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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