NHS Digital FHIR Medicines

Prescription Order Homecare using Medication resource

Outpatient repeat disensing single item prescription for 4 x weekly issues. This is the same message as Prescription Order Homecare Repeat Medication but uses a medicationReference instead of a medicationCodeableConcept which points to a Medication resource.

{
"resourceType": "Bundle",
"id": "hewmr-DC2C66-A1B2C3-23407B",
"meta": {
"lastUpdated": "2020-11-02T01:43:30+00:00"
},
"identifier": {
"system": "https://tools.ietf.org/html/rfc4122",
"value": "ad945a29-85f8-439a-b590-6789719adc16"
},
"type": "message",
"timestamp": "2020-11-02T01:44:30+00:00",
"entry": [
{
"fullUrl": "urn:uuid:311316d3-1de0-4f7c-8109-c950ead1c717",
"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": [
{
"type": "Patient",
"reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2"
},
{
"type": "MedicationRequest",
"reference": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6"
},
{
"type": "Provenance",
"reference": "urn:uuid:28828c55-8fa7-42d7-916f-fcf076e0c10e"
}
]
}
},
{
"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": "1201",
"display": "Outpatient Homecare Prescriber - Medical Prescriber"
}
},
{
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation",
"extension": [
{
"url": "numberOfPrescriptionsIssued",
"valueUnsignedInt": 1
},
{
"url": "authorisationExpiryDate",
"valueDateTime": "2020-08-07"
}
]
}
],
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "a54219b8-f741-4c47-b662-e4f8dfa49ab6"
}
],
"status": "active",
"intent": "original-order",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "outpatient",
"display": "Outpatient"
}
]
}
],
"medicationReference": {
"reference": "urn:uuid:495df5c5-5931-4795-960d-d2188bec3c2e"
},
"subject": {
"reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2"
},
"authoredOn": "2020-07-13T12:00:00+00:00",
"requester": {
"reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666"
},
"basedOn": [
{
"reference": "https://elmpt-hospitals.nhs.uk/MedicationRequest/654321"
}
],
"groupIdentifier": {
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
"valueIdentifier": {
"system": "https://fhir.nhs.uk/Id/prescription",
"value": "ad945a29-85f8-439a-b590-6789719adc16"
}
}
],
"system": "https://fhir.nhs.uk/Id/prescription-order-number",
"value": "DC2C66-A1B2C3-23407B"
},
"courseOfTherapyType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
"code": "continuous",
"display": "Continuous long term therapy"
}
]
},
"dosageInstruction": [
{
"text": "10 milligram, Inject, Subcutaneous route, once weekly",
"additionalInstruction": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "421769005",
"display": "Follow directions"
}
]
}
],
"patientInstruction": "As directed",
"timing": {
"repeat": {
"boundsDuration": {
"value": 10,
"unit": "day",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"frequency": 5,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "34206005",
"display": "Subcutaneous route"
}
]
},
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "422145002",
"display": "Inject"
}
]
},
"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": "P2"
}
}
],
"validityPeriod": {
"start": "2020-07-13T12:00:00+00:00",
"end": "2020-08-07T12:00:00+00:00"
},
"numberOfRepeatsAllowed": 0,
"quantity": {
"value": 1,
"unit": "Injection",
"system": "http://snomed.info/sct",
"code": "3092611000001103"
},
"expectedSupplyDuration": {
"value": 7,
"unit": "day",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"performer": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "VNE51"
}
}
},
"substitution": {
"allowedBoolean": false
}
}
},
{
"fullUrl": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2",
"resource": {
"resourceType": "Patient",
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9453740519"
}
],
"name": [
{
"use": "official",
"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"
}
],
"generalPractitioner": [
{
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "B81001"
}
}
]
}
},
{
"fullUrl": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666",
"resource": {
"resourceType": "PractitionerRole",
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
"value": "100102238986"
},
{
"system": "https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code",
"value": "G7345213"
}
],
"practitioner": {
"reference": "urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a"
},
"organization": {
"reference": "urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8"
},
"healthcareService": [
{
"reference": "urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e"
}
],
"specialty": [
{
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"code": "370",
"display": "MEDICAL ONCOLOGY"
}
]
}
],
"code": [
{
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName",
"code": "R8000"
}
]
}
],
"location": [
{
"reference": "urn:uuid:044e7916-c697-4072-880e-ef44d3032962",
"display": "MUSGROVE PARK HOSPITAL"
}
],
"telecom": [
{
"system": "phone",
"value": "01234567890",
"use": "work"
}
]
}
},
{
"fullUrl": "urn:uuid:28828c55-8fa7-42d7-916f-fcf076e0c10e",
"resource": {
"resourceType": "Provenance",
"target": [
{
"reference": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6"
}
],
"recorded": "2008-02-27T11:38:00+00:00",
"agent": [
{
"who": {
"reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666"
}
}
],
"signature": [
{
"type": [
{
"system": "urn:iso-astm:E1762-95:2013",
"code": "1.2.840.10065.1.12.1.1"
}
],
"when": "2020-09-02T11:38:00+00:00",
"who": {
"reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666"
},
"data": "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"
}
]
}
},
{
"fullUrl": "urn:uuid:495df5c5-5931-4795-960d-d2188bec3c2e",
"resource": {
"resourceType": "Medication",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "15517911000001104",
"display": "Methotrexate 10mg/0.2ml solution for injection pre-filled syringes"
}
]
},
"form": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "3092611000001103",
"display": "Injection"
}
]
}
}
},
{
"fullUrl": "urn:uuid:044e7916-c697-4072-880e-ef44d3032962",
"resource": {
"resourceType": "Location",
"identifier": [
{
"use": "official",
"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"
}
}
},
{
"fullUrl": "urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a",
"resource": {
"resourceType": "Practitioner",
"id": "a8c85454-f8cb-498d-9629-78e2cb5fa47a",
"identifier": [
{
"system": "https://fhir.hl7.org.uk/Id/gmc-number",
"value": "C1234567"
}
],
"name": [
{
"family": "ALI",
"given": [
"RAZIA"
],
"prefix": [
"DR"
]
}
]
}
},
{
"fullUrl": "urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8",
"resource": {
"resourceType": "Organization",
"id": "3b4b03a5-52ba-4ba6-9b82-70350aa109d8",
"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"
}
]
}
},
{
"fullUrl": "urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e",
"resource": {
"resourceType": "HealthcareService",
"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": [
{
"system": "phone",
"value": "01823 333444",
"use": "work"
}
]
}
}
]
}
<Bundle xmlns="http://hl7.org/fhir">
<id value="hewmr-DC2C66-A1B2C3-23407B" />
<meta>
<lastUpdated value="2020-11-02T01:43:30+00:00" />
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="ad945a29-85f8-439a-b590-6789719adc16" />
</identifier>
<type value="message" />
<timestamp value="2020-11-02T01:44:30+00:00" />
<entry>
<fullUrl value="urn:uuid:311316d3-1de0-4f7c-8109-c950ead1c717" />
<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:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
<type value="Patient" />
</focus>
<focus>
<reference value="urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
<type value="MedicationRequest" />
</focus>
<focus>
<reference value="urn:uuid:28828c55-8fa7-42d7-916f-fcf076e0c10e" />
<type value="Provenance" />
</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="1201" />
<display value="Outpatient Homecare Prescriber - Medical Prescriber" />
</valueCoding>
</extension>
<extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation">
<extension url="numberOfPrescriptionsIssued">
<valueUnsignedInt value="1" />
</extension>
<extension url="authorisationExpiryDate">
<valueDateTime value="2020-08-07" />
</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="outpatient" />
<display value="Outpatient" />
</coding>
</category>
<medicationReference>
<reference value="urn:uuid:495df5c5-5931-4795-960d-d2188bec3c2e" />
</medicationReference>
<subject>
<reference value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
</subject>
<authoredOn value="2020-07-13T12:00:00+00:00" />
<requester>
<reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" />
</requester>
<basedOn>
<reference value="https://elmpt-hospitals.nhs.uk/MedicationRequest/654321" />
</basedOn>
<groupIdentifier>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
<valueIdentifier>
<system value="https://fhir.nhs.uk/Id/prescription" />
<value value="ad945a29-85f8-439a-b590-6789719adc16" />
</valueIdentifier>
</extension>
<system value="https://fhir.nhs.uk/Id/prescription-order-number" />
<value value="DC2C66-A1B2C3-23407B" />
</groupIdentifier>
<courseOfTherapyType>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy" />
<code value="continuous" />
<display value="Continuous long term therapy" />
</coding>
</courseOfTherapyType>
<dosageInstruction>
<text value="10 milligram, Inject, Subcutaneous route, once weekly" />
<additionalInstruction>
<coding>
<system value="http://snomed.info/sct" />
<code value="421769005" />
<display value="Follow directions" />
</coding>
</additionalInstruction>
<patientInstruction value="As directed" />
<timing>
<repeat>
<boundsDuration>
<value value="10" />
<unit value="day" />
<system value="http://unitsofmeasure.org" />
<code value="d" />
</boundsDuration>
<frequency value="5" />
<period value="1" />
<periodUnit value="d" />
</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="P2" />
</valueCoding>
</extension>
<validityPeriod>
<start value="2020-07-13T12:00:00+00:00" />
<end value="2020-08-07T12:00:00+00:00" />
</validityPeriod>
<numberOfRepeatsAllowed value="0" />
<quantity>
<value value="1" />
<unit value="Injection" />
<system value="http://snomed.info/sct" />
<code value="3092611000001103" />
</quantity>
<expectedSupplyDuration>
<value value="7" />
<unit value="day" />
<system value="http://unitsofmeasure.org" />
<code value="d" />
</expectedSupplyDuration>
<performer>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="VNE51" />
</identifier>
</performer>
</dispenseRequest>
<substitution>
<allowedBoolean value="false" />
</substitution>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
<resource>
<Patient>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9453740519" />
</identifier>
<name>
<use value="official" />
<family value="CORY" />
<given value="ETTA" />
<prefix value="MISS" />
</name>
<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>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="B81001" />
</identifier>
</generalPractitioner>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" />
<resource>
<PractitionerRole>
<identifier>
<system value="https://fhir.nhs.uk/Id/sds-role-profile-id" />
<value value="100102238986" />
</identifier>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code" />
<value value="G7345213" />
</identifier>
<practitioner>
<reference value="urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a" />
</practitioner>
<organization>
<reference value="urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8" />
</organization>
<code>
<coding>
<system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName" />
<code value="R8000" />
</coding>
</code>
<specialty>
<coding>
<system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode" />
<code value="370" />
<display value="MEDICAL ONCOLOGY" />
</coding>
</specialty>
<location>
<reference value="urn:uuid:044e7916-c697-4072-880e-ef44d3032962" />
<display value="MUSGROVE PARK HOSPITAL" />
</location>
<healthcareService>
<reference value="urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e" />
</healthcareService>
<telecom>
<system value="phone" />
<value value="01234567890" />
<use value="work" />
</telecom>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:28828c55-8fa7-42d7-916f-fcf076e0c10e" />
<resource>
<Provenance>
<target>
<reference value="urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
</target>
<recorded value="2008-02-27T11:38:00+00:00" />
<agent>
<who>
<reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" />
</who>
</agent>
<signature>
<type>
<system value="urn:iso-astm:E1762-95:2013" />
<code value="1.2.840.10065.1.12.1.1" />
</type>
<when value="2020-09-02T11:38:00+00:00" />
<who>
<reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" />
</who>
<data value="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" />
</signature>
</Provenance>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:495df5c5-5931-4795-960d-d2188bec3c2e" />
<resource>
<Medication>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="15517911000001104" />
<display value="Methotrexate 10mg/0.2ml solution for injection pre-filled syringes" />
</coding>
</code>
<form>
<coding>
<system value="http://snomed.info/sct" />
<code value="3092611000001103" />
<display value="Injection" />
</coding>
</form>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:044e7916-c697-4072-880e-ef44d3032962" />
<resource>
<Location>
<identifier>
<use value="official" />
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="RBA11" />
</identifier>
<status value="active" />
<mode value="instance" />
<address>
<use value="work" />
<line value="MUSGROVE PARK HOSPITAL" />
<city value="TAUNTON" />
<postalCode value="TA1 5DA" />
<country value="NLD" />
</address>
</Location>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a" />
<resource>
<Practitioner>
<id value="a8c85454-f8cb-498d-9629-78e2cb5fa47a" />
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmc-number" />
<value value="C1234567" />
</identifier>
<name>
<family value="ALI" />
<given value="RAZIA" />
<prefix value="DR" />
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8" />
<resource>
<Organization>
<id value="3b4b03a5-52ba-4ba6-9b82-70350aa109d8" />
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="RBA" />
</identifier>
<name value="TAUNTON AND SOMERSET NHS FOUNDATION TRUST" />
<telecom>
<system value="phone" />
<value value="01823333444" />
<use value="work" />
</telecom>
<address>
<line value="MUSGROVE PARK HOSPITAL" />
<line value="PARKFIELD DRIVE" />
<line value="TAUNTON" />
<postalCode value="TA1 5DA" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e" />
<resource>
<HealthcareService>
<id value="54b0506d-49af-4245-9d40-d7d64902055e" />
<identifier>
<use value="official" />
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="A99968" />
</identifier>
<active value="true" />
<location>
<reference value="urn:uuid:044e7916-c697-4072-880e-ef44d3032962" />
</location>
<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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