AU Base Implementation Guide
7.0.0-ballot1 - Ballot

AU Base Implementation Guide - Downloaded Version 7.0.0-ballot1 See the Directory of published versions

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

Page standards status: Informative

Raw ttl | Download

    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <http://loinc.org/rdf#> .
    @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/List/example2> a fhir:List ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:Resource.id [ fhir:value "example2"] ;
      fhir:Resource.meta [
         fhir:Meta.profile [
           fhir:value "http://hl7.org.au/fhir/StructureDefinition/au-medlist" ;
           fhir:index 0 ;
           fhir:link <http://hl7.org.au/fhir/StructureDefinition/au-medlist>
         ]
      ] ;
      fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "extensions" ] ;
         fhir:Narrative.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>"
      ] ;
      fhir:DomainResource.contained [
         a fhir:MedicationStatement ;
         fhir:index 0 ;
         fhir:Resource.id [ fhir:value "medicationstatement-456" ] ;
         fhir:MedicationStatement.status [ fhir:value "active" ] ;
         fhir:MedicationStatement.medicationCodeableConcept [
           fhir:CodeableConcept.text [ fhir:value "Multi-vitamins" ]
         ] ;
         fhir:MedicationStatement.subject [
           fhir:Reference.reference [ fhir:value "#patient-123" ]
         ] ;
         fhir:MedicationStatement.dateAsserted [ fhir:value "2019-03-15"^^xsd:date ] ;
         fhir:MedicationStatement.dosage [
           fhir:index 0 ;
           fhir:Dosage.text [ fhir:value "1 tablet daily" ]
         ]
      ], [
         a fhir:MedicationStatement ;
         fhir:index 1 ;
         fhir:Resource.id [ fhir:value "medicationstatement-678" ] ;
         fhir:MedicationStatement.status [ fhir:value "active" ] ;
         fhir:MedicationStatement.medicationCodeableConcept [
           fhir:CodeableConcept.text [ fhir:value "Spiriva (tiotropium bromide 18mg per inhalation) inhalant" ]
         ] ;
         fhir:MedicationStatement.subject [
           fhir:Reference.reference [ fhir:value "#patient-123" ]
         ] ;
         fhir:MedicationStatement.dateAsserted [ fhir:value "2019-03-15"^^xsd:date ] ;
         fhir:MedicationStatement.reasonCode [
           fhir:index 0 ;
           fhir:CodeableConcept.text [ fhir:value "COPD" ]
         ] ;
         fhir:MedicationStatement.dosage [
           fhir:index 0 ;
           fhir:Dosage.text [ fhir:value "1 inhalation per day" ]
         ]
      ], [
         a fhir:MedicationStatement ;
         fhir:index 2 ;
         fhir:Resource.id [ fhir:value "medicationstatement-234" ] ;
         fhir:MedicationStatement.status [ fhir:value "active" ] ;
         fhir:MedicationStatement.medicationCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             a sct:22075011000036103 ;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
             fhir:Coding.code [ fhir:value "22075011000036103" ]
           ] ;
           fhir:CodeableConcept.text [ fhir:value "paracetamol 665 mg modified release tablet" ]
         ] ;
         fhir:MedicationStatement.subject [
           fhir:Reference.reference [ fhir:value "#patient-123" ]
         ] ;
         fhir:MedicationStatement.reasonCode [
           fhir:index 0 ;
           fhir:CodeableConcept.text [ fhir:value "Osteoarthritis, pain relief" ]
         ] ;
         fhir:MedicationStatement.dosage [
           fhir:index 0 ;
           fhir:Dosage.text [ fhir:value "Two tablets every 6-8 hours when required." ] ;
           fhir:Dosage.patientInstruction [ fhir:value "No more than 6 tablets in 24hr" ]
         ]
      ], [
         a fhir:MedicationStatement ;
         fhir:index 3 ;
         fhir:Resource.id [ fhir:value "medicationstatement-890" ] ;
         fhir:MedicationStatement.status [ fhir:value "active" ] ;
         fhir:MedicationStatement.medicationCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             a sct:82923011000036103 ;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
             fhir:Coding.code [ fhir:value "82923011000036103" ]
           ] ;
           fhir:CodeableConcept.text [ fhir:value "cilostazol 100 mg tablet" ]
         ] ;
         fhir:MedicationStatement.subject [
           fhir:Reference.reference [ fhir:value "#patient-123" ]
         ] ;
         fhir:MedicationStatement.reasonCode [
           fhir:index 0 ;
           fhir:CodeableConcept.text [ fhir:value "Blood thinning" ]
         ] ;
         fhir:MedicationStatement.dosage [
           fhir:index 0 ;
           fhir:Dosage.text [ fhir:value "One a day at night time" ]
         ]
      ], [
         a fhir:MedicationStatement ;
         fhir:index 4 ;
         fhir:Resource.id [ fhir:value "medicationstatement-246" ] ;
         fhir:MedicationStatement.status [ fhir:value "stopped" ] ;
         fhir:MedicationStatement.medicationCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             a sct:38268001 ;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
             fhir:Coding.code [ fhir:value "38268001" ]
           ] ;
           fhir:CodeableConcept.text [ fhir:value "Ibuprofen" ]
         ] ;
         fhir:MedicationStatement.subject [
           fhir:Reference.reference [ fhir:value "#patient-123" ]
         ] ;
         fhir:MedicationStatement.reasonCode [
           fhir:index 0 ;
           fhir:CodeableConcept.text [ fhir:value "Allergic reaction" ]
         ]
      ], [
         a fhir:Patient ;
         fhir:index 5 ;
         fhir:Resource.id [ fhir:value "patient-123" ] ;
         fhir:DomainResource.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org.au/fhir/StructureDefinition/indigenous-status" ] ;
           fhir:Extension.valueCoding [
             fhir:Coding.system [ fhir:value "https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1" ] ;
             fhir:Coding.code [ fhir:value "9" ] ;
             fhir:Coding.display [ fhir:value "Not stated/inadequately described" ]
           ]
         ] ;
         fhir:Patient.identifier [
           fhir:index 0 ;
           fhir:Identifier.type [
             fhir:CodeableConcept.coding [
               fhir:index 0 ;
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
               fhir:Coding.code [ fhir:value "NI" ] ;
               fhir:Coding.display [ fhir:value "National unique individual identifier" ]
             ]
           ] ;
           fhir:Identifier.system [ fhir:value "http://ns.electronichealth.net.au/id/hi/ihi/1.0" ] ;
           fhir:Identifier.value [ fhir:value "8003608666701594" ]
         ] ;
         fhir:Patient.name [
           fhir:index 0 ;
           fhir:HumanName.text [ fhir:value "David Goodpatient" ] ;
           fhir:HumanName.family [ fhir:value "Goodpatient" ] ;
           fhir:HumanName.given [
             fhir:value "David" ;
             fhir:index 0
           ]
         ] ;
         fhir:Patient.gender [ fhir:value "male" ] ;
         fhir:Patient.birthDate [ fhir:value "1953-09-14"^^xsd:date ] ;
         fhir:Patient.address [
           fhir:index 0 ;
           fhir:Address.use [ fhir:value "home" ] ;
           fhir:Address.line [
             fhir:value "2 Round Court" ;
             fhir:index 0
           ] ;
           fhir:Address.state [ fhir:value "QLD" ] ;
           fhir:Address.postalCode [ fhir:value "4113" ] ;
           fhir:Address.country [ fhir:value "Australia" ]
         ] ;
         fhir:Patient.generalPractitioner [
           fhir:index 0 ;
           fhir:Reference.reference [ fhir:value "#gp-13579" ]
         ] ;
         fhir:Patient.managingOrganization [
           fhir:Reference.reference [ fhir:value "#org-24680" ]
         ]
      ], [
         a fhir:Practitioner ;
         fhir:index 6 ;
         fhir:Resource.id [ fhir:value "gp-13579" ] ;
         fhir:Practitioner.name [
           fhir:index 0 ;
           fhir:HumanName.family [ fhir:value "Grey" ] ;
           fhir:HumanName.prefix [
             fhir:value "Dr" ;
             fhir:index 0
           ]
         ]
      ], [
         a fhir:Practitioner ;
         fhir:index 7 ;
         fhir:Resource.id [ fhir:value "dr-97531" ] ;
         fhir:Practitioner.identifier [
           fhir:index 0 ;
           fhir:Identifier.type [
             fhir:CodeableConcept.coding [
               fhir:index 0 ;
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
               fhir:Coding.code [ fhir:value "NPI" ] ;
               fhir:Coding.display [ fhir:value "National provider identifier" ]
             ] ;
             fhir:CodeableConcept.text [ fhir:value "HPI-I" ]
           ] ;
           fhir:Identifier.system [ fhir:value "http://ns.electronichealth.net.au/id/hi/hpii/1.0" ] ;
           fhir:Identifier.value [ fhir:value "8003619900015717" ]
         ] ;
         fhir:Practitioner.name [
           fhir:index 0 ;
           fhir:HumanName.use [ fhir:value "official" ] ;
           fhir:HumanName.family [ fhir:value "Practitioner" ] ;
           fhir:HumanName.given [
             fhir:value "Iam" ;
             fhir:index 0
           ] ;
           fhir:HumanName.suffix [
             fhir:value "M.D." ;
             fhir:index 0
           ]
         ] ;
         fhir:Practitioner.telecom [
           fhir:index 0 ;
           fhir:ContactPoint.system [ fhir:value "phone" ] ;
           fhir:ContactPoint.value [ fhir:value "0755501234" ] ;
           fhir:ContactPoint.use [ fhir:value "work" ]
         ], [
           fhir:index 1 ;
           fhir:ContactPoint.system [ fhir:value "email" ] ;
           fhir:ContactPoint.value [ fhir:value "iam.practitioner@example.com" ] ;
           fhir:ContactPoint.use [ fhir:value "work" ]
         ] ;
         fhir:Practitioner.qualification [
           fhir:index 0 ;
           fhir:Practitioner.qualification.identifier [
             fhir:index 0 ;
             fhir:Identifier.type [
               fhir:CodeableConcept.coding [
                 fhir:index 0 ;
                 fhir:Coding.system [ fhir:value "http://terminology.hl7.org.au/CodeSystem/v2-0203" ] ;
                 fhir:Coding.code [ fhir:value "AHPRA" ] ;
                 fhir:Coding.display [ fhir:value "Australian Health Practitioner Regulation Agency Registration Number" ]
               ] ;
               fhir:CodeableConcept.text [ fhir:value "Ahpra registration number" ]
             ] ;
             fhir:Identifier.system [ fhir:value "http://hl7.org.au/id/ahpra-registration-number" ] ;
             fhir:Identifier.value [ fhir:value "MED0000932850" ]
           ] ;
           fhir:Practitioner.qualification.code [
             fhir:CodeableConcept.coding [
               fhir:index 0 ;
               fhir:Coding.system [ fhir:value "http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0" ] ;
               fhir:Coding.code [ fhir:value "253111" ] ;
               fhir:Coding.display [ fhir:value "General Medical Practitioner" ]
             ] ;
             fhir:CodeableConcept.text [ fhir:value "Ahpra qualification for General Practitioner" ]
           ] ;
           fhir:Practitioner.qualification.issuer [
             fhir:Reference.display [ fhir:value "Ahpra" ]
           ]
         ]
      ], [
         a fhir:Organization ;
         fhir:index 8 ;
         fhir:Resource.id [ fhir:value "org-24680" ] ;
         fhir:Organization.name [ fhir:value "Grey Medical Practice" ]
      ], [
         a fhir:Encounter ;
         fhir:index 9 ;
         fhir:Resource.id [ fhir:value "enc-24680" ] ;
         fhir:Encounter.identifier [
           fhir:index 0 ;
           fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
           fhir:Identifier.value [ fhir:value "urn:uuid:5c48d068-4ffb-11e9-8647-d663bd873d93" ]
         ] ;
         fhir:Encounter.status [ fhir:value "finished" ] ;
         fhir:Encounter.class [
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ;
           fhir:Coding.code [ fhir:value "AMB" ] ;
           fhir:Coding.display [ fhir:value "ambulatory" ]
         ] ;
         fhir:Encounter.type [
           fhir:index 0 ;
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             a loinc:34764-1 ;
             fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
             fhir:Coding.code [ fhir:value "34764-1" ]
           ]
         ] ;
         fhir:Encounter.priority [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActPriority" ] ;
             fhir:Coding.code [ fhir:value "R" ]
           ]
         ] ;
         fhir:Encounter.subject [
           fhir:Reference.reference [ fhir:value "#patient-123" ]
         ] ;
         fhir:Encounter.participant [
           fhir:index 0 ;
           fhir:Encounter.participant.type [
             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 "PPRF" ]
             ]
           ] ;
           fhir:Encounter.participant.individual [
             fhir:Reference.reference [ fhir:value "#dr-97531" ]
           ]
         ] ;
         fhir:Encounter.period [
           fhir:Period.start [ fhir:value "2019-03-15"^^xsd:date ] ;
           fhir:Period.end [ fhir:value "2019-03-15"^^xsd:date ]
         ]
      ] ;
      fhir:List.identifier [
         fhir:index 0 ;
         fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
         fhir:Identifier.value [ fhir:value "urn:uuid:7f8fb180-4ea8-11e9-8647-d663bd873d93" ]
      ] ;
      fhir:List.status [ fhir:value "current"] ;
      fhir:List.mode [ fhir:value "snapshot"] ;
      fhir:List.code [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           a loinc:10160-0 ;
           fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
           fhir:Coding.code [ fhir:value "10160-0" ]
         ] ;
         fhir:CodeableConcept.text [ fhir:value "Medicine List" ]
      ] ;
      fhir:List.subject [
         fhir:Reference.reference [ fhir:value "#patient-123" ]
      ] ;
      fhir:List.encounter [
         fhir:Reference.reference [ fhir:value "#enc-24680" ]
      ] ;
      fhir:List.date [ fhir:value "2019-03-15"^^xsd:date] ;
      fhir:List.source [
         fhir:Reference.reference [ fhir:value "#dr-97531" ]
      ] ;
      fhir:List.entry [
         fhir:index 0 ;
         fhir:List.entry.flag [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org.au/CodeSystem/medicine-item-change" ] ;
             fhir:Coding.code [ fhir:value "new" ] ;
             fhir:Coding.display [ fhir:value "New" ]
           ]
         ] ;
         fhir:List.entry.item [
           fhir:Reference.reference [ fhir:value "#medicationstatement-456" ]
         ]
      ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org.au/fhir/StructureDefinition/change-description" ] ;
           fhir:Extension.valueString [ fhir:value "Reduced to one inhalation a day" ]
         ] ;
         fhir:List.entry.flag [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org.au/CodeSystem/medicine-item-change" ] ;
             fhir:Coding.code [ fhir:value "amended" ] ;
             fhir:Coding.display [ fhir:value "Amended" ]
           ]
         ] ;
         fhir:List.entry.item [
           fhir:Reference.reference [ fhir:value "#medicationstatement-678" ]
         ]
      ], [
         fhir:index 2 ;
         fhir:List.entry.flag [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org.au/CodeSystem/medicine-item-change" ] ;
             fhir:Coding.code [ fhir:value "nochange" ] ;
             fhir:Coding.display [ fhir:value "Unchanged" ]
           ]
         ] ;
         fhir:List.entry.item [
           fhir:Reference.reference [ fhir:value "#medicationstatement-234" ]
         ]
      ], [
         fhir:index 3 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org.au/fhir/StructureDefinition/change-description" ] ;
           fhir:Extension.valueString [ fhir:value "Form change" ]
         ] ;
         fhir:List.entry.flag [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org.au/CodeSystem/medicine-item-change" ] ;
             fhir:Coding.code [ fhir:value "amended" ] ;
             fhir:Coding.display [ fhir:value "Amended" ]
           ]
         ] ;
         fhir:List.entry.item [
           fhir:Reference.reference [ fhir:value "#medicationstatement-890" ]
         ]
      ], [
         fhir:index 4 ;
         fhir:List.entry.flag [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org.au/CodeSystem/medicine-item-change" ] ;
             fhir:Coding.code [ fhir:value "ceased" ] ;
             fhir:Coding.display [ fhir:value "Ceased" ]
           ]
         ] ;
         fhir:List.entry.item [
           fhir:Reference.reference [ fhir:value "#medicationstatement-246" ]
         ]
      ] .

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

    <http://hl7.org/fhir/List/example2.ttl> a owl:Ontology ;
      owl:imports fhir:fhir.ttl ;
      owl:versionIRI <http://build.fhir.org/List/example2.ttl> .