MR.R4.CORE\MediRecords Admission Intravenous Infusion Example with Additive and Bolus dose - TTL Representation

MediRecords FHIR Implementation Guide
1.4.2 - release
: MediRecords Admission Intravenous Infusion Example with Additive and Bolus dose - TTL Representation


@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@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:id [ fhir:v "8b7bcaa6-0927-485b-be53-4c8d7c603c30"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2024-09-19T01:43:30Z"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "https://fhir.medirecords.com/StructureDefinition/mr-medication-request-admission-iv"^^xsd:anyURI ;
fhir:link <https://fhir.medirecords.com/StructureDefinition/mr-medication-request-admission-iv>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest 8b7bcaa6-0927-485b-be53-4c8d7c603c30</b></p><a name=\"8b7bcaa6-0927-485b-be53-4c8d7c603c30\"> </a><a name=\"hc8b7bcaa6-0927-485b-be53-4c8d7c603c30\"> </a><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\">Last updated: 2024-09-19 01:43:30+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mr-medication-request-admission-iv.html\">MR MedicationRequest Admission Intravenous</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">PLANNED</span></p><p><b>medication</b>: <a href=\"#hc8b7bcaa6-0927-485b-be53-4c8d7c603c30/1\">Medication </a></p><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Mila Female, DoB: 1990-11-29 ( Medicare Number: 32788511952 (, period: (?) --&gt; 2025-02))</a></p><p><b>encounter</b>: <a href=\"Encounter-0291f306-e786-4ac4-be26-44b47714d85f.html\">Encounter: extension = 2023-10-20 01:00:00+0000,2023-12-22,Planned Encounter for a Patient who has been admitted to a Hospital,Public Transport (arrivalMode#P); identifier = Visit number: ADM-27; status = in-progress; class = inpatient encounter (ActCode#IMP); period = 2023-12-20 00:34:00+0000 --&gt; (ongoing); reasonCode = Ischaemic foot</a></p><p><b>authoredOn</b>: 2024-09-19 01:43:30+0000</p><p><b>requester</b>: <a href=\"Practitioner-6d6d7ce8-65c2-11e6-a20e-7b5deed40054.html\">Practitioner John Smith </a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 1601000119105}\">Moderate dehydration</span></p><p><b>note</b>: </p><blockquote><div><p>Check every 6 hours for fever</p>\n</div></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 2</p><p><b>text</b>: Intravenous, 166 mL/hr, 120 min Due Date: 2024-09-19 Due Time: 15:00</p><p><b>timing</b>: Duration 120?? , Once</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 47625008}\">Intravenous</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td><td><b>Rate[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 261754007}\">Continuous infusion</span></td><td>1000 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span></td><td>166 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span>/1 h<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeh = 'h')</span></td></tr></table></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Bolus: 250 mL, 200 mL/hr</p><p><b>timing</b>: Once</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 47625008}\">Intravenous</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td><td><b>Rate[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 397801003}\">Single bolus</span></td><td>250 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span></td><td>200 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span>/1 h<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeh = 'h')</span></td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication #1</b></p><a name=\"8b7bcaa6-0927-485b-be53-4c8d7c603c30/1\"> </a><a name=\"hc8b7bcaa6-0927-485b-be53-4c8d7c603c30/1\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mr-medication-admission-iv.html\">MR Medication Admission Intravenous</a></p></div><p><b>Medication Brand Name</b>: Baxter</p><p><b>code</b>: <span title=\"Codes:\">Compound Sodium Lactate, 29 mmol/L, Baxter, 1000 mL Additive: Potassium Chloride, 10 mmol</span></p><p><b>amount</b>: 1000 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span>/1</p><blockquote><p><b>ingredient</b></p><p><b>Ingredient Strength as text</b>: <span title=\"Codes:\">29 mmol/L</span></p><p><b>item</b>: <span title=\"Codes:\">Compound Sodium Lactate</span></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: <span title=\"Codes:\">Potassium Chloride</span></p><p><b>strength</b>: 10 mmol/1000 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span></p></blockquote></blockquote></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:contained ( [
a fhir:Medication ;
fhir:id [ fhir:v "1" ] ;
fhir:meta [
      ( fhir:profile [
fhir:v "https://fhir.medirecords.com/StructureDefinition/mr-medication-admission-iv"^^xsd:anyURI ;
fhir:link <https://fhir.medirecords.com/StructureDefinition/mr-medication-admission-iv>       ] )     ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org.au/fhir/StructureDefinition/medication-brand-name"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "Baxter"       ]     ] ) ;
fhir:code [
fhir:text [ fhir:v "Compound Sodium Lactate, 29 mmol/L, Baxter, 1000 mL Additive: Potassium Chloride, 10 mmol" ]     ] ;
fhir:amount [
fhir:numerator [
fhir:value [ fhir:v "1000"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mL" ]       ] ;
fhir:denominator [
fhir:value [ fhir:v "1"^^xsd:decimal ]       ]     ] ;
    ( fhir:ingredient [
      ( fhir:extension [
fhir:url [ fhir:v "https://fhir.medirecords.com/StructureDefinition/mr-ingredient-strength-text"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:text [ fhir:v "29 mmol/L" ]         ]       ] ) ;
fhir:item [
a fhir:CodeableConcept ;
fhir:text [ fhir:v "Compound Sodium Lactate" ]       ]     ] [
fhir:item [
a fhir:CodeableConcept ;
fhir:text [ fhir:v "Potassium Chloride" ]       ] ;
fhir:strength [
fhir:numerator [
fhir:value [ fhir:v "10"^^xsd:decimal ] ;
fhir:unit [ fhir:v "mmol" ]         ] ;
fhir:denominator [
fhir:value [ fhir:v "1000"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mL" ]         ]       ]     ] )
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "inpatient" ] ;
fhir:display [ fhir:v "Inpatient" ]     ] ) ;
fhir:text [ fhir:v "PLANNED" ]
  ] ) ; # 
  fhir:medication [
a fhir:Reference ;
fhir:reference [ fhir:v "#1" ]
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c" ]
  ] ; # 
  fhir:encounter [
fhir:reference [ fhir:v "Encounter/0291f306-e786-4ac4-be26-44b47714d85f" ]
  ] ; # 
  fhir:authoredOn [ fhir:v "2024-09-19T01:43:30Z"^^xsd:dateTime] ; # 
  fhir:requester [
fhir:reference [ fhir:v "Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054" ]
  ] ; # 
  fhir:reasonCode ( [
    ( fhir:coding [
a sct:1601000119105 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1601000119105" ]     ] ) ;
fhir:text [ fhir:v "Moderate dehydration" ]
  ] ) ; # 
  fhir:note ( [
fhir:text [ fhir:v "Check every 6 hours for fever" ]
  ] ) ; # 
  fhir:dosageInstruction ( [
fhir:sequence [ fhir:v 2 ] ;
fhir:text [ fhir:v "Intravenous, 166 mL/hr, 120 min Due Date: 2024-09-19 Due Time: 15:00" ] ;
fhir:timing [
fhir:repeat [
fhir:bounds [
a fhir:Period ;
fhir:start [ fhir:v "2024-09-01T11:00:00+11:00"^^xsd:dateTime ]         ] ;
fhir:duration [ fhir:v "120"^^xsd:decimal ] ;
fhir:durationUnit [ fhir:v "min" ]       ]     ] ;
fhir:route [
      ( fhir:coding [
a sct:47625008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "47625008" ] ;
fhir:display [ fhir:v "Intravenous route" ]       ] ) ;
fhir:text [ fhir:v "Intravenous" ]     ] ;
    ( fhir:doseAndRate [
fhir:type [
        ( fhir:coding [
a sct:261754007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "261754007" ] ;
fhir:display [ fhir:v "Continuous infusion" ]         ] )       ] ;
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "1000"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mL" ]       ] ;
fhir:rate [
a fhir:Ratio ;
fhir:numerator [
fhir:value [ fhir:v "166"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mL" ]         ] ;
fhir:denominator [
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "h" ]         ]       ]     ] )
  ] [
fhir:sequence [ fhir:v 1 ] ;
fhir:text [ fhir:v "Bolus: 250 mL, 200 mL/hr" ] ;
fhir:timing [
fhir:repeat [
fhir:bounds [
a fhir:Period ;
fhir:start [ fhir:v "2024-09-01T11:00:00+11:00"^^xsd:dateTime ]         ]       ]     ] ;
fhir:route [
      ( fhir:coding [
a sct:47625008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "47625008" ] ;
fhir:display [ fhir:v "Intravenous route" ]       ] ) ;
fhir:text [ fhir:v "Intravenous" ]     ] ;
    ( fhir:doseAndRate [
fhir:type [
        ( fhir:coding [
a sct:397801003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "397801003" ] ;
fhir:display [ fhir:v "Single bolus" ]         ] )       ] ;
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "250"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mL" ]       ] ;
fhir:rate [
a fhir:Ratio ;
fhir:numerator [
fhir:value [ fhir:v "200"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mL" ]         ] ;
fhir:denominator [
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "h" ]         ]       ]     ] )
  ] ) . #