Prescription Order Homecare using Medication resource
Outpatient repeat disensing single item prescription for 4 x weekly issues. This is the same message as Prescription Order Homecare Repeat Medication but uses a medicationReference
instead of a medicationCodeableConcept
which points to a Medication
resource.
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"resource": { "resourceType": "MedicationRequest", "extension": [ { "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType", "valueCoding": { "system": "https://fhir.nhs.uk/CodeSystem/prescription-type", "code": "1201", "display": "Outpatient Homecare Prescriber - Medical Prescriber" } }, { "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": "a54219b8-f741-4c47-b662-e4f8dfa49ab6" } ], "status": "active", "intent": "original-order", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code": "outpatient", "display": "Outpatient" } ] } ], "medicationReference": { "reference": "urn:uuid:495df5c5-5931-4795-960d-d2188bec3c2e" }, "subject": { "reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" }, "authoredOn": "2020-07-13T12:00:00+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": "ad945a29-85f8-439a-b590-6789719adc16" } } ], "system": "https://fhir.nhs.uk/Id/prescription-order-number", "value": "DC2C66-A1B2C3-23407B" }, "courseOfTherapyType": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy", "code": "continuous", "display": "Continuous long term therapy" } ] }, "dosageInstruction": [ { "text": "10 milligram, Inject, Subcutaneous route, once weekly", "additionalInstruction": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "421769005", "display": "Follow directions" } ] } ], "patientInstruction": "As directed", "timing": { "repeat": { "boundsDuration": { "value": 10, "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" }, "frequency": 5, "period": 1, "periodUnit": "d" } }, "route": { "coding": [ { "system": "http://snomed.info/sct", "code": "34206005", "display": "Subcutaneous route" } ] }, "method": { "coding": [ { "system": "http://snomed.info/sct", "code": "422145002", "display": "Inject" } ] }, "doseAndRate": [ { "doseQuantity": { "value": 10, "unit": "milligram", "system": "http://unitsofmeasure.org", "code": "mg" } } ] } ], "dispenseRequest": { "extension": [ { "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType", "valueCoding": { "system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference", "code": "P2" } } ], "validityPeriod": { "start": "2020-07-13T12:00:00+00:00", "end": "2020-08-07T12:00:00+00:00" }, "numberOfRepeatsAllowed": 0, "quantity": { "value": 1, "unit": "Injection", "system": "http://snomed.info/sct", "code": "3092611000001103" }, "expectedSupplyDuration": { "value": 7, "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" }, "performer": { "identifier": { "system": "https://fhir.nhs.uk/Id/ods-organization-code", "value": "VNE51" } } }, "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" }, { "system": "https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code", "value": "G7345213" } ], "practitioner": { "reference": "urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a" }, "organization": { "reference": "urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8" }, "healthcareService": [ { "reference": "urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e" } ], "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" } ] } ], "location": [ { "reference": "urn:uuid:044e7916-c697-4072-880e-ef44d3032962", "display": "MUSGROVE PARK HOSPITAL" } ], "telecom": [ { "system": "phone", "value": "01234567890", "use": "work" } ] } }, { "fullUrl": "urn:uuid:28828c55-8fa7-42d7-916f-fcf076e0c10e", "resource": { "resourceType": "Provenance", "target": [ { "reference": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6" } ], "recorded": "2008-02-27T11:38:00+00:00", "agent": [ { "who": { "reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" } } ], "signature": [ { "type": [ { "system": "urn:iso-astm:E1762-95:2013", "code": "1.2.840.10065.1.12.1.1" } ], "when": "2020-09-02T11:38:00+00:00", "who": { "reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" }, "data": 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} ] } }, { "fullUrl": "urn:uuid:495df5c5-5931-4795-960d-d2188bec3c2e", "resource": { "resourceType": "Medication", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "15517911000001104", "display": "Methotrexate 10mg/0.2ml solution for injection pre-filled syringes" } ] }, "form": { "coding": [ { "system": "http://snomed.info/sct", "code": "3092611000001103", "display": "Injection" } ] } } }, { "fullUrl": "urn:uuid:044e7916-c697-4072-880e-ef44d3032962", "resource": { "resourceType": "Location", "identifier": [ { "use": "official", "system": "https://fhir.nhs.uk/Id/ods-organization-code", "value": "RBA11" } ], "status": "active", "mode": "instance", "address": { "use": "work", "line": [ "MUSGROVE PARK HOSPITAL" ], "city": "TAUNTON", "postalCode": "TA1 5DA", "country": "NLD" } } }, { "fullUrl": "urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a", "resource": { "resourceType": "Practitioner", "id": "a8c85454-f8cb-498d-9629-78e2cb5fa47a", "identifier": [ { "system": "https://fhir.hl7.org.uk/Id/gmc-number", "value": "C1234567" } ], "name": [ { "family": "ALI", "given": [ "RAZIA" ], "prefix": [ "DR" ] } ] } }, { "fullUrl": "urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8", "resource": { "resourceType": "Organization", "id": "3b4b03a5-52ba-4ba6-9b82-70350aa109d8", "identifier": [ { "system": "https://fhir.nhs.uk/Id/ods-organization-code", "value": "RBA" } ], "name": "TAUNTON AND SOMERSET NHS FOUNDATION TRUST", "address": [ { "line": [ "MUSGROVE PARK HOSPITAL", "PARKFIELD DRIVE", "TAUNTON" ], "postalCode": "TA1 5DA" } ], "telecom": [ { "system": "phone", "value": "01823333444", "use": "work" } ] } }, { "fullUrl": "urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e", "resource": { "resourceType": "HealthcareService", "id": "54b0506d-49af-4245-9d40-d7d64902055e", "identifier": [ { "use": "official", "system": "https://fhir.nhs.uk/Id/ods-organization-code", "value": "A99968" } ], "active": true, "location": [ { "reference": "urn:uuid:044e7916-c697-4072-880e-ef44d3032962" } ], "name": "SOMERSET BOWEL CANCER SCREENING CENTRE", "telecom": [ { "system": "phone", "value": "01823 333444", "use": "work" } ] } } ] }
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id : hewmr-DC2C66-A1B2C3-23407B |
meta |
lastUpdated : 2020-11-02T01:43:30+00:00 |
identifier |
system : https://tools.ietf.org/html/rfc4122 |
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type : message |
timestamp : 2020-11-02T01:44:30+00:00 |
entry |
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event |
system : https://fhir.nhs.uk/CodeSystem/message-event |
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display : Prescription Order |
source |
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focus |
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extension |
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extension |
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extension |
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coding |
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display : Outpatient |
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extension |
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coding |
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display : Continuous long term therapy |
dosageInstruction |
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additionalInstruction |
coding |
system : http://snomed.info/sct |
code : 421769005 |
display : Follow directions |
patientInstruction : As directed |
timing |
repeat |
bounds |
value : 10 |
unit : day |
system : http://unitsofmeasure.org |
code : d |
frequency : 5 |
period : 1 |
periodUnit : d |
route |
coding |
system : http://snomed.info/sct |
code : 34206005 |
display : Subcutaneous route |
method |
coding |
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code : 422145002 |
display : Inject |
doseAndRate |
dose |
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unit : milligram |
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code : mg |
dispenseRequest |
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value |
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unit : Injection |
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system : http://unitsofmeasure.org |
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performer |
identifier |
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name |
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given : ETTA |
prefix : MISS |
gender : female |
birthDate : 1999-01-04 |
address |
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line : Long Eaton |
line : Nottingham |
postalCode : NG10 1NP |
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identifier |
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coding |
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location |
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telecom |
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value : 01234567890 |
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target |
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signature |
type |
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who |
reference : urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666 |
data : 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 |
entry |
fullUrl : urn:uuid:495df5c5-5931-4795-960d-d2188bec3c2e |
resource |
code |
coding |
system : http://snomed.info/sct |
code : 15517911000001104 |
display : Methotrexate 10mg/0.2ml solution for injection pre-filled syringes |
form |
coding |
system : http://snomed.info/sct |
code : 3092611000001103 |
display : Injection |
entry |
fullUrl : urn:uuid:044e7916-c697-4072-880e-ef44d3032962 |
resource |
identifier |
use : official |
system : https://fhir.nhs.uk/Id/ods-organization-code |
value : RBA11 |
status : active |
mode : instance |
address |
use : work |
line : MUSGROVE PARK HOSPITAL |
city : TAUNTON |
postalCode : TA1 5DA |
country : NLD |
entry |
fullUrl : urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a |
resource |
id : a8c85454-f8cb-498d-9629-78e2cb5fa47a |
identifier |
system : https://fhir.hl7.org.uk/Id/gmc-number |
value : C1234567 |
name |
family : ALI |
given : RAZIA |
prefix : DR |
entry |
fullUrl : urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8 |
resource |
id : 3b4b03a5-52ba-4ba6-9b82-70350aa109d8 |
identifier |
system : https://fhir.nhs.uk/Id/ods-organization-code |
value : RBA |
name : TAUNTON AND SOMERSET NHS FOUNDATION TRUST |
address |
line : MUSGROVE PARK HOSPITAL |
line : PARKFIELD DRIVE |
line : TAUNTON |
postalCode : TA1 5DA |
telecom |
system : phone |
value : 01823333444 |
use : work |
entry |
fullUrl : urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e |
resource |
id : 54b0506d-49af-4245-9d40-d7d64902055e |
identifier |
use : official |
system : https://fhir.nhs.uk/Id/ods-organization-code |
value : A99968 |
active : True |
location |
reference : urn:uuid:044e7916-c697-4072-880e-ef44d3032962 |
name : SOMERSET BOWEL CANCER SCREENING CENTRE |
telecom |
system : phone |
value : 01823 333444 |
use : work |