NHS Digital FHIR Medicines

MedicationRequest Multiple Drug Codes

This example contains multiple medication codes, only the SNOMED CT code will be processed by EPS and the Multilex codes will be ignored.

{
    "resourceType": "MedicationRequest",
    "id": "multipleMedCodes-pass",
    "extension":  [
        {
            "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"
            }
        },
        {
            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner",
            "valueReference": {
                "reference": "urn:uuid:1557E58E-3B1E-41DD-B3B5-D4D393DC5A3D"
            }
        }
    ],
    "identifier":  [
        {
            "system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
            "value": "1e34ee53-397a-2e70-e97c-67b1bd95014d"
        }
    ],
    "status": "active",
    "intent": "order",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code": "inpatient",
                    "display": "Inpatient"
                }
            ],
            "text": "Inpatient"
        }
    ],
    "medicationCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "9207411000001106",
                "display": "Salbutamol 100micrograms/dose dry powder inhaler"
            },
            {
                "system": "https://fhir.hl7.org.uk/Id/multilex-drug-codes",
                "code": "ABCDE",
                "display": "Salbutamol 100micrograms/dose dry powder inhaler"
            }
        ]
    },
    "subject": {
        "reference": "urn:uuid:c6750caa-3ca9-4f29-a282-6ee1aa5d7d4c"
    },
    "authoredOn": "2004-09-20T10:30:00.000+00:00",
    "requester": {
        "reference": "urn:uuid:1557E58E-3B1E-41DD-B3B5-D4D393DC5A3D",
        "display": "Dr Smith"
    },
    "groupIdentifier": {
        "extension":  [
            {
                "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
                "valueIdentifier": {
                    "system": "https://fhir.nhs.uk/Id/prescription",
                    "value": "EDD2E9DD-DA0A-C266-A4E3-447C68239524"
                }
            }
        ],
        "system": "https://fhir.nhs.uk/Id/prescription-order-number",
        "value": "83C40E-A23856-00123C"
    },
    "courseOfTherapyType": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
                "code": "acute",
                "display": "Short course (acute) therapy"
            }
        ]
    },
    "dosageInstruction":  [
        {
            "text": "2 Puffs when required"
        }
    ],
    "dispenseRequest": {
        "extension":  [
            {
                "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
                "valueCoding": {
                    "system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
                    "code": "0004"
                }
            }
        ],
        "quantity": {
            "value": 200,
            "unit": "dose",
            "system": "http://snomed.info/sct",
            "code": "3317411000001100"
        },
        "performer": {
            "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "Y12345"
            }
        }
    },
    "substitution": {
        "allowedBoolean": false
    }
}
<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="multipleMedCodes-pass" />
    <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>
    <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner">
        <valueReference>
            <reference value="urn:uuid:1557E58E-3B1E-41DD-B3B5-D4D393DC5A3D" />
        </valueReference>
    </extension>
    <identifier>
        <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
        <value value="1e34ee53-397a-2e70-e97c-67b1bd95014d" />
    </identifier>
    <status value="active" />
    <intent value="order" />
    <category>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category" />
            <code value="inpatient" />
            <display value="Inpatient" />
        </coding>
        <text value="Inpatient" />
    </category>
    <medicationCodeableConcept>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="9207411000001106" />
            <display value="Salbutamol 100micrograms/dose dry powder inhaler" />
        </coding>
        <coding>
            <system value="https://fhir.hl7.org.uk/Id/multilex-drug-codes" />
            <code value="ABCDE" />
            <display value="Salbutamol 100micrograms/dose dry powder inhaler" />
        </coding>
    </medicationCodeableConcept>
    <subject>
        <reference value="urn:uuid:c6750caa-3ca9-4f29-a282-6ee1aa5d7d4c" />
    </subject>
    <authoredOn value="2004-09-20T10:30:00.000+00:00" />
    <requester>
        <reference value="urn:uuid:1557E58E-3B1E-41DD-B3B5-D4D393DC5A3D" />
        <display value="Dr Smith" />
    </requester>
    <groupIdentifier>
        <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
            <valueIdentifier>
                <system value="https://fhir.nhs.uk/Id/prescription" />
                <value value="EDD2E9DD-DA0A-C266-A4E3-447C68239524" />
            </valueIdentifier>
        </extension>
        <system value="https://fhir.nhs.uk/Id/prescription-order-number" />
        <value value="83C40E-A23856-00123C" />
    </groupIdentifier>
    <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="2 Puffs when required" />
    </dosageInstruction>
    <dispenseRequest>
        <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType">
            <valueCoding>
                <system value="https://fhir.nhs.uk/CodeSystem/dispensing-site-preference" />
                <code value="0004" />
            </valueCoding>
        </extension>
        <quantity>
            <value value="200" />
            <unit value="dose" />
            <system value="http://snomed.info/sct" />
            <code value="3317411000001100" />
        </quantity>
        <performer>
            <identifier>
                <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                <value value="Y12345" />
            </identifier>
        </performer>
    </dispenseRequest>
    <substitution>
        <allowedBoolean value="false" />
    </substitution>
</MedicationRequest>
MedicationRequest
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