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: R4B R4 R3 R2

Content Detailed Descriptions Mappings XML JSON

Example MedicationDispense/meddisp0315 (Turtle)

Extension: fmm URL for this extension: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm Status: draft. Extension maintained by: Health Level Seven, Inc. - [WG Name] WG The FMM level assigned to the artifact. Comment : Though this is defined for resources, it can be used for any artifact. Context of Use: Use on Element ID Element Extension Content
FHIR Infrastructure Pharmacy Work Group   Maturity Level : 1 N/A Standards Status : Informative Use Context Compartments : Any Encounter , Patient , Practitioner

Summary Name Flags Card. Type Description & Constraints fmm 0..1 integer Raw Turtle URL = http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm fmm: The FMM level assigned to the artifact. Use on Element ID Element Documentation for this format (+ also see Turtle/RDF Format Specification Full Structure )

Name Flags Card. Type Description & Constraints extension 0..1 Extension URL = http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm fmm: The FMM level assigned to the artifact. Use on Element ID Element extension I 0..0 url 1..1 uri "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" value[x] I 1..1 integer Value of extension Documentation for this format

XML Template Dispense for Alprazolam (Rx Norm code) - in progress

<!-- fmm -->
@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:Resource.id [ fhir:value "meddisp0315"]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"meddisp0315\"> </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;meddisp0315&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><span title=\"  Linked to a RESOURCE Medication  \"><a name=\"med0314\"> </a></span><blockquote><p/><p><a name=\"med0314\"> </a></p><p><b>code</b>: Alprazolam 0.25mg (Xanax) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#562721)</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><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</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=\"medicationrequest0305.html\">MedicationRequest/medrx0305</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>: 30(unit TAB from http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm)<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><p><b>daysSupply</b>: 10 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2015-06-25T07:13:00+05:00</p><p><b>whenHandedOver</b>: 2015-06-26T07:13:00+05:00</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 0.25mg PO every 6-12 hours as needed for menses from Jan 15-20, 2015.  Do not exceed more than 4mg per day</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>timing</b>: Starting 2015-01-15, Once per 6-12 hours, Until 2015-01-20</p><p><b>asNeededFor</b>: Dysmenorrhea (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#266599000)</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></blockquote></div>"
  ]; # 
  fhir:DomainResource.contained [
     a fhir:Medication;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "med0314" ];
     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 "562721" ];
         fhir:Coding.display [ fhir:value "Alprazolam 0.25mg (Xanax)" ]
       ]
     ]
  ]; # 
  fhir:MedicationDispense.status [ fhir:value "in-progress"]; # 
  fhir:MedicationDispense.medication [
     fhir:CodeableReference.reference [
       fhir:Reference.reference [ fhir:value "#med0314" ];
       fhir:Reference.display [ fhir:value "Alprazolam 0.25mg (Xanax)" ]
     ] #    Linked to a RESOURCE Medication   
  ]; # 
  fhir:MedicationDispense.subject [
     fhir:Reference.reference [ fhir:value "Patient/pat1" ];
     fhir:Reference.display [ fhir:value "Donald Duck " ]
  ]; # 
  fhir:MedicationDispense.performer [
     fhir:index 0;
     fhir:MedicationDispense.performer.actor [
       fhir:Reference.reference [ fhir:value "Practitioner/f006" ]
     ]
  ]; # 
  fhir:MedicationDispense.authorizingPrescription [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "MedicationRequest/medrx0305" ]
  ]; # 
  fhir:MedicationDispense.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
       fhir:Coding.code [ fhir:value "RFP" ];
       fhir:Coding.display [ fhir:value "Refill - Part Fill" ]
     ]
  ]; # 
  fhir:MedicationDispense.quantity [
     fhir:Quantity.value [ fhir:value "30"^^xsd:decimal ];
     fhir:Quantity.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm" ];
     fhir:Quantity.code [ fhir:value "TAB" ]
  ]; # 
  fhir:MedicationDispense.daysSupply [
     fhir:Quantity.value [ fhir:value "10"^^xsd:decimal ];
     fhir:Quantity.unit [ fhir:value "Day" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "d" ]
  ]; # 
  fhir:MedicationDispense.whenPrepared [ fhir:value "2015-06-25T07:13:00+05:00"^^xsd:dateTime]; # 
  fhir:MedicationDispense.whenHandedOver [ fhir:value "2015-06-26T07:13:00+05:00"^^xsd:dateTime]; # 
  fhir:MedicationDispense.dosageInstruction [
     fhir:index 0;
     fhir:Dosage.sequence [ fhir:value "1"^^xsd:integer ];
     fhir:Dosage.text [ fhir:value "0.25mg PO every 6-12 hours as needed for menses from Jan 15-20, 2015.  Do not exceed more than 4mg per day" ];
     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.timing [
       fhir:Timing.repeat [
         fhir:Timing.repeat.boundsPeriod [
           fhir:Period.start [ fhir:value "2015-01-15"^^xsd:date ];
           fhir:Period.end [ fhir:value "2015-01-20"^^xsd:date ]
         ];
         fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ];
         fhir:Timing.repeat.period [ fhir:value "6"^^xsd:decimal ];
         fhir:Timing.repeat.periodMax [ fhir:value "12"^^xsd:decimal ];
         fhir:Timing.repeat.periodUnit [ fhir:value "h" ]
       ]
     ];
     fhir:Dosage.asNeededFor [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:266599000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "266599000" ];
         fhir:Coding.display [ fhir:value "Dysmenorrhea (disorder)" ]
       ]
     ];
     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.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 "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" ]
       ]
     ]
  ]] . # 

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

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

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



< xmlns="http://hl7.org/fhir"
     url="" >
  <!-- from Element: 
 <
</extension>
JSON
Template
  
{ // 
  // from Element: 
    " ]
    " 
    "
  }

Summary Name Flags Card. Type Description & Constraints fmm 0..1 integer URL = http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm fmm: The FMM level assigned to the artifact. Use on Element ID Element Documentation for this format Full Structure Name Flags Card. Type Description & Constraints extension 0..1 Extension URL = http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm fmm: The FMM level assigned Usage note: every effort has been made to ensure that the artifact. Use on Element ID Element extension I 0..0 url 1..1 uri "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" value[x] I 1..1 integer Value examples are correct and useful, but they are not a normative part of extension Documentation for this format XML Template the specification.

<!-- fmm --> < xmlns="http://hl7.org/fhir" url="" > <!-- from Element: < </extension>
JSON Template { // // from Element: " ] " " }   Constraints ele-1 : All FHIR elements must have a @value or children (xpath: @value|f:*|h:div ) ext-1 : Must have either extensions or value[x], not both (xpath: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')]) ) ele-1 : On Extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension: @value|f:*|h:div ) ext-1 : On Extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")]) ) ele-1 : On Extension.value[x]: All FHIR elements must have a @value or children (xpath on Extension.value[x]: @value|f:*|h:div )