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.

Permitabs 400mg tablets. Add 500ml of warm water to one tablet and dissolve. Make the resulting solution up to 8 litres and use to soak feet.

Product-based prescription with patient instruction for preparation.

Complex because contains a detailed preparation instruction which has to be conveyed as free-text within patientInstruction.

<MedicationRequest xmlns="http://hl7.org/fhir">
<id value="1f4959a1-4a33-4b0e-bfad-f2ea1fccb2fa" />
<contained>
<Medication>
<id value="med1" />
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="4256811000001101" />
<display value="Permitabs 400mg tablets for cutaneous solution (Alliance Pharmaceuticals 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="Add 500ml of warm water to one tablet and dissolve. Make the resulting solution up to 8 litres and use to soak feet." />
</dosageInstruction>
</MedicationRequest>
{
"resourceType": "MedicationRequest",
"id": "1f4959a1-4a33-4b0e-bfad-f2ea1fccb2fa",
"contained": [
{
"resourceType": "Medication",
"id": "med1",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "4256811000001101",
"display": "Permitabs 400mg tablets for cutaneous solution (Alliance Pharmaceuticals Ltd)"
}
]
}
}
],
"status": "active",
"intent": "order",
"medicationReference": {
"reference": "#med1"
},
"subject": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9999999999"
}
},
"dosageInstruction": [
{
"patientInstruction": "Add 500ml of warm water to one tablet and dissolve. Make the resulting solution up to 8 litres and use to soak feet."
}
]
}
MedicationRequest.id[0]1f4959a1-4a33-4b0e-bfad-f2ea1fccb2fa
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]4256811000001101
MedicationRequest.contained[0].code[0].coding[0].display[0]Permitabs 400mg tablets for cutaneous solution (Alliance Pharmaceuticals 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]Add 500ml of warm water to one tablet and dissolve. Make the resulting solution up to 8 litres and use to soak feet.
MedicationRequest
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