FHIR CI-Build

This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions

Example MedicationRequest/medrx0301 (Turtle)

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 -------------------------------------------------------------------

[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: MedicationRequest</b><a name=\"medrx0301\"> </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;medrx0301&quot; </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>status</b>: completed</p><p><b>statusReason</b>: Try another treatment first <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-medicationrequest-status-reason.html\">MedicationRequest Status Reason Codes</a>#altchoice)</span></p><p><b>intent</b>: order</p><p><b>category</b>: Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-medicationrequest-admin-location.html\">Medication request  administration  location  codes</a>#inpatient)</span></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=\"med0310\"> </a></span><blockquote><p/><p><a name=\"med0310\"> </a></p><p><b>code</b>: Oral Form Oxycodone (product) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#430127000)</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><p><b>encounter</b>: <a href=\"encounter-example-f201-20130404.html\">Encounter/f201: encounter who leads to this prescription</a></p><p><b>supportingInformation</b>: <a href=\"procedure-example-biopsy.html\">Procedure/biopsy</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><p><b>performerType</b>: Public Health Nurse <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#26369006)</span></p><p><b>performer</b>: <a href=\"practitioner-example-f204-ce.html\">Practitioner/f204: Carla Espinosa</a> &quot;Carla Espinosa&quot;</p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Rib Pain (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#297217002)</span></td></tr></table><p><b>insurance</b>: <a href=\"coverage-example.html\">Coverage/9876B1</a></p><p><b>note</b>: Patient told to take with food</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: one to two tablets every 4-6 hours as needed for rib pain</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>patientInstruction</b>: Take one to two tablets every four to six hours as needed for rib pain</p><p><b>timing</b>: Once per 4-6 hours</p><p><b>asNeededFor</b>: Rib Pain (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#297217002)</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><p><b>method</b>: Swallow - dosing instruction imperative (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#421521009)</span></p></blockquote><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<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</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>10</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><p><b>dispenser</b>: <a href=\"organization-example-good-health-care.html\">Organization/2.16.840.1.113883.19.5</a> &quot;Good Health Clinic&quot;</p></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>formulary policy <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>#FP)</span></td></tr></table><p><b>eventHistory</b>: <a name=\"signature\"> </a></p><blockquote><p/><p><a name=\"signature\"> </a></p><p><b>target</b>: <a href=\"servicerequest-example2.html\">ServiceRequest/physiotherapy</a></p><p><b>recorded</b>: Feb 1, 2017, 5:23:07 PM</p><h3>Agents</h3><table class=\"grid\"><tr><td>-</td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td>*</td><td>author (originator) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#AUT)</span></td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> &quot;Adam CAREFUL&quot;</td></tr></table><h3>Signatures</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>TargetFormat</b></td><td><b>SigFormat</b></td><td><b>Data</b></td></tr><tr><td>*</td><td>Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'Author's Signature')</td><td>Feb 1, 2017, 5:23:07 PM</td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> &quot;Adam CAREFUL&quot;</td><td>application/fhir+xml</td><td>application/signature+xml</td><td>dGhpcyBibG9iIGlzIHNuaXBwZWQ=</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: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: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: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" ]
     ] #    Linked to a RESOURCE Medication   
  ]; # 
  fhir:MedicationRequest.subject [
     fhir:Reference.reference [ fhir:value "Patient/pat1" ]; #    Linked to the resource patient who needs the medication   
     fhir:Reference.display [ fhir:value "Donald Duck" ]
  ]; # 
  fhir:MedicationRequest.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/f201" ]; #    Linked to a resource Encounter between patient and practitioner  
     fhir:Reference.display [ fhir:value "encounter who leads to this prescription" ]
  ]; # 
  fhir:MedicationRequest.supportingInformation [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Procedure/biopsy" ]
  ]; # 
  fhir:MedicationRequest.authoredOn [ fhir:value "2015-01-15"^^xsd:date]; # 
  fhir:MedicationRequest.requester [
     fhir:Reference.reference [ fhir:value "Practitioner/f007" ];
     fhir:Reference.display [ fhir:value "Patrick Pump" ]
  ]; # 
  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.performer [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Practitioner/f204" ];
     fhir:Reference.display [ fhir:value "Carla Espinosa" ]
  ]; # 
  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: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.asNeededFor [
       fhir:index 0;
       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: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.eventHistory [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "#signature" ];
     fhir:Reference.display [ fhir:value "Author's Signature" ]
  ]] . # 

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

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