NHS Digital FHIR Medicines (Retired - 2.1.14)

This guidance is under active development by NHS Digital and content may be added or updated on a regular basis.

MedicationRequest Multiple Drug Codes

This example contains multiple medication codes, only the SNOMED CT code will be processed by EPS and the Multilex codes will be ignored.

{
"resourceType": "MedicationRequest",
"id": "multipleMedCodes-pass",
{
"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"
}
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner",
"reference": "urn:uuid:1557E58E-3B1E-41DD-B3B5-D4D393DC5A3D"
}
}
],
{
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "1e34ee53-397a-2e70-e97c-67b1bd95014d"
}
],
"status": "active",
"intent": "order",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "inpatient",
"display": "Inpatient"
}
],
"text": "Inpatient"
}
],
"coding": [
{
"system": "http://snomed.info/sct",
"code": "9207411000001106",
"display": "Salbutamol 100micrograms/dose dry powder inhaler"
},
{
"system": "https://fhir.hl7.org.uk/Id/multilex-drug-codes",
"code": "ABCDE",
"display": "Salbutamol 100micrograms/dose dry powder inhaler"
}
]
},
"subject": {
"reference": "urn:uuid:c6750caa-3ca9-4f29-a282-6ee1aa5d7d4c"
},
"authoredOn": "2004-09-20T10:30:00.000+00:00",
"reference": "urn:uuid:1557E58E-3B1E-41DD-B3B5-D4D393DC5A3D",
"display": "Dr Smith"
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
"system": "https://fhir.nhs.uk/Id/prescription",
"value": "EDD2E9DD-DA0A-C266-A4E3-447C68239524"
}
}
],
"system": "https://fhir.nhs.uk/Id/prescription-order-number",
"value": "83C40E-A23856-00123C"
},
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
"code": "acute",
"display": "Short course (acute) therapy"
}
]
},
{
"text": "2 Puffs when required"
}
],
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
"system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
"code": "0004"
}
}
],
"value": 200,
"unit": "dose",
"system": "http://snomed.info/sct",
"code": "3317411000001100"
},
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "Y12345"
}
}
},
}
}
<MedicationRequest xmlns="http://hl7.org/fhir">
<id value="multipleMedCodes-pass" />
<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>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner">
<reference value="urn:uuid:1557E58E-3B1E-41DD-B3B5-D4D393DC5A3D" />
</valueReference>
</extension>
<system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
<value value="1e34ee53-397a-2e70-e97c-67b1bd95014d" />
</identifier>
<status value="active" />
<intent value="order" />
<system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category" />
<code value="inpatient" />
<display value="Inpatient" />
</coding>
<text value="Inpatient" />
</category>
<system value="http://snomed.info/sct" />
<code value="9207411000001106" />
<display value="Salbutamol 100micrograms/dose dry powder inhaler" />
</coding>
<system value="https://fhir.hl7.org.uk/Id/multilex-drug-codes" />
<code value="ABCDE" />
<display value="Salbutamol 100micrograms/dose dry powder inhaler" />
</coding>
</medicationCodeableConcept>
<reference value="urn:uuid:c6750caa-3ca9-4f29-a282-6ee1aa5d7d4c" />
</subject>
<authoredOn value="2004-09-20T10:30:00.000+00:00" />
<reference value="urn:uuid:1557E58E-3B1E-41DD-B3B5-D4D393DC5A3D" />
<display value="Dr Smith" />
</requester>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
<system value="https://fhir.nhs.uk/Id/prescription" />
<value value="EDD2E9DD-DA0A-C266-A4E3-447C68239524" />
</valueIdentifier>
</extension>
<system value="https://fhir.nhs.uk/Id/prescription-order-number" />
<value value="83C40E-A23856-00123C" />
</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="2 Puffs when required" />
</dosageInstruction>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType">
<system value="https://fhir.nhs.uk/CodeSystem/dispensing-site-preference" />
<code value="0004" />
</valueCoding>
</extension>
<value value="200" />
<unit value="dose" />
<system value="http://snomed.info/sct" />
<code value="3317411000001100" />
</quantity>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="Y12345" />
</identifier>
</performer>
</dispenseRequest>
<allowedBoolean value="false" />
</substitution>
</MedicationRequest>
MedicationRequest
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