Dose syntax implementation guidance for FHIR STU3

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

NovoRapid Penfill 100units/ml solution for injection 3ml cartridges (Novo Nordisk Ltd), inject according to insulin requirements

Product-based AMP prescription using patient instructions.
<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="9599bbbd-5fb0-429b-ba24-bca6448f521a" />
    <contained>
        <Medication>
            <id value="med1" />
            <code>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="3279211000001105" />
                    <display value="NovoRapid Penfill 100units/ml solution for injection 3ml cartridges (Novo Nordisk Ltd)" />
                </coding>
            </code>
        </Medication>
    </contained>
    <status value="active" />
    <intent value="order" />
    <medicationReference>
        <reference value="#med1" />
    </medicationReference>
    <subject>
        <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number" />
            <value value="9999999999" />
        </identifier>
    </subject>
    <dosageInstruction>
        <patientInstruction value="according to insulin requirements" />
        <asNeededBoolean value="true" />
        <method>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="422145002" />
                <display value="inject" />
            </coding>
        </method>
    </dosageInstruction>
</MedicationRequest>
{
    "resourceType": "MedicationRequest",
    "id": "9599bbbd-5fb0-429b-ba24-bca6448f521a",
    "contained":  [
        {
            "resourceType": "Medication",
            "id": "med1",
            "code": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "3279211000001105",
                        "display": "NovoRapid Penfill 100units/ml solution for injection 3ml cartridges (Novo Nordisk Ltd)"
                    }
                ]
            }
        }
    ],
    "status": "active",
    "intent": "order",
    "medicationReference": {
        "reference": "#med1"
    },
    "subject": {
        "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9999999999"
        }
    },
    "dosageInstruction":  [
        {
            "patientInstruction": "according to insulin requirements",
            "asNeededBoolean": true,
            "method": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "422145002",
                        "display": "inject"
                    }
                ]
            }
        }
    ]
}
MedicationRequest.id[0]9599bbbd-5fb0-429b-ba24-bca6448f521a
MedicationRequest.contained[0].id[0]med1
MedicationRequest.contained[0].code[0].coding[0].system[0]http://snomed.info/sct
MedicationRequest.contained[0].code[0].coding[0].code[0]3279211000001105
MedicationRequest.contained[0].code[0].coding[0].display[0]NovoRapid Penfill 100units/ml solution for injection 3ml cartridges (Novo Nordisk Ltd)
MedicationRequest.status[0]active
MedicationRequest.intent[0]order
MedicationRequest.medication[0].reference[0]#med1
MedicationRequest.subject[0].identifier[0].system[0]https://fhir.nhs.uk/Id/nhs-number
MedicationRequest.subject[0].identifier[0].value[0]9999999999
MedicationRequest.dosageInstruction[0].patientInstruction[0]according to insulin requirements
MedicationRequest.dosageInstruction[0].asNeeded[0]True
MedicationRequest.dosageInstruction[0].method[0].coding[0].system[0]http://snomed.info/sct
MedicationRequest.dosageInstruction[0].method[0].coding[0].code[0]422145002
MedicationRequest.dosageInstruction[0].method[0].coding[0].display[0]inject
MedicationRequest

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