Release 5 Preview #3

Medicationrequest0301.ttl

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: 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><h3>Ids</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>statusReason</b>: <span>Try another treatment first</span></p><p><b>intent</b>: order</p><p><b>category</b>: <span>Inpatient</span></p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription. Generated Summary: id: Encounter_Roel_20130404 (TEMP); status: completed; <span>ambulatory</span>; <span>Consultation</span>; <span>Normal</span></a></p><p><b>supportingInformation</b>: <a>Generated Summary: status: completed; <span>Diagnostic procedure</span>; <span>Biopsy of suspected melanoma L) arm</span>; occurrence: 2014-02-03; recorded: 2014-02-03; <span>Left forearm</span>; <span>Ineffective airway clearance</span>; <span>Review in clinic</span>; Standard Biopsy</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></p><p><b>performer</b>: <a>Carla Espinosa. Generated Summary: UZI-nummer: 12345678904 (OFFICIAL); Carla Espinosa; Phone: +31715262169; gender: female; birthDate: 1967-11-05</a></p><p><b>performerType</b>: <span>Public Health Nurse</span></p><h3>Reasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>insurance</b>: <a>Generated Summary: id: 12345; status: active; <span>extended healthcare</span>; dependent: 0; <span>self</span>; period: 2011-05-23 --&gt; 2012-05-23</a></p><p><b>note</b>: Patient told to take with food</p><h3>DosageInstructions</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><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</p><h3>ExpectedSupplyDurations</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>dispenser</b>: <a>Generated Summary: id: urn:oid:2.16.840.1.113883.19.5; name: Good Health Clinic</a></p></blockquote><h3>Substitutions</h3><table><tr><td>-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td><span>formulary policy</span></td></tr></table><p><b>detectedIssue</b>: <a>Generated Summary: status: final</a></p><p><b>eventHistory</b>: <a> </a></p><blockquote><h3>Ids</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>target</b>: <a>Generated Summary: Placer: 20170201-0001; status: completed; intent: order; <span>Physiotherapy of chest (regime/therapy)</span>; Duration 15days, Do 1-1 per 1 days; <span>as needed to clear mucus</span>; authoredOn: Feb 1, 2017 5:23:07 PM</a></p><p><b>recorded</b>: Feb 1, 2017 5:23:07 PM</p><h3>Agents</h3><table><tr><td>-</td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td>*</td><td><span>author (originator)</span></td><td><a>Dr Adam Careful. Generated Summary: id: 23; active; Adam Careful </a></td></tr></table><h3>Signatures</h3><table><tr><td>-</td></tr><tr><td>*</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: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" ]
       ]
     ];
     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.medication [
     fhir:CodeableReference.reference [
       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.reason [
     fhir:index 0;
     fhir:CodeableReference.concept [
       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: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: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: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.dispenser [
       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: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> .

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


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.