequest and substitution - Azithromycin medrx0302 XML JSON Turtle Order with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution medrx0301 XML JSON Turtle Order for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod medrx0303 XML JSON Turtle Order for Oral Drops - Nystatin Suspension - completed - with Dispense Request medrx0304 XML JSON Turtle Order with Dosage with a Pre-Condition - Alprazolam - dosageInstructions includes boundsPeriod with periodMax and asNeededCodeableConcept medrx0305 XML JSON Turtle Oral Chemotherapy Order - Myleran - completed - with reasonCode medrx0306 XML JSON Turtle Order with as needed (PRN) dosage - Percocet - completed with link to encounter, dispenseRequest and substitution medrx0307 XML JSON Turtle Order for as needed (PRN) dosage - Vicodin - completed with dosageInstruction with additionalInstruction (coded) and as needed with reason, dispenseRequest and substitution medrx0308 XML JSON Turtle Oral Chemotherapy Order - Capecitabine - active medication with dosing by Body Surface Area (BSA) (mg/m2) medrx0309 XML JSON Turtle Request for Over the Counter Medication - Tylenol PM - with dosage range as needed with pre-condition for use medrx0310 XML JSON Turtle Fully populated example of a MedicationRequest - Chlorthalidone - active - with link to encounter, reasonReference, note, dispenseRequest, substitution and eventHistory medrx0311 XML JSON Turtle Liquid Medication - Phenytoin with link to prior prescription medrx0312 XML JSON Turtle Request with a single dosage line - Azithromycin - completed - with link to prior prescription and reason code medrx0313 XML JSON Turtle Request - Levothyroxine - completed with reasonCode, dosageInstructions and dispenseRequest medrx0314 XML JSON Turtle Request for an injectable medication - Lorazepam - active - with link to encounter, reasonCode and dosageInstruction medrx0315 XML JSON Turtle Request for Intravenous Chemotherapy (inpatient order) - Brentuximab Vedotin - completed medrx0316 XML JSON Turtle Request for Intravenous Chemotherapy (inpatient order) - Alemtuzumab - completed with multiple dosageInstruction lines medrx0317 XML JSON Turtle Request for Intravenous Antibiotic - Vancomycin - active - with link to encounter, reasonCode, and note medrx0318 XML JSON Turtle Request for Intravenous Antibiotic with a Dosage Rate - Piperacillin - completed with reason code medrx0319 XML JSON Turtle Request for Subcutaneous injection - Insulin - Lantus - completed, with reason code and dispense request medrx0320 XML JSON Turtle Request for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. Dosage includes additionalInstructions as text medrx0321 XML JSON Turtle Request for Intravenous Admixture - Potassium Chloride in D5W - completed with reason code medrx0322 XML JSON Turtle Request for TPN Solution - completed medrx0323 XML JSON Turtle Request using Medication Code for Rectal Suppository - Acetaminophen - completed with reasonCode, dispenseRequest and substitution medrx0324 XML JSON Turtle Request using Medication Code for Topical Ointment - Nystatin - on hold and with dispense request medrx0325 XML JSON Turtle Request using Medication Code for Inhaler - Proventil - on hold with dispenseRequest and substitution medrx0326 XML JSON Turtle Request using Medication Code for Patch - Fentanyl - active, with dispense request medrx0327 XML JSON Turtle Request referencing Medication Resource for Nasal Spray - Nasonex medrx0328 XML JSON Turtle Request referencing Medication Resource for Compounded Product - HC 1%, Salicylic Acid 5% in Glaxal Base - on hold with dispenseRequest medrx0329 XML JSON Turtle Request referencing Medication Resource for Eye Drops - Timoptic - active - with link to encounter, dispenseRequest and substitution flag medrx0330 XML JSON Turtle Request for a Dosage that needs to be dispensed as different strength tablets - Warfarin - active medrx0331 XML JSON Turtle Request for a medication that is intended to be given as a single, once only dose medrx0332 XML JSON Turtle Request for a medication that is intended to be given in the morning medrx0333 XML JSON Turtle Request for a medication that is intended to be given on a specific day medrx0334 XML JSON Turtle Request for a medication that is intended to be given at a specific time medrx0335 XML JSON Turtle Request for Intravenous Dopamine - Weight based calculation with rateQuantity medrx0336 XML JSON Turtle Request for Intravenous Admixture Dopamine - with rateQuantity medrx0337 XML JSON Turtle Request for Intravenous Admixture Dopamine - with doseQuantity and rateQuantity medrx0338 XML JSON Turtle Request for a product that contains multiple dosage forms medrx0339 XML JSON Turtle  
@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .

# - resource -------------------------------------------------------------------

[] a fhir:CodeSystem;
  fhir:Resource.id [ fhir:value "audit-event-severity"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2022-12-14T07:12:54.019+11:00" ];
     fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ];
  fhir:DomainResource.extension [
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ];
     fhir:Extension.value [ fhir:value "sec" ]
  ], [
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ];
     fhir:Extension.value [ fhir:value "trial-use" ]
  ], [
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ];
     fhir:Extension.value [ fhir:value "3" ]
  ];
  fhir:CanonicalResource.url [ fhir:value "http://hl7.org/fhir/audit-event-severity"];
  fhir:CanonicalResource.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.4.1894" ]
  ];
  fhir:CanonicalResource.version [ fhir:value "5.0.0-snapshot3"];
  fhir:CanonicalResource.name [ fhir:value "AuditEventSeverity"];
  fhir:CanonicalResource.title [ fhir:value "AuditEventSeverity"];
  fhir:CanonicalResource.status [ fhir:value "active"];
  fhir:CanonicalResource.experimental [ fhir:value "false"];
  fhir:CanonicalResource.date [ fhir:value "2022-06-06T10:01:24+11:00"];
  fhir:CanonicalResource.publisher [ fhir:value "HL7 (FHIR Project)"];
  fhir:CanonicalResource.contact [
     fhir:ContactDetail.telecom [
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ]
     ], [
       fhir:ContactPoint.system [ fhir:value "email" ];
       fhir:ContactPoint.value [ fhir:value "fhir@lists.hl7.org" ]
     ]
  ];
  fhir:CanonicalResource.description [ fhir:value "The severity of the audit entry."];
  fhir:CanonicalResource.jurisdiction [
     fhir:CodeableConcept.coding [
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ];
       fhir:Coding.code [ fhir:value "001" ];
       fhir:Coding.display [ fhir:value "World" ]
     ]
  ];
  fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/audit-event-severity"];
  fhir:CodeSystem.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.4.1894" ]
  ];
  fhir:CodeSystem.version [ fhir:value "5.0.0-snapshot3"];
  fhir:CodeSystem.name [ fhir:value "AuditEventSeverity"];
  fhir:CodeSystem.title [ fhir:value "AuditEventSeverity"];
  fhir:CodeSystem.status [ fhir:value "active"];
  fhir:CodeSystem.experimental [ fhir:value "false"];
  fhir:CodeSystem.date [ fhir:value "2022-06-06T10:01:24+11:00"];
  fhir:CodeSystem.publisher [ fhir:value "HL7 (FHIR Project)"];
  fhir:CodeSystem.contact [
     fhir:ContactDetail.telecom [
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ]
     ], [
       fhir:ContactPoint.system [ fhir:value "email" ];
       fhir:ContactPoint.value [ fhir:value "fhir@lists.hl7.org" ]
     ]
  ];
  fhir:CodeSystem.description [ fhir:value "The severity of the audit entry."];
  fhir:CodeSystem.jurisdiction [
     fhir:CodeableConcept.coding [
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ];
       fhir:Coding.code [ fhir:value "001" ];
       fhir:Coding.display [ fhir:value "World" ]
     ]
  ];
  fhir:CodeSystem.caseSensitive [ fhir:value "true"];
  fhir:CodeSystem.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/audit-event-severity"];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.concept [
     fhir:ConceptDefinitionComponent.code [ fhir:value "emergency" ];
     fhir:ConceptDefinitionComponent.display [ fhir:value "Emergency" ];
     fhir:ConceptDefinitionComponent.definition [ fhir:value "System is unusable. e.g., This level should only be reported by infrastructure and should not be used by applications." ]
  ], [
     fhir:ConceptDefinitionComponent.code [ fhir:value "alert" ];
     fhir:ConceptDefinitionComponent.display [ fhir:value "Alert" ];
     fhir:ConceptDefinitionComponent.definition [ fhir:value "Notification should be sent to trigger action be taken. e.g., Loss of the primary network connection needing attention." ]
  ], [
     fhir:ConceptDefinitionComponent.code [ fhir:value "critical" ];
     fhir:ConceptDefinitionComponent.display [ fhir:value "Critical" ];
     fhir:ConceptDefinitionComponent.definition [ fhir:value "Critical conditions. e.g., A failure in the system's primary application that will reset automatically." ]
  ], [
     fhir:ConceptDefinitionComponent.code [ fhir:value "error" ];
     fhir:ConceptDefinitionComponent.display [ fhir:value "Error" ];
     fhir:ConceptDefinitionComponent.definition [ fhir:value "Error conditions. e.g., An application has exceeded its file storage limit and attempts to write are failing. " ]
  ], [
     fhir:ConceptDefinitionComponent.code [ fhir:value "warning" ];
     fhir:ConceptDefinitionComponent.display [ fhir:value "Warning" ];
     fhir:ConceptDefinitionComponent.definition [ fhir:value "Warning conditions. May indicate that an error will occur if action is not taken. e.g., A non-root file system has only 2GB remaining." ]
  ], [
     fhir:ConceptDefinitionComponent.code [ fhir:value "notice" ];
     fhir:ConceptDefinitionComponent.display [ fhir:value "Notice" ];
     fhir:ConceptDefinitionComponent.definition [ fhir:value "Notice messages. Normal but significant condition. Events that are unusual, but not error conditions." ]
  ], [
     fhir:ConceptDefinitionComponent.code [ fhir:value "informational" ];
     fhir:ConceptDefinitionComponent.display [ fhir:value "Informational" ];
     fhir:ConceptDefinitionComponent.definition [ fhir:value "Normal operational messages that require no action. e.g., An application has started, paused, or ended successfully." ]
  ], [
     fhir:ConceptDefinitionComponent.code [ fhir:value "debug" ];
     fhir:ConceptDefinitionComponent.display [ fhir:value "Debug" ];
     fhir:ConceptDefinitionComponent.definition [ fhir:value "Debug-level messages. Information useful to developers for debugging the application." ]
  ] .

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


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.