ePMA Implementation Guidance for FHIR STU3

This guidance is under active development by NHS Digital and content may be added or updated on a regular basis.
Please note: This guidance has been superseded by the Implementation guide for digitial medicines, which contains up-to-date information.

Scenario: Inpatient Discharge

Patient Paige Turner is discharged from hospital following an admission where she was diagnosed as being diabetic. She was prescribed 4 weeks quantity of Metformin 500mg tablets by Dr Makieu Well, to take twice daily on an on-going basis.

The medication request was recorded by pharmacist Bill Ding. Paige’s GP will be instructed to continue this course of medication within a discharge note.

MedicationRequest

Note: This example below is a draft and requires clinical verification.
<!-- This xml example is for illustrative purposes only and has not been clinically verified. -->
<Bundle xmlns="http://hl7.org/fhir">
<id value="32e2adf8-595b-4b39-b6f1-f0073464c7f9" />
<type value="message" />
<!-- Message Header -->
<entry>
<fullUrl value="message-header-167434" />
<resource>
<MessageHeader>
<id value="message-header-167434" />
<text>
<status value="generated" />
<div xmlns="http://www.w3.org/1999/xhtml"><p>The quick brown fox jumps over the lazy dog</p></div>
</text>
<event>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/EventType-1" />
<code value="individual-requirements-1" />
<display value="Individual Requirements" />
</event>
<timestamp value="2021-05-07T16:15:32Z" />
<source>
<endpoint value="nhs-uk:addressing:ods:T48NT" />
</source>
<focus>
<reference value="med-req-843920" />
</focus>
</MessageHeader>
</resource>
</entry>
<!-- Patient associated with the encounter. -->
<entry>
<fullUrl value="patient-113582401" />
<resource>
<Patient>
<id value="patient-113582401" />
<identifier>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1">
<valueCodeableConcept>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1" />
<code value="01" />
<display value="Number present and verified" />
</coding>
</valueCodeableConcept>
</extension>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="113582401" />
</identifier>
<name>
<use value="official" />
<text value="Ms Paige Turner" />
<family value="Turner" />
<given value="Paige" />
<prefix value="Ms" />
</name>
<gender value="female" />
<birthDate value="1982-11-20" />
</Patient>
</resource>
</entry>
<!-- Prescribing clinician associated with the encounter. -->
<entry>
<fullUrl value="staff-0001" />
<resource>
<Practitioner>
<id value="staff-0001" />
<name>
<text value="Dr Makieu Well" />
<family value="Well" />
<given value="Makieu" />
<prefix value="Dr" />
</name>
<qualification>
<code>
<coding>
<system value="https://fhir.hl7.org.uk/Id/gmc-number" />
<code value="2145879" />
<display value="General Medical Council" />
</coding>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<!-- Ward Pharmacist associated with the encounter. -->
<entry>
<fullUrl value="staff-0002" />
<resource>
<Practitioner>
<id value="staff-0002" />
<name>
<text value="Bill Ding" />
<family value="Ding" />
<given value="Bill" />
</name>
<qualification>
<code>
<coding>
<system value="https://fhir.hl7.org.uk/Id/gphc-number" />
<code value="1234567" />
<display value="General Pharmaceutical Council" />
</coding>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<!-- Medication prescribed -->
<entry>
<fullUrl value="medication-325278007" />
<resource>
<Medication>
<id value="medication-325278007" />
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="325278007" />
<display value="Metformin 500mg tablets" />
</coding>
</code>
</Medication>
</resource>
</entry>
<!-- Medication Request -->
<entry>
<fullUrl value="med-req-843920" />
<resource>
<MedicationRequest>
<id value="med-req-843920" />
<status value="active" />
<intent value="order" />
<category>
<coding>
<system value="http://hl7.org/fhir/medication-request-category" />
<code value="discharge" />
<display value="discharge" />
</coding>
</category>
<medicationReference>
<reference value="medication-321987003" />
<display value="Metformin 500mg tablets" />
</medicationReference>
<subject>
<reference value="patient-113582401" />
<display value="Ms Paige Turner" />
</subject>
<authoredOn value="2020-05-20T11:19:00Z" />
<requester>
<agent>
<reference value="staff-0001" />
<display value="Dr Makieu Well" />
</agent>
</requester>
<recorder>
<reference value="staff-0002" />
<display value="Bill Ding" />
</recorder>
<dosageInstruction>
<timing>
<repeat>
<frequency value="2" />
<period value="1" />
<periodUnit value="d" />
</repeat>
</timing>
</dosageInstruction>
<dispenseRequest>
<quantity>
<value value="56" />
<unit value="tablet" />
<system value="http://snomed.info/sct" />
<code value="428673006" />
</quantity>
</dispenseRequest>
<substitution>
<allowed value="false" />
</substitution>
</MedicationRequest>
</resource>
</entry>
</Bundle>
{
"resourceType": "Bundle",
"id": "32e2adf8-595b-4b39-b6f1-f0073464c7f9",
"type": "message",
"entry": [
{
"fullUrl": "message-header-167434",
"resource": {
"resourceType": "MessageHeader",
"id": "message-header-167434",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>The quick brown fox jumps over the lazy dog</p></div>"
},
"timestamp": "2021-05-07T16:15:32Z",
"event": {
"system": "https://fhir.nhs.uk/STU3/CodeSystem/EventType-1",
"code": "individual-requirements-1",
"display": "Individual Requirements"
},
"source": {
"endpoint": "nhs-uk:addressing:ods:T48NT"
},
"focus": [
{
"reference": "med-req-843920"
}
]
}
},
{
"fullUrl": "patient-113582401",
"resource": {
"resourceType": "Patient",
"id": "patient-113582401",
"identifier": [
{
"extension": [
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1",
"code": "01",
"display": "Number present and verified"
}
]
}
}
],
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "113582401"
}
],
"name": [
{
"use": "official",
"text": "Ms Paige Turner",
"family": "Turner",
"given": [
"Paige"
],
"prefix": [
"Ms"
]
}
],
"gender": "female",
"birthDate": "1982-11-20"
}
},
{
"fullUrl": "staff-0001",
"resource": {
"resourceType": "Practitioner",
"id": "staff-0001",
"name": [
{
"text": "Dr Makieu Well",
"family": "Well",
"given": [
"Makieu"
],
"prefix": [
"Dr"
]
}
],
"qualification": [
{
"code": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/Id/gmc-number",
"code": "2145879",
"display": "General Medical Council"
}
]
}
}
]
}
},
{
"fullUrl": "staff-0002",
"resource": {
"resourceType": "Practitioner",
"id": "staff-0002",
"name": [
{
"text": "Bill Ding",
"family": "Ding",
"given": [
"Bill"
]
}
],
"qualification": [
{
"code": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/Id/gphc-number",
"code": "1234567",
"display": "General Pharmaceutical Council"
}
]
}
}
]
}
},
{
"fullUrl": "medication-325278007",
"resource": {
"resourceType": "Medication",
"id": "medication-325278007",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "325278007",
"display": "Metformin 500mg tablets"
}
]
}
}
},
{
"fullUrl": "med-req-843920",
"resource": {
"resourceType": "MedicationRequest",
"id": "med-req-843920",
"status": "active",
"intent": "order",
"category": {
"coding": [
{
"system": "http://hl7.org/fhir/medication-request-category",
"code": "discharge",
"display": "discharge"
}
]
},
"medicationReference": {
"reference": "medication-321987003",
"display": "Metformin 500mg tablets"
},
"subject": {
"reference": "patient-113582401",
"display": "Ms Paige Turner"
},
"authoredOn": "2020-05-20T11:19:00Z",
"requester": {
"agent": {
"reference": "staff-0001",
"display": "Dr Makieu Well"
}
},
"recorder": {
"reference": "staff-0002",
"display": "Bill Ding"
},
"dosageInstruction": [
{
"timing": {
"repeat": {
"frequency": 2,
"period": 1,
"periodUnit": "d"
}
}
}
],
"dispenseRequest": {
"quantity": {
"value": 56,
"unit": "tablet",
"system": "http://snomed.info/sct",
"code": "428673006"
}
},
"substitution": {
"allowed": false
}
}
}
]
}
Bundle.id[0]32e2adf8-595b-4b39-b6f1-f0073464c7f9
Bundle.type[0]message
Bundle.entry[0].fullUrl[0]message-header-167434
Bundle.entry[0].resource[0].id[0]message-header-167434
Bundle.entry[0].resource[0].text[0].status[0]generated
Bundle.entry[0].resource[0].text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml"><p>The quick brown fox jumps over the lazy dog</p></div>
Bundle.entry[0].resource[0].event[0].system[0]https://fhir.nhs.uk/STU3/CodeSystem/EventType-1
Bundle.entry[0].resource[0].event[0].code[0]individual-requirements-1
Bundle.entry[0].resource[0].event[0].display[0]Individual Requirements
Bundle.entry[0].resource[0].timestamp[0]2021-05-07T16:15:32+00:00
Bundle.entry[0].resource[0].source[0].endpoint[0]nhs-uk:addressing:ods:T48NT
Bundle.entry[0].resource[0].focus[0].reference[0]med-req-843920
Bundle.entry[1].fullUrl[0]patient-113582401
Bundle.entry[1].resource[0].id[0]patient-113582401
Bundle.entry[1].resource[0].identifier[0].extension[0].url[0]https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1
Bundle.entry[1].resource[0].identifier[0].extension[0].value[0].coding[0].system[0]https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1
Bundle.entry[1].resource[0].identifier[0].extension[0].value[0].coding[0].code[0]01
Bundle.entry[1].resource[0].identifier[0].extension[0].value[0].coding[0].display[0]Number present and verified
Bundle.entry[1].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/nhs-number
Bundle.entry[1].resource[0].identifier[0].value[0]113582401
Bundle.entry[1].resource[0].name[0].use[0]official
Bundle.entry[1].resource[0].name[0].text[0]Ms Paige Turner
Bundle.entry[1].resource[0].name[0].family[0]Turner
Bundle.entry[1].resource[0].name[0].given[0]Paige
Bundle.entry[1].resource[0].name[0].prefix[0]Ms
Bundle.entry[1].resource[0].gender[0]female
Bundle.entry[1].resource[0].birthDate[0]1982-11-20
Bundle.entry[2].fullUrl[0]staff-0001
Bundle.entry[2].resource[0].id[0]staff-0001
Bundle.entry[2].resource[0].name[0].text[0]Dr Makieu Well
Bundle.entry[2].resource[0].name[0].family[0]Well
Bundle.entry[2].resource[0].name[0].given[0]Makieu
Bundle.entry[2].resource[0].name[0].prefix[0]Dr
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].system[0]https://fhir.hl7.org.uk/Id/gmc-number
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].code[0]2145879
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].display[0]General Medical Council
Bundle.entry[3].fullUrl[0]staff-0002
Bundle.entry[3].resource[0].id[0]staff-0002
Bundle.entry[3].resource[0].name[0].text[0]Bill Ding
Bundle.entry[3].resource[0].name[0].family[0]Ding
Bundle.entry[3].resource[0].name[0].given[0]Bill
Bundle.entry[3].resource[0].qualification[0].code[0].coding[0].system[0]https://fhir.hl7.org.uk/Id/gphc-number
Bundle.entry[3].resource[0].qualification[0].code[0].coding[0].code[0]1234567
Bundle.entry[3].resource[0].qualification[0].code[0].coding[0].display[0]General Pharmaceutical Council
Bundle.entry[4].fullUrl[0]medication-325278007
Bundle.entry[4].resource[0].id[0]medication-325278007
Bundle.entry[4].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[4].resource[0].code[0].coding[0].code[0]325278007
Bundle.entry[4].resource[0].code[0].coding[0].display[0]Metformin 500mg tablets
Bundle.entry[5].fullUrl[0]med-req-843920
Bundle.entry[5].resource[0].id[0]med-req-843920
Bundle.entry[5].resource[0].status[0]active
Bundle.entry[5].resource[0].intent[0]order
Bundle.entry[5].resource[0].category[0].coding[0].system[0]http://hl7.org/fhir/medication-request-category
Bundle.entry[5].resource[0].category[0].coding[0].code[0]discharge
Bundle.entry[5].resource[0].category[0].coding[0].display[0]discharge
Bundle.entry[5].resource[0].medication[0].reference[0]medication-321987003
Bundle.entry[5].resource[0].medication[0].display[0]Metformin 500mg tablets
Bundle.entry[5].resource[0].subject[0].reference[0]patient-113582401
Bundle.entry[5].resource[0].subject[0].display[0]Ms Paige Turner
Bundle.entry[5].resource[0].authoredOn[0]2020-05-20T11:19:00Z
Bundle.entry[5].resource[0].requester[0].agent[0].reference[0]staff-0001
Bundle.entry[5].resource[0].requester[0].agent[0].display[0]Dr Makieu Well
Bundle.entry[5].resource[0].recorder[0].reference[0]staff-0002
Bundle.entry[5].resource[0].recorder[0].display[0]Bill Ding
Bundle.entry[5].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0]2
Bundle.entry[5].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0]1
Bundle.entry[5].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0]d
Bundle.entry[5].resource[0].dispenseRequest[0].quantity[0].value[0]56
Bundle.entry[5].resource[0].dispenseRequest[0].quantity[0].unit[0]tablet
Bundle.entry[5].resource[0].dispenseRequest[0].quantity[0].system[0]http://snomed.info/sct
Bundle.entry[5].resource[0].dispenseRequest[0].quantity[0].code[0]428673006
Bundle.entry[5].resource[0].substitution[0].allowed[0]False
Bundle

MedicationDispense

Note: This example below is a draft and requires clinical verification.
<!-- This xml example is for illustrative purposes only and has not been clinically verified. -->
<Bundle xmlns="http://hl7.org/fhir">
<id value="830a2a41-cca8-46a3-a35c-3237cb9828e4" />
<type value="message" />
<!-- Message Header -->
<entry>
<fullUrl value="message-header-167434" />
<resource>
<MessageHeader>
<id value="message-header-167434" />
<text>
<status value="generated" />
<div xmlns="http://www.w3.org/1999/xhtml"><p>The quick brown fox jumps over the lazy dog</p></div>
</text>
<event>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/EventType-1" />
<code value="individual-requirements-1" />
<display value="Individual Requirements" />
</event>
<timestamp value="2021-05-07T16:15:32Z" />
<source>
<endpoint value="nhs-uk:addressing:ods:T48NT" />
</source>
<focus>
<reference value="medication-disp-324234234" />
</focus>
</MessageHeader>
</resource>
</entry>
<!-- Patient associated with the encounter. -->
<entry>
<fullUrl value="patient-113582401" />
<resource>
<Patient>
<id value="patient-113582401" />
<identifier>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1">
<valueCodeableConcept>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1" />
<code value="01" />
<display value="Number present and verified" />
</coding>
</valueCodeableConcept>
</extension>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="113582401" />
</identifier>
<name>
<use value="official" />
<text value="Ms Paige Turner" />
<family value="Turner" />
<given value="Paige" />
<prefix value="Ms" />
</name>
<gender value="female" />
<birthDate value="1982-11-20" />
</Patient>
</resource>
</entry>
<!-- Performer associated with the encounter. -->
<entry>
<fullUrl value="staff-0002" />
<resource>
<Practitioner>
<id value="staff-0002" />
<name>
<text value="Dr Allo Kate" />
<family value="Kate" />
<given value="Allo" />
<prefix value="Dr" />
</name>
<qualification>
<code>
<coding>
<system value="https://fhir.hl7.org.uk/Id/gpc-number" />
<code value="123543" />
<display value="General Pharmaceutical Council" />
</coding>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<!-- Medication prescribed -->
<entry>
<fullUrl value="medication-325278007" />
<resource>
<Medication>
<id value="medication-325278007" />
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="325278007" />
<display value="Metformin 500mg tablets" />
</coding>
</code>
</Medication>
</resource>
</entry>
<!-- Medication Dispense -->
<entry>
<fullUrl value="medication-disp-324234234" />
<resource>
<MedicationDispense>
<id value="medication-disp-324234234" />
<status value="in-progress" />
<category>
<coding>
<system value="http://hl7.org/fhir/medication-request-category" />
<code value="discharge" />
<display value="discharge" />
</coding>
</category>
<medicationReference>
<reference value="medication-325278007" />
<display value="Metformin 500mg tablets" />
</medicationReference>
<subject>
<reference value="patient-113582401" />
<display value="Ms Paige Turner" />
</subject>
<performer>
<actor>
<reference value="staff-0002" />
<display value="Dr Allo Kate" />
</actor>
</performer>
<dosageInstruction>
<timing>
<repeat>
<frequency value="2" />
<period value="1" />
<periodUnit value="d" />
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct" />
<code value="428673006" />
<display value="oral" />
</coding>
</route>
<doseQuantity>
<value value="56" />
<unit value="tablet" />
<system value="http://snomed.info/sct" />
<code value="428673006" />
</doseQuantity>
</dosageInstruction>
</MedicationDispense>
</resource>
</entry>
</Bundle>
{
"resourceType": "Bundle",
"id": "830a2a41-cca8-46a3-a35c-3237cb9828e4",
"type": "message",
"entry": [
{
"fullUrl": "message-header-167434",
"resource": {
"resourceType": "MessageHeader",
"id": "message-header-167434",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>The quick brown fox jumps over the lazy dog</p></div>"
},
"timestamp": "2021-05-07T16:15:32Z",
"event": {
"system": "https://fhir.nhs.uk/STU3/CodeSystem/EventType-1",
"code": "individual-requirements-1",
"display": "Individual Requirements"
},
"source": {
"endpoint": "nhs-uk:addressing:ods:T48NT"
},
"focus": [
{
"reference": "medication-disp-324234234"
}
]
}
},
{
"fullUrl": "patient-113582401",
"resource": {
"resourceType": "Patient",
"id": "patient-113582401",
"identifier": [
{
"extension": [
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1",
"code": "01",
"display": "Number present and verified"
}
]
}
}
],
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "113582401"
}
],
"name": [
{
"use": "official",
"text": "Ms Paige Turner",
"family": "Turner",
"given": [
"Paige"
],
"prefix": [
"Ms"
]
}
],
"gender": "female",
"birthDate": "1982-11-20"
}
},
{
"fullUrl": "staff-0002",
"resource": {
"resourceType": "Practitioner",
"id": "staff-0002",
"name": [
{
"text": "Dr Allo Kate",
"family": "Kate",
"given": [
"Allo"
],
"prefix": [
"Dr"
]
}
],
"qualification": [
{
"code": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/Id/gpc-number",
"code": "123543",
"display": "General Pharmaceutical Council"
}
]
}
}
]
}
},
{
"fullUrl": "medication-325278007",
"resource": {
"resourceType": "Medication",
"id": "medication-325278007",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "325278007",
"display": "Metformin 500mg tablets"
}
]
}
}
},
{
"fullUrl": "medication-disp-324234234",
"resource": {
"resourceType": "MedicationDispense",
"id": "medication-disp-324234234",
"status": "in-progress",
"category": {
"coding": [
{
"system": "http://hl7.org/fhir/medication-request-category",
"code": "discharge",
"display": "discharge"
}
]
},
"medicationReference": {
"reference": "medication-325278007",
"display": "Metformin 500mg tablets"
},
"subject": {
"reference": "patient-113582401",
"display": "Ms Paige Turner"
},
"performer": [
{
"actor": {
"reference": "staff-0002",
"display": "Dr Allo Kate"
}
}
],
"dosageInstruction": [
{
"timing": {
"repeat": {
"frequency": 2,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "428673006",
"display": "oral"
}
]
},
"doseQuantity": {
"value": 56,
"unit": "tablet",
"system": "http://snomed.info/sct",
"code": "428673006"
}
}
]
}
}
]
}
Bundle.id[0]830a2a41-cca8-46a3-a35c-3237cb9828e4
Bundle.type[0]message
Bundle.entry[0].fullUrl[0]message-header-167434
Bundle.entry[0].resource[0].id[0]message-header-167434
Bundle.entry[0].resource[0].text[0].status[0]generated
Bundle.entry[0].resource[0].text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml"><p>The quick brown fox jumps over the lazy dog</p></div>
Bundle.entry[0].resource[0].event[0].system[0]https://fhir.nhs.uk/STU3/CodeSystem/EventType-1
Bundle.entry[0].resource[0].event[0].code[0]individual-requirements-1
Bundle.entry[0].resource[0].event[0].display[0]Individual Requirements
Bundle.entry[0].resource[0].timestamp[0]2021-05-07T16:15:32+00:00
Bundle.entry[0].resource[0].source[0].endpoint[0]nhs-uk:addressing:ods:T48NT
Bundle.entry[0].resource[0].focus[0].reference[0]medication-disp-324234234
Bundle.entry[1].fullUrl[0]patient-113582401
Bundle.entry[1].resource[0].id[0]patient-113582401
Bundle.entry[1].resource[0].identifier[0].extension[0].url[0]https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1
Bundle.entry[1].resource[0].identifier[0].extension[0].value[0].coding[0].system[0]https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1
Bundle.entry[1].resource[0].identifier[0].extension[0].value[0].coding[0].code[0]01
Bundle.entry[1].resource[0].identifier[0].extension[0].value[0].coding[0].display[0]Number present and verified
Bundle.entry[1].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/nhs-number
Bundle.entry[1].resource[0].identifier[0].value[0]113582401
Bundle.entry[1].resource[0].name[0].use[0]official
Bundle.entry[1].resource[0].name[0].text[0]Ms Paige Turner
Bundle.entry[1].resource[0].name[0].family[0]Turner
Bundle.entry[1].resource[0].name[0].given[0]Paige
Bundle.entry[1].resource[0].name[0].prefix[0]Ms
Bundle.entry[1].resource[0].gender[0]female
Bundle.entry[1].resource[0].birthDate[0]1982-11-20
Bundle.entry[2].fullUrl[0]staff-0002
Bundle.entry[2].resource[0].id[0]staff-0002
Bundle.entry[2].resource[0].name[0].text[0]Dr Allo Kate
Bundle.entry[2].resource[0].name[0].family[0]Kate
Bundle.entry[2].resource[0].name[0].given[0]Allo
Bundle.entry[2].resource[0].name[0].prefix[0]Dr
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].system[0]https://fhir.hl7.org.uk/Id/gpc-number
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].code[0]123543
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].display[0]General Pharmaceutical Council
Bundle.entry[3].fullUrl[0]medication-325278007
Bundle.entry[3].resource[0].id[0]medication-325278007
Bundle.entry[3].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].code[0].coding[0].code[0]325278007
Bundle.entry[3].resource[0].code[0].coding[0].display[0]Metformin 500mg tablets
Bundle.entry[4].fullUrl[0]medication-disp-324234234
Bundle.entry[4].resource[0].id[0]medication-disp-324234234
Bundle.entry[4].resource[0].status[0]in-progress
Bundle.entry[4].resource[0].category[0].coding[0].system[0]http://hl7.org/fhir/medication-request-category
Bundle.entry[4].resource[0].category[0].coding[0].code[0]discharge
Bundle.entry[4].resource[0].category[0].coding[0].display[0]discharge
Bundle.entry[4].resource[0].medication[0].reference[0]medication-325278007
Bundle.entry[4].resource[0].medication[0].display[0]Metformin 500mg tablets
Bundle.entry[4].resource[0].subject[0].reference[0]patient-113582401
Bundle.entry[4].resource[0].subject[0].display[0]Ms Paige Turner
Bundle.entry[4].resource[0].performer[0].actor[0].reference[0]staff-0002
Bundle.entry[4].resource[0].performer[0].actor[0].display[0]Dr Allo Kate
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0]2
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0]1
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0]d
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].code[0]428673006
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].display[0]oral
Bundle.entry[4].resource[0].dosageInstruction[0].dose[0].value[0]56
Bundle.entry[4].resource[0].dosageInstruction[0].dose[0].unit[0]tablet
Bundle.entry[4].resource[0].dosageInstruction[0].dose[0].system[0]http://snomed.info/sct
Bundle.entry[4].resource[0].dosageInstruction[0].dose[0].code[0]428673006
Bundle

MedicationStatement

Note: This example below is a draft and requires clinical verification.
Important: The MedicationStatement resource does not currently have a category of discharge.
<!-- This xml example is for illustrative purposes only and has not been clinically verified. -->
<Bundle xmlns="http://hl7.org/fhir">
<id value="ba54fcc3-6128-41e5-b621-b8b84465e769" />
<type value="message" />
<!-- Message Header -->
<entry>
<fullUrl value="message-header-167434" />
<resource>
<MessageHeader>
<id value="message-header-167434" />
<text>
<status value="generated" />
<div xmlns="http://www.w3.org/1999/xhtml"><p>The quick brown fox jumps over the lazy dog</p></div>
</text>
<event>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/EventType-1" />
<code value="individual-requirements-1" />
<display value="Individual Requirements" />
</event>
<timestamp value="2021-05-07T16:15:32Z" />
<source>
<endpoint value="nhs-uk:addressing:ods:T48NT" />
</source>
<focus>
<reference value="med-req-56745612" />
</focus>
</MessageHeader>
</resource>
</entry>
<!-- Patient associated with the encounter. -->
<entry>
<fullUrl value="patient-113582401" />
<resource>
<Patient>
<id value="patient-113582401" />
<identifier>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1">
<valueCodeableConcept>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1" />
<code value="01" />
<display value="Number present and verified" />
</coding>
</valueCodeableConcept>
</extension>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="113582401" />
</identifier>
<name>
<use value="official" />
<text value="Ms Paige Turner" />
<family value="Turner" />
<given value="Paige" />
<prefix value="Ms" />
</name>
<gender value="female" />
<birthDate value="1982-11-20" />
</Patient>
</resource>
</entry>
<!-- Medication -->
<entry>
<fullUrl value="medication-325278007" />
<resource>
<Medication>
<id value="medication-325278007" />
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="325278007" />
<display value="Metformin 500mg tablets" />
</coding>
</code>
</Medication>
</resource>
</entry>
<!-- Medication Statement -->
<entry>
<fullUrl value="medication-statement-67843453" />
<resource>
<MedicationStatement>
<id value="medication-statement-67843453" />
<status value="active" />
<!-- Unknown - the MedicationStatement resource does not have a category for `discharge` -->
<!-- <category> <coding> <system value="http://hl7.org/fhir/medication-request-category" /> <code value="" /> <display value="" /> </coding> </category> -->
<medicationReference>
<reference value="medication-325278007" />
<display value="Metformin 500mg tablets" />
</medicationReference>
<subject>
<reference value="patient-4738562854" />
<display value="Ms Paige Turner" />
</subject>
<taken value="unk" />
<dosage>
<timing>
<repeat>
<frequency value="2" />
<period value="1" />
<periodUnit value="d" />
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct" />
<code value="26643006" />
<display value="oral" />
</coding>
</route>
<doseQuantity>
<value value="56" />
<unit value="tablet" />
<system value="http://snomed.info/sct" />
<code value="428673006" />
</doseQuantity>
</dosage>
</MedicationStatement>
</resource>
</entry>
</Bundle>
{
"resourceType": "Bundle",
"id": "ba54fcc3-6128-41e5-b621-b8b84465e769",
"type": "message",
"entry": [
{
"fullUrl": "message-header-167434",
"resource": {
"resourceType": "MessageHeader",
"id": "message-header-167434",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>The quick brown fox jumps over the lazy dog</p></div>"
},
"event": {
"system": "https://fhir.nhs.uk/STU3/CodeSystem/EventType-1",
"code": "individual-requirements-1",
"display": "Individual Requirements"
},
"timestamp": "2021-05-07T16:15:32Z",
"source": {
"endpoint": "nhs-uk:addressing:ods:T48NT"
},
"focus": [
{
"reference": "med-req-56745612"
}
]
}
},
{
"fullUrl": "patient-113582401",
"resource": {
"resourceType": "Patient",
"id": "patient-113582401",
"identifier": [
{
"extension": [
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1",
"code": "01",
"display": "Number present and verified"
}
]
}
}
],
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "113582401"
}
],
"name": [
{
"use": "official",
"text": "Ms Paige Turner",
"family": "Turner",
"given": [
"Paige"
],
"prefix": [
"Ms"
]
}
],
"gender": "female",
"birthDate": "1982-11-20"
}
},
{
"fullUrl": "medication-325278007",
"resource": {
"resourceType": "Medication",
"id": "medication-325278007",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "325278007",
"display": "Metformin 500mg tablets"
}
]
}
}
},
{
"fullUrl": "medication-statement-67843453",
"resource": {
"resourceType": "MedicationStatement",
"id": "medication-statement-67843453",
"status": "active",
"medicationReference": {
"reference": "medication-325278007",
"display": "Metformin 500mg tablets"
},
"subject": {
"reference": "patient-4738562854",
"display": "Ms Paige Turner"
},
"dosage": [
{
"timing": {
"repeat": {
"frequency": 2,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "oral"
}
]
},
"doseQuantity": {
"value": 56,
"unit": "tablet",
"system": "http://snomed.info/sct",
"code": "428673006"
}
}
],
"taken": "unk"
}
}
]
}
Bundle.id[0]ba54fcc3-6128-41e5-b621-b8b84465e769
Bundle.type[0]message
Bundle.entry[0].fullUrl[0]message-header-167434
Bundle.entry[0].resource[0].id[0]message-header-167434
Bundle.entry[0].resource[0].text[0].status[0]generated
Bundle.entry[0].resource[0].text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml"><p>The quick brown fox jumps over the lazy dog</p></div>
Bundle.entry[0].resource[0].event[0].system[0]https://fhir.nhs.uk/STU3/CodeSystem/EventType-1
Bundle.entry[0].resource[0].event[0].code[0]individual-requirements-1
Bundle.entry[0].resource[0].event[0].display[0]Individual Requirements
Bundle.entry[0].resource[0].timestamp[0]2021-05-07T16:15:32+00:00
Bundle.entry[0].resource[0].source[0].endpoint[0]nhs-uk:addressing:ods:T48NT
Bundle.entry[0].resource[0].focus[0].reference[0]med-req-56745612
Bundle.entry[1].fullUrl[0]patient-113582401
Bundle.entry[1].resource[0].id[0]patient-113582401
Bundle.entry[1].resource[0].identifier[0].extension[0].url[0]https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1
Bundle.entry[1].resource[0].identifier[0].extension[0].value[0].coding[0].system[0]https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1
Bundle.entry[1].resource[0].identifier[0].extension[0].value[0].coding[0].code[0]01
Bundle.entry[1].resource[0].identifier[0].extension[0].value[0].coding[0].display[0]Number present and verified
Bundle.entry[1].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/nhs-number
Bundle.entry[1].resource[0].identifier[0].value[0]113582401
Bundle.entry[1].resource[0].name[0].use[0]official
Bundle.entry[1].resource[0].name[0].text[0]Ms Paige Turner
Bundle.entry[1].resource[0].name[0].family[0]Turner
Bundle.entry[1].resource[0].name[0].given[0]Paige
Bundle.entry[1].resource[0].name[0].prefix[0]Ms
Bundle.entry[1].resource[0].gender[0]female
Bundle.entry[1].resource[0].birthDate[0]1982-11-20
Bundle.entry[2].fullUrl[0]medication-325278007
Bundle.entry[2].resource[0].id[0]medication-325278007
Bundle.entry[2].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].code[0].coding[0].code[0]325278007
Bundle.entry[2].resource[0].code[0].coding[0].display[0]Metformin 500mg tablets
Bundle.entry[3].fullUrl[0]medication-statement-67843453
Bundle.entry[3].resource[0].id[0]medication-statement-67843453
Bundle.entry[3].resource[0].status[0]active
Bundle.entry[3].resource[0].medication[0].reference[0]medication-325278007
Bundle.entry[3].resource[0].medication[0].display[0]Metformin 500mg tablets
Bundle.entry[3].resource[0].subject[0].reference[0]patient-4738562854
Bundle.entry[3].resource[0].subject[0].display[0]Ms Paige Turner
Bundle.entry[3].resource[0].taken[0]unk
Bundle.entry[3].resource[0].dosage[0].timing[0].repeat[0].frequency[0]2
Bundle.entry[3].resource[0].dosage[0].timing[0].repeat[0].period[0]1
Bundle.entry[3].resource[0].dosage[0].timing[0].repeat[0].periodUnit[0]d
Bundle.entry[3].resource[0].dosage[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].dosage[0].route[0].coding[0].code[0]26643006
Bundle.entry[3].resource[0].dosage[0].route[0].coding[0].display[0]oral
Bundle.entry[3].resource[0].dosage[0].dose[0].value[0]56
Bundle.entry[3].resource[0].dosage[0].dose[0].unit[0]tablet
Bundle.entry[3].resource[0].dosage[0].dose[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].dosage[0].dose[0].code[0]428673006
Bundle
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