NHS Digital FHIR Medicines

Prescription Order Homecase Subsequent Response

Response to an update message. In this example this is the subsequent repsonse to the cancellation of a homecare prescription Prescription Order Homecare Update

{
    "resourceType": "Bundle",
    "id": "ec93a78b-a2b6-43cc-85f8-3033219f209f",
    "meta": {
        "lastUpdated": "2020-11-02T12:05:30+00:00"
    },
    "identifier": {
        "system": "https://tools.ietf.org/html/rfc4122",
        "value": "56446829-7b54-4f2d-8ddb-62bdeecf00ad"
    },
    "type": "message",
    "timestamp": "2020-11-02T12:06:30+00:00",
    "entry":  [
        {
            "fullUrl": "urn:uuid:4f51f97f-a4b8-4756-bac9-b9bc7af8dc23",
            "resource": {
                "resourceType": "MessageHeader",
                "eventCoding": {
                    "system": "https://fhir.nhs.uk/CodeSystem/message-event",
                    "code": "prescription-order-response",
                    "display": "Prescription Order Response"
                },
                "source": {
                    "name": "NHS Spine",
                    "endpoint": "https://sandbox.api.service.nhs.uk/electronic-prescriptions/$process-message"
                },
                "response": {
                    "identifier": "ea50b4a2-0110-4aaa-a3f5-65707e713ae9",
                    "code": "ok"
                },
                "focus":  [
                    {
                        "reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2"
                    },
                    {
                        "reference": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6",
            "resource": {
                "resourceType": "MedicationRequest",
                "extension":  [
                    {
                        "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionStatusHistory",
                        "extension":  [
                            {
                                "url": "status",
                                "valueCoding": {
                                    "system": "https://fhir.nhs.uk/CodeSystem/medicationrequest-status-history",
                                    "code": "R-0001",
                                    "display": "Prescription/item was cancelled"
                                }
                            }
                        ]
                    },
                    {
                        "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner",
                        "valueReference": {
                            "reference": "urn:uuid:a5acefc1-f8ca-4989-a5ac-34ae36741466",
                            "display": "DR SAZ RAZ"
                        }
                    }
                ],
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
                        "value": "a54219b8-f741-4c47-b662-e4f8dfa49ab6"
                    }
                ],
                "status": "cancelled",
                "intent": "order",
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "15517911000001104",
                            "display": "Methotrexate 10mg/0.2ml solution for injection pre-filled syringes"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2",
                    "display": "ETTA CORY"
                },
                "authoredOn": "2020-07-13T12:00:00+00:00",
                "requester": {
                    "reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666",
                    "display": "DR RAZIA ALI"
                },
                "groupIdentifier": {
                    "system": "https://fhir.nhs.uk/Id/prescription-order-number",
                    "value": "DC2C66-A1B2C3-23407B"
                },
                "dispenseRequest": {
                    "performer": {
                        "extension":  [
                            {
                                "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-DispensingPerformer",
                                "valueReference": {
                                    "reference": "urn:uuid:25f3dd9f-5838-44a7-930e-c78ae3ecadd6",
                                    "display": "LOTTIE POTTS"
                                }
                            }
                        ],
                        "identifier": {
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "VNE51"
                        },
                        "display": "The Simple Pharmacy"
                    }
                },
                "substitution": {
                    "allowedBoolean": false
                }
            }
        },
        {
            "fullUrl": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2",
            "resource": {
                "resourceType": "Patient",
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/nhs-number",
                        "value": "9453740519"
                    }
                ],
                "name":  [
                    {
                        "use": "official",
                        "family": "CORY",
                        "given":  [
                            "ETTA"
                        ],
                        "prefix":  [
                            "MISS"
                        ]
                    }
                ],
                "gender": "female",
                "birthDate": "1999-01-04",
                "address":  [
                    {
                        "use": "home",
                        "line":  [
                            "123 Dale Avenue",
                            "Long Eaton",
                            "Nottingham"
                        ],
                        "postalCode": "NG10 1NP"
                    }
                ],
                "generalPractitioner":  [
                    {
                        "identifier": {
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "B81001"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666",
            "resource": {
                "resourceType": "PractitionerRole",
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
                        "value": "100102238986"
                    }
                ],
                "practitioner": {
                    "identifier": {
                        "system": "https://fhir.hl7.org.uk/Id/gmc-number",
                        "value": "C1234567"
                    },
                    "display": "DR RAZIA ALI"
                },
                "organization": {
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RBA"
                    },
                    "display": "TAUNTON AND SOMERSET NHS FOUNDATION TRUST"
                },
                "specialty":  [
                    {
                        "coding":  [
                            {
                                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
                                "code": "370",
                                "display": "MEDICAL ONCOLOGY"
                            }
                        ]
                    }
                ],
                "code":  [
                    {
                        "coding":  [
                            {
                                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName",
                                "code": "R8000"
                            }
                        ]
                    }
                ],
                "telecom":  [
                    {
                        "system": "phone",
                        "value": "01234567890",
                        "use": "work"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:25f3dd9f-5838-44a7-930e-c78ae3ecadd6",
            "resource": {
                "resourceType": "PractitionerRole",
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
                        "value": "210987654322"
                    }
                ],
                "practitioner": {
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/sds-user-id",
                        "value": "2145879"
                    },
                    "display": "MS LOTTIE POTTS"
                },
                "organization": {
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "VNE51"
                    },
                    "display": "The Simple Pharmacy"
                },
                "code":  [
                    {
                        "coding":  [
                            {
                                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName",
                                "code": "R1981",
                                "display": "Pharmacist"
                            }
                        ]
                    }
                ],
                "telecom":  [
                    {
                        "system": "phone",
                        "value": "01234567890",
                        "use": "work"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:a5acefc1-f8ca-4989-a5ac-34ae36741466",
            "resource": {
                "resourceType": "PractitionerRole",
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
                        "value": "100123456789"
                    }
                ],
                "practitioner": {
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/sds-user-id",
                        "value": "7020134158"
                    },
                    "display": "DR SAZ RAZ"
                },
                "organization": {
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RBA"
                    },
                    "display": "TAUNTON AND SOMERSET NHS FOUNDATION TRUST"
                },
                "specialty":  [
                    {
                        "coding":  [
                            {
                                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
                                "code": "100",
                                "display": "GENERAL MEDICINE"
                            }
                        ]
                    }
                ],
                "code":  [
                    {
                        "coding":  [
                            {
                                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName",
                                "code": "R8000"
                            }
                        ]
                    }
                ],
                "telecom":  [
                    {
                        "system": "phone",
                        "value": "01234567890",
                        "use": "work"
                    }
                ]
            }
        }
    ]
}
<Bundle xmlns="http://hl7.org/fhir">
    <id value="ec93a78b-a2b6-43cc-85f8-3033219f209f" />
    <meta>
        <lastUpdated value="2020-11-02T12:05:30+00:00" />
    </meta>
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="56446829-7b54-4f2d-8ddb-62bdeecf00ad" />
    </identifier>
    <type value="message" />
    <timestamp value="2020-11-02T12:06:30+00:00" />
    <entry>
        <fullUrl value="urn:uuid:4f51f97f-a4b8-4756-bac9-b9bc7af8dc23" />
        <resource>
            <MessageHeader>
                <eventCoding>
                    <system value="https://fhir.nhs.uk/CodeSystem/message-event" />
                    <code value="prescription-order-response" />
                    <display value="Prescription Order Response" />
                </eventCoding>
                <source>
                    <name value="NHS Spine" />
                    <endpoint value="https://sandbox.api.service.nhs.uk/electronic-prescriptions/$process-message" />
                </source>
                <response>
                    <identifier value="ea50b4a2-0110-4aaa-a3f5-65707e713ae9" />
                    <code value="ok" />
                </response>
                <focus>
                    <reference value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
                </focus>
                <focus>
                    <reference value="urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
        <resource>
            <MedicationRequest>
                <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionStatusHistory">
                    <extension url="status">
                        <valueCoding>
                            <system value="https://fhir.nhs.uk/CodeSystem/medicationrequest-status-history" />
                            <code value="R-0001" />
                            <display value="Prescription/item was cancelled" />
                        </valueCoding>
                    </extension>
                </extension>
                <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner">
                    <valueReference>
                        <reference value="urn:uuid:a5acefc1-f8ca-4989-a5ac-34ae36741466" />
                        <display value="DR SAZ RAZ" />
                    </valueReference>
                </extension>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
                    <value value="a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
                </identifier>
                <status value="cancelled" />
                <intent value="order" />
                <medicationCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="15517911000001104" />
                        <display value="Methotrexate 10mg/0.2ml solution for injection pre-filled syringes" />
                    </coding>
                </medicationCodeableConcept>
                <subject>
                    <reference value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
                    <display value="ETTA CORY" />
                </subject>
                <authoredOn value="2020-07-13T12:00:00+00:00" />
                <requester>
                    <reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" />
                    <display value="DR RAZIA ALI" />
                </requester>
                <groupIdentifier>
                    <system value="https://fhir.nhs.uk/Id/prescription-order-number" />
                    <value value="DC2C66-A1B2C3-23407B" />
                </groupIdentifier>
                <dispenseRequest>
                    <performer>
                        <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-DispensingPerformer">
                            <valueReference>
                                <reference value="urn:uuid:25f3dd9f-5838-44a7-930e-c78ae3ecadd6" />
                                <display value="LOTTIE POTTS" />
                            </valueReference>
                        </extension>
                        <identifier>
                            <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                            <value value="VNE51" />
                        </identifier>
                        <display value="The Simple Pharmacy" />
                    </performer>
                </dispenseRequest>
                <substitution>
                    <allowedBoolean value="false" />
                </substitution>
            </MedicationRequest>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
        <resource>
            <Patient>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/nhs-number" />
                    <value value="9453740519" />
                </identifier>
                <name>
                    <use value="official" />
                    <family value="CORY" />
                    <given value="ETTA" />
                    <prefix value="MISS" />
                </name>
                <gender value="female" />
                <birthDate value="1999-01-04" />
                <address>
                    <use value="home" />
                    <line value="123 Dale Avenue" />
                    <line value="Long Eaton" />
                    <line value="Nottingham" />
                    <postalCode value="NG10 1NP" />
                </address>
                <generalPractitioner>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="B81001" />
                    </identifier>
                </generalPractitioner>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" />
        <resource>
            <PractitionerRole>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" />
                    <value value="100102238986" />
                </identifier>
                <practitioner>
                    <identifier>
                        <system value="https://fhir.hl7.org.uk/Id/gmc-number" />
                        <value value="C1234567" />
                    </identifier>
                    <display value="DR RAZIA ALI" />
                </practitioner>
                <organization>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="RBA" />
                    </identifier>
                    <display value="TAUNTON AND SOMERSET NHS FOUNDATION TRUST" />
                </organization>
                <code>
                    <coding>
                        <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName" />
                        <code value="R8000" />
                    </coding>
                </code>
                <specialty>
                    <coding>
                        <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode" />
                        <code value="370" />
                        <display value="MEDICAL ONCOLOGY" />
                    </coding>
                </specialty>
                <telecom>
                    <system value="phone" />
                    <value value="01234567890" />
                    <use value="work" />
                </telecom>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:25f3dd9f-5838-44a7-930e-c78ae3ecadd6" />
        <resource>
            <PractitionerRole>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" />
                    <value value="210987654322" />
                </identifier>
                <practitioner>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/sds-user-id" />
                        <value value="2145879" />
                    </identifier>
                    <display value="MS LOTTIE POTTS" />
                </practitioner>
                <organization>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="VNE51" />
                    </identifier>
                    <display value="The Simple Pharmacy" />
                </organization>
                <code>
                    <coding>
                        <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName" />
                        <code value="R1981" />
                        <display value="Pharmacist" />
                    </coding>
                </code>
                <telecom>
                    <system value="phone" />
                    <value value="01234567890" />
                    <use value="work" />
                </telecom>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a5acefc1-f8ca-4989-a5ac-34ae36741466" />
        <resource>
            <PractitionerRole>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" />
                    <value value="100123456789" />
                </identifier>
                <practitioner>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/sds-user-id" />
                        <value value="7020134158" />
                    </identifier>
                    <display value="DR SAZ RAZ" />
                </practitioner>
                <organization>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="RBA" />
                    </identifier>
                    <display value="TAUNTON AND SOMERSET NHS FOUNDATION TRUST" />
                </organization>
                <code>
                    <coding>
                        <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName" />
                        <code value="R8000" />
                    </coding>
                </code>
                <specialty>
                    <coding>
                        <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode" />
                        <code value="100" />
                        <display value="GENERAL MEDICINE" />
                    </coding>
                </specialty>
                <telecom>
                    <system value="phone" />
                    <value value="01234567890" />
                    <use value="work" />
                </telecom>
            </PractitionerRole>
        </resource>
    </entry>
</Bundle>
Bundle
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