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.

RequestGroup

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": "2025-01-30T15:43:00+00:00"
},
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-EPS-RepeatInformation",
"extension": [
{
"url": "numberOfRepeatsAllowed",
"valueInteger": 5
},
{
"url": "numberOfRepeatsIssued",
"valueInteger": 2
}
]
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionStatusHistory",
"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-PendingCancellation",
"valueBoolean": false
},
{
"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": "order",
"subject": {
"reference": "Patient/Patient-StaceyTwitchett-Example",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "5839945242"
}
},
"authoredOn": "2025-01-29T12:00:00Z",
"author": {
"reference": "Organization/UKCore-Organization-HallgarthSurgery-Example",
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "A83008"
}
},
"action": [
{
"title": "Prescription Line Items(Medications)",
"timingTiming": {
"event": [
"2025-01-29T12:00:00Z"
],
"repeat": {
"frequency": 1,
"period": 20,
"periodUnit": "d"
}
},
"action": [
{
"resource": {
"reference": "MedicationRequest/MedicationRequest-Prescription-Example"
}
},
{
"resource": {
"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",
"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": "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",
"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": "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",
"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": "MedicationDispense/Medicationdispense-PendingCancellation-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-PendingCancellation">
<valueBoolean value="false" />
</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="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="Organization/UKCore-Organization-HallgarthSurgery-Example" />
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="A83008" />
</identifier>
</author>
<action>
<title value="Prescription Line Items(Medications)" />
<timingTiming>
<event value="2025-01-29T12:00:00Z" />
<repeat>
<frequency value="1" />
<period value="20" />
<periodUnit value="d" />
</repeat>
</timingTiming>
<action>
<resource>
<reference value="MedicationRequest/MedicationRequest-Prescription-Example" />
</resource>
</action>
<action>
<resource>
<reference value="MedicationRequest/MedicationRequest-PrescriptionNumber2-Example" />
</resource>
</action>
</action>
<action>
<title value="Prescription status transitions" />
<action>
<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>
<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="A83008" />
</identifier>
</valueReference>
</extension>
</participant>
<resource>
<reference value="Task/Task-PrescriptionUpload-Example" />
</resource>
</action>
<action>
<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="MedicationDispense/Medicationdispense-PendingCancellation-Example" />
</resource>
</action>
<action>
<title value="Dispense notification successful" />
<code>
<coding>
<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" />
<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="MedicationDispense/Medicationdispense-PendingCancellation-Example" />
</resource>
</action>
</action>
</RequestGroup>
RequestGroup
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