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 Nurse Prescriber

Community acute prescription, nurse prescriber with legal authenticator.

{
"resourceType": "Bundle",
"id": "17773b27-427e-4940-8c16-64cdac715001",
"identifier": {
"system": "https://tools.ietf.org/html/rfc4122",
"value": "e5032ccc-9131-4eab-9983-cc8ecd49f18a"
},
"type": "message",
"entry": [
{
"fullUrl": "urn:uuid:17773b27-427e-4940-8c16-64cdac715001",
"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": "1005",
"display": "Outpatient Community Prescriber - Community Practitioner Nurse prescriber"
}
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-LegalAuthenticator",
"valueReference": {
"reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666"
}
}
],
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "0f644cc3-ed07-4d62-b4a6-8adf50cc29c4"
}
],
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
}
]
}
],
"medicationCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "41946511000001109",
"display": "Clarithromycin 500mg tablets"
}
]
},
"subject": {
"reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2"
},
"authoredOn": "2020-12-21T18:15:29+00:00",
"requester": {
"reference": "urn:uuid:20065b0e-0b60-4bef-9044-2c08115ede29"
},
"groupIdentifier": {
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
"valueIdentifier": {
"system": "https://fhir.nhs.uk/Id/prescription",
"value": "f441aad2-90b9-43cc-acce-82b8d8ea90ba"
}
}
],
"system": "https://fhir.nhs.uk/Id/prescription-order-number",
"value": "82D996-Z9243B-11DA97"
},
"courseOfTherapyType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
"code": "acute",
"display": "Short course (acute) therapy"
}
]
},
"dosageInstruction": [
{
"text": "14 tablets. One tablet to be taken twice daily",
"additionalInstruction": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "419444006",
"display": "Do not stop taking this medicine except on your doctor's advice"
}
]
}
],
"patientInstruction": "Please tell patient to stop simvastatin whilst on this antibiotic",
"timing": {
"repeat": {
"frequency": 2,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "Oral"
}
]
}
}
],
"dispenseRequest": {
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
"code": "P1"
}
}
],
"validityPeriod": {
"start": "2020-06-10",
"end": "2020-12-07"
},
"expectedSupplyDuration": {
"value": 7,
"unit": "day",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"performer": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "VNE51"
}
},
"quantity": {
"value": 14,
"unit": "Tablet",
"system": "http://snomed.info/sct",
"code": "732936001"
}
},
"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": "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:20065b0e-0b60-4bef-9044-2c08115ede29",
"resource": {
"resourceType": "PractitionerRole",
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
"value": "100102235432"
}
],
"practitioner": {
"reference": "urn:uuid:58e2eb2c-f912-46fe-bc8e-d88381594780"
},
"organization": {
"reference": "urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8"
},
"healthcareService": [
{
"reference": "urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e"
}
],
"code": [
{
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName",
"code": "R0700",
"display": "Community Nurse"
}
]
}
],
"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/nmc-number",
"value": "65A4321A"
}
],
"name": [
{
"family": "EDWARDS",
"given": [
"Thomas"
],
"prefix": [
"DR"
]
}
]
}
},
{
"fullUrl": "urn:uuid:58e2eb2c-f912-46fe-bc8e-d88381594780",
"resource": {
"resourceType": "Practitioner",
"id": "58e2eb2c-f912-46fe-bc8e-d88381594780",
"identifier": [
{
"system": "https://fhir.hl7.org.uk/Id/nmc-number",
"value": "65A4321A"
}
],
"name": [
{
"family": "Mahfeld",
"given": [
"Dusk"
],
"prefix": [
"Mrs"
]
}
]
}
},
{
"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="17773b27-427e-4940-8c16-64cdac715001" />
<identifier>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="e5032ccc-9131-4eab-9983-cc8ecd49f18a" />
</identifier>
<type value="message" />
<entry>
<fullUrl value="urn:uuid:17773b27-427e-4940-8c16-64cdac715001" />
<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="1005" />
<display value="Outpatient Community Prescriber - Community Practitioner Nurse prescriber" />
</valueCoding>
</extension>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-LegalAuthenticator">
<valueReference>
<reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" />
</valueReference>
</extension>
<identifier>
<system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
<value value="0f644cc3-ed07-4d62-b4a6-8adf50cc29c4" />
</identifier>
<status value="active" />
<intent value="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="41946511000001109" />
<display value="Clarithromycin 500mg tablets" />
</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:20065b0e-0b60-4bef-9044-2c08115ede29" />
</requester>
<groupIdentifier>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
<valueIdentifier>
<system value="https://fhir.nhs.uk/Id/prescription" />
<value value="f441aad2-90b9-43cc-acce-82b8d8ea90ba" />
</valueIdentifier>
</extension>
<system value="https://fhir.nhs.uk/Id/prescription-order-number" />
<value value="82D996-Z9243B-11DA97" />
</groupIdentifier>
<courseOfTherapyType>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy" />
<code value="acute" />
<display value="Short course (acute) therapy" />
</coding>
</courseOfTherapyType>
<dosageInstruction>
<text value="14 tablets. One tablet to be taken twice daily" />
<additionalInstruction>
<coding>
<system value="http://snomed.info/sct" />
<code value="419444006" />
<display value="Do not stop taking this medicine except on your doctor's advice" />
</coding>
</additionalInstruction>
<patientInstruction value="Please tell patient to stop simvastatin whilst on this antibiotic" />
<timing>
<repeat>
<frequency value="2" />
<period value="1" />
<periodUnit value="d" />
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct" />
<code value="26643006" />
<display value="Oral" />
</coding>
</route>
</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="P1" />
</valueCoding>
</extension>
<validityPeriod>
<start value="2020-06-10" />
<end value="2020-12-07" />
</validityPeriod>
<quantity>
<value value="14" />
<unit value="Tablet" />
<system value="http://snomed.info/sct" />
<code value="732936001" />
</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="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="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:20065b0e-0b60-4bef-9044-2c08115ede29" />
<resource>
<PractitionerRole>
<identifier>
<system value="https://fhir.nhs.uk/Id/sds-role-profile-id" />
<value value="100102235432" />
</identifier>
<practitioner>
<reference value="urn:uuid:58e2eb2c-f912-46fe-bc8e-d88381594780" />
</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="R0700" />
<display value="Community Nurse" />
</coding>
</code>
<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/nmc-number" />
<value value="65A4321A" />
</identifier>
<name>
<family value="EDWARDS" />
<given value="Thomas" />
<prefix value="DR" />
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:58e2eb2c-f912-46fe-bc8e-d88381594780" />
<resource>
<Practitioner>
<id value="58e2eb2c-f912-46fe-bc8e-d88381594780" />
<identifier>
<system value="https://fhir.hl7.org.uk/Id/nmc-number" />
<value value="65A4321A" />
</identifier>
<name>
<family value="Mahfeld" />
<given value="Dusk" />
<prefix value="Mrs" />
</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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