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.

Prescription Order Community No Nominated Pharmacy

Community repeat dispensing prescription, no nominated pharmacy

{
    "resourceType": "Bundle",
    "id": "aef77afb-7e3c-427a-8657-2c427f71a271",
    "identifier": {
        "system": "https://tools.ietf.org/html/rfc4122",
        "value": "0c44a712-22b7-4fa9-a495-9889860b7eef"
    },
    "type": "message",
    "entry":  [
        {
            "fullUrl": "urn:uuid:aef77afb-7e3c-427a-8657-2c427f71a271",
            "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":  [
                    {
                        "reference": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6"
                    }
                ]
            }
        },
        {
            "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":  [
                    {
                        "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": "community",
                                "display": "Community"
                            }
                        ]
                    }
                ],
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "15517911000001104",
                            "display": "Methotrexate 10mg/0.2ml solution for injection pre-filled syringes"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2"
                },
                "authoredOn": "2020-12-21T18:15:29+00:00",
                "requester": {
                    "reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666"
                },
                "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
                }
            }
        },
        {
            "fullUrl": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2",
            "resource": {
                "resourceType": "Patient",
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/nhs-number",
                        "value": "9449305552"
                    }
                ],
                "name":  [
                    {
                        "use": "usual",
                        "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": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "B81001"
                    }
                },
                "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": "G6123456"
                    }
                ],
                "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": "100",
                                "display": "GENERAL MEDICINE"
                            }
                        ]
                    }
                ],
                "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: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": "C4428981"
                    }
                ],
                "name":  [
                    {
                        "family": "EDWARDS",
                        "given":  [
                            "Thomas"
                        ],
                        "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="aef77afb-7e3c-427a-8657-2c427f71a271" />
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="0c44a712-22b7-4fa9-a495-9889860b7eef" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:aef77afb-7e3c-427a-8657-2c427f71a271" />
        <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" />
                </subject>
                <authoredOn value="2020-12-21T18:15:29+00:00" />
                <requester>
                    <reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" />
                </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>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/nhs-number" />
                    <value value="9449305552" />
                </identifier>
                <name>
                    <use value="usual" />
                    <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>
                <managingOrganization>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="B81001" />
                    </identifier>
                </managingOrganization>
            </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="G6123456" />
                </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="100" />
                        <display value="GENERAL MEDICINE" />
                    </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: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="C4428981" />
                </identifier>
                <name>
                    <family value="EDWARDS" />
                    <given value="Thomas" />
                    <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
back to top