UK Core Implementation Guide STU3 Sequence

Please note:

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
Please follow the guidance on the Contact Us page if you need any assistance.
A summary of changes is available on the STU3 Sequence Change Log

UKCore-MedicationRequest-CiprofloxacinIV-Example

An example to illustrate the option for Ciprofloxacin via IV when prescribing multiple routes

Table View

MedicationRequest.id[0]	UKCore-MedicationRequest-CiprofloxacinIV-Example
MedicationRequest.text[0].status[0]	additional
MedicationRequest.text[0].div[0]	<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the option for Ciprofloxacin via IV when prescribing multiple routes</div>
MedicationRequest.status[0]	completed
MedicationRequest.intent[0]	option
MedicationRequest.category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/medicationrequest-category
MedicationRequest.category[0].coding[0].code[0]	inpatient
MedicationRequest.category[0].coding[0].display[0]	Inpatient
MedicationRequest.medication[0].coding[0].system[0]	https://dmd.nhs.uk
MedicationRequest.medication[0].coding[0].code[0]	36141511000001100
MedicationRequest.medication[0].coding[0].display[0]	Ciprofloxacin 400mg/200ml infusion bags
MedicationRequest.subject[0].reference[0]	Patient/UKCore-Patient-RichardSmith-Example
MedicationRequest.authoredOn[0]	2023-06-15T15:00:00.000Z
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]	Ciprofloxacin 400mg, twice daily.
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].frequency[0]	2
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].period[0]	1
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].periodUnit[0]	d
MedicationRequest.dosageInstruction[0].route[0].coding[0].system[0]	http://snomed.info/sct
MedicationRequest.dosageInstruction[0].route[0].coding[0].code[0]	47625008
MedicationRequest.dosageInstruction[0].route[0].coding[0].display[0]	Intravenous
MedicationRequest.dosageInstruction[0].method[0].coding[0].system[0]	http://snomed.info/sct
MedicationRequest.dosageInstruction[0].method[0].coding[0].code[0]	13283701000001109
MedicationRequest.dosageInstruction[0].method[0].coding[0].display[0]	Infusion
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]	400
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].unit[0]	milligram
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].system[0]	http://unitsofmeasure.org
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].code[0]	mg
MedicationRequest.substitution[0].allowed[0]	False

Tree View

MedicationRequest

id : UKCore-MedicationRequest-CiprofloxacinIV-Example

text

status : additional

status : completed

intent : option

category

coding

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

code : inpatient

display : Inpatient

medication

coding

system : https://dmd.nhs.uk

code : 36141511000001100

display : Ciprofloxacin 400mg/200ml infusion bags

subject

reference : Patient/UKCore-Patient-RichardSmith-Example

authoredOn : 2023-06-15T15:00:00.000Z

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 : Ciprofloxacin 400mg, twice daily.

timing

repeat

frequency : 2

period : 1

periodUnit : d

route

coding

system : http://snomed.info/sct

code : 47625008

display : Intravenous

method

coding

system : http://snomed.info/sct

code : 13283701000001109

display : Infusion

doseAndRate

type

coding

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

code : ordered

display : Ordered

dose

value : 400

unit : milligram

system : http://unitsofmeasure.org

code : mg

substitution

allowed : False

XML View

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="UKCore-MedicationRequest-CiprofloxacinIV-Example" />
    <text>
        <status value="additional" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <status value="completed" />
    <intent value="option" />
    <category>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category" />
            <code value="inpatient" />
            <display value="Inpatient" />
        </coding>
    </category>
    <medicationCodeableConcept>
        <coding>
            <system value="https://dmd.nhs.uk" />
            <code value="36141511000001100" />
            <display value="Ciprofloxacin 400mg/200ml infusion bags" />
        </coding>
    </medicationCodeableConcept>
    <subject>
        <reference value="Patient/UKCore-Patient-RichardSmith-Example" />
    </subject>
    <authoredOn value="2023-06-15T15:00:00.000Z" />
    <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="Ciprofloxacin 400mg, twice daily." />
        <timing>
            <repeat>
                <frequency value="2" />
                <period value="1" />
                <periodUnit value="d" />
            </repeat>
        </timing>
        <route>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="47625008" />
                <display value="Intravenous" />
            </coding>
        </route>
        <method>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="13283701000001109" />
                <display value="Infusion" />
            </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="400" />
                <unit value="milligram" />
                <system value="http://unitsofmeasure.org" />
                <code value="mg" />
            </doseQuantity>
        </doseAndRate>
    </dosageInstruction>
    <substitution>
        <allowedBoolean value="false" />
    </substitution>
</MedicationRequest>

JSON View

{
    "resourceType": "MedicationRequest",
    "id": "UKCore-MedicationRequest-CiprofloxacinIV-Example",
    "text": {
        "status": "additional",
        --- We have skipped the narrative for better readability of the resource ---
    },
    "status": "completed",
    "intent": "option",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code": "inpatient",
                    "display": "Inpatient"
                }
            ]
        }
    ],
    "medicationCodeableConcept": {
        "coding":  [
            {
                "system": "https://dmd.nhs.uk",
                "code": "36141511000001100",
                "display": "Ciprofloxacin 400mg/200ml infusion bags"
            }
        ]
    },
    "subject": {
        "reference": "Patient/UKCore-Patient-RichardSmith-Example"
    },
    "authoredOn": "06/15/2023 15:00:00",
    "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": "Ciprofloxacin 400mg, twice daily.",
            "timing": {
                "repeat": {
                    "frequency": 2,
                    "period": 1,
                    "periodUnit": "d"
                }
            },
            "route": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "47625008",
                        "display": "Intravenous"
                    }
                ]
            },
            "method": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "13283701000001109",
                        "display": "Infusion"
                    }
                ]
            },
            "doseAndRate":  [
                {
                    "type": {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                                "code": "ordered",
                                "display": "Ordered"
                            }
                        ]
                    },
                    "doseQuantity": {
                        "value": 400,
                        "unit": "milligram",
                        "system": "http://unitsofmeasure.org",
                        "code": "mg"
                    }
                }
            ]
        }
    ],
    "substitution": {
        "allowedBoolean": false
    }
}