NHS Digital FHIR Medicines

Message prescription-order-response

Prescription Order Homecare Response homecare order cancellation response example.
Prescription Order Homecase Subsequent Response Subsequent message received after the prescription was returned unissued by pharmacist.

Prescription Order Homecare Response

Response to an update message. In this example this is the repsonse to the cancellation of a homecare prescription Prescription Order Homecare Update The Medication is not cancelled as the prescription is with the dispenser.

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Prescription Order Homecase Subsequent Response

Response to an update message. In this example this is the subsequent repsonse to the cancellation of a homecare prescription Prescription Order Homecare Update

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Prescription Order Outpatient Response

Response to an update message. In this example this is the repsonse to the cancellation of a outpatient prescription

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The Medication is not cancelled as the prescription is with the dispenser.

{
    "resourceType": "Bundle",
    "id": "3a40be3c-4566-4f45-9b45-c17ea0e7f51d",
    "identifier": {
        "system": "https://tools.ietf.org/html/rfc4122",
        "value": "3a40be3c-4566-4f45-9b45-c17ea0e7f51d"
    },
    "type": "message",
    "entry":  [
        {
            "fullUrl": "urn:uuid:3599c0e9-9292-413e-9270-9a1ef1ead99c",
            "resource": {
                "resourceType": "MessageHeader",
                "eventCoding": {
                    "system": "https://fhir.nhs.uk/CodeSystem/message-event",
                    "code": "prescription-order-response",
                    "display": "Prescription Order Response"
                },
                "response": {
                    "identifier": "5a8079ae-e430-41ff-89fa-14db08969a19",
                    "code": "ok"
                },
                "source": {
                    "endpoint": "https://sandbox.api.service.nhs.uk/electronic-prescriptions/$process-message"
                },
                "focus":  [
                    {
                        "reference": "urn:uuid:a7b86f8d-1d7c-fc28-e050-d20ae3a215f4"
                    },
                    {
                        "reference": "urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:a7b86f8d-1d7c-fc28-e050-d20ae3a215f4",
            "resource": {
                "resourceType": "MedicationRequest",
                "extension":  [
                    {
                        "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionStatusHistory",
                        "extension":  [
                            {
                                "url": "status",
                                "valueCoding": {
                                    "system": "https://fhir.nhs.uk/CodeSystem/medicationrequest-status-history",
                                    "code": "R-0002",
                                    "display": "Prescription/item was not cancelled – With dispenser"
                                }
                            }
                        ]
                    },
                    {
                        "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.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner",
                        "valueReference": {
                            "reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645"
                        }
                    },
                    {
                        "extension":  [
                            {
                                "url": "quantityWords",
                                "valueString": "twenty eight"
                            },
                            {
                                "url": "schedule",
                                "valueCoding": {
                                    "system": "https://fhir.nhs.uk/CodeSystem/medicationrequest-controlled-drug",
                                    "code": "CD2",
                                    "display": "Schedule 2"
                                }
                            }
                        ],
                        "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-ControlledDrug"
                    }
                ],
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
                        "value": "A7B86F8D-1D7C-FC28-E050-D20AE3A215F0"
                    }
                ],
                "status": "cancelled",
                "statusReason": {
                    "coding":  [
                        {
                            "system": "https://fhir.nhs.uk/CodeSystem/medicationrequest-status-reason",
                            "code": "0001",
                            "display": "Prescribing Error"
                        }
                    ]
                },
                "intent": "order",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                                "code": "outpatient",
                                "display": "Outpatient"
                            }
                        ]
                    }
                ],
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "36126511000001106",
                            "display": "Morphine 10mg modified-release tablets"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23"
                },
                "authoredOn": "12/30/2019 12:00:00",
                "requester": {
                    "reference": "urn:uuid:63aa76ee-4b0d-41d8-97d5-fe86a134736b"
                },
                "groupIdentifier": {
                    "extension":  [
                        {
                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
                            "valueIdentifier": {
                                "system": "https://fhir.nhs.uk/Id/prescription",
                                "value": "A7B86F8D-1CF8-FC28-E050-D20AE3A215F0"
                            }
                        }
                    ],
                    "system": "https://fhir.nhs.uk/Id/prescription-order-number",
                    "value": "3C2366-B81001-0A409U"
                },
                "courseOfTherapyType": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
                            "code": "acute",
                            "display": "Short course (acute) therapy"
                        }
                    ]
                },
                "dosageInstruction":  [
                    {
                        "text": "1 tablet, daily",
                        "timing": {
                            "repeat": {
                                "period": 1,
                                "periodUnit": "d"
                            }
                        },
                        "doseAndRate":  [
                            {
                                "doseQuantity": {
                                    "value": 1,
                                    "unit": "tablet",
                                    "system": "http://snomed.info/sct",
                                    "code": "428673006"
                                }
                            }
                        ]
                    }
                ],
                "dispenseRequest": {
                    "extension":  [
                        {
                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
                            "valueCoding": {
                                "system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
                                "code": "0004"
                            }
                        }
                    ],
                    "quantity": {
                        "value": 28,
                        "unit": "tablet",
                        "system": "http://snomed.info/sct",
                        "code": "428673006"
                    },
                    "performer": {
                        "identifier": {
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "FX748"
                        }
                    }
                },
                "substitution": {
                    "allowedBoolean": false
                }
            }
        },
        {
            "fullUrl": "urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23",
            "resource": {
                "resourceType": "Patient",
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/nhs-number",
                        "value": "9453740519"
                    }
                ],
                "name":  [
                    {
                        "use": "official",
                        "family": "CORY",
                        "given":  [
                            "ETTA"
                        ],
                        "prefix":  [
                            "MISS"
                        ]
                    }
                ],
                "gender": "female",
                "birthDate": "1999-01-04",
                "address":  [
                    {
                        "use": "home",
                        "postalCode": "DE21 4QH"
                    }
                ],
                "generalPractitioner":  [
                    {
                        "identifier": {
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "B81001"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645",
            "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": "G7345213"
                    }
                ],
                "practitioner": {
                    "identifier": {
                        "system": "https://fhir.hl7.org.uk/Id/gmc-number",
                        "value": "C1234567"
                    },
                    "display": "DR RAZIA ALI"
                },
                "organization": {
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RBA"
                    },
                    "display": "TAUNTON AND SOMERSET NHS FOUNDATION TRUST"
                },
                "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":  [
                    {
                        "identifier": {
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "RBA11"
                        },
                        "display": "MUSGROVE PARK HOSPITAL"
                    }
                ],
                "healthcareService":  [
                    {
                        "identifier": {
                            "use": "official",
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "A99968"
                        },
                        "display": "SOMERSET BOWEL CANCER SCREENING CENTRE"
                    }
                ],
                "telecom":  [
                    {
                        "system": "phone",
                        "value": "01234567890",
                        "use": "work"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e",
            "resource": {
                "resourceType": "CommunicationRequest",
                "status": "unknown",
                "subject": {
                    "reference": "urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23"
                },
                "payload":  [
                    {
                        "contentString": "Please make an appointment to see your GP. Review date due"
                    },
                    {
                        "contentReference": {
                            "reference": "urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9",
                            "display": "List of Repeat Medications for re-ordering"
                        }
                    }
                ],
                "requester": {
                    "type": "Organization",
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RBA"
                    },
                    "display": "TAUNTON AND SOMERSET NHS FOUNDATION TRUST"
                },
                "recipient":  [
                    {
                        "type": "Patient",
                        "identifier": {
                            "system": "https://fhir.nhs.uk/Id/nhs-number",
                            "value": "9453740519"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9",
            "resource": {
                "resourceType": "List",
                "status": "current",
                "mode": "snapshot",
                "subject": {
                    "reference": "urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23"
                },
                "entry":  [
                    {
                        "item": {
                            "display": "Bendroflumethiazide 2.5 mg Tablets (3/6)"
                        }
                    },
                    {
                        "item": {
                            "display": "Salbutamol 100micrograms/dose inhaler CFC free 200 dose (2/6)"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:63aa76ee-4b0d-41d8-97d5-fe86a134736b",
            "resource": {
                "resourceType": "PractitionerRole",
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
                        "value": "223891001086"
                    }
                ],
                "practitioner": {
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/sds-user-id",
                        "value": "8703415201"
                    },
                    "display": "Dr Liz Scott"
                },
                "organization": {
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RBA"
                    },
                    "display": "TAUNTON AND SOMERSET NHS FOUNDATION TRUST"
                },
                "code":  [
                    {
                        "coding":  [
                            {
                                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName",
                                "code": "R1720",
                                "display": "Clerical Worker"
                            }
                        ]
                    }
                ],
                "healthcareService":  [
                    {
                        "identifier": {
                            "use": "official",
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "A99968"
                        },
                        "display": "SOMERSET BOWEL CANCER SCREENING CENTRE"
                    }
                ],
                "telecom":  [
                    {
                        "system": "phone",
                        "value": "01234567890",
                        "use": "work"
                    }
                ]
            }
        }
    ]
}

<Bundle xmlns="http://hl7.org/fhir">
    <id value="3a40be3c-4566-4f45-9b45-c17ea0e7f51d" />
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="3a40be3c-4566-4f45-9b45-c17ea0e7f51d" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:3599c0e9-9292-413e-9270-9a1ef1ead99c" />
        <resource>
            <MessageHeader>
                <eventCoding>
                    <system value="https://fhir.nhs.uk/CodeSystem/message-event" />
                    <code value="prescription-order-response" />
                    <display value="Prescription Order Response" />
                </eventCoding>
                <source>
                    <endpoint value="https://sandbox.api.service.nhs.uk/electronic-prescriptions/$process-message" />
                </source>
                <response>
                    <identifier value="5a8079ae-e430-41ff-89fa-14db08969a19" />
                    <code value="ok" />
                </response>
                <focus>
                    <reference value="urn:uuid:a7b86f8d-1d7c-fc28-e050-d20ae3a215f4" />
                </focus>
                <focus>
                    <reference value="urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a7b86f8d-1d7c-fc28-e050-d20ae3a215f4" />
        <resource>
            <MedicationRequest>
                <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionStatusHistory">
                    <extension url="status">
                        <valueCoding>
                            <system value="https://fhir.nhs.uk/CodeSystem/medicationrequest-status-history" />
                            <code value="R-0002" />
                            <display value="Prescription/item was not cancelled – With dispenser" />
                        </valueCoding>
                    </extension>
                </extension>
                <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.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner">
                    <valueReference>
                        <reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645" />
                    </valueReference>
                </extension>
                <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-ControlledDrug">
                    <extension url="quantityWords">
                        <valueString value="twenty eight" />
                    </extension>
                    <extension url="schedule">
                        <valueCoding>
                            <system value="https://fhir.nhs.uk/CodeSystem/medicationrequest-controlled-drug" />
                            <code value="CD2" />
                            <display value="Schedule 2" />
                        </valueCoding>
                    </extension>
                </extension>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
                    <value value="A7B86F8D-1D7C-FC28-E050-D20AE3A215F0" />
                </identifier>
                <status value="cancelled" />
                <statusReason>
                    <coding>
                        <system value="https://fhir.nhs.uk/CodeSystem/medicationrequest-status-reason" />
                        <code value="0001" />
                        <display value="Prescribing Error" />
                    </coding>
                </statusReason>
                <intent value="order" />
                <category>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category" />
                        <code value="outpatient" />
                        <display value="Outpatient" />
                    </coding>
                </category>
                <medicationCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="36126511000001106" />
                        <display value="Morphine 10mg modified-release tablets" />
                    </coding>
                </medicationCodeableConcept>
                <subject>
                    <reference value="urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23" />
                </subject>
                <authoredOn value="2019-12-30T12:00:00+00:00" />
                <requester>
                    <reference value="urn:uuid:63aa76ee-4b0d-41d8-97d5-fe86a134736b" />
                </requester>
                <groupIdentifier>
                    <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
                        <valueIdentifier>
                            <system value="https://fhir.nhs.uk/Id/prescription" />
                            <value value="A7B86F8D-1CF8-FC28-E050-D20AE3A215F0" />
                        </valueIdentifier>
                    </extension>
                    <system value="https://fhir.nhs.uk/Id/prescription-order-number" />
                    <value value="3C2366-B81001-0A409U" />
                </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="1 tablet, daily" />
                    <timing>
                        <repeat>
                            <period value="1" />
                            <periodUnit value="d" />
                        </repeat>
                    </timing>
                    <doseAndRate>
                        <doseQuantity>
                            <value value="1" />
                            <unit value="tablet" />
                            <system value="http://snomed.info/sct" />
                            <code value="428673006" />
                        </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>
                    <quantity>
                        <value value="28" />
                        <unit value="tablet" />
                        <system value="http://snomed.info/sct" />
                        <code value="428673006" />
                    </quantity>
                    <performer>
                        <identifier>
                            <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                            <value value="FX748" />
                        </identifier>
                    </performer>
                </dispenseRequest>
                <substitution>
                    <allowedBoolean value="false" />
                </substitution>
            </MedicationRequest>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23" />
        <resource>
            <Patient>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/nhs-number" />
                    <value value="9453740519" />
                </identifier>
                <name>
                    <use value="official" />
                    <family value="CORY" />
                    <given value="ETTA" />
                    <prefix value="MISS" />
                </name>
                <gender value="female" />
                <birthDate value="1999-01-04" />
                <address>
                    <use value="home" />
                    <postalCode value="DE21 4QH" />
                </address>
                <generalPractitioner>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="B81001" />
                    </identifier>
                </generalPractitioner>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645" />
        <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="G7345213" />
                </identifier>
                <practitioner>
                    <identifier>
                        <system value="https://fhir.hl7.org.uk/Id/gmc-number" />
                        <value value="C1234567" />
                    </identifier>
                    <display value="DR RAZIA ALI" />
                </practitioner>
                <organization>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="RBA" />
                    </identifier>
                    <display value="TAUNTON AND SOMERSET NHS FOUNDATION TRUST" />
                </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>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="RBA11" />
                    </identifier>
                    <display value="MUSGROVE PARK HOSPITAL" />
                </location>
                <healthcareService>
                    <identifier>
                        <use value="official" />
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="A99968" />
                    </identifier>
                    <display value="SOMERSET BOWEL CANCER SCREENING CENTRE" />
                </healthcareService>
                <telecom>
                    <system value="phone" />
                    <value value="01234567890" />
                    <use value="work" />
                </telecom>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e" />
        <resource>
            <CommunicationRequest>
                <status value="unknown" />
                <subject>
                    <reference value="urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23" />
                </subject>
                <payload>
                    <contentString value="Please make an appointment to see your GP. Review date due" />
                </payload>
                <payload>
                    <contentReference>
                        <reference value="urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9" />
                        <display value="List of Repeat Medications for re-ordering" />
                    </contentReference>
                </payload>
                <requester>
                    <type value="Organization" />
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="RBA" />
                    </identifier>
                    <display value="TAUNTON AND SOMERSET NHS FOUNDATION TRUST" />
                </requester>
                <recipient>
                    <type value="Patient" />
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/nhs-number" />
                        <value value="9453740519" />
                    </identifier>
                </recipient>
            </CommunicationRequest>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9" />
        <resource>
            <List>
                <status value="current" />
                <mode value="snapshot" />
                <subject>
                    <reference value="urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23" />
                </subject>
                <entry>
                    <item>
                        <display value="Bendroflumethiazide 2.5 mg Tablets (3/6)" />
                    </item>
                </entry>
                <entry>
                    <item>
                        <display value="Salbutamol 100micrograms/dose inhaler CFC free 200 dose (2/6)" />
                    </item>
                </entry>
            </List>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:63aa76ee-4b0d-41d8-97d5-fe86a134736b" />
        <resource>
            <PractitionerRole>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" />
                    <value value="223891001086" />
                </identifier>
                <practitioner>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/sds-user-id" />
                        <value value="8703415201" />
                    </identifier>
                    <display value="Dr Liz Scott" />
                </practitioner>
                <organization>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="RBA" />
                    </identifier>
                    <display value="TAUNTON AND SOMERSET NHS FOUNDATION TRUST" />
                </organization>
                <code>
                    <coding>
                        <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName" />
                        <code value="R1720" />
                        <display value="Clerical Worker" />
                    </coding>
                </code>
                <healthcareService>
                    <identifier>
                        <use value="official" />
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="A99968" />
                    </identifier>
                    <display value="SOMERSET BOWEL CANCER SCREENING CENTRE" />
                </healthcareService>
                <telecom>
                    <system value="phone" />
                    <value value="01234567890" />
                    <use value="work" />
                </telecom>
            </PractitionerRole>
        </resource>
    </entry>
</Bundle>

Bundle

id : 3a40be3c-4566-4f45-9b45-c17ea0e7f51d

identifier

system : https://tools.ietf.org/html/rfc4122

value : 3a40be3c-4566-4f45-9b45-c17ea0e7f51d

type : message

entry

fullUrl : urn:uuid:3599c0e9-9292-413e-9270-9a1ef1ead99c

resource

event

system : https://fhir.nhs.uk/CodeSystem/message-event

code : prescription-order-response

display : Prescription Order Response

response

identifier : 5a8079ae-e430-41ff-89fa-14db08969a19

code : ok

source

endpoint : https://sandbox.api.service.nhs.uk/electronic-prescriptions/$process-message

focus

reference : urn:uuid:a7b86f8d-1d7c-fc28-e050-d20ae3a215f4

focus

reference : urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e

entry

fullUrl : urn:uuid:a7b86f8d-1d7c-fc28-e050-d20ae3a215f4

resource

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionStatusHistory

extension

url : status

value

system : https://fhir.nhs.uk/CodeSystem/medicationrequest-status-history

code : R-0002

display : Prescription/item was not cancelled – With dispenser

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType

value

system : https://fhir.nhs.uk/CodeSystem/prescription-type

code : 1001

display : Outpatient Community Prescriber - Medical Prescriber

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner

value

reference : urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645

extension

url : quantityWords

value : twenty eight

extension

url : schedule

value

system : https://fhir.nhs.uk/CodeSystem/medicationrequest-controlled-drug

code : CD2

display : Schedule 2

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-ControlledDrug

identifier

system : https://fhir.nhs.uk/Id/prescription-order-item-number

value : A7B86F8D-1D7C-FC28-E050-D20AE3A215F0

status : cancelled

statusReason

coding

system : https://fhir.nhs.uk/CodeSystem/medicationrequest-status-reason

code : 0001

display : Prescribing Error

intent : order

category

coding

system : http://terminology.hl7.org/CodeSystem/medicationrequest-category

code : outpatient

display : Outpatient

medication

coding

system : http://snomed.info/sct

code : 36126511000001106

display : Morphine 10mg modified-release tablets

subject

reference : urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23

authoredOn : 2019-12-30T12:00:00+00:00

requester

reference : urn:uuid:63aa76ee-4b0d-41d8-97d5-fe86a134736b

groupIdentifier

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId

value

system : https://fhir.nhs.uk/Id/prescription

value : A7B86F8D-1CF8-FC28-E050-D20AE3A215F0

system : https://fhir.nhs.uk/Id/prescription-order-number

value : 3C2366-B81001-0A409U

courseOfTherapyType

coding

system : http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy

code : acute

display : Short course (acute) therapy

dosageInstruction

text : 1 tablet, daily

timing

repeat

period : 1

periodUnit : d

doseAndRate

dose

value : 1

unit : tablet

system : http://snomed.info/sct

code : 428673006

dispenseRequest

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType

value

system : https://fhir.nhs.uk/CodeSystem/dispensing-site-preference

code : 0004

quantity

value : 28

unit : tablet

system : http://snomed.info/sct

code : 428673006

performer

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : FX748

substitution

allowed : False

entry

fullUrl : urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23

resource

identifier

system : https://fhir.nhs.uk/Id/nhs-number

value : 9453740519

name

use : official

family : CORY

given : ETTA

prefix : MISS

gender : female

birthDate : 1999-01-04

address

use : home

postalCode : DE21 4QH

generalPractitioner

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : B81001

entry

fullUrl : urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645

resource

identifier

system : https://fhir.nhs.uk/Id/sds-role-profile-id

value : 100102238986

identifier

system : https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code

value : G7345213

practitioner

identifier

system : https://fhir.hl7.org.uk/Id/gmc-number

value : C1234567

display : DR RAZIA ALI

organization

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : RBA

display : TAUNTON AND SOMERSET NHS FOUNDATION TRUST

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

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : RBA11

display : MUSGROVE PARK HOSPITAL

healthcareService

identifier

use : official

system : https://fhir.nhs.uk/Id/ods-organization-code

value : A99968

display : SOMERSET BOWEL CANCER SCREENING CENTRE

telecom

system : phone

value : 01234567890

use : work

entry

fullUrl : urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e

resource

status : unknown

subject

reference : urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23

payload

content : Please make an appointment to see your GP. Review date due

payload

content

reference : urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9

display : List of Repeat Medications for re-ordering

requester

type : Organization

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : RBA

display : TAUNTON AND SOMERSET NHS FOUNDATION TRUST

recipient

type : Patient

identifier

system : https://fhir.nhs.uk/Id/nhs-number

value : 9453740519

entry

fullUrl : urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9

resource

status : current

mode : snapshot

subject

reference : urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23

entry

item

display : Bendroflumethiazide 2.5 mg Tablets (3/6)

entry

item

display : Salbutamol 100micrograms/dose inhaler CFC free 200 dose (2/6)

entry

fullUrl : urn:uuid:63aa76ee-4b0d-41d8-97d5-fe86a134736b

resource

identifier

system : https://fhir.nhs.uk/Id/sds-role-profile-id

value : 223891001086

practitioner

identifier

system : https://fhir.nhs.uk/Id/sds-user-id

value : 8703415201

display : Dr Liz Scott

organization

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : RBA

display : TAUNTON AND SOMERSET NHS FOUNDATION TRUST

code

coding

system : https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName

code : R1720

display : Clerical Worker

healthcareService

identifier

use : official

system : https://fhir.nhs.uk/Id/ods-organization-code

value : A99968

display : SOMERSET BOWEL CANCER SCREENING CENTRE

telecom

system : phone

value : 01234567890

use : work

Prescription Order Outpatient Subsequent Response

Response to an update message. In this example this is the subsequent repsonse to the cancellation of a outpatient prescription

Command 'pagelink' could not render: Page not found.

This response is sent after the prescription is returned to EPS by the dispenser.

{
    "resourceType": "Bundle",
    "id": "42b94e14-8240-40fd-b32a-359be0dd3c57",
    "identifier": {
        "system": "https://tools.ietf.org/html/rfc4122",
        "value": "42b94e14-8240-40fd-b32a-359be0dd3c57"
    },
    "type": "message",
    "entry":  [
        {
            "fullUrl": "urn:uuid:3599c0e9-9292-413e-9270-9a1ef1ead99c",
            "resource": {
                "resourceType": "MessageHeader",
                "eventCoding": {
                    "system": "https://fhir.nhs.uk/CodeSystem/message-event",
                    "code": "prescription-order-response",
                    "display": "Prescription Order Response"
                },
                "source": {
                    "endpoint": "https://sandbox.api.service.nhs.uk/electronic-prescriptions/$process-message"
                },
                "focus":  [
                    {
                        "reference": "urn:uuid:a7b86f8d-1d7c-fc28-e050-d20ae3a215f4"
                    },
                    {
                        "reference": "urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:a7b86f8d-1d7c-fc28-e050-d20ae3a215f4",
            "resource": {
                "resourceType": "MedicationRequest",
                "extension":  [
                    {
                        "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionStatusHistory",
                        "extension":  [
                            {
                                "url": "status",
                                "valueCoding": {
                                    "system": "https://fhir.nhs.uk/CodeSystem/medicationrequest-status-history",
                                    "code": "R-0001",
                                    "display": "Prescription/item was cancelled"
                                }
                            }
                        ]
                    },
                    {
                        "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.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner",
                        "valueReference": {
                            "reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645"
                        }
                    },
                    {
                        "extension":  [
                            {
                                "url": "quantityWords",
                                "valueString": "twenty eight"
                            },
                            {
                                "url": "schedule",
                                "valueCoding": {
                                    "system": "https://fhir.nhs.uk/CodeSystem/medicationrequest-controlled-drug",
                                    "code": "CD2",
                                    "display": "Schedule 2"
                                }
                            }
                        ],
                        "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-ControlledDrug"
                    }
                ],
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
                        "value": "A7B86F8D-1D7C-FC28-E050-D20AE3A215F0"
                    }
                ],
                "status": "cancelled",
                "statusReason": {
                    "coding":  [
                        {
                            "system": "https://fhir.nhs.uk/CodeSystem/medicationrequest-status-reason",
                            "code": "0001",
                            "display": "Prescribing Error"
                        }
                    ]
                },
                "intent": "order",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                                "code": "outpatient",
                                "display": "Outpatient"
                            }
                        ]
                    }
                ],
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "36126511000001106",
                            "display": "Morphine 10mg modified-release tablets"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23"
                },
                "authoredOn": "12/30/2019 12:00:00",
                "requester": {
                    "reference": "urn:uuid:63aa76ee-4b0d-41d8-97d5-fe86a134736b"
                },
                "groupIdentifier": {
                    "extension":  [
                        {
                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
                            "valueIdentifier": {
                                "system": "https://fhir.nhs.uk/Id/prescription",
                                "value": "A7B86F8D-1CF8-FC28-E050-D20AE3A215F0"
                            }
                        }
                    ],
                    "system": "https://fhir.nhs.uk/Id/prescription-order-number",
                    "value": "3C2366-B81001-0A409U"
                },
                "courseOfTherapyType": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
                            "code": "acute",
                            "display": "Short course (acute) therapy"
                        }
                    ]
                },
                "dosageInstruction":  [
                    {
                        "text": "1 tablet, daily",
                        "timing": {
                            "repeat": {
                                "period": 1,
                                "periodUnit": "d"
                            }
                        },
                        "doseAndRate":  [
                            {
                                "doseQuantity": {
                                    "value": 1,
                                    "unit": "tablet",
                                    "system": "http://snomed.info/sct",
                                    "code": "428673006"
                                }
                            }
                        ]
                    }
                ],
                "dispenseRequest": {
                    "extension":  [
                        {
                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
                            "valueCoding": {
                                "system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
                                "code": "0004"
                            }
                        }
                    ],
                    "quantity": {
                        "value": 28,
                        "unit": "tablet",
                        "system": "http://snomed.info/sct",
                        "code": "428673006"
                    },
                    "performer": {
                        "identifier": {
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "FX748"
                        }
                    }
                },
                "substitution": {
                    "allowedBoolean": false
                }
            }
        },
        {
            "fullUrl": "urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23",
            "resource": {
                "resourceType": "Patient",
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/nhs-number",
                        "value": "9453740519"
                    }
                ],
                "name":  [
                    {
                        "use": "official",
                        "family": "CORY",
                        "given":  [
                            "ETTA"
                        ],
                        "prefix":  [
                            "MISS"
                        ]
                    }
                ],
                "gender": "female",
                "birthDate": "1999-01-04",
                "address":  [
                    {
                        "use": "home",
                        "postalCode": "DE21 4QH"
                    }
                ],
                "generalPractitioner":  [
                    {
                        "identifier": {
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "B81001"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645",
            "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": "G7345213"
                    }
                ],
                "practitioner": {
                    "identifier": {
                        "system": "https://fhir.hl7.org.uk/Id/gmc-number",
                        "value": "C1234567"
                    },
                    "display": "DR RAZIA ALI"
                },
                "organization": {
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RBA"
                    },
                    "display": "TAUNTON AND SOMERSET NHS FOUNDATION TRUST"
                },
                "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":  [
                    {
                        "identifier": {
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "RBA11"
                        },
                        "display": "MUSGROVE PARK HOSPITAL"
                    }
                ],
                "healthcareService":  [
                    {
                        "identifier": {
                            "use": "official",
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "A99968"
                        },
                        "display": "SOMERSET BOWEL CANCER SCREENING CENTRE"
                    }
                ],
                "telecom":  [
                    {
                        "system": "phone",
                        "value": "01234567890",
                        "use": "work"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e",
            "resource": {
                "resourceType": "CommunicationRequest",
                "status": "unknown",
                "subject": {
                    "reference": "urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23"
                },
                "payload":  [
                    {
                        "contentString": "Please make an appointment to see your GP. Review date due"
                    },
                    {
                        "contentReference": {
                            "reference": "urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9",
                            "display": "List of Repeat Medications for re-ordering"
                        }
                    }
                ],
                "requester": {
                    "type": "Organization",
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RBA"
                    },
                    "display": "TAUNTON AND SOMERSET NHS FOUNDATION TRUST"
                },
                "recipient":  [
                    {
                        "type": "Patient",
                        "identifier": {
                            "system": "https://fhir.nhs.uk/Id/nhs-number",
                            "value": "9453740519"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9",
            "resource": {
                "resourceType": "List",
                "status": "current",
                "mode": "snapshot",
                "subject": {
                    "reference": "urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23"
                },
                "entry":  [
                    {
                        "item": {
                            "display": "Bendroflumethiazide 2.5 mg Tablets (3/6)"
                        }
                    },
                    {
                        "item": {
                            "display": "Salbutamol 100micrograms/dose inhaler CFC free 200 dose (2/6)"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:63aa76ee-4b0d-41d8-97d5-fe86a134736b",
            "resource": {
                "resourceType": "PractitionerRole",
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
                        "value": "223891001086"
                    }
                ],
                "practitioner": {
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/sds-user-id",
                        "value": "8703415201"
                    },
                    "display": "Dr Liz Scott"
                },
                "organization": {
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RBA"
                    },
                    "display": "TAUNTON AND SOMERSET NHS FOUNDATION TRUST"
                },
                "code":  [
                    {
                        "coding":  [
                            {
                                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName",
                                "code": "R1720",
                                "display": "Clerical Worker"
                            }
                        ]
                    }
                ],
                "healthcareService":  [
                    {
                        "identifier": {
                            "use": "official",
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "A99968"
                        },
                        "display": "SOMERSET BOWEL CANCER SCREENING CENTRE"
                    }
                ],
                "telecom":  [
                    {
                        "system": "phone",
                        "value": "01234567890",
                        "use": "work"
                    }
                ]
            }
        }
    ]
}

<Bundle xmlns="http://hl7.org/fhir">
    <id value="42b94e14-8240-40fd-b32a-359be0dd3c57" />
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="42b94e14-8240-40fd-b32a-359be0dd3c57" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:3599c0e9-9292-413e-9270-9a1ef1ead99c" />
        <resource>
            <MessageHeader>
                <eventCoding>
                    <system value="https://fhir.nhs.uk/CodeSystem/message-event" />
                    <code value="prescription-order-response" />
                    <display value="Prescription Order Response" />
                </eventCoding>
                <source>
                    <endpoint value="https://sandbox.api.service.nhs.uk/electronic-prescriptions/$process-message" />
                </source>
                <focus>
                    <reference value="urn:uuid:a7b86f8d-1d7c-fc28-e050-d20ae3a215f4" />
                </focus>
                <focus>
                    <reference value="urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a7b86f8d-1d7c-fc28-e050-d20ae3a215f4" />
        <resource>
            <MedicationRequest>
                <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionStatusHistory">
                    <extension url="status">
                        <valueCoding>
                            <system value="https://fhir.nhs.uk/CodeSystem/medicationrequest-status-history" />
                            <code value="R-0001" />
                            <display value="Prescription/item was cancelled" />
                        </valueCoding>
                    </extension>
                </extension>
                <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.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner">
                    <valueReference>
                        <reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645" />
                    </valueReference>
                </extension>
                <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-ControlledDrug">
                    <extension url="quantityWords">
                        <valueString value="twenty eight" />
                    </extension>
                    <extension url="schedule">
                        <valueCoding>
                            <system value="https://fhir.nhs.uk/CodeSystem/medicationrequest-controlled-drug" />
                            <code value="CD2" />
                            <display value="Schedule 2" />
                        </valueCoding>
                    </extension>
                </extension>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
                    <value value="A7B86F8D-1D7C-FC28-E050-D20AE3A215F0" />
                </identifier>
                <status value="cancelled" />
                <statusReason>
                    <coding>
                        <system value="https://fhir.nhs.uk/CodeSystem/medicationrequest-status-reason" />
                        <code value="0001" />
                        <display value="Prescribing Error" />
                    </coding>
                </statusReason>
                <intent value="order" />
                <category>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category" />
                        <code value="outpatient" />
                        <display value="Outpatient" />
                    </coding>
                </category>
                <medicationCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="36126511000001106" />
                        <display value="Morphine 10mg modified-release tablets" />
                    </coding>
                </medicationCodeableConcept>
                <subject>
                    <reference value="urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23" />
                </subject>
                <authoredOn value="2019-12-30T12:00:00+00:00" />
                <requester>
                    <reference value="urn:uuid:63aa76ee-4b0d-41d8-97d5-fe86a134736b" />
                </requester>
                <groupIdentifier>
                    <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
                        <valueIdentifier>
                            <system value="https://fhir.nhs.uk/Id/prescription" />
                            <value value="A7B86F8D-1CF8-FC28-E050-D20AE3A215F0" />
                        </valueIdentifier>
                    </extension>
                    <system value="https://fhir.nhs.uk/Id/prescription-order-number" />
                    <value value="3C2366-B81001-0A409U" />
                </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="1 tablet, daily" />
                    <timing>
                        <repeat>
                            <period value="1" />
                            <periodUnit value="d" />
                        </repeat>
                    </timing>
                    <doseAndRate>
                        <doseQuantity>
                            <value value="1" />
                            <unit value="tablet" />
                            <system value="http://snomed.info/sct" />
                            <code value="428673006" />
                        </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>
                    <quantity>
                        <value value="28" />
                        <unit value="tablet" />
                        <system value="http://snomed.info/sct" />
                        <code value="428673006" />
                    </quantity>
                    <performer>
                        <identifier>
                            <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                            <value value="FX748" />
                        </identifier>
                    </performer>
                </dispenseRequest>
                <substitution>
                    <allowedBoolean value="false" />
                </substitution>
            </MedicationRequest>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23" />
        <resource>
            <Patient>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/nhs-number" />
                    <value value="9453740519" />
                </identifier>
                <name>
                    <use value="official" />
                    <family value="CORY" />
                    <given value="ETTA" />
                    <prefix value="MISS" />
                </name>
                <gender value="female" />
                <birthDate value="1999-01-04" />
                <address>
                    <use value="home" />
                    <postalCode value="DE21 4QH" />
                </address>
                <generalPractitioner>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="B81001" />
                    </identifier>
                </generalPractitioner>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645" />
        <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="G7345213" />
                </identifier>
                <practitioner>
                    <identifier>
                        <system value="https://fhir.hl7.org.uk/Id/gmc-number" />
                        <value value="C1234567" />
                    </identifier>
                    <display value="DR RAZIA ALI" />
                </practitioner>
                <organization>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="RBA" />
                    </identifier>
                    <display value="TAUNTON AND SOMERSET NHS FOUNDATION TRUST" />
                </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>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="RBA11" />
                    </identifier>
                    <display value="MUSGROVE PARK HOSPITAL" />
                </location>
                <healthcareService>
                    <identifier>
                        <use value="official" />
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="A99968" />
                    </identifier>
                    <display value="SOMERSET BOWEL CANCER SCREENING CENTRE" />
                </healthcareService>
                <telecom>
                    <system value="phone" />
                    <value value="01234567890" />
                    <use value="work" />
                </telecom>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e" />
        <resource>
            <CommunicationRequest>
                <status value="unknown" />
                <subject>
                    <reference value="urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23" />
                </subject>
                <payload>
                    <contentString value="Please make an appointment to see your GP. Review date due" />
                </payload>
                <payload>
                    <contentReference>
                        <reference value="urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9" />
                        <display value="List of Repeat Medications for re-ordering" />
                    </contentReference>
                </payload>
                <requester>
                    <type value="Organization" />
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="RBA" />
                    </identifier>
                    <display value="TAUNTON AND SOMERSET NHS FOUNDATION TRUST" />
                </requester>
                <recipient>
                    <type value="Patient" />
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/nhs-number" />
                        <value value="9453740519" />
                    </identifier>
                </recipient>
            </CommunicationRequest>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9" />
        <resource>
            <List>
                <status value="current" />
                <mode value="snapshot" />
                <subject>
                    <reference value="urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23" />
                </subject>
                <entry>
                    <item>
                        <display value="Bendroflumethiazide 2.5 mg Tablets (3/6)" />
                    </item>
                </entry>
                <entry>
                    <item>
                        <display value="Salbutamol 100micrograms/dose inhaler CFC free 200 dose (2/6)" />
                    </item>
                </entry>
            </List>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:63aa76ee-4b0d-41d8-97d5-fe86a134736b" />
        <resource>
            <PractitionerRole>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" />
                    <value value="223891001086" />
                </identifier>
                <practitioner>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/sds-user-id" />
                        <value value="8703415201" />
                    </identifier>
                    <display value="Dr Liz Scott" />
                </practitioner>
                <organization>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="RBA" />
                    </identifier>
                    <display value="TAUNTON AND SOMERSET NHS FOUNDATION TRUST" />
                </organization>
                <code>
                    <coding>
                        <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName" />
                        <code value="R1720" />
                        <display value="Clerical Worker" />
                    </coding>
                </code>
                <healthcareService>
                    <identifier>
                        <use value="official" />
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="A99968" />
                    </identifier>
                    <display value="SOMERSET BOWEL CANCER SCREENING CENTRE" />
                </healthcareService>
                <telecom>
                    <system value="phone" />
                    <value value="01234567890" />
                    <use value="work" />
                </telecom>
            </PractitionerRole>
        </resource>
    </entry>
</Bundle>

Bundle

id : 42b94e14-8240-40fd-b32a-359be0dd3c57

identifier

system : https://tools.ietf.org/html/rfc4122

value : 42b94e14-8240-40fd-b32a-359be0dd3c57

type : message

entry

fullUrl : urn:uuid:3599c0e9-9292-413e-9270-9a1ef1ead99c

resource

event

system : https://fhir.nhs.uk/CodeSystem/message-event

code : prescription-order-response

display : Prescription Order Response

source

endpoint : https://sandbox.api.service.nhs.uk/electronic-prescriptions/$process-message

focus

reference : urn:uuid:a7b86f8d-1d7c-fc28-e050-d20ae3a215f4

focus

reference : urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e

entry

fullUrl : urn:uuid:a7b86f8d-1d7c-fc28-e050-d20ae3a215f4

resource

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionStatusHistory

extension

url : status

value

system : https://fhir.nhs.uk/CodeSystem/medicationrequest-status-history

code : R-0001

display : Prescription/item was cancelled

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType

value

system : https://fhir.nhs.uk/CodeSystem/prescription-type

code : 1001

display : Outpatient Community Prescriber - Medical Prescriber

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner

value

reference : urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645

extension

url : quantityWords

value : twenty eight

extension

url : schedule

value

system : https://fhir.nhs.uk/CodeSystem/medicationrequest-controlled-drug

code : CD2

display : Schedule 2

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-ControlledDrug

identifier

system : https://fhir.nhs.uk/Id/prescription-order-item-number

value : A7B86F8D-1D7C-FC28-E050-D20AE3A215F0

status : cancelled

statusReason

coding

system : https://fhir.nhs.uk/CodeSystem/medicationrequest-status-reason

code : 0001

display : Prescribing Error

intent : order

category

coding

system : http://terminology.hl7.org/CodeSystem/medicationrequest-category

code : outpatient

display : Outpatient

medication

coding

system : http://snomed.info/sct

code : 36126511000001106

display : Morphine 10mg modified-release tablets

subject

reference : urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23

authoredOn : 2019-12-30T12:00:00+00:00

requester

reference : urn:uuid:63aa76ee-4b0d-41d8-97d5-fe86a134736b

groupIdentifier

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId

value

system : https://fhir.nhs.uk/Id/prescription

value : A7B86F8D-1CF8-FC28-E050-D20AE3A215F0

system : https://fhir.nhs.uk/Id/prescription-order-number

value : 3C2366-B81001-0A409U

courseOfTherapyType

coding

system : http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy

code : acute

display : Short course (acute) therapy

dosageInstruction

text : 1 tablet, daily

timing

repeat

period : 1

periodUnit : d

doseAndRate

dose

value : 1

unit : tablet

system : http://snomed.info/sct

code : 428673006

dispenseRequest

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType

value

system : https://fhir.nhs.uk/CodeSystem/dispensing-site-preference

code : 0004

quantity

value : 28

unit : tablet

system : http://snomed.info/sct

code : 428673006

performer

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : FX748

substitution

allowed : False

entry

fullUrl : urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23

resource

identifier

system : https://fhir.nhs.uk/Id/nhs-number

value : 9453740519

name

use : official

family : CORY

given : ETTA

prefix : MISS

gender : female

birthDate : 1999-01-04

address

use : home

postalCode : DE21 4QH

generalPractitioner

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : B81001

entry

fullUrl : urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645

resource

identifier

system : https://fhir.nhs.uk/Id/sds-role-profile-id

value : 100102238986

identifier

system : https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code

value : G7345213

practitioner

identifier

system : https://fhir.hl7.org.uk/Id/gmc-number

value : C1234567

display : DR RAZIA ALI

organization

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : RBA

display : TAUNTON AND SOMERSET NHS FOUNDATION TRUST

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

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : RBA11

display : MUSGROVE PARK HOSPITAL

healthcareService

identifier

use : official

system : https://fhir.nhs.uk/Id/ods-organization-code

value : A99968

display : SOMERSET BOWEL CANCER SCREENING CENTRE

telecom

system : phone

value : 01234567890

use : work

entry

fullUrl : urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e

resource

status : unknown

subject

reference : urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23

payload

content : Please make an appointment to see your GP. Review date due

payload

content

reference : urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9

display : List of Repeat Medications for re-ordering

requester

type : Organization

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : RBA

display : TAUNTON AND SOMERSET NHS FOUNDATION TRUST

recipient

type : Patient

identifier

system : https://fhir.nhs.uk/Id/nhs-number

value : 9453740519

entry

fullUrl : urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9

resource

status : current

mode : snapshot

subject

reference : urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23

entry

item

display : Bendroflumethiazide 2.5 mg Tablets (3/6)

entry

item

display : Salbutamol 100micrograms/dose inhaler CFC free 200 dose (2/6)

entry

fullUrl : urn:uuid:63aa76ee-4b0d-41d8-97d5-fe86a134736b

resource

identifier

system : https://fhir.nhs.uk/Id/sds-role-profile-id

value : 223891001086

practitioner

identifier

system : https://fhir.nhs.uk/Id/sds-user-id

value : 8703415201

display : Dr Liz Scott

organization

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : RBA

display : TAUNTON AND SOMERSET NHS FOUNDATION TRUST

code

coding

system : https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName

code : R1720

display : Clerical Worker

healthcareService

identifier

use : official

system : https://fhir.nhs.uk/Id/ods-organization-code

value : A99968

display : SOMERSET BOWEL CANCER SCREENING CENTRE

telecom

system : phone

value : 01234567890

use : work