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.

RquestGroup-MedicationPrescriptions-Example

Medication Prescription

A RequestGroup instance illustrating a set of line items as part of a prescription, and a status history of actions against the prescription.
This is use only within the Clinical Prescription Tracker tool.

{
    "resourceType": "RequestGroup",
    "id": "RequestGroup-MedicationsPrescription-Example",
    "meta": {
        "versionId": "2",
        "lastUpdated": "01/30/2025 15:43:00"
    },
    "extension":  [
        {
            "extension":  [
                {
                    "url": "numberOfRepeatsAllowed",
                    "valueInteger": 5
                },
                {
                    "url": "numberOfRepeatsIssued",
                    "valueInteger": 2
                }
            ],
            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-EPS-RepeatInformation"
        },
        {
            "extension":  [
                {
                    "url": "status",
                    "valueCoding": {
                        "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"
        },
        {
            "extension":  [
                {
                    "url": "status",
                    "valueCoding": {
                        "system": "https://fhir.nhs.uk/CodeSystem/EPS-task-business-status",
                        "code": "9005",
                        "display": "Pending Cancellation"
                    }
                }
            ],
            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionStatusHistory"
        },
        {
            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType",
            "valueCoding": {
                "system": "https://fhir.nhs.uk/CodeSystem/prescription-type",
                "code": "0101",
                "display": "Primary Care Prescriber - Medical Prescriber"
            }
        }
    ],
    "identifier":  [
        {
            "system": "https://fhir.nhs.uk/Id/prescription-order-number",
            "value": "269CA9-A99968-4577BP"
        }
    ],
    "status": "active",
    "intent": "reflex-order",
    "subject": {
        "reference": "Patient/Patient-StaceyTwitchett-Example",
        "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "5839945242"
        }
    },
    "authoredOn": "01/29/2025 12:00:00",
    "author": {
        "reference": "PractitionerRole/PractitionerRole-LucyHale-Example",
        "identifier": {
            "use": "official",
            "system": "https://fhir.hl7.org.uk/Id/gmc-number",
            "value": "C9999999"
        }
    },
    "action":  [
        {
            "id": "All-MedicationsID",
            "title": "Prescription Line Items(Medications)",
            "action":  [
                {
                    "id": "Medication-Number-1",
                    "resource": {
                        "reference": "MedicationRequest/MedicationRequest-Prescription-Example"
                    }
                },
                {
                    "id": "Medication-Number-2",
                    "resource": {
                        "reference": "MedicationRequest/MedicationRequest-RepeatPrescription-Example"
                    }
                },
                {
                    "id": "Medication-Number-3",
                    "resource": {
                        "reference": "MedicationRequest/MedicationRequest-PescriptionNumber3-Example"
                    }
                },
                {
                    "id": "Medication-Number-4",
                    "resource": {
                        "reference": "MedicationRequest/MedicationRequest-PescriptionNumber4-Example"
                    }
                }
            ]
        },
        {
            "id": "Prescription-StatusHistory-ID",
            "title": "Prescription status transitions",
            "action":  [
                {
                    "id": "PrescriptionStatus-MedicationNumber-1",
                    "title": "Prescription upload successful",
                    "code":  [
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.nhs.uk/CodeSystem/EPS-task-business-status",
                                    "code": "0001",
                                    "display": "To be Dispensed"
                                }
                            ]
                        }
                    ],
                    "timingTiming": {
                        "event":  [
                            "01/29/2025 12:00:00"
                        ],
                        "repeat": {
                            "frequency": 1,
                            "period": 20,
                            "periodUnit": "d"
                        }
                    },
                    "participant":  [
                        {
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference",
                                    "valueReference": {
                                        "identifier": {
                                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                                            "value": "A83008"
                                        }
                                    }
                                }
                            ]
                        }
                    ],
                    "resource": {
                        "reference": "MedicationRequest/MedicationRequest-Prescription-Example"
                    }
                },
                {
                    "id": "PrescriptionStatus-MedicationNumber-2",
                    "title": "Medication-Number-2 upload successful",
                    "code":  [
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.nhs.uk/CodeSystem/EPS-task-business-status",
                                    "code": "0001",
                                    "display": "To be Dispensed"
                                }
                            ]
                        }
                    ],
                    "relatedAction":  [
                        {
                            "actionId": "PrescriptionStatus-MedicationNumber-1",
                            "relationship": "after-end"
                        }
                    ],
                    "timingTiming": {
                        "event":  [
                            "01/29/2025 12:00:00"
                        ],
                        "repeat": {
                            "frequency": 1,
                            "period": 20,
                            "periodUnit": "d"
                        }
                    },
                    "participant":  [
                        {
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference",
                                    "valueReference": {
                                        "identifier": {
                                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                                            "value": "A83008"
                                        }
                                    }
                                }
                            ]
                        }
                    ],
                    "resource": {
                        "reference": "MedicationRequest/MedicationRequest-RepeatPrescription-Example"
                    }
                },
                {
                    "id": "Notification-MedicationNumber-1",
                    "title": "Nominated Release Request successful",
                    "code":  [
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.nhs.uk/CodeSystem/EPS-task-business-status",
                                    "code": "0002",
                                    "display": "With Dispenser"
                                }
                            ]
                        }
                    ],
                    "timingDateTime": "01/29/2025 13:00:00",
                    "participant":  [
                        {
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference",
                                    "valueReference": {
                                        "identifier": {
                                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                                            "value": "FCG71"
                                        }
                                    }
                                }
                            ]
                        }
                    ],
                    "resource": {
                        "reference": "MedicationRequest/MedicationRequest-Prescription-Example"
                    }
                },
                {
                    "id": "Notification-MedicationNumber-2",
                    "title": "Dispense notification successful",
                    "code":  [
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.nhs.uk/CodeSystem/EPS-task-business-status",
                                    "code": "0002",
                                    "display": "Item not dispensed"
                                }
                            ]
                        }
                    ],
                    "timingDateTime": "01/30/2025 10:00:00",
                    "participant":  [
                        {
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference",
                                    "valueReference": {
                                        "identifier": {
                                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                                            "value": "FCG71"
                                        }
                                    }
                                }
                            ]
                        }
                    ],
                    "resource": {
                        "reference": "MedicationRequest/MedicationRequest-RepeatPrescription-Example"
                    }
                }
            ]
        }
    ]
}
<RequestGroup xmlns="http://hl7.org/fhir">
    <id value="RequestGroup-MedicationsPrescription-Example" />
    <meta>
        <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">
            <valueCoding>
                <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-DM-PrescriptionStatusHistory">
        <extension url="status">
            <valueCoding>
                <system value="https://fhir.nhs.uk/CodeSystem/EPS-task-business-status" />
                <code value="9005" />
                <display value="Pending Cancellation" />
            </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="0101" />
            <display value="Primary Care Prescriber - Medical Prescriber" />
        </valueCoding>
    </extension>
    <identifier>
        <system value="https://fhir.nhs.uk/Id/prescription-order-number" />
        <value value="269CA9-A99968-4577BP" />
    </identifier>
    <status value="active" />
    <intent value="reflex-order" />
    <subject>
        <reference value="Patient/Patient-StaceyTwitchett-Example" />
        <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number" />
            <value value="5839945242" />
        </identifier>
    </subject>
    <authoredOn value="2025-01-29T12:00:00Z" />
    <author>
        <reference value="PractitionerRole/PractitionerRole-LucyHale-Example" />
        <identifier>
            <use value="official" />
            <system value="https://fhir.hl7.org.uk/Id/gmc-number" />
            <value value="C9999999" />
        </identifier>
    </author>
    <action id="All-MedicationsID">
        <title value="Prescription Line Items(Medications)" />
        <action id="Medication-Number-1">
            <resource>
                <reference value="MedicationRequest/MedicationRequest-Prescription-Example" />
            </resource>
        </action>
        <action id="Medication-Number-2">
            <resource>
                <reference value="MedicationRequest/MedicationRequest-RepeatPrescription-Example" />
            </resource>
        </action>
        <action id="Medication-Number-3">
            <resource>
                <reference value="MedicationRequest/MedicationRequest-PescriptionNumber3-Example" />
            </resource>
        </action>
        <action id="Medication-Number-4">
            <resource>
                <reference value="MedicationRequest/MedicationRequest-PescriptionNumber4-Example" />
            </resource>
        </action>
    </action>
    <action id="Prescription-StatusHistory-ID">
        <title value="Prescription status transitions" />
        <action id="PrescriptionStatus-MedicationNumber-1">
            <title value="Prescription upload successful" />
            <code>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/EPS-task-business-status" />
                    <code value="0001" />
                    <display value="To be Dispensed" />
                </coding>
            </code>
            <timingTiming>
                <event value="2025-01-29T12:00:00Z" />
                <repeat>
                    <frequency value="1" />
                    <period value="20" />
                    <periodUnit value="d" />
                </repeat>
            </timingTiming>
            <participant>
                <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference">
                    <valueReference>
                        <identifier>
                            <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                            <value value="A83008" />
                        </identifier>
                    </valueReference>
                </extension>
            </participant>
            <resource>
                <reference value="MedicationRequest/MedicationRequest-Prescription-Example" />
            </resource>
        </action>
        <action id="PrescriptionStatus-MedicationNumber-2">
            <title value="Medication-Number-2 upload successful" />
            <code>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/EPS-task-business-status" />
                    <code value="0001" />
                    <display value="To be Dispensed" />
                </coding>
            </code>
            <relatedAction>
                <actionId value="PrescriptionStatus-MedicationNumber-1" />
                <relationship value="after-end" />
            </relatedAction>
            <timingTiming>
                <event value="2025-01-29T12:00:00Z" />
                <repeat>
                    <frequency value="1" />
                    <period value="20" />
                    <periodUnit value="d" />
                </repeat>
            </timingTiming>
            <participant>
                <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference">
                    <valueReference>
                        <identifier>
                            <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                            <value value="A83008" />
                        </identifier>
                    </valueReference>
                </extension>
            </participant>
            <resource>
                <reference value="MedicationRequest/MedicationRequest-RepeatPrescription-Example" />
            </resource>
        </action>
        <action id="Notification-MedicationNumber-1">
            <title value="Nominated Release Request successful" />
            <code>
                <coding>
                    <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" />
            <participant>
                <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference">
                    <valueReference>
                        <identifier>
                            <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                            <value value="FCG71" />
                        </identifier>
                    </valueReference>
                </extension>
            </participant>
            <resource>
                <reference value="MedicationRequest/MedicationRequest-Prescription-Example" />
            </resource>
        </action>
        <action id="Notification-MedicationNumber-2">
            <title value="Dispense notification successful" />
            <code>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/EPS-task-business-status" />
                    <code value="0002" />
                    <display value="Item not dispensed" />
                </coding>
            </code>
            <timingDateTime value="2025-01-30T10:00:00Z" />
            <participant>
                <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference">
                    <valueReference>
                        <identifier>
                            <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                            <value value="FCG71" />
                        </identifier>
                    </valueReference>
                </extension>
            </participant>
            <resource>
                <reference value="MedicationRequest/MedicationRequest-RepeatPrescription-Example" />
            </resource>
        </action>
    </action>
</RequestGroup>
RequestGroup
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