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.

MedicationRequest

MedicationRequest-Prescription-Example

{
"resourceType": "MedicationRequest",
"id": "MedicationRequest-Prescription-Example",
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-PendingCancellation",
"valueBoolean": false
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-EPS-DispensingInformation",
"extension": [
{
"url": "dispenseStatus",
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-type",
"code": "0008",
"display": "Item with dispenser"
}
}
]
}
],
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "a54219b8-f741-4c47-b662-e4f8dfa49ab6"
}
],
"status": "active",
"statusReason": {
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/medicationrequest-status-reason",
"code": "0004",
"display": "Clinical grounds"
}
]
},
"intent": "original-order",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "39720311000001101",
"display": "Paracetamol 500mg soluble tablets"
}
]
},
"subject": {
"reference": "Patient/Patient-StaceyTwitchett-Example",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "5839945242"
}
},
"groupIdentifier": {
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
"valueIdentifier": {
"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"
},
"courseOfTherapyType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
"code": "acute",
"display": "Short course (acute) therapy"
}
]
},
"dosageInstruction": [
{
"text": "Take two tablets three times a day."
}
],
"dispenseRequest": {
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
"code": "P1"
}
}
],
"quantity": {
"value": 30,
"unit": "dose",
"system": "http://snomed.info/sct",
"code": "3317411000001100"
}
},
"substitution": {
"allowedBoolean": false
}
}
<MedicationRequest xmlns="http://hl7.org/fhir">
<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">
<valueCoding>
<system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-type" />
<code value="0008" />
<display value="Item with dispenser" />
</valueCoding>
</extension>
</extension>
<identifier>
<system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
<value value="a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
</identifier>
<status value="active" />
<statusReason>
<coding>
<system value="https://fhir.nhs.uk/CodeSystem/medicationrequest-status-reason" />
<code value="0004" />
<display value="Clinical grounds" />
</coding>
</statusReason>
<intent value="original-order" />
<medicationCodeableConcept>
<coding>
<system value="http://snomed.info/sct" />
<code value="39720311000001101" />
<display value="Paracetamol 500mg soluble tablets" />
</coding>
</medicationCodeableConcept>
<subject>
<reference value="Patient/Patient-StaceyTwitchett-Example" />
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="5839945242" />
</identifier>
</subject>
<groupIdentifier>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
<valueIdentifier>
<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>
<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="Take two tablets three times a day." />
</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="P1" />
</valueCoding>
</extension>
<quantity>
<value value="30" />
<unit value="dose" />
<system value="http://snomed.info/sct" />
<code value="3317411000001100" />
</quantity>
</dispenseRequest>
<substitution>
<allowedBoolean value="false" />
</substitution>
</MedicationRequest>
MedicationRequest

MedicationRequest-PrescriptionNumber2-Example

{
"resourceType": "MedicationRequest",
"id": "MedicationRequest-PrescriptionNumber2-Example",
"meta": {
"versionId": "2",
"lastUpdated": "2025-01-30T13:28:17-05:00"
},
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-PendingCancellation",
"valueBoolean": true
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-EPS-DispensingInformation",
"extension": [
{
"url": "dispenseStatus",
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-type",
"code": "0002",
"display": "Item not dispensed"
}
}
]
}
],
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "a54219b8-f741-4c47-b662-e4f8dfa49JHKG"
}
],
"status": "active",
"intent": "reflex-order",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "39720311000001101",
"display": "Paracetamol 500mg soluble tablets"
}
]
},
"subject": {
"reference": "Patient/Patient-StaceyTwitchett-Example",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "5839945242"
}
},
"groupIdentifier": {
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
"valueIdentifier": {
"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"
},
"courseOfTherapyType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
"code": "acute",
"display": "Short course (acute) therapy"
}
]
},
"dosageInstruction": [
{
"text": "Take one tablet every four hours as needed."
}
],
"dispenseRequest": {
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
"code": "P1"
}
}
],
"quantity": {
"value": 32,
"unit": "dose",
"system": "http://snomed.info/sct",
"code": "3317411000001100"
}
},
"substitution": {
"allowedBoolean": false
}
}
<MedicationRequest xmlns="http://hl7.org/fhir">
<id value="MedicationRequest-PrescriptionNumber2-Example" />
<meta>
<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">
<valueCoding>
<system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-type" />
<code value="0002" />
<display value="Item not dispensed" />
</valueCoding>
</extension>
</extension>
<identifier>
<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" />
<medicationCodeableConcept>
<coding>
<system value="http://snomed.info/sct" />
<code value="39720311000001101" />
<display value="Paracetamol 500mg soluble tablets" />
</coding>
</medicationCodeableConcept>
<subject>
<reference value="Patient/Patient-StaceyTwitchett-Example" />
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="5839945242" />
</identifier>
</subject>
<groupIdentifier>
<extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
<valueIdentifier>
<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>
<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="Take one tablet every four hours as needed." />
</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="P1" />
</valueCoding>
</extension>
<quantity>
<value value="32" />
<unit value="dose" />
<system value="http://snomed.info/sct" />
<code value="3317411000001100" />
</quantity>
</dispenseRequest>
<substitution>
<allowedBoolean value="false" />
</substitution>
</MedicationRequest>
MedicationRequest
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