NHS England FHIR Implementation Guide (deprecated)

Important Announcement regarding this Implementation Guide
  • As of 04/10/2023, this implementation guide has been deprecated and all development on the legacy NHS England FHIR Implementation Guide assets has ceased.
  • Therefore, vendors looking to start new implementations or looking to update existing implementations should use the new NHS England Implementation Guide. Vendors continuing to implement legacy NHS England FHIR Implementation Guide based solutions do so at their own risk and on the understanding that no maintenance or support will be available.

Bundle (FHIR Message)

Medication Prescription

Bundle-RequestGroupPrescriptionDetails-Example

{
"resourceType": "Bundle",
"id": "Bundle-RequestGroupPrescriptionDetails-Example",
"type": "searchset",
"timestamp": "2025-04-22T13:28:17-05:00",
"total": 1,
"link": [
{
"relation": "self",
"url": "https://simplifier.net/eps-tracker/777a156c-af3c-4748-a8a3-7e95e4b0df9a"
}
],
"entry": [
{
"fullUrl": "http://example.org/fhir/RequestGroup/RequestGroup-MedicationsPrescription-Example",
"resourceType": "RequestGroup",
"id": "RequestGroup-MedicationsPrescription-Example",
"meta": {
"versionId": "2",
"lastUpdated": "2025-01-30T15:43:00+00:00"
},
{
{
"url": "numberOfRepeatsAllowed",
},
{
"url": "numberOfRepeatsIssued",
}
],
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-EPS-RepeatInformation"
},
{
{
"url": "status",
"system": "https://fhir.nhs.uk/CodeSystem/EPS-task-business-status",
"code": "0003",
"display": "With Dispenser - Active"
}
}
],
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionStatusHistory"
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-PendingCancellation",
"valueBoolean": false
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType",
"system": "https://fhir.nhs.uk/CodeSystem/prescription-type",
"code": "0101",
"display": "Primary Care Prescriber - Medical Prescriber"
}
}
],
{
"system": "https://fhir.nhs.uk/Id/prescription-order-number",
"value": "269CA9-A99968-4577BP"
}
],
"status": "active",
"intent": "order",
"subject": {
"reference": "Patient/Patient-StaceyTwitchett-Example",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "5839945242"
}
},
"authoredOn": "2025-01-29T12:00:00Z",
"author": {
"reference": "Organization/UKCore-Organization-HallgarthSurgery-Example",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "A83008"
}
},
"action": [
{
"title": "Prescription Line Items(Medications)",
"event": [
"2025-01-29T12:00:00Z"
],
"repeat": {
"frequency": 1,
"period": 20,
"periodUnit": "d"
}
},
"action": [
{
"reference": "MedicationRequest/MedicationRequest-Prescription-Example"
}
},
{
"reference": "MedicationRequest/MedicationRequest-PrescriptionNumber2-Example"
}
}
]
},
{
"title": "Prescription status transitions",
"action": [
{
"title": "Prescription upload successful",
"code": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/EPS-task-business-status",
"code": "0001",
"display": "To be Dispensed"
}
]
}
],
"timingDateTime": "2025-01-29T13:00:00Z",
{
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "A83008"
}
}
}
]
}
],
"reference": "Task/Task-PrescriptionUpload-Example"
}
},
{
"title": "Nominated Release Request successful",
"code": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/EPS-task-business-status",
"code": "0002",
"display": "With Dispenser"
}
]
}
],
"timingDateTime": "2025-01-29T13:00:00Z",
{
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "FCG71"
}
}
}
]
}
],
"reference": "MedicationDispense/Medicationdispense-PendingCancellation-Example"
}
},
{
"title": "Dispense notification successful",
"code": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/EPS-task-business-status",
"code": "0003",
"display": "With Dispenser - Active"
}
]
}
],
"timingDateTime": "2025-01-29T13:00:00Z",
{
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "FCG71"
}
}
}
]
}
],
"reference": "MedicationDispense/Medicationdispense-PendingCancellation-Example"
}
}
]
}
]
},
"search": {
"mode": "match"
}
},
{
"fullUrl": "http://example.org/fhir/PractitionerRole/PractitionerRole-JanePittman-Example",
"resourceType": "PractitionerRole",
"id": "PractitionerRole-JanePittman-Example",
{
"system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
"value": "741555508105"
}
],
"system": "https://fhir.nhs.uk/Id/sds-user-id",
"value": "7654321"
},
"display": "Ms Jane Pittman"
},
"reference": "Organization/Organization-DispensingChemist-Example",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "FCG71"
},
"display": "PHARMACY - WARDS OF WARBOYS DISPENSING CHEMISTS"
},
"code": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/NHSDigital-SDS-JobRoleCode",
"code": "S0030:G0100:R0620"
}
]
}
],
"telecom": [
{
"system": "phone",
"value": "0532567890",
"use": "work"
}
]
},
"search": {
"mode": "include"
}
},
{
"fullUrl": "http://example.org/fhir/MedicationRequest/MedicationRequest-Prescription-Example",
"resourceType": "MedicationRequest",
"id": "MedicationRequest-Prescription-Example",
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-PendingCancellation",
"valueBoolean": false
},
{
{
"url": "dispenseStatus",
"system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-type",
"code": "0008",
"display": "Item with dispenser"
}
}
],
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-EPS-DispensingInformation"
}
],
{
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "a54219b8-f741-4c47-b662-e4f8dfa49ab6"
}
],
"status": "active",
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/medicationrequest-status-reason",
"code": "0004",
"display": "Clinical grounds"
}
]
},
"intent": "original-order",
"coding": [
{
"system": "http://snomed.info/sct",
"code": "39720311000001101",
"display": "Paracetamol 500mg soluble tablets"
}
]
},
"subject": {
"reference": "Patient/Patient-StaceyTwitchett-Example",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "5839945242"
}
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
"system": "https://fhir.nhs.uk/Id/prescription",
"value": "b2fc79f0-2793-4736-9b2d-0976c21e73a5"
}
}
],
"system": "https://fhir.nhs.uk/Id/prescription-order-number",
"value": "82D996-C81010-11DB12"
},
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
"code": "acute",
"display": "Short course (acute) therapy"
}
]
},
{
"text": "Take two tablets three times a day."
}
],
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
"system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
"code": "P1"
}
}
],
"value": 30,
"unit": "dose",
"system": "http://snomed.info/sct",
"code": "3317411000001100"
}
},
}
},
"search": {
"mode": "include"
}
},
{
"fullUrl": "http://example.org/fhir/MedicationRequest/MedicationRequest-PrescriptionNumber2-Example",
"resourceType": "MedicationRequest",
"id": "MedicationRequest-PrescriptionNumber2-Example",
"meta": {
"versionId": "2",
"lastUpdated": "2025-01-30T13:28:17-05:00"
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-PendingCancellation",
"valueBoolean": true
},
{
{
"url": "dispenseStatus",
"system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-type",
"code": "0002",
"display": "Item not dispensed"
}
}
],
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-EPS-DispensingInformation"
}
],
{
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "a54219b8-f741-4c47-b662-e4f8dfa49JHKG"
}
],
"status": "active",
"intent": "reflex-order",
"coding": [
{
"system": "http://snomed.info/sct",
"code": "39720311000001101",
"display": "Paracetamol 500mg soluble tablets"
}
]
},
"subject": {
"reference": "Patient/Patient-StaceyTwitchett-Example",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "5839945242"
}
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
"system": "https://fhir.nhs.uk/Id/prescription",
"value": "b2fc79f0-2793-4736-9b2d-0976c21e73a5"
}
}
],
"system": "https://fhir.nhs.uk/Id/prescription-order-number",
"value": "82D996-C81010-11DB12"
},
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
"code": "acute",
"display": "Short course (acute) therapy"
}
]
},
{
"text": "Take one tablet every four hours as needed."
}
],
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
"system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
"code": "P1"
}
}
],
"value": 32,
"unit": "dose",
"system": "http://snomed.info/sct",
"code": "3317411000001100"
}
},
}
},
"search": {
"mode": "include"
}
},
{
"fullUrl": "http://example.org/fhir/MedicationDispense/MedicationDispense-PendingCancellation-Example",
"resourceType": "MedicationDispense",
"id": "MedicationDispense-PendingCancellation-Example",
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionNonDispensingReason",
"system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-status-reason",
"code": "0002",
"display": "Clinically unsuitable"
}
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-EPS-TaskBusinessStatus",
"system": "https://fhir.nhs.uk/CodeSystem/EPS-task-business-status",
"code": "0007",
"display": "Not Dispensed"
}
}
],
"status": "completed",
"coding": [
{
"system": "http://snomed.info/sct",
"code": "39720311000001101",
"display": "Paracetamol 500mg soluble tablets"
}
]
},
"subject": {
"reference": "Patient/Patient-StaceyTwitchett-Example",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "5839945242"
}
},
{
"actor": {
"reference": "PractitionerRole/PractitionerRole-JanePittman-Example"
}
}
],
{
"reference": "MedicationRequest/MedicationRequest-PrescriptionNumber2-Example"
}
],
"type": {
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-type",
"code": "0002",
"display": "Item not dispensed"
}
]
},
"value": 32,
"unit": "dose",
"system": "http://snomed.info/sct",
"code": "3317411000001100"
}
},
"search": {
"mode": "include"
}
},
{
"fullUrl": "http://example.org/fhir/PractitionerRole/PractitionerRole-LucyHale-Example",
"resourceType": "PractitionerRole",
"id": "PractitionerRole-LucyHale-Example",
{
"system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
"value": "100102389678"
},
{
"system": "https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code",
"value": "2345245"
}
],
"system": "https://fhir.hl7.org.uk/Id/gmc-number",
"value": "C9999999"
},
"display": "Dr. Lucy Hale"
},
"reference": "Organization/Organization-HallgarthSurgery-Example",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "FCG71"
}
},
"code": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/NHSDigital-SDS-JobRoleCode",
"code": "S0030:G0100:R0620"
}
]
}
],
"telecom": [
{
"system": "phone",
"value": "0532567890",
"use": "work"
}
]
},
"search": {
"mode": "include"
}
},
{
"fullUrl": "http://example.org/fhir/Organization/Organization-HallgarthSurgery-Example",
"resourceType": "Organization",
"id": "Organization-HallgarthSurgery-Example",
{
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "A83008"
}
],
"type": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/organisation-role",
"code": "76",
"display": "GP PRACTICE"
}
]
}
],
"name": "HALLGARTH SURGERY",
"telecom": [
{
"system": "phone",
"value": "01388 772662"
}
],
"address": [
{
"line": [
"Cheapside,",
"Shildon",
"Co Durham"
],
"postalCode": "DL4 2HP"
}
]
},
"search": {
"mode": "include"
}
},
{
"fullUrl": "http://example.org/fhir/Organization/Organization-DispensingChemist-Example",
"resourceType": "Organization",
"id": "Organization-DispensingChemist-Example",
{
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "FCG71"
}
],
"type": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/organisation-role",
"code": "182",
"display": "PHARMACY"
}
]
}
],
"name": "PHARMACY - WARDS OF WARBOYS DISPENSING CHEMISTS (FCG71)",
"telecom": [
{
"system": "phone",
"value": "01487 822387"
}
],
"address": [
{
"line": [
"1 Ramsey Rd, Warboys,",
"Huntingdon",
"Peterbrough"
],
"postalCode": "PE28 2RW"
}
]
},
"search": {
"mode": "include"
}
}
]
}
<Bundle xmlns="http://hl7.org/fhir">
<id value="Bundle-RequestGroupPrescriptionDetails-Example" />
<type value="searchset" />
<timestamp value="2025-04-22T13:28:17-05:00" />
<total value="1" />
<relation value="self" />
<url value="https://simplifier.net/eps-tracker/777a156c-af3c-4748-a8a3-7e95e4b0df9a" />
</link>
<fullUrl value="http://example.org/fhir/RequestGroup/RequestGroup-MedicationsPrescription-Example" />
<RequestGroup>
<id value="RequestGroup-MedicationsPrescription-Example" />
<versionId value="2" />
<lastUpdated value="2025-01-30T15:43:00+00:00" />
</meta>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-EPS-RepeatInformation">
<extension url="numberOfRepeatsAllowed">
<valueInteger value="5" />
</extension>
<extension url="numberOfRepeatsIssued">
<valueInteger value="2" />
</extension>
</extension>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionStatusHistory">
<extension url="status">
<system value="https://fhir.nhs.uk/CodeSystem/EPS-task-business-status" />
<code value="0003" />
<display value="With Dispenser - Active" />
</valueCoding>
</extension>
</extension>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-PendingCancellation">
<valueBoolean value="false" />
</extension>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType">
<system value="https://fhir.nhs.uk/CodeSystem/prescription-type" />
<code value="0101" />
<display value="Primary Care Prescriber - Medical Prescriber" />
</valueCoding>
</extension>
<system value="https://fhir.nhs.uk/Id/prescription-order-number" />
<value value="269CA9-A99968-4577BP" />
</identifier>
<status value="active" />
<intent value="order" />
<reference value="Patient/Patient-StaceyTwitchett-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="5839945242" />
</identifier>
</subject>
<authoredOn value="2025-01-29T12:00:00Z" />
<reference value="Organization/UKCore-Organization-HallgarthSurgery-Example" />
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="A83008" />
</identifier>
</author>
<title value="Prescription Line Items(Medications)" />
<event value="2025-01-29T12:00:00Z" />
<frequency value="1" />
<period value="20" />
<periodUnit value="d" />
</repeat>
</timingTiming>
<reference value="MedicationRequest/MedicationRequest-Prescription-Example" />
</resource>
</action>
<reference value="MedicationRequest/MedicationRequest-PrescriptionNumber2-Example" />
</resource>
</action>
</action>
<title value="Prescription status transitions" />
<title value="Prescription upload successful" />
<system value="https://fhir.nhs.uk/CodeSystem/EPS-task-business-status" />
<code value="0001" />
<display value="To be Dispensed" />
</coding>
</code>
<timingDateTime value="2025-01-29T13:00:00Z" />
<extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference">
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="A83008" />
</identifier>
</valueReference>
</extension>
</participant>
<reference value="Task/Task-PrescriptionUpload-Example" />
</resource>
</action>
<title value="Nominated Release Request successful" />
<system value="https://fhir.nhs.uk/CodeSystem/EPS-task-business-status" />
<code value="0002" />
<display value="With Dispenser" />
</coding>
</code>
<timingDateTime value="2025-01-29T13:00:00Z" />
<extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference">
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="FCG71" />
</identifier>
</valueReference>
</extension>
</participant>
<reference value="MedicationDispense/Medicationdispense-PendingCancellation-Example" />
</resource>
</action>
<title value="Dispense notification successful" />
<system value="https://fhir.nhs.uk/CodeSystem/EPS-task-business-status" />
<code value="0003" />
<display value="With Dispenser - Active" />
</coding>
</code>
<timingDateTime value="2025-01-29T13:00:00Z" />
<extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference">
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="FCG71" />
</identifier>
</valueReference>
</extension>
</participant>
<reference value="MedicationDispense/Medicationdispense-PendingCancellation-Example" />
</resource>
</action>
</action>
</RequestGroup>
</resource>
<mode value="match" />
</search>
</entry>
<fullUrl value="http://example.org/fhir/PractitionerRole/PractitionerRole-JanePittman-Example" />
<PractitionerRole>
<id value="PractitionerRole-JanePittman-Example" />
<system value="https://fhir.nhs.uk/Id/sds-role-profile-id" />
<value value="741555508105" />
</identifier>
<system value="https://fhir.nhs.uk/Id/sds-user-id" />
<value value="7654321" />
</identifier>
<display value="Ms Jane Pittman" />
</practitioner>
<reference value="Organization/Organization-DispensingChemist-Example" />
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="FCG71" />
</identifier>
<display value="PHARMACY - WARDS OF WARBOYS DISPENSING CHEMISTS" />
</organization>
<system value="https://fhir.nhs.uk/CodeSystem/NHSDigital-SDS-JobRoleCode" />
<code value="S0030:G0100:R0620" />
</coding>
</code>
<system value="phone" />
<value value="0532567890" />
<use value="work" />
</telecom>
</PractitionerRole>
</resource>
<mode value="include" />
</search>
</entry>
<fullUrl value="http://example.org/fhir/MedicationRequest/MedicationRequest-Prescription-Example" />
<MedicationRequest>
<id value="MedicationRequest-Prescription-Example" />
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-PendingCancellation">
<valueBoolean value="false" />
</extension>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-EPS-DispensingInformation">
<extension url="dispenseStatus">
<system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-type" />
<code value="0008" />
<display value="Item with dispenser" />
</valueCoding>
</extension>
</extension>
<system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
<value value="a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
</identifier>
<status value="active" />
<system value="https://fhir.nhs.uk/CodeSystem/medicationrequest-status-reason" />
<code value="0004" />
<display value="Clinical grounds" />
</coding>
</statusReason>
<intent value="original-order" />
<system value="http://snomed.info/sct" />
<code value="39720311000001101" />
<display value="Paracetamol 500mg soluble tablets" />
</coding>
</medicationCodeableConcept>
<reference value="Patient/Patient-StaceyTwitchett-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="5839945242" />
</identifier>
</subject>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
<system value="https://fhir.nhs.uk/Id/prescription" />
<value value="b2fc79f0-2793-4736-9b2d-0976c21e73a5" />
</valueIdentifier>
</extension>
<system value="https://fhir.nhs.uk/Id/prescription-order-number" />
<value value="82D996-C81010-11DB12" />
</groupIdentifier>
<system value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy" />
<code value="acute" />
<display value="Short course (acute) therapy" />
</coding>
</courseOfTherapyType>
<text value="Take two tablets three times a day." />
</dosageInstruction>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType">
<system value="https://fhir.nhs.uk/CodeSystem/dispensing-site-preference" />
<code value="P1" />
</valueCoding>
</extension>
<value value="30" />
<unit value="dose" />
<system value="http://snomed.info/sct" />
<code value="3317411000001100" />
</quantity>
</dispenseRequest>
<allowedBoolean value="false" />
</substitution>
</MedicationRequest>
</resource>
<mode value="include" />
</search>
</entry>
<fullUrl value="http://example.org/fhir/MedicationRequest/MedicationRequest-PrescriptionNumber2-Example" />
<MedicationRequest>
<id value="MedicationRequest-PrescriptionNumber2-Example" />
<versionId value="2" />
<lastUpdated value="2025-01-30T13:28:17-05:00" />
</meta>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-PendingCancellation">
<valueBoolean value="true" />
</extension>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-EPS-DispensingInformation">
<extension url="dispenseStatus">
<system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-type" />
<code value="0002" />
<display value="Item not dispensed" />
</valueCoding>
</extension>
</extension>
<system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
<value value="a54219b8-f741-4c47-b662-e4f8dfa49JHKG" />
</identifier>
<status value="active" />
<intent value="reflex-order" />
<system value="http://snomed.info/sct" />
<code value="39720311000001101" />
<display value="Paracetamol 500mg soluble tablets" />
</coding>
</medicationCodeableConcept>
<reference value="Patient/Patient-StaceyTwitchett-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="5839945242" />
</identifier>
</subject>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
<system value="https://fhir.nhs.uk/Id/prescription" />
<value value="b2fc79f0-2793-4736-9b2d-0976c21e73a5" />
</valueIdentifier>
</extension>
<system value="https://fhir.nhs.uk/Id/prescription-order-number" />
<value value="82D996-C81010-11DB12" />
</groupIdentifier>
<system value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy" />
<code value="acute" />
<display value="Short course (acute) therapy" />
</coding>
</courseOfTherapyType>
<text value="Take one tablet every four hours as needed." />
</dosageInstruction>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType">
<system value="https://fhir.nhs.uk/CodeSystem/dispensing-site-preference" />
<code value="P1" />
</valueCoding>
</extension>
<value value="32" />
<unit value="dose" />
<system value="http://snomed.info/sct" />
<code value="3317411000001100" />
</quantity>
</dispenseRequest>
<allowedBoolean value="false" />
</substitution>
</MedicationRequest>
</resource>
<mode value="include" />
</search>
</entry>
<fullUrl value="http://example.org/fhir/MedicationDispense/MedicationDispense-PendingCancellation-Example" />
<MedicationDispense>
<id value="MedicationDispense-PendingCancellation-Example" />
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionNonDispensingReason">
<system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-status-reason" />
<code value="0002" />
<display value="Clinically unsuitable" />
</valueCoding>
</extension>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-EPS-TaskBusinessStatus">
<system value="https://fhir.nhs.uk/CodeSystem/EPS-task-business-status" />
<code value="0007" />
<display value="Not Dispensed" />
</valueCoding>
</extension>
<status value="completed" />
<system value="http://snomed.info/sct" />
<code value="39720311000001101" />
<display value="Paracetamol 500mg soluble tablets" />
</coding>
</medicationCodeableConcept>
<reference value="Patient/Patient-StaceyTwitchett-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="5839945242" />
</identifier>
</subject>
<reference value="PractitionerRole/PractitionerRole-JanePittman-Example" />
</actor>
</performer>
<reference value="MedicationRequest/MedicationRequest-PrescriptionNumber2-Example" />
</authorizingPrescription>
<system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-type" />
<code value="0002" />
<display value="Item not dispensed" />
</coding>
</type>
<value value="32" />
<unit value="dose" />
<system value="http://snomed.info/sct" />
<code value="3317411000001100" />
</quantity>
</MedicationDispense>
</resource>
<mode value="include" />
</search>
</entry>
<fullUrl value="http://example.org/fhir/PractitionerRole/PractitionerRole-LucyHale-Example" />
<PractitionerRole>
<id value="PractitionerRole-LucyHale-Example" />
<system value="https://fhir.nhs.uk/Id/sds-role-profile-id" />
<value value="100102389678" />
</identifier>
<system value="https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code" />
<value value="2345245" />
</identifier>
<system value="https://fhir.hl7.org.uk/Id/gmc-number" />
<value value="C9999999" />
</identifier>
<display value="Dr. Lucy Hale" />
</practitioner>
<reference value="Organization/Organization-HallgarthSurgery-Example" />
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="FCG71" />
</identifier>
</organization>
<system value="https://fhir.nhs.uk/CodeSystem/NHSDigital-SDS-JobRoleCode" />
<code value="S0030:G0100:R0620" />
</coding>
</code>
<system value="phone" />
<value value="0532567890" />
<use value="work" />
</telecom>
</PractitionerRole>
</resource>
<mode value="include" />
</search>
</entry>
<fullUrl value="http://example.org/fhir/Organization/Organization-HallgarthSurgery-Example" />
<Organization>
<id value="Organization-HallgarthSurgery-Example" />
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="A83008" />
</identifier>
<system value="https://fhir.nhs.uk/CodeSystem/organisation-role" />
<code value="76" />
<display value="GP PRACTICE" />
</coding>
</type>
<name value="HALLGARTH SURGERY" />
<system value="phone" />
<value value="01388 772662" />
</telecom>
<line value="Cheapside," />
<line value="Shildon" />
<line value="Co Durham" />
<postalCode value="DL4 2HP" />
</address>
</Organization>
</resource>
<mode value="include" />
</search>
</entry>
<fullUrl value="http://example.org/fhir/Organization/Organization-DispensingChemist-Example" />
<Organization>
<id value="Organization-DispensingChemist-Example" />
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="FCG71" />
</identifier>
<system value="https://fhir.nhs.uk/CodeSystem/organisation-role" />
<code value="182" />
<display value="PHARMACY" />
</coding>
</type>
<name value="PHARMACY - WARDS OF WARBOYS DISPENSING CHEMISTS (FCG71)" />
<system value="phone" />
<value value="01487 822387" />
</telecom>
<line value="1 Ramsey Rd, Warboys," />
<line value="Huntingdon" />
<line value="Peterbrough" />
<postalCode value="PE28 2RW" />
</address>
</Organization>
</resource>
<mode value="include" />
</search>
</entry>
</Bundle>
Bundle

pdf document

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patient appointment

{
"resourceType": "Bundle",
"id": "8994e1bd-8147-4437-8b8a-2b1c21ec9207",
"system": "https://tools.ietf.org/html/rfc4122",
"value": "8994e1bd-8147-4437-8b8a-2b1c21ec9207"
},
"type": "message",
"timestamp": "2018-07-12T10:30:16+00:00",
"entry": [
{
"fullUrl": "urn:uuid:ea7221b8-3cc0-4b11-bc95-585b056b5428",
"resourceType": "MessageHeader",
"system": "https://fhir.nhs.uk/CodeSystem/message-event",
"code": "appointment",
"display": "Appointment"
},
{
"endpoint": "urn:nhs-uk:addressing:ods:GP0001",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "GP0001"
},
"display": "Cumbria Starling Medical Centre"
}
}
],
"sender": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "RBA"
}
},
"source": {
"endpoint": "urn:nhs-uk:addressing:ods:RR8"
},
"focus": [
{
"reference": "urn:uuid:70c35c4a-65f4-4a03-bcf7-d1041ab999fd"
}
]
}
},
{
"fullUrl": "urn:uuid:70c35c4a-65f4-4a03-bcf7-d1041ab999fd",
"resourceType": "Appointment",
"status": "booked",
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/NHSDataModelAndDictionary-clinical-specialty",
"code": "370",
"display": "Medical Oncology Service"
}
]
}
],
"description": "Reason for calling",
"start": "2019-01-17T15:00:00+00:00",
"end": "2019-01-17T15:10:00+00:00",
"created": "2019-01-17T14:32:22.579+00:00",
{
"actor": {
"reference": "urn:uuid:90578a68-b711-4d05-885d-42fdc435b02a",
"type": "Patient",
"display": "Peter Chalmers"
},
"status": "needs-action"
},
{
"actor": {
"type": "Practitioner",
"system": "https://fhir.hl7.org.uk/Id/gmc-number",
"value": "G1234567"
},
"display": "Dr Razia Ali"
},
"status": "accepted"
},
{
"actor": {
"type": "Location",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "RBA11"
},
"display": "MUSGROVE PARK HOSPITAL"
},
"status": "needs-action"
}
]
}
},
{
"fullUrl": "urn:uuid:90578a68-b711-4d05-885d-42fdc435b02a",
"resourceType": "Patient",
{
"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",
"line": [
"123 Dale Avenue",
"Long Eaton",
"Nottingham"
],
"postalCode": "NG10 1NP"
}
],
{
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "B81001"
}
}
]
}
}
]
}
<Bundle xmlns="http://hl7.org/fhir">
<id value="8994e1bd-8147-4437-8b8a-2b1c21ec9207" />
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="8994e1bd-8147-4437-8b8a-2b1c21ec9207" />
</identifier>
<type value="message" />
<timestamp value="2018-07-12T10:30:16+00:00" />
<fullUrl value="urn:uuid:ea7221b8-3cc0-4b11-bc95-585b056b5428" />
<MessageHeader>
<system value="https://fhir.nhs.uk/CodeSystem/message-event" />
<code value="appointment" />
<display value="Appointment" />
</eventCoding>
<endpoint value="urn:nhs-uk:addressing:ods:GP0001" />
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="GP0001" />
</identifier>
<display value="Cumbria Starling Medical Centre" />
</receiver>
</destination>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="RBA" />
</identifier>
</sender>
<endpoint value="urn:nhs-uk:addressing:ods:RR8" />
</source>
<reference value="urn:uuid:70c35c4a-65f4-4a03-bcf7-d1041ab999fd" />
</focus>
</MessageHeader>
</resource>
</entry>
<fullUrl value="urn:uuid:70c35c4a-65f4-4a03-bcf7-d1041ab999fd" />
<Appointment>
<status value="booked" />
<system value="https://fhir.nhs.uk/CodeSystem/NHSDataModelAndDictionary-clinical-specialty" />
<code value="370" />
<display value="Medical Oncology Service" />
</coding>
</specialty>
<description value="Reason for calling" />
<start value="2019-01-17T15:00:00+00:00" />
<end value="2019-01-17T15:10:00+00:00" />
<created value="2019-01-17T14:32:22.579+00:00" />
<reference value="urn:uuid:90578a68-b711-4d05-885d-42fdc435b02a" />
<type value="Patient" />
<display value="Peter Chalmers" />
</actor>
<status value="needs-action" />
</participant>
<type value="Practitioner" />
<system value="https://fhir.hl7.org.uk/Id/gmc-number" />
<value value="G1234567" />
</identifier>
<display value="Dr Razia Ali" />
</actor>
<status value="accepted" />
</participant>
<type value="Location" />
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="RBA11" />
</identifier>
<display value="MUSGROVE PARK HOSPITAL" />
</actor>
<status value="needs-action" />
</participant>
</Appointment>
</resource>
</entry>
<fullUrl value="urn:uuid:90578a68-b711-4d05-885d-42fdc435b02a" />
<Patient>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9453740519" />
</identifier>
<use value="official" />
<family value="CORY" />
<given value="ETTA" />
<prefix value="MISS" />
</name>
<gender value="female" />
<birthDate value="1999-01-04" />
<use value="home" />
<line value="123 Dale Avenue" />
<line value="Long Eaton" />
<line value="Nottingham" />
<postalCode value="NG10 1NP" />
</address>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="B81001" />
</identifier>
</generalPractitioner>
</Patient>
</resource>
</entry>
</Bundle>
Bundle
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