NHS Digital FHIR Medicines

Prescription Order Community No Nominated Pharmacy

Community repeat dispensing prescription, no nominated pharmacy

{
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"id": "aef77afb-7e3c-427a-8657-2c427f71a271",
"identifier": {
"system": "https://tools.ietf.org/html/rfc4122",
"value": "0c44a712-22b7-4fa9-a495-9889860b7eef"
},
"type": "message",
"entry": [
{
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"resource": {
"resourceType": "MessageHeader",
"eventCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/message-event",
"code": "prescription-order",
"display": "Prescription Order"
},
"source": {
"endpoint": "https://directory.spineservices.nhs.uk/STU3/Organization/RBA"
},
"focus": [
{
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{
"fullUrl": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6",
"resource": {
"resourceType": "MedicationRequest",
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType",
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/prescription-type",
"code": "1001",
"display": "Outpatient Community Prescriber - Medical Prescriber"
}
},
{
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation",
"extension": [
{
"url": "authorisationExpiryDate",
"valueDateTime": "2020-12-07"
}
]
}
],
"identifier": [
{
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"value": "a54219b8-f741-4c47-b662-e4f8dfa49ab6"
}
],
"status": "active",
"intent": "original-order",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
}
]
}
],
"medicationCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "15517911000001104",
"display": "Methotrexate 10mg/0.2ml solution for injection pre-filled syringes"
}
]
},
"subject": {
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"authoredOn": "2020-12-21T18:15:29+00:00",
"requester": {
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},
"groupIdentifier": {
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
"valueIdentifier": {
"system": "https://fhir.nhs.uk/Id/prescription",
"value": "d61df424-604d-49be-b9ad-9e2064785e18"
}
}
],
"system": "https://fhir.nhs.uk/Id/prescription-order-number",
"value": "82D996-Z9243B-11EBA8"
},
"courseOfTherapyType": {
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/medicationrequest-course-of-therapy",
"code": "continuous-repeat-dispensing",
"display": "Continuous long term (repeat dispensing)"
}
]
},
"dosageInstruction": [
{
"text": "Inject 10 milligram - once a week - Subcutaneous route",
"timing": {
"repeat": {
"frequency": 1,
"period": 1,
"periodUnit": "wk"
}
},
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "422145002",
"display": "Inject"
}
]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "34206005",
"display": "Subcutaneous route"
}
]
},
"doseAndRate": [
{
"doseQuantity": {
"value": 10,
"unit": "milligram",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
]
}
],
"dispenseRequest": {
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
"code": "0004"
}
}
],
"validityPeriod": {
"start": "2020-06-10",
"end": "2020-12-07"
},
"numberOfRepeatsAllowed": 6,
"quantity": {
"value": 4,
"unit": "Injection",
"system": "http://snomed.info/sct",
"code": "3092611000001103"
},
"expectedSupplyDuration": {
"value": 28,
"unit": "days",
"system": "http://unitsofmeasure.org",
"code": "d"
}
},
"substitution": {
"allowedBoolean": false
}
}
},
{
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"resource": {
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"value": "9449305552"
}
],
"name": [
{
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"family": "CORY",
"given": [
"ETTA"
],
"prefix": [
"MISS"
]
}
],
"gender": "female",
"birthDate": "1999-01-04",
"address": [
{
"use": "home",
"line": [
"123 Dale Avenue",
"Long Eaton",
"Nottingham"
],
"postalCode": "NG10 1NP"
}
],
"managingOrganization": {
"identifier": {
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"value": "B81001"
}
},
"generalPractitioner": [
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}
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"resource": {
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"value": "100102238986"
},
{
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"value": "G6123456"
}
],
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},
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"specialty": [
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"code": "100",
"display": "GENERAL MEDICINE"
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],
"code": [
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"code": "R8000"
}
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],
"location": [
{
"reference": "urn:uuid:044e7916-c697-4072-880e-ef44d3032962",
"display": "MUSGROVE PARK HOSPITAL"
}
],
"telecom": [
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"value": "01234567890",
"use": "work"
}
]
}
},
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"resource": {
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"identifier": [
{
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"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "RBA11"
}
],
"status": "active",
"mode": "instance",
"address": {
"use": "work",
"line": [
"MUSGROVE PARK HOSPITAL"
],
"city": "TAUNTON",
"postalCode": "TA1 5DA",
"country": "NLD"
}
}
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{
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"value": "C4428981"
}
],
"name": [
{
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"given": [
"Thomas"
],
"prefix": [
"DR"
]
}
]
}
},
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"resource": {
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"identifier": [
{
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "RBA"
}
],
"name": "TAUNTON AND SOMERSET NHS FOUNDATION TRUST",
"address": [
{
"line": [
"MUSGROVE PARK HOSPITAL",
"PARKFIELD DRIVE",
"TAUNTON"
],
"postalCode": "TA1 5DA"
}
],
"telecom": [
{
"system": "phone",
"value": "01823333444",
"use": "work"
}
]
}
},
{
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"resource": {
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"id": "54b0506d-49af-4245-9d40-d7d64902055e",
"identifier": [
{
"use": "official",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "A99968"
}
],
"active": true,
"location": [
{
"reference": "urn:uuid:044e7916-c697-4072-880e-ef44d3032962"
}
],
"name": "SOMERSET BOWEL CANCER SCREENING CENTRE",
"telecom": [
{
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"value": "01823 333444",
"use": "work"
}
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]
}
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<identifier>
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<value value="0c44a712-22b7-4fa9-a495-9889860b7eef" />
</identifier>
<type value="message" />
<entry>
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<resource>
<MessageHeader>
<eventCoding>
<system value="https://fhir.nhs.uk/CodeSystem/message-event" />
<code value="prescription-order" />
<display value="Prescription Order" />
</eventCoding>
<source>
<endpoint value="https://directory.spineservices.nhs.uk/STU3/Organization/RBA" />
</source>
<focus>
<reference value="urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
<resource>
<MedicationRequest>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType">
<valueCoding>
<system value="https://fhir.nhs.uk/CodeSystem/prescription-type" />
<code value="1001" />
<display value="Outpatient Community Prescriber - Medical Prescriber" />
</valueCoding>
</extension>
<extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation">
<extension url="authorisationExpiryDate">
<valueDateTime value="2020-12-07" />
</extension>
</extension>
<identifier>
<system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
<value value="a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
</identifier>
<status value="active" />
<intent value="original-order" />
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category" />
<code value="community" />
<display value="Community" />
</coding>
</category>
<medicationCodeableConcept>
<coding>
<system value="http://snomed.info/sct" />
<code value="15517911000001104" />
<display value="Methotrexate 10mg/0.2ml solution for injection pre-filled syringes" />
</coding>
</medicationCodeableConcept>
<subject>
<reference value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
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<authoredOn value="2020-12-21T18:15:29+00:00" />
<requester>
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</requester>
<groupIdentifier>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
<valueIdentifier>
<system value="https://fhir.nhs.uk/Id/prescription" />
<value value="d61df424-604d-49be-b9ad-9e2064785e18" />
</valueIdentifier>
</extension>
<system value="https://fhir.nhs.uk/Id/prescription-order-number" />
<value value="82D996-Z9243B-11EBA8" />
</groupIdentifier>
<courseOfTherapyType>
<coding>
<system value="https://fhir.nhs.uk/CodeSystem/medicationrequest-course-of-therapy" />
<code value="continuous-repeat-dispensing" />
<display value="Continuous long term (repeat dispensing)" />
</coding>
</courseOfTherapyType>
<dosageInstruction>
<text value="Inject 10 milligram - once a week - Subcutaneous route" />
<timing>
<repeat>
<frequency value="1" />
<period value="1" />
<periodUnit value="wk" />
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct" />
<code value="34206005" />
<display value="Subcutaneous route" />
</coding>
</route>
<method>
<coding>
<system value="http://snomed.info/sct" />
<code value="422145002" />
<display value="Inject" />
</coding>
</method>
<doseAndRate>
<doseQuantity>
<value value="10" />
<unit value="milligram" />
<system value="http://unitsofmeasure.org" />
<code value="mg" />
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType">
<valueCoding>
<system value="https://fhir.nhs.uk/CodeSystem/dispensing-site-preference" />
<code value="0004" />
</valueCoding>
</extension>
<validityPeriod>
<start value="2020-06-10" />
<end value="2020-12-07" />
</validityPeriod>
<numberOfRepeatsAllowed value="6" />
<quantity>
<value value="4" />
<unit value="Injection" />
<system value="http://snomed.info/sct" />
<code value="3092611000001103" />
</quantity>
<expectedSupplyDuration>
<value value="28" />
<unit value="days" />
<system value="http://unitsofmeasure.org" />
<code value="d" />
</expectedSupplyDuration>
</dispenseRequest>
<substitution>
<allowedBoolean value="false" />
</substitution>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
<resource>
<Patient>
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<value value="9449305552" />
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<name>
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<given value="ETTA" />
<prefix value="MISS" />
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<gender value="female" />
<birthDate value="1999-01-04" />
<address>
<use value="home" />
<line value="123 Dale Avenue" />
<line value="Long Eaton" />
<line value="Nottingham" />
<postalCode value="NG10 1NP" />
</address>
<generalPractitioner>
<identifier>
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<value value="B81001" />
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<entry>
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<code>
<coding>
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<code value="R8000" />
</coding>
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<specialty>
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<code value="100" />
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<location>
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<telecom>
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<value value="RBA11" />
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<status value="active" />
<mode value="instance" />
<address>
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<name>
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<telecom>
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<address>
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<value value="A99968" />
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<active value="true" />
<location>
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<name value="SOMERSET BOWEL CANCER SCREENING CENTRE" />
<telecom>
<system value="phone" />
<value value="01823 333444" />
<use value="work" />
</telecom>
</HealthcareService>
</resource>
</entry>
</Bundle>
Bundle
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