Kenya ePrescription FHIR Implementation Guide
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: MedicationRequest – Extensions: Digital Signature, Refill, Controlled Substance, Insurance Auth - 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 "example-medicationrequest-with-extensions"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-medication-request"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-medication-request>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest example-medicationrequest-with-extensions</b></p><a name=\"example-medicationrequest-with-extensions\"> </a><a name=\"hcexample-medicationrequest-with-extensions\"> </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-ke-medication-request.html\">Kenya eRx MedicationRequest</a></p></div><blockquote><p><b>Prescription Digital Signature</b></p><ul><li>signatureType: <a href=\"http://hl7.org/fhir/R4/codesystem-signature-type.html#signature-type-1.462.46840.4610065.461.4612.461.461\">Signature Type Codes: 1.2.840.10065.1.12.1.1</a> (Author's Signature)</li><li>signatureValue: <code>U0lHTkFUVVJFX1BMQUNFSE9MREVS</code></li><li>signedBy: <a href=\"Practitioner-example-practitioner-njoroge.html\">Practitioner Sarah Njoroge (official)</a></li><li>signedOn: 2025-06-15 09:30:00+0300</li></ul></blockquote><blockquote><p><b>Refill Authorization</b></p><ul><li>authorizedRefills: 3</li><li>remainingRefills: 3</li><li>earliestRefillDate: 2025-07-15</li></ul></blockquote><blockquote><p><b>Controlled Substance Schedule</b></p><ul><li>isControlled: false</li></ul></blockquote><blockquote><p><b>Insurance Pre-Authorization</b></p><ul><li>authorizationNumber: SHA-2025-AUTH-001234</li><li>insurerName: Social Health Authority (SHA)</li><li>validFrom: 2025-06-15</li><li>validTo: 2025-09-15</li></ul></blockquote><p><b>identifier</b>: <a href=\"NamingSystem-ns-prescription-identifier.html\" title=\"System-generated prescription number that uniquely identifies a MedicationRequest across all dispensing points. Format: RX-{YYYY}-{SITE}-{SEQ}.\">KenyaPrescriptionIdentifier</a>/RX-2025-EXT-00001</p><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 outpatient}\">Outpatient</span></p><p><b>medication</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/generic-products-cs GE10002}\">Metformin 500 mg Oral Tablet</span></p><p><b>subject</b>: <a href=\"Patient-example-patient-otieno.html\">James Otieno (official) Male, DoB: 1968-09-20 ( https://ilm-hie.dha.go.ke/fhir/NamingSystem/national-id#KenyaNationalId#10293847)</a></p><p><b>authoredOn</b>: 2025-06-15</p><p><b>requester</b>: <a href=\"Practitioner-example-practitioner-njoroge.html\">Practitioner Sarah Njoroge (official)</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Take 1 tablet (500 mg) by mouth twice daily with meals</p><p><b>timing</b>: 2 per 1 day</p><p><b>route</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/route-of-administration-cs RT10025}\">Oral</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>500 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></blockquote><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>3</td><td>60 tablet<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></td></tr></table><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Allowed[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
    ( fhir:extension [
fhir:url [
fhir:v "signatureType"^^xsd:anyURI ;
fhir:l fhir:signatureType       ] ;
fhir:value [
a fhir:Coding ;
fhir:system [
fhir:v "urn:iso-astm:E1762-95:2013"^^xsd:anyURI ;
fhir:l <urn:iso-astm:E1762-95:2013>         ] ;
fhir:code [ fhir:v "1.2.840.10065.1.12.1.1" ] ;
fhir:display [ fhir:v "Author's Signature" ]       ]     ] [
fhir:url [
fhir:v "signatureValue"^^xsd:anyURI ;
fhir:l fhir:signatureValue       ] ;
fhir:value [
a fhir:Base64Binary ;
fhir:v "U0lHTkFUVVJFX1BMQUNFSE9MREVS"^^xsd:base64Binary       ]     ] [
fhir:url [
fhir:v "signedBy"^^xsd:anyURI ;
fhir:l fhir:signedBy       ] ;
fhir:value [
a fhir:Reference ;
fhir:l fhir:Practitioner/example-practitioner-njoroge ;
fhir:reference [ fhir:v "Practitioner/example-practitioner-njoroge" ]       ]     ] [
fhir:url [
fhir:v "signedOn"^^xsd:anyURI ;
fhir:l fhir:signedOn       ] ;
fhir:value [
a fhir:Instant ;
fhir:v "2025-06-15T09:30:00+03:00"^^xsd:dateTime       ]     ] ) ;
fhir:url [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/prescription-digital-signature"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/prescription-digital-signature>     ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "authorizedRefills"^^xsd:anyURI ;
fhir:l fhir:authorizedRefills       ] ;
fhir:value [
a fhir:UnsignedInt ;
fhir:v "3"^^xsd:nonNegativeInteger       ]     ] [
fhir:url [
fhir:v "remainingRefills"^^xsd:anyURI ;
fhir:l fhir:remainingRefills       ] ;
fhir:value [
a fhir:UnsignedInt ;
fhir:v "3"^^xsd:nonNegativeInteger       ]     ] [
fhir:url [
fhir:v "earliestRefillDate"^^xsd:anyURI ;
fhir:l fhir:earliestRefillDate       ] ;
fhir:value [
a fhir:Date ;
fhir:v "2025-07-15"^^xsd:date       ]     ] ) ;
fhir:url [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/refill-authorization"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/refill-authorization>     ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "isControlled"^^xsd:anyURI ;
fhir:l fhir:isControlled       ] ;
fhir:value [
a fhir:Boolean ;
fhir:v false       ]     ] ) ;
fhir:url [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/controlled-substance-schedule"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/controlled-substance-schedule>     ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "authorizationNumber"^^xsd:anyURI ;
fhir:l fhir:authorizationNumber       ] ;
fhir:value [
a fhir:String ;
fhir:v "SHA-2025-AUTH-001234"       ]     ] [
fhir:url [
fhir:v "insurerName"^^xsd:anyURI ;
fhir:l fhir:insurerName       ] ;
fhir:value [
a fhir:String ;
fhir:v "Social Health Authority (SHA)"       ]     ] [
fhir:url [
fhir:v "validFrom"^^xsd:anyURI ;
fhir:l fhir:validFrom       ] ;
fhir:value [
a fhir:Date ;
fhir:v "2025-06-15"^^xsd:date       ]     ] [
fhir:url [
fhir:v "validTo"^^xsd:anyURI ;
fhir:l fhir:validTo       ] ;
fhir:value [
a fhir:Date ;
fhir:v "2025-09-15"^^xsd:date       ]     ] ) ;
fhir:url [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/insurance-pre-authorization"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/insurance-pre-authorization>     ]
  ] ) ; # 
  fhir:identifier ( [
fhir:system [
fhir:v "https://ilm-hie.dha.go.ke/fhir/NamingSystem/prescription-identifier"^^xsd:anyURI ;
fhir:l <https://ilm-hie.dha.go.ke/fhir/NamingSystem/prescription-identifier>     ] ;
fhir:value [ fhir:v "RX-2025-EXT-00001" ]
  ] ) ; # 
  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:l <http://terminology.hl7.org/CodeSystem/medicationrequest-category>       ] ;
fhir:code [ fhir:v "outpatient" ] ;
fhir:display [ fhir:v "Outpatient" ]     ] )
  ] ) ; # 
  fhir:medication [
a fhir:CodeableConcept ;
    ( fhir:coding [
fhir:system [
fhir:v "https://nshr-uat.sha.go.ke/fhir/CodeSystem/generic-products-cs"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/CodeSystem/generic-products-cs>       ] ;
fhir:code [ fhir:v "GE10002" ] ;
fhir:display [ fhir:v "Metformin 500 mg Oral Tablet" ]     ] )
  ] ; # 
  fhir:subject [
fhir:l fhir:Patient/example-patient-otieno ;
fhir:reference [ fhir:v "Patient/example-patient-otieno" ]
  ] ; # 
  fhir:authoredOn [ fhir:v "2025-06-15"^^xsd:date] ; # 
  fhir:requester [
fhir:l fhir:Practitioner/example-practitioner-njoroge ;
fhir:reference [ fhir:v "Practitioner/example-practitioner-njoroge" ]
  ] ; # 
  fhir:dosageInstruction ( [
fhir:text [ fhir:v "Take 1 tablet (500 mg) by mouth twice daily with meals" ] ;
fhir:timing [
fhir:repeat [
fhir:frequency [ fhir:v "2"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "1"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "d" ]       ]     ] ;
fhir:route [
      ( fhir:coding [
fhir:system [
fhir:v "https://nshr-uat.sha.go.ke/fhir/CodeSystem/route-of-administration-cs"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/CodeSystem/route-of-administration-cs>         ] ;
fhir:code [ fhir:v "RT10025" ] ;
fhir:display [ fhir:v "Oral" ]       ] )     ] ;
    ( fhir:doseAndRate [
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "500"^^xsd:decimal ] ;
fhir:unit [ fhir:v "mg" ] ;
fhir:system [
fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
fhir:l <http://unitsofmeasure.org>         ] ;
fhir:code [ fhir:v "mg" ]       ]     ] )
  ] ) ; # 
  fhir:dispenseRequest [
fhir:numberOfRepeatsAllowed [ fhir:v "3"^^xsd:nonNegativeInteger ] ;
fhir:quantity [
fhir:value [ fhir:v "60"^^xsd:decimal ] ;
fhir:unit [ fhir:v "tablet" ] ;
fhir:system [
fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
fhir:l <http://unitsofmeasure.org>       ] ;
fhir:code [ fhir:v "1" ]     ]
  ] ; # 
  fhir:substitution [
fhir:allowed [
a fhir:Boolean ;
fhir:v true     ]
  ] . #