NHS Digital FHIR Medicines

Prescription Order GP with patient notes
{
"resourceType": "Bundle",
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"system": "https://tools.ietf.org/html/rfc4122",
"value": "0cb82cfa-76c8-4fb2-a08e-bf0e326e5487"
},
"type": "message",
"entry": [
{
"fullUrl": "urn:uuid:17773b27-427e-4940-8c16-64cdac715001",
"resourceType": "MessageHeader",
"system": "https://fhir.nhs.uk/CodeSystem/message-event",
"code": "prescription-order",
"display": "Prescription Order"
},
"source": {
"endpoint": "https://directory.spineservices.nhs.uk/STU3/Organization/C81010"
},
"focus": [
{
"reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666"
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{
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{
"fullUrl": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6",
"resourceType": "MedicationRequest",
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType",
"system": "https://fhir.nhs.uk/CodeSystem/prescription-type",
"code": "0101",
"display": "Primary Care Prescriber – Medical Prescriber"
}
}
],
{
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "299c610b-f4f1-4eac-a7d7-4fb6b0556e11"
}
],
"status": "active",
"intent": "order",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
}
]
}
],
"coding": [
{
"system": "http://snomed.info/sct",
"code": "39720311000001101",
"display": "Paracetamol 500mg soluble tablets"
}
]
},
"subject": {
"reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2"
},
"authoredOn": "2020-12-21T18:15:29+00:00",
"reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666"
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
"system": "https://fhir.nhs.uk/Id/prescription",
"value": "b2fc79f0-2793-4736-9b2d-0976c21e73a5"
}
}
],
"system": "https://fhir.nhs.uk/Id/prescription-order-number",
"value": "82D996-C81010-11DB12"
},
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
"code": "acute",
"display": "Short course (acute) therapy"
}
]
},
{
"text": "one tablet - four times a day - oral",
"timing": {
"repeat": {
"frequency": 4,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "Oral"
}
]
},
{
"value": 1,
"unit": "tablet"
}
}
]
}
],
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
"system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
"code": "P1"
}
}
],
"start": "2020-06-10",
"end": "2020-12-07"
},
"value": 40,
"unit": "day",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "VNE51"
}
},
"value": 100,
"unit": "tablet",
"system": "http://snomed.info/sct",
"code": "732936001"
}
},
}
}
},
{
"fullUrl": "urn:uuid:5cb17f5a-11ac-4e18-825f-6470467238b3",
"resourceType": "MedicationRequest",
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType",
"system": "https://fhir.nhs.uk/CodeSystem/prescription-type",
"code": "0101",
"display": "Primary Care Prescriber – Medical Prescriber"
}
}
],
{
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "5cb17f5a-11ac-4e18-825f-6470467238b3"
}
],
"status": "active",
"intent": "order",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
}
]
}
],
"coding": [
{
"system": "http://snomed.info/sct",
"code": "35936511000001108",
"display": "Salbutamol 100micrograms/dose inhaler"
}
]
},
"subject": {
"reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2"
},
"authoredOn": "2020-12-21T18:15:29+00:00",
"reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666"
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
"system": "https://fhir.nhs.uk/Id/prescription",
"value": "b2fc79f0-2793-4736-9b2d-0976c21e73a5"
}
}
],
"system": "https://fhir.nhs.uk/Id/prescription-order-number",
"value": "82D996-C81010-11DB12"
},
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
"code": "acute",
"display": "Short course (acute) therapy"
}
]
},
{
"text": "One dose to be taken five times a day",
"timing": {
"repeat": {
"frequency": 5,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "18679011000001101",
"display": "Inhalation"
}
]
}
}
],
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
"system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
"code": "P1"
}
}
],
"start": "2020-06-10",
"end": "2020-12-07"
},
"value": 40,
"unit": "day",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "VNE51"
}
},
"value": 200,
"unit": "dose",
"system": "http://snomed.info/sct",
"code": "3317411000001100"
}
},
}
}
},
{
"fullUrl": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2",
"resourceType": "Patient",
{
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9876543210"
}
],
"name": [
{
"use": "usual",
"family": "KANFELD",
"given": [
"RACHEL"
],
"prefix": [
"MISS"
]
}
],
"gender": "female",
"birthDate": "1998-03-16",
"address": [
{
"use": "home",
"line": [
"123 Dale Avenue",
"Long Eaton",
"Nottingham"
],
"postalCode": "NG10 1NP"
}
],
{
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "C81010"
}
}
]
}
},
{
"fullUrl": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666",
"resourceType": "PractitionerRole",
{
"system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
"value": "200102238987"
}
],
"reference": "urn:uuid:b751b904-cad9-4beb-a559-9c8ea1028d1b"
},
"reference": "urn:uuid:5520ad34-5eb0-4042-bc4c-7255b76f08d7"
},
"code": [
{
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName",
"code": "R8000"
}
]
}
],
{
"reference": "urn:uuid:2a690d03-2ea2-48f8-9c2d-d0debe7099f1",
"display": "The Moir Medical Centre"
}
],
"telecom": [
{
"system": "phone",
"value": "01234567890",
"use": "work"
}
]
}
},
{
"fullUrl": "urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e",
"resourceType": "CommunicationRequest",
"status": "unknown",
"subject": {
"reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2"
},
"payload": [
{
"contentString": "Due to Coronavirus restrictions Church View Surgery is CLOSED until further notice"
},
{
"reference": "urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9",
"display": "List of Repeat Medications for re-ordering"
}
}
],
"type": "Organization",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "C81010"
},
"display": "The Moir Medical Centre"
},
{
"type": "Patient",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9876543210"
}
}
]
}
},
{
"fullUrl": "urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9",
"resourceType": "List",
"status": "current",
"mode": "snapshot",
"subject": {
"reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2"
},
"entry": [
{
"item": {
"display": "Bendroflumethiazide 2.5 mg Tablets (3/6)"
}
},
{
"item": {
"display": "Salbutamol 100micrograms/dose inhaler CFC free 200 dose (2/6)"
}
}
]
}
},
{
"fullUrl": "urn:uuid:2a690d03-2ea2-48f8-9c2d-d0debe7099f1",
"resourceType": "Location",
{
"use": "official",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "C81010"
}
],
"status": "active",
"mode": "instance",
"address": {
"line": [
"REGENT STREET",
"LONG EATON"
],
"city": "NOTTINGHAM",
"district": "NOTTINGHAMSHIRE",
"postalCode": "NG10 1QQ",
"country": "ENGLAND"
}
}
},
{
"fullUrl": "urn:uuid:b751b904-cad9-4beb-a559-9c8ea1028d1b",
"resourceType": "Practitioner",
{
"system": "https://fhir.hl7.org.uk/Id/gmp-number",
"value": "G3270228"
}
],
"address": [
{
"use": "work",
"line": [
"The Moir Medical Centre",
"Regent Street, Long Eaton",
"Nottingham"
],
"postalCode": "NG10 1QQ"
}
],
"meta": {
"lastUpdated": "2022-05-24T14:45:44.893Z",
"versionId": "4"
},
"name": [
{
"given": [
"M"
],
"prefix": [
"Dr"
],
"family": "Kinsey"
}
],
"active": true,
"telecom": [
{
"system": "phone",
"use": "work",
"value": "0115 9735820"
}
],
"id": "b751b904-cad9-4beb-a559-9c8ea1028d1b"
}
},
{
"fullUrl": "urn:uuid:5520ad34-5eb0-4042-bc4c-7255b76f08d7",
"resourceType": "Organization",
{
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "C81010"
}
],
"address": [
{
"use": "work",
"line": [
"The Moir Medical Centre",
"Regent Street, Long Eaton",
"Nottingham"
],
"postalCode": "NG10 1QQ"
}
],
"active": true,
"meta": {
"lastUpdated": "2022-05-24T06:26:51.488Z",
"versionId": "1"
},
"name": "The Moir Medical Centre",
"telecom": [
{
"system": "phone",
"use": "work",
"value": "0115 9737320"
}
],
"id": "5520ad34-5eb0-4042-bc4c-7255b76f08d7"
}
}
]
}
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<system value="https://tools.ietf.org/html/rfc4122" />
<value value="0cb82cfa-76c8-4fb2-a08e-bf0e326e5487" />
</identifier>
<type value="message" />
<fullUrl value="urn:uuid:17773b27-427e-4940-8c16-64cdac715001" />
<MessageHeader>
<system value="https://fhir.nhs.uk/CodeSystem/message-event" />
<code value="prescription-order" />
<display value="Prescription Order" />
</eventCoding>
<endpoint value="https://directory.spineservices.nhs.uk/STU3/Organization/C81010" />
</source>
<reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" />
</focus>
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</focus>
</MessageHeader>
</resource>
</entry>
<fullUrl value="urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
<MedicationRequest>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType">
<system value="https://fhir.nhs.uk/CodeSystem/prescription-type" />
<code value="0101" />
<display value="Primary Care Prescriber – Medical Prescriber" />
</valueCoding>
</extension>
<system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
<value value="299c610b-f4f1-4eac-a7d7-4fb6b0556e11" />
</identifier>
<status value="active" />
<intent value="order" />
<system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category" />
<code value="community" />
<display value="Community" />
</coding>
</category>
<system value="http://snomed.info/sct" />
<code value="39720311000001101" />
<display value="Paracetamol 500mg soluble tablets" />
</coding>
</medicationCodeableConcept>
<reference value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
</subject>
<authoredOn value="2020-12-21T18:15:29+00:00" />
<reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" />
</requester>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
<system value="https://fhir.nhs.uk/Id/prescription" />
<value value="b2fc79f0-2793-4736-9b2d-0976c21e73a5" />
</valueIdentifier>
</extension>
<system value="https://fhir.nhs.uk/Id/prescription-order-number" />
<value value="82D996-C81010-11DB12" />
</groupIdentifier>
<system value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy" />
<code value="acute" />
<display value="Short course (acute) therapy" />
</coding>
</courseOfTherapyType>
<text value="one tablet - four times a day - oral" />
<frequency value="4" />
<period value="1" />
<periodUnit value="d" />
</repeat>
</timing>
<system value="http://snomed.info/sct" />
<code value="26643006" />
<display value="Oral" />
</coding>
</route>
<value value="1" />
<unit value="tablet" />
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType">
<system value="https://fhir.nhs.uk/CodeSystem/dispensing-site-preference" />
<code value="P1" />
</valueCoding>
</extension>
<start value="2020-06-10" />
<end value="2020-12-07" />
</validityPeriod>
<value value="100" />
<unit value="tablet" />
<system value="http://snomed.info/sct" />
<code value="732936001" />
</quantity>
<value value="40" />
<unit value="day" />
<system value="http://unitsofmeasure.org" />
<code value="d" />
</expectedSupplyDuration>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="VNE51" />
</identifier>
</performer>
</dispenseRequest>
<allowedBoolean value="false" />
</substitution>
</MedicationRequest>
</resource>
</entry>
<fullUrl value="urn:uuid:5cb17f5a-11ac-4e18-825f-6470467238b3" />
<MedicationRequest>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType">
<system value="https://fhir.nhs.uk/CodeSystem/prescription-type" />
<code value="0101" />
<display value="Primary Care Prescriber – Medical Prescriber" />
</valueCoding>
</extension>
<system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
<value value="5cb17f5a-11ac-4e18-825f-6470467238b3" />
</identifier>
<status value="active" />
<intent value="order" />
<system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category" />
<code value="community" />
<display value="Community" />
</coding>
</category>
<system value="http://snomed.info/sct" />
<code value="35936511000001108" />
<display value="Salbutamol 100micrograms/dose inhaler" />
</coding>
</medicationCodeableConcept>
<reference value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
</subject>
<authoredOn value="2020-12-21T18:15:29+00:00" />
<reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" />
</requester>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
<system value="https://fhir.nhs.uk/Id/prescription" />
<value value="b2fc79f0-2793-4736-9b2d-0976c21e73a5" />
</valueIdentifier>
</extension>
<system value="https://fhir.nhs.uk/Id/prescription-order-number" />
<value value="82D996-C81010-11DB12" />
</groupIdentifier>
<system value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy" />
<code value="acute" />
<display value="Short course (acute) therapy" />
</coding>
</courseOfTherapyType>
<text value="One dose to be taken five times a day" />
<frequency value="5" />
<period value="1" />
<periodUnit value="d" />
</repeat>
</timing>
<system value="http://snomed.info/sct" />
<code value="18679011000001101" />
<display value="Inhalation" />
</coding>
</route>
</dosageInstruction>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType">
<system value="https://fhir.nhs.uk/CodeSystem/dispensing-site-preference" />
<code value="P1" />
</valueCoding>
</extension>
<start value="2020-06-10" />
<end value="2020-12-07" />
</validityPeriod>
<value value="200" />
<unit value="dose" />
<system value="http://snomed.info/sct" />
<code value="3317411000001100" />
</quantity>
<value value="40" />
<unit value="day" />
<system value="http://unitsofmeasure.org" />
<code value="d" />
</expectedSupplyDuration>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="VNE51" />
</identifier>
</performer>
</dispenseRequest>
<allowedBoolean value="false" />
</substitution>
</MedicationRequest>
</resource>
</entry>
<fullUrl value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
<Patient>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9876543210" />
</identifier>
<use value="usual" />
<family value="KANFELD" />
<given value="RACHEL" />
<prefix value="MISS" />
</name>
<gender value="female" />
<birthDate value="1998-03-16" />
<use value="home" />
<line value="123 Dale Avenue" />
<line value="Long Eaton" />
<line value="Nottingham" />
<postalCode value="NG10 1NP" />
</address>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="C81010" />
</identifier>
</generalPractitioner>
</Patient>
</resource>
</entry>
<fullUrl value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" />
<PractitionerRole>
<system value="https://fhir.nhs.uk/Id/sds-role-profile-id" />
<value value="200102238987" />
</identifier>
<reference value="urn:uuid:b751b904-cad9-4beb-a559-9c8ea1028d1b" />
</practitioner>
<reference value="urn:uuid:5520ad34-5eb0-4042-bc4c-7255b76f08d7" />
</organization>
<system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName" />
<code value="R8000" />
</coding>
</code>
<reference value="urn:uuid:2a690d03-2ea2-48f8-9c2d-d0debe7099f1" />
<display value="The Moir Medical Centre" />
</location>
<system value="phone" />
<value value="01234567890" />
<use value="work" />
</telecom>
</PractitionerRole>
</resource>
</entry>
<fullUrl value="urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e" />
<CommunicationRequest>
<status value="unknown" />
<reference value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
</subject>
<contentString value="Due to Coronavirus restrictions Church View Surgery is CLOSED until further notice" />
</payload>
<reference value="urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9" />
<display value="List of Repeat Medications for re-ordering" />
</contentReference>
</payload>
<type value="Organization" />
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="C81010" />
</identifier>
<display value="The Moir Medical Centre" />
</requester>
<type value="Patient" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9876543210" />
</identifier>
</recipient>
</CommunicationRequest>
</resource>
</entry>
<fullUrl value="urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9" />
<List>
<status value="current" />
<mode value="snapshot" />
<reference value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
</subject>
<display value="Bendroflumethiazide 2.5 mg Tablets (3/6)" />
</item>
</entry>
<display value="Salbutamol 100micrograms/dose inhaler CFC free 200 dose (2/6)" />
</item>
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</List>
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<fullUrl value="urn:uuid:2a690d03-2ea2-48f8-9c2d-d0debe7099f1" />
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<value value="C81010" />
</identifier>
<status value="active" />
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<line value="REGENT STREET" />
<line value="LONG EATON" />
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<country value="ENGLAND" />
</address>
</Location>
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<fullUrl value="urn:uuid:b751b904-cad9-4beb-a559-9c8ea1028d1b" />
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<system value="https://fhir.hl7.org.uk/Id/gmp-number" />
<value value="G3270228" />
</identifier>
<active value="true" />
<family value="Kinsey" />
<given value="M" />
<prefix value="Dr" />
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<system value="phone" />
<value value="0115 9735820" />
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</telecom>
<use value="work" />
<line value="The Moir Medical Centre" />
<line value="Regent Street, Long Eaton" />
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</address>
</Practitioner>
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</meta>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="C81010" />
</identifier>
<active value="true" />
<name value="The Moir Medical Centre" />
<system value="phone" />
<value value="0115 9737320" />
<use value="work" />
</telecom>
<use value="work" />
<line value="The Moir Medical Centre" />
<line value="Regent Street, Long Eaton" />
<line value="Nottingham" />
<postalCode value="NG10 1QQ" />
</address>
</Organization>
</resource>
</entry>
</Bundle>
Bundle
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