UK Core Implementation Guide STU3 Sequence

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This version of the UK Core is a development copy.
This contains BREAKING CHANGES as a result of the C&TA Sprint 7 Review, and STU2 Sequence ballot reconciliation.
This version is not yet reviewed for implementation. Other versions are available on the UK Core Version History Guide
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A summary of changes is available on the STU3 Sequence Change Log

An example to illustrate a medication request for eye drops

Table View

MedicationRequest.id[0]	UKCore-MedicationRequest-EyeDrops-Example
MedicationRequest.text[0].status[0]	additional
MedicationRequest.text[0].div[0]	<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate a medication request for eye drops</div>
MedicationRequest.status[0]	completed
MedicationRequest.intent[0]	order
MedicationRequest.category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/medicationrequest-category
MedicationRequest.category[0].coding[0].code[0]	outpatient
MedicationRequest.category[0].coding[0].display[0]	Outpatient
MedicationRequest.medication[0].reference[0]	Medication/UKCore-Medication-TimoptolEyeDrops-Example
MedicationRequest.subject[0].reference[0]	Patient/UKCore-Patient-RichardSmith-Example
MedicationRequest.authoredOn[0]	2022-09-10T15:00:00.000Z
MedicationRequest.requester[0].reference[0]	Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example
MedicationRequest.courseOfTherapyType[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy
MedicationRequest.courseOfTherapyType[0].coding[0].code[0]	acute
MedicationRequest.courseOfTherapyType[0].coding[0].display[0]	Short course (acute) therapy
MedicationRequest.dosageInstruction[0].text[0]	1 drop in left eye, every 12 hours, until finished.
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].frequency[0]	1
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].period[0]	12
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].periodUnit[0]	h
MedicationRequest.dosageInstruction[0].site[0].coding[0].system[0]	http://snomed.info/sct
MedicationRequest.dosageInstruction[0].site[0].coding[0].code[0]	8966001
MedicationRequest.dosageInstruction[0].site[0].coding[0].display[0]	Left eye structure
MedicationRequest.dosageInstruction[0].route[0].coding[0].system[0]	http://snomed.info/sct
MedicationRequest.dosageInstruction[0].route[0].coding[0].code[0]	58831000052108
MedicationRequest.dosageInstruction[0].route[0].coding[0].display[0]	Subretinal route
MedicationRequest.dosageInstruction[0].method[0].coding[0].system[0]	http://snomed.info/sct
MedicationRequest.dosageInstruction[0].method[0].coding[0].code[0]	421984009
MedicationRequest.dosageInstruction[0].method[0].coding[0].display[0]	Until finished
MedicationRequest.dosageInstruction[0].doseAndRate[0].type[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/dose-rate-type
MedicationRequest.dosageInstruction[0].doseAndRate[0].type[0].coding[0].code[0]	ordered
MedicationRequest.dosageInstruction[0].doseAndRate[0].type[0].coding[0].display[0]	Ordered
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].value[0]	1
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].unit[0]	drop
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].system[0]	http://unitsofmeasure.org
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].code[0]	[drp]
MedicationRequest.substitution[0].allowed[0]	True

Tree View

MedicationRequest

text

status : additional

id : UKCore-MedicationRequest-EyeDrops-Example

status : completed

intent : order

category

coding

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

code : outpatient

display : Outpatient

medication

reference : Medication/UKCore-Medication-TimoptolEyeDrops-Example

subject

reference : Patient/UKCore-Patient-RichardSmith-Example

authoredOn : 2022-09-10T15:00:00.000Z

requester

reference : Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example

courseOfTherapyType

coding

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

code : acute

display : Short course (acute) therapy

dosageInstruction

text : 1 drop in left eye, every 12 hours, until finished.

timing

repeat

frequency : 1

period : 12

periodUnit : h

site

coding

system : http://snomed.info/sct

code : 8966001

display : Left eye structure

route

coding

system : http://snomed.info/sct

code : 58831000052108

display : Subretinal route

method

coding

system : http://snomed.info/sct

code : 421984009

display : Until finished

doseAndRate

type

coding

system : http://terminology.hl7.org/CodeSystem/dose-rate-type

code : ordered

display : Ordered

dose

value : 1

unit : drop

system : http://unitsofmeasure.org

code : [drp]

substitution

allowed : True

XML View

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="UKCore-MedicationRequest-EyeDrops-Example" />
    <text>
        <status value="additional" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <status value="completed" />
    <intent value="order" />
    <category>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category" />
            <code value="outpatient" />
            <display value="Outpatient" />
        </coding>
    </category>
    <medicationReference>
        <reference value="Medication/UKCore-Medication-TimoptolEyeDrops-Example" />
    </medicationReference>
    <subject>
        <reference value="Patient/UKCore-Patient-RichardSmith-Example" />
    </subject>
    <authoredOn value="2022-09-10T15:00:00.000Z" />
    <requester>
        <reference value="Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example" />
    </requester>
    <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 drop in left eye, every 12 hours, until finished." />
        <timing>
            <repeat>
                <frequency value="1" />
                <period value="12" />
                <periodUnit value="h" />
            </repeat>
        </timing>
        <site>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="8966001" />
                <display value="Left eye structure" />
            </coding>
        </site>
        <route>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="58831000052108" />
                <display value="Subretinal route" />
            </coding>
        </route>
        <method>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="421984009" />
                <display value="Until finished" />
            </coding>
        </method>
        <doseAndRate>
            <type>
                <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type" />
                    <code value="ordered" />
                    <display value="Ordered" />
                </coding>
            </type>
            <doseQuantity>
                <value value="1" />
                <unit value="drop" />
                <system value="http://unitsofmeasure.org" />
                <code value="[drp]" />
            </doseQuantity>
        </doseAndRate>
    </dosageInstruction>
    <substitution>
        <allowedBoolean value="true" />
    </substitution>
</MedicationRequest>

JSON View

{
    "resourceType": "MedicationRequest",
    "text": {
        "status": "additional",
        --- We have skipped the narrative for better readability of the resource ---
    },
    "id": "UKCore-MedicationRequest-EyeDrops-Example",
    "status": "completed",
    "intent": "order",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code": "outpatient",
                    "display": "Outpatient"
                }
            ]
        }
    ],
    "medicationReference": {
        "reference": "Medication/UKCore-Medication-TimoptolEyeDrops-Example"
    },
    "subject": {
        "reference": "Patient/UKCore-Patient-RichardSmith-Example"
    },
    "authoredOn": "2022-09-10T15:00:00.000Z",
    "requester": {
        "reference": "Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example"
    },
    "courseOfTherapyType": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
                "code": "acute",
                "display": "Short course (acute) therapy"
            }
        ]
    },
    "dosageInstruction":  [
        {
            "text": "1 drop in left eye, every 12 hours, until finished.",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 12,
                    "periodUnit": "h"
                }
            },
            "site": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "8966001",
                        "display": "Left eye structure"
                    }
                ]
            },
            "route": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "58831000052108",
                        "display": "Subretinal route"
                    }
                ]
            },
            "method": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "421984009",
                        "display": "Until finished"
                    }
                ]
            },
            "doseAndRate":  [
                {
                    "type": {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                                "code": "ordered",
                                "display": "Ordered"
                            }
                        ]
                    },
                    "doseQuantity": {
                        "value": 1,
                        "unit": "drop",
                        "system": "http://unitsofmeasure.org",
                        "code": "[drp]"
                    }
                }
            ]
        }
    ],
    "substitution": {
        "allowedBoolean": true
    }
}