Kenya eClaims FHIR IG
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: Medication Request Example - Empagliflozin/Metformin - TTL Representation

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@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 xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:MedicationRequest ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "866d4b06-9199-41a1-9ea9-213212ea9512"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest 866d4b06-9199-41a1-9ea9-213212ea9512</b></p><a name=\"866d4b06-9199-41a1-9ea9-213212ea9512\"> </a><a name=\"hc866d4b06-9199-41a1-9ea9-213212ea9512\"> </a><p><b>identifier</b>: <code>https://shr.dha.go.ke/fhir/medication-request</code>/bcb292cb-0707-4b90-8c35-39a82ed0f389 (use: official, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title=\"Codes:{http://nhts.dha.go.ke/fhir/ValueSet/medication GE10887}\">Atorvastatin 20mg tablet</span></p><p><b>subject</b>: <a href=\"Patient/CR6164711105276-6\">Patient/CR6164711105276-6</a></p><p><b>authoredOn</b>: 2025-06-30</p><p><b>requester</b>: <a href=\"Practitioner/PUID-0001662-7\">Practitioner/PUID-0001662-7</a></p><p><b>reasonCode</b>: <span title=\"Codes:{https://nhts.dha.go.ke/terminology/icd11 I10}\">Essential (primary) hypertension</span></p><p><b>note</b>: </p><blockquote><div><p>Patient has reported nausea with higher doses in the past.</p>\n</div></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Take one tablet by mouth daily</p><p><b>timing</b>: Once per 1 day</p><p><b>route</b>: <span title=\"Codes:{https://nhts.dha.go.ke/terminology/v1/route RT10025}\">Oral</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></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type ordered}\">Ordered</span></td><td>20 milligram per dose<span style=\"background: LightGoldenRodYellow\"> (Details: unit  codeUM10229 = 'UM10229')</span></td></tr></table></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2025-03-28 --&gt; 2025-09-28</p><p><b>numberOfRepeatsAllowed</b>: 3</p><p><b>quantity</b>: 360 milligram per dose<span style=\"background: LightGoldenRodYellow\"> (Details: unit  codeUM10229 = 'UM10229')</span></p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>30</td><td>days</td><td><a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ucum.html\">http://unitsofmeasure.org</a></td><td>d</td></tr></table></blockquote><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActReason CT}\">Continuing therapy</span></td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:system [
fhir:v "https://shr.dha.go.ke/fhir/medication-request"^^xsd:anyURI ;
fhir:l <https://shr.dha.go.ke/fhir/medication-request>     ] ;
fhir:value [ fhir:v "bcb292cb-0707-4b90-8c35-39a82ed0f389" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:medication [
a fhir:CodeableConcept ;
    ( fhir:coding [
fhir:system [
fhir:v "http://nhts.dha.go.ke/fhir/ValueSet/medication"^^xsd:anyURI ;
fhir:l <http://nhts.dha.go.ke/fhir/ValueSet/medication>       ] ;
fhir:code [ fhir:v "GE10887" ] ;
fhir:display [ fhir:v "Empagliflozin 5 mg/Metformin 500 mg Oral Tablet" ]     ] ) ;
fhir:text [ fhir:v "Atorvastatin 20mg tablet" ]
  ] ; # 
  fhir:subject [
fhir:l fhir:Patient/CR6164711105276-6 ;
fhir:reference [ fhir:v "Patient/CR6164711105276-6" ] ;
fhir:identifier [
fhir:use [ fhir:v "official" ] ;
fhir:system [
fhir:v "https://hie.dha.go.ke/client-registry"^^xsd:anyURI ;
fhir:l <https://hie.dha.go.ke/client-registry>       ] ;
fhir:value [ fhir:v "CR6164711105276-6" ]     ]
  ] ; # 
  fhir:authoredOn [ fhir:v "2025-06-30"^^xsd:date] ; # 
  fhir:requester [
fhir:l fhir:Practitioner/PUID-0001662-7 ;
fhir:reference [ fhir:v "Practitioner/PUID-0001662-7" ] ;
fhir:type [
fhir:v "Practitioner"^^xsd:anyURI ;
fhir:l fhir:Practitioner     ] ;
fhir:identifier [
fhir:use [ fhir:v "official" ] ;
fhir:system [
fhir:v "https://hie.dha.go.ke/health-worker-registry"^^xsd:anyURI ;
fhir:l <https://hie.dha.go.ke/health-worker-registry>       ] ;
fhir:value [ fhir:v "PUID-0001662-7" ]     ]
  ] ; # 
  fhir:reasonCode ( [
    ( fhir:coding [
fhir:system [
fhir:v "https://nhts.dha.go.ke/terminology/icd11"^^xsd:anyURI ;
fhir:l <https://nhts.dha.go.ke/terminology/icd11>       ] ;
fhir:code [ fhir:v "I10" ] ;
fhir:display [ fhir:v "Essential (primary) hypertension" ]     ] )
  ] ) ; # 
  fhir:note ( [
fhir:text [ fhir:v "Patient has reported nausea with higher doses in the past." ]
  ] ) ; # 
  fhir:dosageInstruction ( [
fhir:text [ fhir:v "Take one tablet by mouth daily" ] ;
fhir:timing [
fhir:repeat [
fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "1"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "d" ]       ]     ] ;
fhir:route [
      ( fhir:coding [
fhir:system [
fhir:v "https://nhts.dha.go.ke/terminology/v1/route"^^xsd:anyURI ;
fhir:l <https://nhts.dha.go.ke/terminology/v1/route>         ] ;
fhir:code [ fhir:v "RT10025" ] ;
fhir:display [ fhir:v "Oral" ]       ] )     ] ;
    ( fhir:doseAndRate [
fhir:type [
        ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/dose-rate-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/dose-rate-type>           ] ;
fhir:code [ fhir:v "ordered" ] ;
fhir:display [ fhir:v "Ordered" ]         ] )       ] ;
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "20"^^xsd:decimal ] ;
fhir:unit [ fhir:v "milligram per dose" ] ;
fhir:system [
fhir:v "https://nhts.dha.go.ke/terminology/v1/unit"^^xsd:anyURI ;
fhir:l <https://nhts.dha.go.ke/terminology/v1/unit>         ] ;
fhir:code [ fhir:v "UM10229" ]       ]     ] )
  ] ) ; # 
  fhir:dispenseRequest [
fhir:validityPeriod [
fhir:start [ fhir:v "2025-03-28"^^xsd:date ] ;
fhir:end [ fhir:v "2025-09-28"^^xsd:date ]     ] ;
fhir:numberOfRepeatsAllowed [ fhir:v "3"^^xsd:nonNegativeInteger ] ;
fhir:quantity [
fhir:value [ fhir:v "360"^^xsd:decimal ] ;
fhir:unit [ fhir:v "milligram per dose" ] ;
fhir:system [
fhir:v "https://nhts.dha.go.ke/terminology/v1/unit"^^xsd:anyURI ;
fhir:l <https://nhts.dha.go.ke/terminology/v1/unit>       ] ;
fhir:code [ fhir:v "UM10229" ]     ] ;
fhir:expectedSupplyDuration [
fhir:value [ fhir:v "30"^^xsd:decimal ] ;
fhir:unit [ fhir:v "days" ] ;
fhir:system [
fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
fhir:l <http://unitsofmeasure.org>       ] ;
fhir:code [ fhir:v "d" ]     ]
  ] ; # 
  fhir:substitution [
fhir:allowed [
a fhir:Boolean ;
fhir:v true     ] ;
fhir:reason [
      ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActReason>         ] ;
fhir:code [ fhir:v "CT" ] ;
fhir:display [ fhir:v "Continuing therapy" ]       ] )     ]
  ] . #