NHS Digital FHIR Medicines

MedicationRequest


MedicationRequest Repeat Dispensing

PARENTPRESCRIPTIONID ITEM_COUNT REVIEWDATE FLAG_REPEAT_DISPENSING AUTHORPARTICIPATIONTIME EXPECTEDUSE
754CB4-E81001-0B9EB8 1 20201207 Y 20200610120600 28
PRESCRIPTIONID LINEITEMID MEDICATIONTRANSCODE MEDICATIONTRANSDISPLAYNAME LINEITEMQUANTITYTEXT
754CB4-E81001-0B9EB8 A7B86F8D-1D59-FC28-E050-D20AE3A215F0 21011811000001100 Enshake oral powder 96.5g sachets (Flavour Not Specified) sachet
LINEITEMQUANTITYTRANSCODE LINEITEMQUANTITYTRANSVALUE DOSAGEINSTRUCTIONSVALUE ADDITIONALINSTRUCTIONSVALUE ORIGINALITEMREF
3318911000001109 48 As Directed Enshake oral powder 96.5g sachets (Flavour Not Specified) Please call the practice. ]]>
PRESCIBERENDORSEMENTCODE REPEATNUMBER MAXREPEATS CONTROLLED_DRUG_STATUS
ACBSAF 1 6 0 = No controlled drug status 
{
    "resourceType": "MedicationRequest",
    "id": "repeatDispensing-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"
            }
        },
        {
            "extension":  [
                {
                    "url": "authorisationExpiryDate",
                    "valueDateTime": "2020-12-07"
                }
            ],
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation"
        }
    ],
    "identifier":  [
        {
            "system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
            "value": "A7B86F8D-1D59-FC28-E050-D20AE3A215F0"
        }
    ],
    "status": "active",
    "intent": "original-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": "21011811000001100",
                "display": "Enshake oral powder 96.5g sachets (Flavour Not Specified)"
            }
        ]
    },
    "subject": {
        "reference": "urn:uuid:c6750caa-3ca9-4f29-a282-6ee1aa5d7d4c"
    },
    "authoredOn": "2020-06-10T12:06:00.000+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": "a609e5c9-82a6-4a67-83ec-c96323bd17d7"
                }
            }
        ],
        "system": "https://fhir.nhs.uk/Id/prescription-order-number",
        "value": "754CB4-E81001-0B9EB8"
    },
    "courseOfTherapyType": {
        "coding":  [
            {
                "system": "https://fhir.nhs.uk/CodeSystem/medicationrequest-course-of-therapy",
                "code": "continuous-repeat-dispensing",
                "display": "Continuous long term (repeat dispensing)"
            }
        ]
    },
    "dosageInstruction":  [
        {
            "text": "As Directed Enshake oral powder 96.5g sachets (Flavour Not Specified) Please call the practice"
        }
    ],
    "dispenseRequest": {
        "extension":  [
            {
                "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
                "valueCoding": {
                    "system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
                    "code": "0004"
                }
            }
        ],
        "validityPeriod": {
            "start": "2020-06-10T00:00:00+00:00",
            "end": "2020-11-25T00:00:00+00:00"
        },
        "numberOfRepeatsAllowed": 6,
        "quantity": {
            "value": 28,
            "unit": "sachet",
            "system": "http://snomed.info/sct",
            "code": "3318911000001109"
        },
        "expectedSupplyDuration": {
            "value": 28,
            "unit": "days",
            "system": "http://unitsofmeasure.org",
            "code": "d"
        },
        "performer": {
            "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "Y12345"
            }
        }
    },
    "substitution": {
        "allowedBoolean": false
    }
}
<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="repeatDispensing-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>
    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation">
        <extension url="authorisationExpiryDate">
            <valueDateTime value="2020-12-07" />
        </extension>
    </extension>
    <identifier>
        <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
        <value value="A7B86F8D-1D59-FC28-E050-D20AE3A215F0" />
    </identifier>
    <status value="active" />
    <intent value="original-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="21011811000001100" />
            <display value="Enshake oral powder 96.5g sachets (Flavour Not Specified)" />
        </coding>
    </medicationCodeableConcept>
    <subject>
        <reference value="urn:uuid:c6750caa-3ca9-4f29-a282-6ee1aa5d7d4c" />
    </subject>
    <authoredOn value="2020-06-10T12:06:00.000+00:00" />
    <requester>
        <reference value="urn:uuid:1557E58E-3B1E-41DD-B3B5-D4D393DC5A3D" />
        <display value="Dr Smith" />
    </requester>
    <groupIdentifier>
        <!--  Note: no GUID for for parent presecription id  -->
        <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
            <valueIdentifier>
                <system value="https://fhir.nhs.uk/Id/prescription" />
                <value value="a609e5c9-82a6-4a67-83ec-c96323bd17d7" />
            </valueIdentifier>
        </extension>
        <system value="https://fhir.nhs.uk/Id/prescription-order-number" />
        <value value="754CB4-E81001-0B9EB8" />
    </groupIdentifier>
    <courseOfTherapyType>
        <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/medicationrequest-course-of-therapy" />
            <code value="continuous-repeat-dispensing" />
            <display value="Continuous long term (repeat dispensing)" />
        </coding>
    </courseOfTherapyType>
    <dosageInstruction>
        <text value="As Directed Enshake oral powder 96.5g sachets (Flavour Not Specified) Please call the practice" />
    </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>
        <validityPeriod>
            <start value="2020-06-10T00:00:00+00:00" />
            <end value="2020-11-25T00:00:00+00:00" />
        </validityPeriod>
        <numberOfRepeatsAllowed value="6" />
        <quantity>
            <value value="28" />
            <unit value="sachet" />
            <system value="http://snomed.info/sct" />
            <code value="3318911000001109" />
        </quantity>
        <expectedSupplyDuration>
            <value value="28" />
            <unit value="days" />
            <system value="http://unitsofmeasure.org" />
            <code value="d" />
        </expectedSupplyDuration>
        <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

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

MedicationRequest Controlled Drug

This example contains a controlled drug.

{
    "resourceType": "MedicationRequest",
    "id": "a7b86f8d-1d7c-fc28-e050-d20ae3a215f4",
    "extension":  [
        {
            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType",
            "valueCoding": {
                "system": "https://fhir.nhs.uk/CodeSystem/prescription-type",
                "code": "0101"
            }
        },
        {
            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-ControlledDrug",
            "extension":  [
                {
                    "url": "quantityWords",
                    "valueString": "twenty eight"
                },
                {
                    "url": "schedule",
                    "valueCoding": {
                        "system": "https://fhir.nhs.uk/CodeSystem/medicationrequest-controlled-drug",
                        "code": "CD2",
                        "display": "Schedule 2"
                    }
                }
            ]
        },
        {
            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-NHSDigital-Account-code",
            "extension":  [
                {
                    "url": "costCentre",
                    "valueReference": {
                        "identifier": {
                            "use": "official",
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "A99968"
                        },
                        "display": "SOMERSET BOWEL CANCER SCREENING CENTRE"
                    }
                },
                {
                    "url": "spuriousCode",
                    "valueReference": {
                        "identifier": {
                            "system": "https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code",
                            "value": "G7345213"
                        }
                    }
                }
            ]
        },
        {
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation",
            "extension":  [
                {
                    "url": "numberOfPrescriptionsIssued",
                    "valueUnsignedInt": 1
                },
                {
                    "url": "authorisationExpiryDate",
                    "valueDateTime": "2020-08-07"
                }
            ]
        }
    ],
    "identifier":  [
        {
            "system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
            "value": "A7B86F8D-1D7C-FC28-E050-D20AE3A215F0"
        }
    ],
    "status": "active",
    "intent": "original-order",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code": "outpatient",
                    "display": "Outpatient"
                }
            ]
        }
    ],
    "medicationCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "36126511000001106",
                "display": "Morphine 10mg modified-release tablets"
            }
        ]
    },
    "subject": {
        "reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2",
        "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9453740519"
        }
    },
    "authoredOn": "2019-12-30T12:00:00+00:00",
    "requester": {
        "reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666"
    },
    "basedOn":  [
        {
            "reference": "https://elmpt-hospitals.nhs.uk/MedicationRequest/654321"
        }
    ],
    "groupIdentifier": {
        "extension":  [
            {
                "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
                "valueIdentifier": {
                    "system": "https://fhir.nhs.uk/Id/prescription",
                    "value": "A7B86F8D-1CF8-FC28-E050-D20AE3A215F0"
                }
            }
        ],
        "system": "https://fhir.nhs.uk/Id/prescription-order-number",
        "value": "3C2366-B81001-0A409U"
    },
    "courseOfTherapyType": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
                "code": "continuous",
                "display": "Continuous long term therapy"
            }
        ]
    },
    "dosageInstruction":  [
        {
            "text": "1 tablet, daily"
        }
    ],
    "dispenseRequest": {
        "extension":  [
            {
                "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
                "valueCoding": {
                    "system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
                    "code": "0004"
                }
            }
        ],
        "performer": {
            "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "FX748"
            }
        },
        "validityPeriod": {
            "start": "2020-07-13T12:00:00+00:00",
            "end": "2020-08-07T12:00:00+00:00"
        },
        "numberOfRepeatsAllowed": 0,
        "quantity": {
            "value": 28,
            "unit": "tablet",
            "system": "http://snomed.info/sct",
            "code": "428673006"
        }
    },
    "substitution": {
        "allowedBoolean": false
    }
}
<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="a7b86f8d-1d7c-fc28-e050-d20ae3a215f4" />
    <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType">
        <valueCoding>
            <system value="https://fhir.nhs.uk/CodeSystem/prescription-type" />
            <code value="0101" />
        </valueCoding>
    </extension>
    <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-ControlledDrug">
        <extension url="quantityWords">
            <valueString value="twenty eight" />
        </extension>
        <extension url="schedule">
            <valueCoding>
                <system value="https://fhir.nhs.uk/CodeSystem/medicationrequest-controlled-drug" />
                <code value="CD2" />
                <display value="Schedule 2" />
            </valueCoding>
        </extension>
    </extension>
    <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-NHSDigital-Account-code">
        <extension url="costCentre">
            <valueReference>
                <identifier>
                    <use value="official" />
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="A99968" />
                </identifier>
                <display value="SOMERSET BOWEL CANCER SCREENING CENTRE" />
            </valueReference>
        </extension>
        <extension url="spuriousCode">
            <valueReference>
                <identifier>
                    <system value="https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code" />
                    <value value="G7345213" />
                </identifier>
            </valueReference>
        </extension>
    </extension>
    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation">
        <extension url="numberOfPrescriptionsIssued">
            <valueUnsignedInt value="1" />
        </extension>
        <extension url="authorisationExpiryDate">
            <valueDateTime value="2020-08-07" />
        </extension>
    </extension>
    <identifier>
        <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
        <value value="A7B86F8D-1D7C-FC28-E050-D20AE3A215F0" />
    </identifier>
    <status value="active" />
    <intent value="original-order" />
    <category>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category" />
            <code value="outpatient" />
            <display value="Outpatient" />
        </coding>
    </category>
    <medicationCodeableConcept>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="36126511000001106" />
            <display value="Morphine 10mg modified-release tablets" />
        </coding>
    </medicationCodeableConcept>
    <subject>
        <reference value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
        <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number" />
            <value value="9453740519" />
        </identifier>
    </subject>
    <authoredOn value="2019-12-30T12:00:00+00:00" />
    <requester>
        <reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" />
    </requester>
    <basedOn>
        <reference value="https://elmpt-hospitals.nhs.uk/MedicationRequest/654321" />
    </basedOn>
    <groupIdentifier>
        <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
            <valueIdentifier>
                <system value="https://fhir.nhs.uk/Id/prescription" />
                <value value="A7B86F8D-1CF8-FC28-E050-D20AE3A215F0" />
            </valueIdentifier>
        </extension>
        <system value="https://fhir.nhs.uk/Id/prescription-order-number" />
        <value value="3C2366-B81001-0A409U" />
    </groupIdentifier>
    <courseOfTherapyType>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy" />
            <code value="continuous" />
            <display value="Continuous long term therapy" />
        </coding>
    </courseOfTherapyType>
    <dosageInstruction>
        <text value="1 tablet, daily" />
    </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>
        <validityPeriod>
            <start value="2020-07-13T12:00:00+00:00" />
            <end value="2020-08-07T12:00:00+00:00" />
        </validityPeriod>
        <numberOfRepeatsAllowed value="0" />
        <quantity>
            <value value="28" />
            <unit value="tablet" />
            <system value="http://snomed.info/sct" />
            <code value="428673006" />
        </quantity>
        <performer>
            <identifier>
                <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                <value value="FX748" />
            </identifier>
        </performer>
    </dispenseRequest>
    <substitution>
        <allowedBoolean value="false" />
    </substitution>
</MedicationRequest>
MedicationRequest
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