AU Base Implementation Guide
6.0.0-draft - Draft

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## : List - Medicine list with changes - TTL Representation

Page standards status: Informative

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @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:List ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "example2"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org.au/fhir/StructureDefinition/au-medlist"^^xsd:anyURI ;
    fhir:link <http://hl7.org.au/fhir/StructureDefinition/au-medlist>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <h1>MEDICINE LIST</h1>\n\n            <h2>PATIENT</h2>\n            <table>\n                <tbody>\n                    <tr>\n                        <th>Name</th>\n                        <td>\n                            <p>David Goodpatient</p>\n                        </td>\n                    </tr>\n                    <tr>\n                        <th>DoB</th>\n                        <td>14 September 1953</td>\n                    </tr>\n                    <tr>\n                        <th>Gender</th>\n                        <td>Male</td>\n                    </tr>\n                    <tr>\n                        <th>Address</th>\n                        <td>2 Round Court, QLD 4113</td>\n                    </tr>\n                </tbody>\n            </table>\n\n            <h2>SOURCE OF MEDICINE LIST</h2>\n            <table>\n                <tbody>\n                    <tr>\n                        <th>Name</th>\n                        <td>\n                            <p>Iam Practitioner</p>\n                        </td>\n                    </tr>\n                    <tr>\n                        <th>HPI-I</th>\n                        <td>8003619900015717</td>\n                    </tr>\n                    <tr>\n                        <th>Phone</th>\n                        <td>0755501234</td>\n                    </tr>\n                    <tr>\n                        <th>Email</th>\n                        <td>iam.practitioner@example.com</td>\n                    </tr>\n                </tbody>\n            </table>\n\n            <h2>CONSULTATION DETAILS</h2>\n            <table>\n                <tbody>\n                    <tr>\n                        <th>Consultation date</th>\n                        <td>15 Mar 2019</td>\n                    </tr>\n                    <tr>\n                        <th>Consultation summary</th>\n                        <td>Patient presented with weakness over the last couple of days. No other\n                            symptoms. Revised patient's medications. Advised patient to see the\n                            usual GPs clinic for further consultation and review. </td>\n                    </tr>\n                </tbody>\n            </table>\n\n            <h3>CURRENT MEDICINES</h3>\n            <table border=\"1\">\n                <thead>\n                    <tr>\n                        <th>Medicine</th>\n                        <th>Direction</th>\n                        <th>Medicine Purpose</th>\n                        <th>Medicine Status</th>\n                        <th>Result of Action</th>\n                        <th>Special Instructions</th>\n                    </tr>\n                </thead>\n                <tbody>\n                    <tr>\n                        <td>Multi-vitamins</td>\n                        <td>1 tablet daily</td>\n                        <td/>\n                        <td>New</td>\n                        <td/>\n                        <td/>\n                    </tr>\n                    <tr>\n                        <td>Spiriva (tiotropium bromide 18mg per inhalation) inhalant</td>\n                        <td>1 inhalation per day</td>\n                        <td>Chronic Obstructive Pulmonary Disease</td>\n                        <td>Amended</td>\n                        <td>Reduced to one inhalation a day</td>\n                        <td/>\n                    </tr>\n                    <tr>\n                        <td>paracetamol 665 mg modified release tablet</td>\n                        <td>Two tablets every 6-8 hours when required.</td>\n                        <td>Osteoarthritis, pain relief</td>\n                        <td>Unchanged</td>\n                        <td/>\n                        <td>No more than 6 tablets in 24hr</td>\n                    </tr>\n                    <tr>\n                        <td>cilostazol 100 mg tablet</td>\n                        <td>One a day at night time</td>\n                        <td>Blood thinning</td>\n                        <td>Amended</td>\n                        <td>Form change</td>\n                        <td/>\n                    </tr>\n                </tbody>\n            </table>\n\n            <h3>CEASED MEDICINES</h3>\n            <table border=\"1\">\n                <thead>\n                    <tr>\n                        <th>Medicine</th>\n                        <th>Reason</th>\n                    </tr>\n                </thead>\n                <tbody>\n                    <tr>\n                        <td>Ibuprofen</td>\n                        <td>Allergic reaction</td>\n                    </tr>\n                </tbody>\n            </table>\n        </div>"^^rdf:XMLLiteral
      ] ; #
      fhir:contained ( [
    a fhir:MedicationStatement ;
    fhir:id [ fhir:v "medicationstatement-456" ] ;
    fhir:status [ fhir:v "active" ] ;
    fhir:medication [
    a fhir:CodeableConcept ;
    fhir:text [ fhir:v "Multi-vitamins" ]     ] ;
    fhir:subject [
    fhir:reference [ fhir:v "#patient-123" ]     ] ;
    fhir:dateAsserted [ fhir:v "2019-03-15"^^xsd:date ] ;
        ( fhir:dosage [
    fhir:text [ fhir:v "1 tablet daily" ]     ] )
      ] [
    a fhir:MedicationStatement ;
    fhir:id [ fhir:v "medicationstatement-678" ] ;
    fhir:status [ fhir:v "active" ] ;
    fhir:medication [
    a fhir:CodeableConcept ;
    fhir:text [ fhir:v "Spiriva (tiotropium bromide 18mg per inhalation) inhalant" ]     ] ;
    fhir:subject [
    fhir:reference [ fhir:v "#patient-123" ]     ] ;
    fhir:dateAsserted [ fhir:v "2019-03-15"^^xsd:date ] ;
        ( fhir:reasonCode [
    fhir:text [ fhir:v "COPD" ]     ] ) ;
        ( fhir:dosage [
    fhir:text [ fhir:v "1 inhalation per day" ]     ] )
      ] [
    a fhir:MedicationStatement ;
    fhir:id [ fhir:v "medicationstatement-234" ] ;
    fhir:status [ fhir:v "active" ] ;
    fhir:medication [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    a sct:22075011000036103 ;
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "22075011000036103" ]       ] ) ;
    fhir:text [ fhir:v "paracetamol 665 mg modified release tablet" ]     ] ;
    fhir:subject [
    fhir:reference [ fhir:v "#patient-123" ]     ] ;
        ( fhir:reasonCode [
    fhir:text [ fhir:v "Osteoarthritis, pain relief" ]     ] ) ;
        ( fhir:dosage [
    fhir:text [ fhir:v "Two tablets every 6-8 hours when required." ] ;
    fhir:patientInstruction [ fhir:v "No more than 6 tablets in 24hr" ]     ] )
      ] [
    a fhir:MedicationStatement ;
    fhir:id [ fhir:v "medicationstatement-890" ] ;
    fhir:status [ fhir:v "active" ] ;
    fhir:medication [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    a sct:82923011000036103 ;
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "82923011000036103" ]       ] ) ;
    fhir:text [ fhir:v "cilostazol 100 mg tablet" ]     ] ;
    fhir:subject [
    fhir:reference [ fhir:v "#patient-123" ]     ] ;
        ( fhir:reasonCode [
    fhir:text [ fhir:v "Blood thinning" ]     ] ) ;
        ( fhir:dosage [
    fhir:text [ fhir:v "One a day at night time" ]     ] )
      ] [
    a fhir:MedicationStatement ;
    fhir:id [ fhir:v "medicationstatement-246" ] ;
    fhir:status [ fhir:v "stopped" ] ;
    fhir:medication [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    a sct:38268001 ;
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "38268001" ]       ] ) ;
    fhir:text [ fhir:v "Ibuprofen" ]     ] ;
    fhir:subject [
    fhir:reference [ fhir:v "#patient-123" ]     ] ;
        ( fhir:reasonCode [
    fhir:text [ fhir:v "Allergic reaction" ]     ] )
      ] [
    a fhir:Patient ;
    fhir:id [ fhir:v "patient-123" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org.au/fhir/StructureDefinition/indigenous-status"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [ fhir:v "https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "9" ] ;
    fhir:display [ fhir:v "Not stated/inadequately described" ]       ]     ] ) ;
        ( fhir:identifier [
    fhir:type [
            ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "NI" ] ;
    fhir:display [ fhir:v "National unique individual identifier" ]         ] )       ] ;
    fhir:system [ fhir:v "http://ns.electronichealth.net.au/id/hi/ihi/1.0"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "8003608666701594" ]     ] ) ;
        ( fhir:name [
    fhir:text [ fhir:v "David Goodpatient" ] ;
    fhir:family [ fhir:v "Goodpatient" ] ;
          ( fhir:given [ fhir:v "David" ] )     ] ) ;
    fhir:gender [ fhir:v "male" ] ;
    fhir:birthDate [ fhir:v "1953-09-14"^^xsd:date ] ;
        ( fhir:address [
    fhir:use [ fhir:v "home" ] ;
          ( fhir:line [ fhir:v "2 Round Court" ] ) ;
    fhir:state [ fhir:v "QLD" ] ;
    fhir:postalCode [ fhir:v "4113" ] ;
    fhir:country [ fhir:v "Australia" ]     ] ) ;
        ( fhir:generalPractitioner [
    fhir:reference [ fhir:v "#gp-13579" ]     ] ) ;
    fhir:managingOrganization [
    fhir:reference [ fhir:v "#org-24680" ]     ]
      ] [
    a fhir:Practitioner ;
    fhir:id [ fhir:v "gp-13579" ] ;
        ( fhir:name [
    fhir:family [ fhir:v "Grey" ] ;
          ( fhir:prefix [ fhir:v "Dr" ] )     ] )
      ] [
    a fhir:Practitioner ;
    fhir:id [ fhir:v "dr-97531" ] ;
        ( fhir:identifier [
    fhir:type [
            ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "NPI" ] ;
    fhir:display [ fhir:v "National provider identifier" ]         ] ) ;
    fhir:text [ fhir:v "HPI-I" ]       ] ;
    fhir:system [ fhir:v "http://ns.electronichealth.net.au/id/hi/hpii/1.0"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "8003619900015717" ]     ] ) ;
        ( fhir:name [
    fhir:use [ fhir:v "official" ] ;
    fhir:family [ fhir:v "Practitioner" ] ;
          ( fhir:given [ fhir:v "Iam" ] ) ;
          ( fhir:suffix [ fhir:v "M.D." ] )     ] ) ;
        ( fhir:telecom [
    fhir:system [ fhir:v "phone" ] ;
    fhir:value [ fhir:v "0755501234" ] ;
    fhir:use [ fhir:v "work" ]     ] [
    fhir:system [ fhir:v "email" ] ;
    fhir:value [ fhir:v "iam.practitioner@example.com" ] ;
    fhir:use [ fhir:v "work" ]     ] ) ;
        ( fhir:qualification [
          ( fhir:identifier [
    fhir:type [
              ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org.au/CodeSystem/v2-0203"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "AHPRA" ] ;
    fhir:display [ fhir:v "Australian Health Practitioner Regulation Agency Registration Number" ]           ] ) ;
    fhir:text [ fhir:v "Ahpra registration number" ]         ] ;
    fhir:system [ fhir:v "http://hl7.org.au/id/ahpra-registration-number"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "MED0000932850" ]       ] ) ;
    fhir:code [
            ( fhir:coding [
    fhir:system [ fhir:v "http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "253111" ] ;
    fhir:display [ fhir:v "General Medical Practitioner" ]         ] ) ;
    fhir:text [ fhir:v "Ahpra qualification for General Practitioner" ]       ] ;
    fhir:issuer [
    fhir:display [ fhir:v "Ahpra" ]       ]     ] )
      ] [
    a fhir:Organization ;
    fhir:id [ fhir:v "org-24680" ] ;
    fhir:name [ fhir:v "Grey Medical Practice" ]
      ] [
    a fhir:Encounter ;
    fhir:id [ fhir:v "enc-24680" ] ;
        ( fhir:identifier [
    fhir:system [ fhir:v "https://tools.ietf.org/html/rfc4122"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "5c48d068-4ffb-11e9-8647-d663bd873d93" ]     ] ) ;
    fhir:status [ fhir:v "finished" ] ;
    fhir:class [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "AMB" ] ;
    fhir:display [ fhir:v "ambulatory" ]     ] ;
        ( fhir:type [
          ( fhir:coding [
    a loinc:34764-1 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "34764-1" ]       ] )     ] ) ;
    fhir:priority [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActPriority"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "R" ]       ] )     ] ;
    fhir:subject [
    fhir:reference [ fhir:v "#patient-123" ]     ] ;
        ( fhir:participant [
          ( fhir:type [
            ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "PPRF" ]         ] )       ] ) ;
    fhir:individual [
    fhir:reference [ fhir:v "#dr-97531" ]       ]     ] ) ;
    fhir:period [
    fhir:start [ fhir:v "2019-03-15"^^xsd:date ] ;
    fhir:end [ fhir:v "2019-03-15"^^xsd:date ]     ]
      ] ) ; #
      fhir:identifier ( [
    fhir:system [ fhir:v "https://tools.ietf.org/html/rfc4122"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "7f8fb180-4ea8-11e9-8647-d663bd873d93" ]
      ] ) ; #
      fhir:status [ fhir:v "current"] ; #
      fhir:mode [ fhir:v "snapshot"] ; #
      fhir:code [
        ( fhir:coding [
    a loinc:10160-0 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "10160-0" ]     ] ) ;
    fhir:text [ fhir:v "Medicine List" ]
      ] ; #
      fhir:subject [
    fhir:reference [ fhir:v "#patient-123" ]
      ] ; #
      fhir:encounter [
    fhir:reference [ fhir:v "#enc-24680" ]
      ] ; #
      fhir:date [ fhir:v "2019-03-15"^^xsd:date] ; #
      fhir:source [
    fhir:reference [ fhir:v "#dr-97531" ]
      ] ; #
      fhir:entry ( [
    fhir:flag [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org.au/CodeSystem/medicine-item-change"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "new" ] ;
    fhir:display [ fhir:v "New" ]       ] )     ] ;
    fhir:item [
    fhir:reference [ fhir:v "#medicationstatement-456" ]     ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org.au/fhir/StructureDefinition/change-description"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "Reduced to one inhalation a day"       ]     ] ) ;
    fhir:flag [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org.au/CodeSystem/medicine-item-change"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "amended" ] ;
    fhir:display [ fhir:v "Amended" ]       ] )     ] ;
    fhir:item [
    fhir:reference [ fhir:v "#medicationstatement-678" ]     ]
      ] [
    fhir:flag [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org.au/CodeSystem/medicine-item-change"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "nochange" ] ;
    fhir:display [ fhir:v "Unchanged" ]       ] )     ] ;
    fhir:item [
    fhir:reference [ fhir:v "#medicationstatement-234" ]     ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org.au/fhir/StructureDefinition/change-description"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "Form change"       ]     ] ) ;
    fhir:flag [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org.au/CodeSystem/medicine-item-change"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "amended" ] ;
    fhir:display [ fhir:v "Amended" ]       ] )     ] ;
    fhir:item [
    fhir:reference [ fhir:v "#medicationstatement-890" ]     ]
      ] [
    fhir:flag [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org.au/CodeSystem/medicine-item-change"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "ceased" ] ;
    fhir:display [ fhir:v "Ceased" ]       ] )     ] ;
    fhir:item [
    fhir:reference [ fhir:v "#medicationstatement-246" ]     ]
      ] ) . #