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 R2

Using Codes Code Systems Value Sets Concept Maps Identifier Systems 4.4.1.166 Value Set http://hl7.org/fhir/ValueSet/document-mode

Example MedicationRequest/medrx0312 (JSON)

Version: 4.0.1 Name: DocumentMode Title: DocumentMode Definition: Whether the application produces or consumes documents. Committee:
FHIR Infrastructure Pharmacy Work Group   Maturity Level : N N/A Normative (from v4.0.0) Use Context Standards Status : Any Informative This page has been approved as part of an ANSI Compartments : Encounter , Patient , Practitioner standard. See the Conformance Package for further details. This is a value set defined by the FHIR project. Summary Defining URL: http://hl7.org/fhir/ValueSet/document-mode
  4.4.1.166.2 Expansion This expansion generated 01 Nov 2019 This value set contains 2 concepts Expansion based on http://hl7.org/fhir/document-mode version 4.0.1

All codes from system http://hl7.org/fhir/document-mode Code Display Definition producer Raw JSON Producer The application produces documents of the specified type. ( canonical form consumer + also see JSON Format Specification Consumer The application consumes documents of the specified type.   )

See the full registry of value sets defined as part of FHIR. Liquid Medication - Phenytoin with link to prior prescription

{
  "resourceType" : "MedicationRequest",
  "id" : "medrx0312",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"medrx0312\"> </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;medrx0312&quot; </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>priorPrescription</b>: <a href=\"medicationrequest0304.html\">MedicationRequest/medrx0304</a></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Phenytoin 25mg/ml oral suspension <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>#1313112)</span></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>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>Status epilepticus (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#230456007)</span></td></tr></table><p><b>note</b>: Patient should be counselled to ensure good dental hygiene</p><blockquote><p><b>dose</b></p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 100mg (4ml) three times daily</p><p><b>timing</b>: 3 per 1 days</p><p><b>route</b>: Oral Route (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#26643006)</span></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>: 3</p><p><b>quantity</b>: 360 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</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>30</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></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>Continuing therapy <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>#CT)</span></td></tr></table></div>"
  },
  "identifier" : [{
    "use" : "official",
    "system" : "http://www.bmc.nl/portal/prescriptions",
    "value" : "12345689"
  }],
  "priorPrescription" : {
    "reference" : "MedicationRequest/medrx0304"
  },
  "status" : "active",
  "intent" : "order",
  "medication" : {
    "concept" : {
      "coding" : [{
        "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
        "code" : "1313112",
        "display" : "Phenytoin 25mg/ml oral suspension"
      }]
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "authoredOn" : "2015-01-15",
  "requester" : {
    "reference" : "Practitioner/f007",
    "display" : "Patrick Pump"
  },
  "reason" : [{
    "concept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "230456007",
        "display" : "Status epilepticus (disorder)"
      }]
    }
  }],
  "note" : [{
    "text" : "Patient should be counselled to ensure good dental hygiene"
  }],
  "dose" : {
    "dosageInstruction" : [{
      "sequence" : 1,
      "text" : "100mg (4ml) three times daily",
      "timing" : {
        "repeat" : {
          "frequency" : 3,
          "period" : 1,
          "periodUnit" : "d"
        }
      },
      "route" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "26643006",
          "display" : "Oral Route (qualifier value)"
        }]
      },
      "doseAndRate" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
            "code" : "ordered",
            "display" : "Ordered"
          }]
        },
        "doseQuantity" : {
          "value" : 100,
          "unit" : "mg",
          "system" : "http://unitsofmeasure.org",
          "code" : "mg"
        }
      }]
    }]
  },
  "dispenseRequest" : {
    "validityPeriod" : {
      "start" : "2015-01-15",
      "end" : "2016-01-15"
    },
    "numberOfRepeatsAllowed" : 3,
    "quantity" : {
      "value" : 360,
      "unit" : "mL",
      "system" : "http://unitsofmeasure.org",
      "code" : "mL"
    },
    "expectedSupplyDuration" : {
      "value" : 30,
      "unit" : "days",
      "system" : "http://unitsofmeasure.org",
      "code" : "d"
    }
  },
  "substitution" : {
    "allowedBoolean" : true,
    "reason" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "CT",
        "display" : "Continuing therapy"
      }]
    }
  }
}

Explanation of the columns that may appear on this page: Lvl A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used Usage note: every effort has been made to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information Source The source of the definition of the code (when the value set draws in codes defined elsewhere) Code The code (used as the code in the resource instance). If the code is in italics, this indicates ensure that the code is examples are correct and useful, but they are not selectable ('Abstract') Display The display (used in the display element of a Coding ). If there is no display, implementers should not simply display the code, but map the concept into their application Definition An explanation of the meaning normative part of the concept Comments Additional notes about how to use the code specification.