NHS Digital FHIR Medicines

Message prescription-order

Prescription Order Homecare Prepare homecare example (used with prepare endpoint to obtain digital signature
Prescription Order Homecare Repeat Medication homecare repeat medication example with digital signature
Prescription Order Homecare using Medication resource homecare example using a Medication resource instead of a CodeableConcept.
Prescription Order Outpatient Acute Medication Outpatient example with acute medication.
Prescription Order Outpatient Multiple Medications Outpatient acute four item prescription, including one Schedule 2 controlled drug
Prescription Order Outpatient Endorsement Outpatient example with endorsed acute medication.
Prescription Order Community No Nominated Pharmacy Community repeat dispensing prescription with no nominated pharmacy.
Prescription Order Community Nurse Prescriber Community acute prescription, nurse prescriber with legal authenticator.
Prescription Order GP with patient notes GP acutue prescription with patient notes and repeat medications list.

Prescription Order Homecare Prepare

Outpatient repeat disensing single item prescription for 4 x weekly issues. This example lacks a digital signature and which is returned via the prepare endpoint.

{
    "resourceType": "Bundle",
    "id": "homecare-prepare",
    "identifier": {
        "system": "https://tools.ietf.org/html/rfc4122",
        "value": "ad945a29-85f8-439a-b590-6789719adc16"
    },
    "type": "message",
    "entry":  [
        {
            "fullUrl": "urn:uuid:e9a71955-53ba-b15a-d4b6-bea99d5017b3",
            "resource": {
                "resourceType": "MessageHeader",
                "eventCoding": {
                    "system": "https://fhir.nhs.uk/CodeSystem/message-event",
                    "code": "prescription-order",
                    "display": "Prescription Order"
                },
                "source": {
                    "endpoint": "https://directory.spineservices.nhs.uk/STU3/Organization/VNE51"
                },
                "focus":  [
                    {
                        "reference": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6",
            "resource": {
                "resourceType": "MedicationRequest",
                "id": "a54219b8-f741-4c47-b662-e4f8dfa49ab6",
                "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"
                            }
                        ]
                    }
                ],
                "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"
                },
                "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.",
                        "timing": {
                            "repeat": {
                                "frequency": 5,
                                "period": 1,
                                "periodUnit": "d",
                                "boundsDuration": {
                                    "value": 10,
                                    "unit": "day",
                                    "system": "http://unitsofmeasure.org",
                                    "code": "d"
                                }
                            }
                        },
                        "method": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "422145002",
                                    "display": "Inject"
                                }
                            ]
                        },
                        "route": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "34206005",
                                    "display": "Subcutaneous route"
                                }
                            ]
                        },
                        "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,
                    "expectedSupplyDuration": {
                        "value": 7,
                        "unit": "day",
                        "system": "http://unitsofmeasure.org",
                        "code": "d"
                    },
                    "performer": {
                        "identifier": {
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "VNE51"
                        }
                    },
                    "quantity": {
                        "value": 1,
                        "unit": "Injection",
                        "system": "http://snomed.info/sct",
                        "code": "3092611000001103"
                    }
                },
                "substitution": {
                    "allowedBoolean": false
                }
            }
        },
        {
            "fullUrl": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2",
            "resource": {
                "resourceType": "Patient",
                "id": "78d3c2eb-009e-4ec8-a358-b042954aa9b2",
                "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",
                "id": "56166769-c1c4-4d07-afa8-132b5dfca666",
                "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"
                    }
                ],
                "code":  [
                    {
                        "coding":  [
                            {
                                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName",
                                "code": "R8000"
                            }
                        ]
                    }
                ],
                "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"
                    }
                ],
                "telecom":  [
                    {
                        "system": "phone",
                        "value": "01823 333444",
                        "use": "work"
                    }
                ]
            }
        },
        {
            "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"
                    }
                ]
            }
        }
    ]
}

<Bundle xmlns="http://hl7.org/fhir">
    <id value="homecare-prepare" />
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="ad945a29-85f8-439a-b590-6789719adc16" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:e9a71955-53ba-b15a-d4b6-bea99d5017b3" />
        <resource>
            <MessageHeader>
                <eventCoding>
                    <system value="https://fhir.nhs.uk/CodeSystem/message-event" />
                    <code value="prescription-order" />
                    <display value="Prescription Order" />
                </eventCoding>
                <source>
                    <endpoint value="https://directory.spineservices.nhs.uk/STU3/Organization/VNE51" />
                </source>
                <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>
                <id value="a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
                <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType">
                    <valueCoding>
                        <system value="https://fhir.nhs.uk/CodeSystem/prescription-type" />
                        <code value="1201" />
                        <display value="Outpatient Homecare Prescriber - Medical Prescriber" />
                    </valueCoding>
                </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="a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
                </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="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" />
                </subject>
                <authoredOn value="2020-07-13T12:00:00+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="ad945a29-85f8-439a-b590-6789719adc16" />
                        </valueIdentifier>
                    </extension>
                    <system value="https://fhir.nhs.uk/Id/prescription-order-number" />
                    <value value="DC2C66-A1B2C3-23407B" />
                </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="10 milligram, Inject, Subcutaneous route, once weekly." />
                    <timing>
                        <repeat>
                            <boundsDuration>
                                <value value="10" />
                                <unit value="day" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="d" />
                            </boundsDuration>
                            <frequency value="5" />
                            <period value="1" />
                            <periodUnit value="d" />
                        </repeat>
                    </timing>
                    <route>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="34206005" />
                            <display value="Subcutaneous route" />
                        </coding>
                    </route>
                    <method>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="422145002" />
                            <display value="Inject" />
                        </coding>
                    </method>
                    <doseAndRate>
                        <doseQuantity>
                            <value value="10" />
                            <unit value="milligram" />
                            <system value="http://unitsofmeasure.org" />
                            <code value="mg" />
                        </doseQuantity>
                    </doseAndRate>
                </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="P2" />
                        </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="1" />
                        <unit value="Injection" />
                        <system value="http://snomed.info/sct" />
                        <code value="3092611000001103" />
                    </quantity>
                    <expectedSupplyDuration>
                        <value value="7" />
                        <unit value="day" />
                        <system value="http://unitsofmeasure.org" />
                        <code value="d" />
                    </expectedSupplyDuration>
                    <performer>
                        <identifier>
                            <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                            <value value="VNE51" />
                        </identifier>
                    </performer>
                </dispenseRequest>
                <substitution>
                    <allowedBoolean value="false" />
                </substitution>
            </MedicationRequest>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
        <resource>
            <Patient>
                <id value="78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
                <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>
                <id value="56166769-c1c4-4d07-afa8-132b5dfca666" />
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" />
                    <value value="100102238986" />
                </identifier>
                <identifier>
                    <system value="https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code" />
                    <value value="G7345213" />
                </identifier>
                <practitioner>
                    <reference value="urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a" />
                </practitioner>
                <organization>
                    <reference value="urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8" />
                </organization>
                <code>
                    <coding>
                        <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName" />
                        <code value="R8000" />
                    </coding>
                </code>
                <healthcareService>
                    <reference value="urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e" />
                </healthcareService>
                <telecom>
                    <system value="phone" />
                    <value value="01823 333444" />
                    <use value="work" />
                </telecom>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:044e7916-c697-4072-880e-ef44d3032962" />
        <resource>
            <Location>
                <identifier>
                    <use value="official" />
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="RBA11" />
                </identifier>
                <status value="active" />
                <mode value="instance" />
                <address>
                    <use value="work" />
                    <line value="MUSGROVE PARK HOSPITAL" />
                    <city value="TAUNTON" />
                    <postalCode value="TA1 5DA" />
                    <country value="NLD" />
                </address>
            </Location>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a" />
        <resource>
            <Practitioner>
                <id value="a8c85454-f8cb-498d-9629-78e2cb5fa47a" />
                <identifier>
                    <system value="https://fhir.hl7.org.uk/Id/gmc-number" />
                    <value value="C1234567" />
                </identifier>
                <name>
                    <family value="ALI" />
                    <given value="RAZIA" />
                    <prefix value="DR" />
                </name>
            </Practitioner>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8" />
        <resource>
            <Organization>
                <id value="3b4b03a5-52ba-4ba6-9b82-70350aa109d8" />
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="RBA" />
                </identifier>
                <name value="TAUNTON AND SOMERSET NHS FOUNDATION TRUST" />
                <telecom>
                    <system value="phone" />
                    <value value="01823333444" />
                    <use value="work" />
                </telecom>
                <address>
                    <line value="MUSGROVE PARK HOSPITAL" />
                    <line value="PARKFIELD DRIVE" />
                    <line value="TAUNTON" />
                    <postalCode value="TA1 5DA" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e" />
        <resource>
            <HealthcareService>
                <id value="54b0506d-49af-4245-9d40-d7d64902055e" />
                <identifier>
                    <use value="official" />
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="A99968" />
                </identifier>
                <active value="true" />
                <location>
                    <reference value="urn:uuid:044e7916-c697-4072-880e-ef44d3032962" />
                </location>
                <name value="SOMERSET BOWEL CANCER SCREENING CENTRE" />
                <telecom>
                    <system value="phone" />
                    <value value="01823 333444" />
                    <use value="work" />
                </telecom>
            </HealthcareService>
        </resource>
    </entry>
</Bundle>

Bundle

id : homecare-prepare

identifier

system : https://tools.ietf.org/html/rfc4122

value : ad945a29-85f8-439a-b590-6789719adc16

type : message

entry

fullUrl : urn:uuid:e9a71955-53ba-b15a-d4b6-bea99d5017b3

resource

event

system : https://fhir.nhs.uk/CodeSystem/message-event

code : prescription-order

display : Prescription Order

source

endpoint : https://directory.spineservices.nhs.uk/STU3/Organization/VNE51

focus

reference : urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6

entry

fullUrl : urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6

resource

id : a54219b8-f741-4c47-b662-e4f8dfa49ab6

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType

value

system : https://fhir.nhs.uk/CodeSystem/prescription-type

code : 1201

display : Outpatient Homecare Prescriber - Medical Prescriber

extension

url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation

extension

url : numberOfPrescriptionsIssued

value : 1

extension

url : authorisationExpiryDate

value : 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

medication

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

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

value

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.

timing

repeat

frequency : 5

period : 1

periodUnit : d

bounds

value : 10

unit : day

system : http://unitsofmeasure.org

code : d

method

coding

system : http://snomed.info/sct

code : 422145002

display : Inject

route

coding

system : http://snomed.info/sct

code : 34206005

display : Subcutaneous route

doseAndRate

dose

value : 10

unit : milligram

system : http://unitsofmeasure.org

code : mg

dispenseRequest

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType

value

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

expectedSupplyDuration

value : 7

unit : day

system : http://unitsofmeasure.org

code : d

performer

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : VNE51

quantity

value : 1

unit : Injection

system : http://snomed.info/sct

code : 3092611000001103

substitution

allowed : False

entry

fullUrl : urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2

resource

id : 78d3c2eb-009e-4ec8-a358-b042954aa9b2

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

line : Long Eaton

line : Nottingham

postalCode : NG10 1NP

generalPractitioner

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : B81001

entry

fullUrl : urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666

resource

id : 56166769-c1c4-4d07-afa8-132b5dfca666

identifier

system : https://fhir.nhs.uk/Id/sds-role-profile-id

value : 100102238986

identifier

system : https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code

value : G7345213

code

coding

system : https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName

code : R8000

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

telecom

system : phone

value : 01823 333444

use : work

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

Prescription Order Homecare Repeat Medication

Outpatient repeat disensing single item prescription for 4 x weekly issues. This is very similar to the Prescription Order Homecare Prepare message with the addition of the a digital signature in the Provenence resource.

{
    "resourceType": "Bundle",
    "id": "hce-DC2C66-A1B2C3-23407B",
    "meta": {
        "lastUpdated": "2021-07-29T01:43:30+00:00"
    },
    "identifier": {
        "system": "https://tools.ietf.org/html/rfc4122",
        "value": "ad945a29-85f8-439a-b590-6789719adc16"
    },
    "type": "message",
    "timestamp": "2020-11-02T01:44:30+00:00",
    "entry":  [
        {
            "fullUrl": "urn:uuid:311316d3-1de0-4f7c-8109-c950ead1c717",
            "resource": {
                "resourceType": "MessageHeader",
                "eventCoding": {
                    "system": "https://fhir.nhs.uk/CodeSystem/message-event",
                    "code": "prescription-order",
                    "display": "Prescription Order"
                },
                "source": {
                    "endpoint": "https://directory.spineservices.nhs.uk/STU3/Organization/RBA"
                },
                "focus":  [
                    {
                        "type": "MedicationRequest",
                        "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-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"
                            }
                        ]
                    }
                ],
                "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"
                },
                "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": "G6345213"
                    }
                ],
                "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"
                        },
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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

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.

{
    "resourceType": "Bundle",
    "id": "hewmr-DC2C66-A1B2C3-23407B",
    "meta": {
        "lastUpdated": "2020-11-02T01:43:30+00:00"
    },
    "identifier": {
        "system": "https://tools.ietf.org/html/rfc4122",
        "value": "ad945a29-85f8-439a-b590-6789719adc16"
    },
    "type": "message",
    "timestamp": "2020-11-02T01:44:30+00:00",
    "entry":  [
        {
            "fullUrl": "urn:uuid:311316d3-1de0-4f7c-8109-c950ead1c717",
            "resource": {
                "resourceType": "MessageHeader",
                "eventCoding": {
                    "system": "https://fhir.nhs.uk/CodeSystem/message-event",
                    "code": "prescription-order",
                    "display": "Prescription Order"
                },
                "source": {
                    "endpoint": "https://directory.spineservices.nhs.uk/STU3/Organization/RBA"
                },
                "focus":  [
                    {
                        "type": "Patient",
                        "reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2"
                    },
                    {
                        "type": "MedicationRequest",
                        "reference": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6"
                    },
                    {
                        "type": "Provenance",
                        "reference": "urn:uuid:28828c55-8fa7-42d7-916f-fcf076e0c10e"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6",
            "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"
                    }
                ]
            }
        }
    ]
}

<Bundle xmlns="http://hl7.org/fhir">
    <id value="hewmr-DC2C66-A1B2C3-23407B" />
    <meta>
        <lastUpdated value="2020-11-02T01:43:30+00:00" />
    </meta>
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
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    </identifier>
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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

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

system : http://snomed.info/sct

code : 422145002

display : Inject

doseAndRate

dose

value : 10

unit : milligram

system : http://unitsofmeasure.org

code : mg

dispenseRequest

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType

value

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

allowed : False

entry

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resource

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

line : Long Eaton

line : Nottingham

postalCode : NG10 1NP

generalPractitioner

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : B81001

entry

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resource

identifier

system : https://fhir.nhs.uk/Id/sds-role-profile-id

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identifier

system : https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code

value : G7345213

practitioner

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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

entry

fullUrl : urn:uuid:28828c55-8fa7-42d7-916f-fcf076e0c10e

resource

target

reference : urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6

recorded : 2008-02-27T11:38:00+00:00

agent

who

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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

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entry

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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

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id : 3b4b03a5-52ba-4ba6-9b82-70350aa109d8

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name : TAUNTON AND SOMERSET NHS FOUNDATION TRUST

address

line : MUSGROVE PARK HOSPITAL

line : PARKFIELD DRIVE

line : TAUNTON

postalCode : TA1 5DA

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system : phone

value : 01823333444

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reference : urn:uuid:044e7916-c697-4072-880e-ef44d3032962

name : SOMERSET BOWEL CANCER SCREENING CENTRE

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system : phone

value : 01823 333444

use : work

Prescription Order Outpatient Multiple Medications

Outpatient acute four item prescription, including one Schedule 2 controlled drug

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                    "value": "3C2366-B81001-0A409U"
                },
                "courseOfTherapyType": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
                            "code": "acute",
                            "display": "Short course (acute) therapy"
                        }
                    ]
                },
                "dosageInstruction":  [
                    {
                        "text": "1 tablet, daily",
                        "timing": {
                            "repeat": {
                                "period": 1,
                                "periodUnit": "d"
                            }
                        },
                        "doseAndRate":  [
                            {
                                "doseQuantity": {
                                    "value": 1,
                                    "unit": "tablet",
                                    "system": "http://snomed.info/sct",
                                    "code": "428673006"
                                }
                            }
                        ]
                    }
                ],
                "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": 28,
                        "unit": "tablet",
                        "system": "http://snomed.info/sct",
                        "code": "428673006"
                    },
                    "performer": {
                        "identifier": {
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "FX748"
                        }
                    }
                },
                "substitution": {
                    "allowedBoolean": false
                }
            }
        },
        {
            "fullUrl": "urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e",
            "resource": {
                "resourceType": "CommunicationRequest",
                "status": "unknown",
                "subject": {
                    "reference": "urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23"
                },
                "payload":  [
                    {
                        "contentString": "Please make an appointment to see your GP. Review date due"
                    },
                    {
                        "contentReference": {
                            "reference": "urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9",
                            "display": "List of Repeat Medications for re-ordering"
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                    }
                ],
                "requester": {
                    "type": "Organization",
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RBA"
                    },
                    "display": "TAUNTON AND SOMERSET NHS FOUNDATION TRUST"
                },
                "recipient":  [
                    {
                        "type": "Patient",
                        "identifier": {
                            "system": "https://fhir.nhs.uk/Id/nhs-number",
                            "value": "9453740519"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9",
            "resource": {
                "resourceType": "List",
                "status": "current",
                "mode": "snapshot",
                "subject": {
                    "reference": "urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23"
                },
                "entry":  [
                    {
                        "item": {
                            "display": "Bendroflumethiazide 2.5 mg Tablets (3/6)"
                        }
                    },
                    {
                        "item": {
                            "display": "Salbutamol 100micrograms/dose inhaler CFC free 200 dose (2/6)"
                        }
                    }
                ]
            }
        },
        {
            "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"
                    }
                ]
            }
        }
    ]
}

<Bundle xmlns="http://hl7.org/fhir">
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    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="46aedf33-61cd-43e8-b7ee-da42d20bdd75" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:3599c0e9-9292-413e-9270-9a1ef1ead99c" />
        <resource>
            <MessageHeader>
                <eventCoding>
                    <system value="https://fhir.nhs.uk/CodeSystem/message-event" />
                    <code value="prescription-order" />
                    <display value="Prescription Order" />
                </eventCoding>
                <source>
                    <endpoint value="https://directory.spineservices.nhs.uk/STU3/Organization/RBA" />
                </source>
                <focus>
                    <reference value="urn:uuid:a7b86f8d-1d77-fc28-e050-d20ae3a215f3" />
                </focus>
                <focus>
                    <reference value="urn:uuid:a7b86f8d-1d72-fc28-e050-d20ae3a215f2" />
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                <focus>
                    <reference value="urn:uuid:a7b86f8d-1d6d-fc28-e050-d20ae3a215f1" />
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                <focus>
                    <reference value="urn:uuid:a7b86f8d-1d7c-fc28-e050-d20ae3a215f4" />
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                <focus>
                    <reference value="urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23" />
        <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" />
                    <postalCode value="DE21 4QH" />
                </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-afa8-132b5dfca645" />
        <resource>
            <PractitionerRole>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" />
                    <value value="100102238986" />
                </identifier>
                <identifier>
                    <system value="https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code" />
                    <value value="G7345213" />
                </identifier>
                <practitioner>
                    <reference value="urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a" />
                </practitioner>
                <organization>
                    <reference value="urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8" />
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                <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>
                <location>
                    <reference value="urn:uuid:044e7916-c697-4072-880e-ef44d3032962" />
                    <display value="MUSGROVE PARK HOSPITAL" />
                </location>
                <healthcareService>
                    <reference value="urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e" />
                </healthcareService>
                <telecom>
                    <system value="phone" />
                    <value value="01234567890" />
                    <use value="work" />
                </telecom>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a7b86f8d-1d6d-fc28-e050-d20ae3a215f1" />
        <resource>
            <MedicationRequest>
                <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType">
                    <valueCoding>
                        <system value="https://fhir.nhs.uk/CodeSystem/prescription-type" />
                        <code value="1001" />
                        <display value="Outpatient Community Prescriber - Medical Prescriber" />
                    </valueCoding>
                </extension>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
                    <value value="A7B86F8D-1D6D-FC28-E050-D20AE3A215F0" />
                </identifier>
                <status value="active" />
                <intent value="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="321196004" />
                        <display value="Diazepam 2mg tablets" />
                    </coding>
                </medicationCodeableConcept>
                <subject>
                    <reference value="urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23" />
                </subject>
                <authoredOn value="2019-12-30T12:00:00+00:00" />
                <requester>
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                <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="acute" />
                        <display value="Short course (acute) therapy" />
                    </coding>
                </courseOfTherapyType>
                <dosageInstruction>
                    <text value="1 tablet, at NIGHT" />
                    <timing>
                        <repeat>
                            <when value="NIGHT" />
                        </repeat>
                    </timing>
                    <doseAndRate>
                        <doseQuantity>
                            <value value="1" />
                            <unit value="tablet" />
                            <system value="http://snomed.info/sct" />
                            <code value="428673006" />
                        </doseQuantity>
                    </doseAndRate>
                </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="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>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a7b86f8d-1d72-fc28-e050-d20ae3a215f2" />
        <resource>
            <MedicationRequest>
                <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType">
                    <valueCoding>
                        <system value="https://fhir.nhs.uk/CodeSystem/prescription-type" />
                        <code value="1001" />
                        <display value="Outpatient Community Prescriber - Medical Prescriber" />
                    </valueCoding>
                </extension>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
                    <value value="A7B86F8D-1D72-FC28-E050-D20AE3A215F0" />
                </identifier>
                <status value="active" />
                <intent value="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="322236009" />
                        <display value="Paracetamol 500mg tablets" />
                    </coding>
                </medicationCodeableConcept>
                <subject>
                    <reference value="urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23" />
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                <authoredOn value="2019-12-30T12:00:00+00:00" />
                <requester>
                    <reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645" />
                </requester>
                <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="acute" />
                        <display value="Short course (acute) therapy" />
                    </coding>
                </courseOfTherapyType>
                <dosageInstruction>
                    <text value="as required" />
                    <asNeededBoolean value="true" />
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                <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="100" />
                        <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>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a7b86f8d-1d77-fc28-e050-d20ae3a215f3" />
        <resource>
            <MedicationRequest>
                <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType">
                    <valueCoding>
                        <system value="https://fhir.nhs.uk/CodeSystem/prescription-type" />
                        <code value="1001" />
                        <display value="Outpatient Community Prescriber - Medical Prescriber" />
                    </valueCoding>
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                <identifier>
                    <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
                    <value value="A7B86F8D-1D77-FC28-E050-D20AE3A215F0" />
                </identifier>
                <status value="active" />
                <intent value="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="321152004" />
                        <display value="Temazepam 10mg tablets" />
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                </medicationCodeableConcept>
                <subject>
                    <reference value="urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23" />
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                <authoredOn value="2019-12-30T12:00:00+00:00" />
                <requester>
                    <reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645" />
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                <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" />
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                    <system value="https://fhir.nhs.uk/Id/prescription-order-number" />
                    <value value="3C2366-B81001-0A409U" />
                </groupIdentifier>
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                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy" />
                        <code value="acute" />
                        <display value="Short course (acute) therapy" />
                    </coding>
                </courseOfTherapyType>
                <dosageInstruction>
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                        <repeat>
                            <when value="NIGHT" />
                        </repeat>
                    </timing>
                    <doseAndRate>
                        <doseQuantity>
                            <value value="1" />
                            <unit value="tablet" />
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                    </doseAndRate>
                </dosageInstruction>
                <dispenseRequest>
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                    <quantity>
                        <value value="14" />
                        <unit value="tablet" />
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                        <code value="428673006" />
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                    <performer>
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                            <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                            <value value="FX748" />
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                    </performer>
                </dispenseRequest>
                <substitution>
                    <allowedBoolean value="false" />
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            </MedicationRequest>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a7b86f8d-1d7c-fc28-e050-d20ae3a215f4" />
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            <MedicationRequest>
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                    <valueCoding>
                        <system value="https://fhir.nhs.uk/CodeSystem/prescription-type" />
                        <code value="1001" />
                        <display value="Outpatient Community Prescriber - Medical Prescriber" />
                    </valueCoding>
                </extension>
                <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-ControlledDrug">
                    <extension url="quantityWords">
                        <valueString value="twenty eight" />
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                    <extension url="schedule">
                        <valueCoding>
                            <system value="https://fhir.nhs.uk/CodeSystem/medicationrequest-controlled-drug" />
                            <code value="CD2" />
                            <display value="Schedule 2" />
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                <identifier>
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                <status value="active" />
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                        <code value="outpatient" />
                        <display value="Outpatient" />
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                </category>
                <medicationCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="36126511000001106" />
                        <display value="Morphine 10mg modified-release tablets" />
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                <subject>
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                <groupIdentifier>
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                        <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="acute" />
                        <display value="Short course (acute) therapy" />
                    </coding>
                </courseOfTherapyType>
                <dosageInstruction>
                    <text value="1 tablet, daily" />
                    <timing>
                        <repeat>
                            <period value="1" />
                            <periodUnit value="d" />
                        </repeat>
                    </timing>
                    <doseAndRate>
                        <doseQuantity>
                            <value value="1" />
                            <unit value="tablet" />
                            <system value="http://snomed.info/sct" />
                            <code value="428673006" />
                        </doseQuantity>
                    </doseAndRate>
                </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="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>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e" />
        <resource>
            <CommunicationRequest>
                <status value="unknown" />
                <subject>
                    <reference value="urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23" />
                </subject>
                <payload>
                    <contentString value="Please make an appointment to see your GP. Review date due" />
                </payload>
                <payload>
                    <contentReference>
                        <reference value="urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9" />
                        <display value="List of Repeat Medications for re-ordering" />
                    </contentReference>
                </payload>
                <requester>
                    <type value="Organization" />
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="RBA" />
                    </identifier>
                    <display value="TAUNTON AND SOMERSET NHS FOUNDATION TRUST" />
                </requester>
                <recipient>
                    <type value="Patient" />
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/nhs-number" />
                        <value value="9453740519" />
                    </identifier>
                </recipient>
            </CommunicationRequest>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9" />
        <resource>
            <List>
                <status value="current" />
                <mode value="snapshot" />
                <subject>
                    <reference value="urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23" />
                </subject>
                <entry>
                    <item>
                        <display value="Bendroflumethiazide 2.5 mg Tablets (3/6)" />
                    </item>
                </entry>
                <entry>
                    <item>
                        <display value="Salbutamol 100micrograms/dose inhaler CFC free 200 dose (2/6)" />
                    </item>
                </entry>
            </List>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:044e7916-c697-4072-880e-ef44d3032962" />
        <resource>
            <Location>
                <identifier>
                    <use value="official" />
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="RBA11" />
                </identifier>
                <status value="active" />
                <mode value="instance" />
                <address>
                    <use value="work" />
                    <line value="MUSGROVE PARK HOSPITAL" />
                    <city value="TAUNTON" />
                    <postalCode value="TA1 5DA" />
                    <country value="NLD" />
                </address>
            </Location>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a" />
        <resource>
            <Practitioner>
                <id value="a8c85454-f8cb-498d-9629-78e2cb5fa47a" />
                <identifier>
                    <system value="https://fhir.hl7.org.uk/Id/gmc-number" />
                    <value value="C1234567" />
                </identifier>
                <name>
                    <family value="ALI" />
                    <given value="RAZIA" />
                    <prefix value="DR" />
                </name>
            </Practitioner>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8" />
        <resource>
            <Organization>
                <id value="3b4b03a5-52ba-4ba6-9b82-70350aa109d8" />
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="RBA" />
                </identifier>
                <name value="TAUNTON AND SOMERSET NHS FOUNDATION TRUST" />
                <telecom>
                    <system value="phone" />
                    <value value="01823333444" />
                    <use value="work" />
                </telecom>
                <address>
                    <line value="MUSGROVE PARK HOSPITAL" />
                    <line value="PARKFIELD DRIVE" />
                    <line value="TAUNTON" />
                    <postalCode value="TA1 5DA" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e" />
        <resource>
            <HealthcareService>
                <id value="54b0506d-49af-4245-9d40-d7d64902055e" />
                <identifier>
                    <use value="official" />
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="A99968" />
                </identifier>
                <active value="true" />
                <location>
                    <reference value="urn:uuid:044e7916-c697-4072-880e-ef44d3032962" />
                </location>
                <name value="SOMERSET BOWEL CANCER SCREENING CENTRE" />
                <telecom>
                    <system value="phone" />
                    <value value="01823 333444" />
                    <use value="work" />
                </telecom>
            </HealthcareService>
        </resource>
    </entry>
</Bundle>

Bundle

id : outpatient-4

identifier

system : https://tools.ietf.org/html/rfc4122

value : 46aedf33-61cd-43e8-b7ee-da42d20bdd75

type : message

entry

fullUrl : urn:uuid:3599c0e9-9292-413e-9270-9a1ef1ead99c

resource

event

system : https://fhir.nhs.uk/CodeSystem/message-event

code : prescription-order

display : Prescription Order

source

endpoint : https://directory.spineservices.nhs.uk/STU3/Organization/RBA

focus

reference : urn:uuid:a7b86f8d-1d77-fc28-e050-d20ae3a215f3

focus

reference : urn:uuid:a7b86f8d-1d72-fc28-e050-d20ae3a215f2

focus

reference : urn:uuid:a7b86f8d-1d6d-fc28-e050-d20ae3a215f1

focus

reference : urn:uuid:a7b86f8d-1d7c-fc28-e050-d20ae3a215f4

focus

reference : urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e

entry

fullUrl : urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23

resource

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

postalCode : DE21 4QH

generalPractitioner

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : B81001

entry

fullUrl : urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645

resource

identifier

system : https://fhir.nhs.uk/Id/sds-role-profile-id

value : 100102238986

identifier

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 : 100

display : GENERAL MEDICINE

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

entry

fullUrl : urn:uuid:a7b86f8d-1d6d-fc28-e050-d20ae3a215f1

resource

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType

value

system : https://fhir.nhs.uk/CodeSystem/prescription-type

code : 1001

display : Outpatient Community Prescriber - Medical Prescriber

identifier

system : https://fhir.nhs.uk/Id/prescription-order-item-number

value : A7B86F8D-1D6D-FC28-E050-D20AE3A215F0

status : active

intent : order

category

coding

system : http://terminology.hl7.org/CodeSystem/medicationrequest-category

code : outpatient

display : Outpatient

medication

coding

system : http://snomed.info/sct

code : 321196004

display : Diazepam 2mg tablets

subject

reference : urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23

authoredOn : 2019-12-30T12:00:00+00:00

requester

reference : urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645

groupIdentifier

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId

value

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 : acute

display : Short course (acute) therapy

dosageInstruction

text : 1 tablet, at NIGHT

timing

repeat

when : NIGHT

doseAndRate

dose

value : 1

unit : tablet

system : http://snomed.info/sct

code : 428673006

dispenseRequest

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType

value

system : https://fhir.nhs.uk/CodeSystem/dispensing-site-preference

code : 0004

quantity

value : 28

unit : tablet

system : http://snomed.info/sct

code : 428673006

performer

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : FX748

substitution

allowed : False

entry

fullUrl : urn:uuid:a7b86f8d-1d72-fc28-e050-d20ae3a215f2

resource

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType

value

system : https://fhir.nhs.uk/CodeSystem/prescription-type

code : 1001

display : Outpatient Community Prescriber - Medical Prescriber

identifier

system : https://fhir.nhs.uk/Id/prescription-order-item-number

value : A7B86F8D-1D72-FC28-E050-D20AE3A215F0

status : active

intent : order

category

coding

system : http://terminology.hl7.org/CodeSystem/medicationrequest-category

code : outpatient

display : Outpatient

medication

coding

system : http://snomed.info/sct

code : 322236009

display : Paracetamol 500mg tablets

subject

reference : urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23

authoredOn : 2019-12-30T12:00:00+00:00

requester

reference : urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645

groupIdentifier

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId

value

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 : acute

display : Short course (acute) therapy

dosageInstruction

text : as required

asNeeded : True

dispenseRequest

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType

value

system : https://fhir.nhs.uk/CodeSystem/dispensing-site-preference

code : 0004

quantity

value : 100

unit : tablet

system : http://snomed.info/sct

code : 428673006

performer

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : FX748

substitution

allowed : False

entry

fullUrl : urn:uuid:a7b86f8d-1d77-fc28-e050-d20ae3a215f3

resource

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType

value

system : https://fhir.nhs.uk/CodeSystem/prescription-type

code : 1001

display : Outpatient Community Prescriber - Medical Prescriber

identifier

system : https://fhir.nhs.uk/Id/prescription-order-item-number

value : A7B86F8D-1D77-FC28-E050-D20AE3A215F0

status : active

intent : order

category

coding

system : http://terminology.hl7.org/CodeSystem/medicationrequest-category

code : outpatient

display : Outpatient

medication

coding

system : http://snomed.info/sct

code : 321152004

display : Temazepam 10mg tablets

subject

reference : urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23

authoredOn : 2019-12-30T12:00:00+00:00

requester

reference : urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645

groupIdentifier

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId

value

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 : acute

display : Short course (acute) therapy

dosageInstruction

text : 1 tablet, at NIGHT

timing

repeat

when : NIGHT

doseAndRate

dose

value : 1

unit : tablet

system : http://snomed.info/sct

code : 428673006

dispenseRequest

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType

value

system : https://fhir.nhs.uk/CodeSystem/dispensing-site-preference

code : 0004

quantity

value : 14

unit : tablet

system : http://snomed.info/sct

code : 428673006

performer

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : FX748

substitution

allowed : False

entry

fullUrl : urn:uuid:a7b86f8d-1d7c-fc28-e050-d20ae3a215f4

resource

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType

value

system : https://fhir.nhs.uk/CodeSystem/prescription-type

code : 1001

display : Outpatient Community Prescriber - Medical Prescriber

extension

url : quantityWords

value : twenty eight

extension

url : schedule

value

system : https://fhir.nhs.uk/CodeSystem/medicationrequest-controlled-drug

code : CD2

display : Schedule 2

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-ControlledDrug

identifier

system : https://fhir.nhs.uk/Id/prescription-order-item-number

value : A7B86F8D-1D7C-FC28-E050-D20AE3A215F0

status : active

intent : order

category

coding

system : http://terminology.hl7.org/CodeSystem/medicationrequest-category

code : outpatient

display : Outpatient

medication

coding

system : http://snomed.info/sct

code : 36126511000001106

display : Morphine 10mg modified-release tablets

subject

reference : urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23

authoredOn : 2019-12-30T12:00:00+00:00

requester

reference : urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca645

groupIdentifier

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId

value

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 : acute

display : Short course (acute) therapy

dosageInstruction

text : 1 tablet, daily

timing

repeat

period : 1

periodUnit : d

doseAndRate

dose

value : 1

unit : tablet

system : http://snomed.info/sct

code : 428673006

dispenseRequest

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType

value

system : https://fhir.nhs.uk/CodeSystem/dispensing-site-preference

code : 0004

quantity

value : 28

unit : tablet

system : http://snomed.info/sct

code : 428673006

performer

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : FX748

substitution

allowed : False

entry

fullUrl : urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e

resource

status : unknown

subject

reference : urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23

payload

content : Please make an appointment to see your GP. Review date due

payload

content

reference : urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9

display : List of Repeat Medications for re-ordering

requester

type : Organization

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : RBA

display : TAUNTON AND SOMERSET NHS FOUNDATION TRUST

recipient

type : Patient

identifier

system : https://fhir.nhs.uk/Id/nhs-number

value : 9453740519

entry

fullUrl : urn:uuid:d0f003a0-8763-43d5-a264-ce52a38901c9

resource

status : current

mode : snapshot

subject

reference : urn:uuid:848d8470-bd51-494e-9347-8142ea75cb23

entry

item

display : Bendroflumethiazide 2.5 mg Tablets (3/6)

entry

item

display : Salbutamol 100micrograms/dose inhaler CFC free 200 dose (2/6)

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

Prescription Order Outpatient Acute Medication

Outpatient acute single item prescription for a complete course of medication (MsgId = 187ec06a-2823-4ea7-9512-5899af157480)

{
    "resourceType": "Bundle",
    "id": "outpatient-1b",
    "identifier": {
        "system": "https://tools.ietf.org/html/rfc4122",
        "value": "187ec06a-2823-4ea7-9512-5899af157480"
    },
    "type": "message",
    "entry":  [
        {
            "fullUrl": "urn:uuid:a82dc6b9-d27d-462c-8afd-20d39186d8a4",
            "resource": {
                "resourceType": "MessageHeader",
                "eventCoding": {
                    "system": "https://fhir.nhs.uk/CodeSystem/message-event",
                    "code": "prescription-order",
                    "display": "Prescription Order"
                },
                "source": {
                    "name": "DJM",
                    "endpoint": "https://directory.spineservices.nhs.uk/STU3/Organization/RBA"
                },
                "focus":  [
                    {
                        "reference": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6"
                    }
                ]
            }
        },
        {
            "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",
                        "postalCode": "DE21 4QH"
                    }
                ],
                "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"
                    }
                ],
                "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:a54219b8-f741-4c47-b662-e4f8dfa49ab6",
            "resource": {
                "resourceType": "MedicationRequest",
                "extension":  [
                    {
                        "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType",
                        "valueCoding": {
                            "system": "https://fhir.nhs.uk/CodeSystem/prescription-type",
                            "code": "1001",
                            "display": "Outpatient Community Prescriber - Medical Prescriber"
                        }
                    }
                ],
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
                        "value": "a54219b8-f741-4c47-b662-e4f8dfa49ab6"
                    }
                ],
                "status": "active",
                "intent": "order",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                                "code": "outpatient",
                                "display": "Outpatient"
                            }
                        ]
                    }
                ],
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "41485511000001108",
                            "display": "Aciclovir 3% eye ointment"
                        }
                    ]
                },
                "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"
                },
                "groupIdentifier": {
                    "extension":  [
                        {
                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
                            "valueIdentifier": {
                                "system": "https://fhir.nhs.uk/Id/prescription",
                                "value": "087c58da-10c9-4ebb-81a6-b5868723897d"
                            }
                        }
                    ],
                    "system": "https://fhir.nhs.uk/Id/prescription-order-number",
                    "value": "A3D861-A1B2C3-00BB23"
                },
                "courseOfTherapyType": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
                            "code": "acute",
                            "display": "Short course (acute) therapy"
                        }
                    ]
                },
                "dosageInstruction":  [
                    {
                        "text": "apply 5 times a day, left eye, for 10 days",
                        "timing": {
                            "repeat": {
                                "boundsDuration": {
                                    "value": 10,
                                    "unit": "day",
                                    "system": "http://unitsofmeasure.org",
                                    "code": "d"
                                },
                                "frequency": 5,
                                "period": 1,
                                "periodUnit": "d"
                            }
                        },
                        "site": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "8966001",
                                    "display": "Left eye"
                                }
                            ]
                        },
                        "method": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "417924000",
                                    "display": "Apply"
                                }
                            ]
                        }
                    }
                ],
                "dispenseRequest": {
                    "extension":  [
                        {
                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
                            "valueCoding": {
                                "system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
                                "code": "P1"
                            }
                        }
                    ],
                    "quantity": {
                        "value": 4.5,
                        "unit": "gram",
                        "system": "http://unitsofmeasure.org",
                        "code": "g"
                    },
                    "performer": {
                        "identifier": {
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "FX748"
                        }
                    }
                },
                "substitution": {
                    "allowedBoolean": false
                }
            }
        },
        {
            "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"
                    }
                ]
            }
        }
    ]
}

<Bundle xmlns="http://hl7.org/fhir">
    <id value="outpatient-1b" />
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="187ec06a-2823-4ea7-9512-5899af157480" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:a82dc6b9-d27d-462c-8afd-20d39186d8a4" />
        <resource>
            <MessageHeader>
                <eventCoding>
                    <system value="https://fhir.nhs.uk/CodeSystem/message-event" />
                    <code value="prescription-order" />
                    <display value="Prescription Order" />
                </eventCoding>
                <source>
                    <name value="DJM" />
                    <endpoint value="https://directory.spineservices.nhs.uk/STU3/Organization/RBA" />
                </source>
                <focus>
                    <reference value="urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
                </focus>
            </MessageHeader>
        </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" />
                    <postalCode value="DE21 4QH" />
                </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>
                <identifier>
                    <system value="https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code" />
                    <value value="G7345213" />
                </identifier>
                <practitioner>
                    <reference value="urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a" />
                </practitioner>
                <organization>
                    <reference value="urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8" />
                </organization>
                <code>
                    <coding>
                        <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName" />
                        <code value="R8000" />
                    </coding>
                </code>
                <location>
                    <reference value="urn:uuid:044e7916-c697-4072-880e-ef44d3032962" />
                    <display value="MUSGROVE PARK HOSPITAL" />
                </location>
                <healthcareService>
                    <reference value="urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e" />
                </healthcareService>
                <telecom>
                    <system value="phone" />
                    <value value="01234567890" />
                    <use value="work" />
                </telecom>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
        <resource>
            <MedicationRequest>
                <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType">
                    <valueCoding>
                        <system value="https://fhir.nhs.uk/CodeSystem/prescription-type" />
                        <code value="1001" />
                        <display value="Outpatient Community Prescriber - Medical Prescriber" />
                    </valueCoding>
                </extension>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
                    <value value="a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
                </identifier>
                <status value="active" />
                <intent value="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="41485511000001108" />
                        <display value="Aciclovir 3% eye ointment" />
                    </coding>
                </medicationCodeableConcept>
                <subject>
                    <reference value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
                </subject>
                <authoredOn value="2020-07-13T12:00:00+00:00" />
                <requester>
                    <reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" />
                </requester>
                <groupIdentifier>
                    <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
                        <valueIdentifier>
                            <system value="https://fhir.nhs.uk/Id/prescription" />
                            <value value="087c58da-10c9-4ebb-81a6-b5868723897d" />
                        </valueIdentifier>
                    </extension>
                    <system value="https://fhir.nhs.uk/Id/prescription-order-number" />
                    <value value="A3D861-A1B2C3-00BB23" />
                </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="apply 5 times a day, left eye, for 10 days" />
                    <timing>
                        <repeat>
                            <boundsDuration>
                                <value value="10" />
                                <unit value="day" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="d" />
                            </boundsDuration>
                            <frequency value="5" />
                            <period value="1" />
                            <periodUnit value="d" />
                        </repeat>
                    </timing>
                    <site>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="8966001" />
                            <display value="Left eye" />
                        </coding>
                    </site>
                    <method>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="417924000" />
                            <display value="Apply" />
                        </coding>
                    </method>
                </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="P1" />
                        </valueCoding>
                    </extension>
                    <quantity>
                        <value value="4.5" />
                        <unit value="gram" />
                        <system value="http://unitsofmeasure.org" />
                        <code value="g" />
                    </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>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:044e7916-c697-4072-880e-ef44d3032962" />
        <resource>
            <Location>
                <identifier>
                    <use value="official" />
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="RBA11" />
                </identifier>
                <status value="active" />
                <mode value="instance" />
                <address>
                    <use value="work" />
                    <line value="MUSGROVE PARK HOSPITAL" />
                    <city value="TAUNTON" />
                    <postalCode value="TA1 5DA" />
                    <country value="NLD" />
                </address>
            </Location>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a" />
        <resource>
            <Practitioner>
                <id value="a8c85454-f8cb-498d-9629-78e2cb5fa47a" />
                <identifier>
                    <system value="https://fhir.hl7.org.uk/Id/gmc-number" />
                    <value value="C1234567" />
                </identifier>
                <name>
                    <family value="ALI" />
                    <given value="RAZIA" />
                    <prefix value="DR" />
                </name>
            </Practitioner>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8" />
        <resource>
            <Organization>
                <id value="3b4b03a5-52ba-4ba6-9b82-70350aa109d8" />
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="RBA" />
                </identifier>
                <name value="TAUNTON AND SOMERSET NHS FOUNDATION TRUST" />
                <telecom>
                    <system value="phone" />
                    <value value="01823333444" />
                    <use value="work" />
                </telecom>
                <address>
                    <line value="MUSGROVE PARK HOSPITAL" />
                    <line value="PARKFIELD DRIVE" />
                    <line value="TAUNTON" />
                    <postalCode value="TA1 5DA" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e" />
        <resource>
            <HealthcareService>
                <id value="54b0506d-49af-4245-9d40-d7d64902055e" />
                <identifier>
                    <use value="official" />
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="A99968" />
                </identifier>
                <active value="true" />
                <location>
                    <reference value="urn:uuid:044e7916-c697-4072-880e-ef44d3032962" />
                </location>
                <name value="SOMERSET BOWEL CANCER SCREENING CENTRE" />
                <telecom>
                    <system value="phone" />
                    <value value="01823 333444" />
                    <use value="work" />
                </telecom>
            </HealthcareService>
        </resource>
    </entry>
</Bundle>

Bundle

id : outpatient-1b

identifier

system : https://tools.ietf.org/html/rfc4122

value : 187ec06a-2823-4ea7-9512-5899af157480

type : message

entry

fullUrl : urn:uuid:a82dc6b9-d27d-462c-8afd-20d39186d8a4

resource

event

system : https://fhir.nhs.uk/CodeSystem/message-event

code : prescription-order

display : Prescription Order

source

name : DJM

endpoint : https://directory.spineservices.nhs.uk/STU3/Organization/RBA

focus

reference : urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6

entry

fullUrl : urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2

resource

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

postalCode : DE21 4QH

generalPractitioner

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : B81001

entry

fullUrl : urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666

resource

identifier

system : https://fhir.nhs.uk/Id/sds-role-profile-id

value : 100102238986

identifier

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

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

entry

fullUrl : urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6

resource

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType

value

system : https://fhir.nhs.uk/CodeSystem/prescription-type

code : 1001

display : Outpatient Community Prescriber - Medical Prescriber

identifier

system : https://fhir.nhs.uk/Id/prescription-order-item-number

value : a54219b8-f741-4c47-b662-e4f8dfa49ab6

status : active

intent : order

category

coding

system : http://terminology.hl7.org/CodeSystem/medicationrequest-category

code : outpatient

display : Outpatient

medication

coding

system : http://snomed.info/sct

code : 41485511000001108

display : Aciclovir 3% eye ointment

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

groupIdentifier

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId

value

system : https://fhir.nhs.uk/Id/prescription

value : 087c58da-10c9-4ebb-81a6-b5868723897d

system : https://fhir.nhs.uk/Id/prescription-order-number

value : A3D861-A1B2C3-00BB23

courseOfTherapyType

coding

system : http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy

code : acute

display : Short course (acute) therapy

dosageInstruction

text : apply 5 times a day, left eye, for 10 days

timing

repeat

bounds

value : 10

unit : day

system : http://unitsofmeasure.org

code : d

frequency : 5

period : 1

periodUnit : d

site

coding

system : http://snomed.info/sct

code : 8966001

display : Left eye

method

coding

system : http://snomed.info/sct

code : 417924000

display : Apply

dispenseRequest

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType

value

system : https://fhir.nhs.uk/CodeSystem/dispensing-site-preference

code : P1

quantity

value : 4.5

unit : gram

system : http://unitsofmeasure.org

code : g

performer

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : FX748

substitution

allowed : False

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

Prescription Order Outpatient Endorsement

Outpatient acute single item prescription for 2 weeks supply (GP instructed to prescibe on-going within discharge letter, not in this Bundle) not yet verified as schema-valid, the use of "note" may be syntactically incorrect

Includes prescription endorsement.

{
    "resourceType": "Bundle",
    "id": "899cc492-f35b-4f2e-a1fb-9b7be9aeeb97",
    "identifier": {
        "system": "https://tools.ietf.org/html/rfc4122",
        "value": "36f17614-f054-4f2b-b63b-606b7caf3d40"
    },
    "type": "message",
    "entry":  [
        {
            "fullUrl": "urn:uuid:8650010b-9162-49e8-9885-2afbca8f8408",
            "resource": {
                "resourceType": "MessageHeader",
                "eventCoding": {
                    "system": "https://fhir.nhs.uk/CodeSystem/message-event",
                    "code": "prescription-order",
                    "display": "Prescription Order"
                },
                "source": {
                    "endpoint": "https://directory.spineservices.nhs.uk/STU3/Organization/RBA"
                },
                "focus":  [
                    {
                        "reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2"
                    },
                    {
                        "reference": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6"
                    }
                ]
            }
        },
        {
            "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",
                        "postalCode": "DE21 4QH"
                    }
                ],
                "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"
                    }
                ],
                "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:a54219b8-f741-4c47-b662-e4f8dfa49ab6",
            "resource": {
                "resourceType": "MedicationRequest",
                "extension":  [
                    {
                        "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType",
                        "valueCoding": {
                            "system": "https://fhir.nhs.uk/CodeSystem/prescription-type",
                            "code": "1001",
                            "display": "Outpatient Community Prescriber - Medical Prescriber"
                        }
                    },
                    {
                        "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionEndorsement",
                        "valueCodeableConcept": {
                            "coding":  [
                                {
                                    "system": "https://fhir.nhs.uk/CodeSystem/medicationrequest-endorsement",
                                    "code": "SLS",
                                    "display": "Selected List Scheme"
                                }
                            ]
                        }
                    }
                ],
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
                        "value": "a54219b8-f741-4c47-b662-e4f8dfa49ab6"
                    }
                ],
                "status": "active",
                "intent": "order",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                                "code": "outpatient",
                                "display": "Outpatient"
                            }
                        ]
                    }
                ],
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "317896006",
                            "display": "Digoxin 125microgram tablets"
                        }
                    ]
                },
                "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"
                },
                "groupIdentifier": {
                    "extension":  [
                        {
                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
                            "valueIdentifier": {
                                "system": "https://fhir.nhs.uk/Id/prescription",
                                "value": "c09f722d-b277-44e4-bba8-b3aa5b87191d"
                            }
                        }
                    ],
                    "system": "https://fhir.nhs.uk/Id/prescription-order-number",
                    "value": "A3D861-A1B2C3-00BB24"
                },
                "courseOfTherapyType": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
                            "code": "acute",
                            "display": "Short course (acute) therapy"
                        }
                    ]
                },
                "note":  [
                    {
                        "text": "GP instructed to prescribe on-going"
                    }
                ],
                "dosageInstruction":  [
                    {
                        "text": "1 tablet, daily",
                        "timing": {
                            "repeat": {
                                "period": 1,
                                "periodUnit": "d"
                            }
                        },
                        "doseAndRate":  [
                            {
                                "doseQuantity": {
                                    "value": 1,
                                    "unit": "tablet",
                                    "system": "http://snomed.info/sct",
                                    "code": "428673006"
                                }
                            }
                        ]
                    }
                ],
                "dispenseRequest": {
                    "extension":  [
                        {
                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
                            "valueCoding": {
                                "system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
                                "code": "P1"
                            }
                        }
                    ],
                    "quantity": {
                        "value": 14,
                        "unit": "tablet",
                        "system": "http://snomed.info/sct",
                        "code": "428673006"
                    },
                    "performer": {
                        "identifier": {
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "FX748"
                        }
                    }
                },
                "substitution": {
                    "allowedBoolean": false
                }
            }
        },
        {
            "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"
                    }
                ]
            }
        }
    ]
}

<Bundle xmlns="http://hl7.org/fhir">
    <id value="899cc492-f35b-4f2e-a1fb-9b7be9aeeb97" />
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="36f17614-f054-4f2b-b63b-606b7caf3d40" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:8650010b-9162-49e8-9885-2afbca8f8408" />
        <resource>
            <MessageHeader>
                <eventCoding>
                    <system value="https://fhir.nhs.uk/CodeSystem/message-event" />
                    <code value="prescription-order" />
                    <display value="Prescription Order" />
                </eventCoding>
                <source>
                    <endpoint value="https://directory.spineservices.nhs.uk/STU3/Organization/RBA" />
                </source>
                <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: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" />
                    <postalCode value="DE21 4QH" />
                </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>
                <identifier>
                    <system value="https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code" />
                    <value value="G7345213" />
                </identifier>
                <practitioner>
                    <reference value="urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a" />
                </practitioner>
                <organization>
                    <reference value="urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8" />
                </organization>
                <code>
                    <coding>
                        <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName" />
                        <code value="R8000" />
                    </coding>
                </code>
                <location>
                    <reference value="urn:uuid:044e7916-c697-4072-880e-ef44d3032962" />
                    <display value="MUSGROVE PARK HOSPITAL" />
                </location>
                <healthcareService>
                    <reference value="urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e" />
                </healthcareService>
                <telecom>
                    <system value="phone" />
                    <value value="01234567890" />
                    <use value="work" />
                </telecom>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
        <resource>
            <MedicationRequest>
                <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType">
                    <valueCoding>
                        <system value="https://fhir.nhs.uk/CodeSystem/prescription-type" />
                        <code value="1001" />
                        <display value="Outpatient Community Prescriber - Medical Prescriber" />
                    </valueCoding>
                </extension>
                <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionEndorsement">
                    <valueCodeableConcept>
                        <coding>
                            <system value="https://fhir.nhs.uk/CodeSystem/medicationrequest-endorsement" />
                            <code value="SLS" />
                            <display value="Selected List Scheme" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
                    <value value="a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
                </identifier>
                <status value="active" />
                <intent value="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="317896006" />
                        <display value="Digoxin 125microgram tablets" />
                    </coding>
                </medicationCodeableConcept>
                <subject>
                    <reference value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
                </subject>
                <authoredOn value="2020-07-13T12:00:00+00:00" />
                <requester>
                    <reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" />
                </requester>
                <groupIdentifier>
                    <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
                        <valueIdentifier>
                            <system value="https://fhir.nhs.uk/Id/prescription" />
                            <value value="c09f722d-b277-44e4-bba8-b3aa5b87191d" />
                        </valueIdentifier>
                    </extension>
                    <system value="https://fhir.nhs.uk/Id/prescription-order-number" />
                    <value value="A3D861-A1B2C3-00BB24" />
                </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>
                <note>
                    <text value="GP instructed to prescribe on-going" />
                </note>
                <dosageInstruction>
                    <text value="1 tablet, daily" />
                    <timing>
                        <repeat>
                            <period value="1" />
                            <periodUnit value="d" />
                        </repeat>
                    </timing>
                    <doseAndRate>
                        <doseQuantity>
                            <value value="1" />
                            <unit value="tablet" />
                            <system value="http://snomed.info/sct" />
                            <code value="428673006" />
                        </doseQuantity>
                    </doseAndRate>
                </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="P1" />
                        </valueCoding>
                    </extension>
                    <quantity>
                        <value value="14" />
                        <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>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:044e7916-c697-4072-880e-ef44d3032962" />
        <resource>
            <Location>
                <identifier>
                    <use value="official" />
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="RBA11" />
                </identifier>
                <status value="active" />
                <mode value="instance" />
                <address>
                    <use value="work" />
                    <line value="MUSGROVE PARK HOSPITAL" />
                    <city value="TAUNTON" />
                    <postalCode value="TA1 5DA" />
                    <country value="NLD" />
                </address>
            </Location>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a" />
        <resource>
            <Practitioner>
                <id value="a8c85454-f8cb-498d-9629-78e2cb5fa47a" />
                <identifier>
                    <system value="https://fhir.hl7.org.uk/Id/gmc-number" />
                    <value value="C1234567" />
                </identifier>
                <name>
                    <family value="ALI" />
                    <given value="RAZIA" />
                    <prefix value="DR" />
                </name>
            </Practitioner>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8" />
        <resource>
            <Organization>
                <id value="3b4b03a5-52ba-4ba6-9b82-70350aa109d8" />
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="RBA" />
                </identifier>
                <name value="TAUNTON AND SOMERSET NHS FOUNDATION TRUST" />
                <telecom>
                    <system value="phone" />
                    <value value="01823333444" />
                    <use value="work" />
                </telecom>
                <address>
                    <line value="MUSGROVE PARK HOSPITAL" />
                    <line value="PARKFIELD DRIVE" />
                    <line value="TAUNTON" />
                    <postalCode value="TA1 5DA" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e" />
        <resource>
            <HealthcareService>
                <id value="54b0506d-49af-4245-9d40-d7d64902055e" />
                <identifier>
                    <use value="official" />
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="A99968" />
                </identifier>
                <active value="true" />
                <location>
                    <reference value="urn:uuid:044e7916-c697-4072-880e-ef44d3032962" />
                </location>
                <name value="SOMERSET BOWEL CANCER SCREENING CENTRE" />
                <telecom>
                    <system value="phone" />
                    <value value="01823 333444" />
                    <use value="work" />
                </telecom>
            </HealthcareService>
        </resource>
    </entry>
</Bundle>

Bundle

id : 899cc492-f35b-4f2e-a1fb-9b7be9aeeb97

identifier

system : https://tools.ietf.org/html/rfc4122

value : 36f17614-f054-4f2b-b63b-606b7caf3d40

type : message

entry

fullUrl : urn:uuid:8650010b-9162-49e8-9885-2afbca8f8408

resource

event

system : https://fhir.nhs.uk/CodeSystem/message-event

code : prescription-order

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source

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name

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prefix : MISS

gender : female

birthDate : 1999-01-04

address

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postalCode : DE21 4QH

generalPractitioner

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : B81001

entry

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identifier

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location

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telecom

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resource

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extension

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coding

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coding

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coding

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code : 317896006

display : Digoxin 125microgram tablets

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authoredOn : 2020-07-13T12:00:00+00:00

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timing

repeat

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periodUnit : d

doseAndRate

dose

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code : 428673006

dispenseRequest

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value

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quantity

value : 14

unit : tablet

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code : 428673006

performer

identifier

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value : FX748

substitution

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resource

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name

family : ALI

given : RAZIA

prefix : DR

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address

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postalCode : TA1 5DA

telecom

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entry

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identifier

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location

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name : SOMERSET BOWEL CANCER SCREENING CENTRE

telecom

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Prescription Order Community No Nominated Pharmacy

Community repeat dispensing prescription, no nominated pharmacy

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Bundle

id : aef77afb-7e3c-427a-8657-2c427f71a271

identifier

system : https://tools.ietf.org/html/rfc4122

value : 0c44a712-22b7-4fa9-a495-9889860b7eef

type : message

entry

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resource

event

system : https://fhir.nhs.uk/CodeSystem/message-event

code : prescription-order

display : Prescription Order

source

endpoint : https://directory.spineservices.nhs.uk/STU3/Organization/RBA

focus

reference : urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6

entry

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resource

extension

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value

system : https://fhir.nhs.uk/CodeSystem/prescription-type

code : 1001

display : Outpatient Community Prescriber - Medical Prescriber

extension

url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation

extension

url : authorisationExpiryDate

value : 2020-12-07

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 : community

display : Community

medication

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

authoredOn : 2020-12-21T18:15:29+00:00

requester

reference : urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666

groupIdentifier

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId

value

system : https://fhir.nhs.uk/Id/prescription

value : d61df424-604d-49be-b9ad-9e2064785e18

system : https://fhir.nhs.uk/Id/prescription-order-number

value : 82D996-Z9243B-11EBA8

courseOfTherapyType

coding

system : https://fhir.nhs.uk/CodeSystem/medicationrequest-course-of-therapy

code : continuous-repeat-dispensing

display : Continuous long term (repeat dispensing)

dosageInstruction

text : Inject 10 milligram - once a week - Subcutaneous route

timing

repeat

frequency : 1

period : 1

periodUnit : wk

method

coding

system : http://snomed.info/sct

code : 422145002

display : Inject

route

coding

system : http://snomed.info/sct

code : 34206005

display : Subcutaneous route

doseAndRate

dose

value : 10

unit : milligram

system : http://unitsofmeasure.org

code : mg

dispenseRequest

extension

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value

system : https://fhir.nhs.uk/CodeSystem/dispensing-site-preference

code : 0004

validityPeriod

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end : 2020-12-07

numberOfRepeatsAllowed : 6

quantity

value : 4

unit : Injection

system : http://snomed.info/sct

code : 3092611000001103

expectedSupplyDuration

value : 28

unit : days

system : http://unitsofmeasure.org

code : d

substitution

allowed : False

entry

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resource

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name

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address

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code

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code : R8000

location

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telecom

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entry

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resource

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address

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country : NLD

entry

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name

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location

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name : SOMERSET BOWEL CANCER SCREENING CENTRE

telecom

system : phone

value : 01823 333444

use : work

Prescription Order Community Nurse Prescriber

Community acute prescription, nurse prescriber with legal authenticator.

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identifier

system : https://fhir.hl7.org.uk/Id/nmc-number

value : 65A4321A

name

family : Mahfeld

given : Dusk

prefix : Mrs

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

Prescription Order GP with patient notes

{
    "resourceType": "Bundle",
    "id": "0cb82cfa-76c8-4fb2-a08e-bf0e326e5487",
    "timestamp": "2022-10-21T13:47:00+00:00",
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        "system": "https://tools.ietf.org/html/rfc4122",
        "value": "46183abc-9fad-4673-85db-ce2cb6614732"
    },
    "type": "message",
    "entry":  [
        {
            "fullUrl": "urn:uuid:17773b27-427e-4940-8c16-64cdac715001",
            "resource": {
                "resourceType": "MessageHeader",
                "eventCoding": {
                    "system": "https://fhir.nhs.uk/CodeSystem/message-event",
                    "code": "prescription-order-update",
                    "display": "Prescription Order Update"
                },
                "sender": {
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "A83008"
                    },
                    "display": "HALLGARTH SURGERY"
                },
                "source": {
                    "endpoint": "https://directory.spineservices.nhs.uk/STU3/Organization/A83008"
                },
                "reason": {
                    "coding":  [
                        {
                            "system": "https://fhir.nhs.uk/CodeSystem/message-reason-prescription",
                            "code": "cancel",
                            "display": "Cancel"
                        }
                    ]
                },
                "focus":  [
                    {
                        "reference": "urn:uuid:5cb17f5a-11ac-4e18-825f-6470467238b3"
                    },
                    {
                        "reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666"
                    },
                    {
                        "reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2"
                    }
                ]
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        },
        {
            "fullUrl": "urn:uuid:5cb17f5a-11ac-4e18-825f-6470467238b3",
            "resource": {
                "resourceType": "MedicationRequest",
                "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.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation",
                        "extension":  [
                            {
                                "url": "authorisationExpiryDate",
                                "valueDateTime": "2023-04-07"
                            }
                        ]
                    }
                ],
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
                        "value": "5cb17f5a-11ac-4e18-825f-6470467238b3"
                    }
                ],
                "status": "cancelled",
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                    "coding":  [
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                            "display": "Clinical contra-indication"
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                    ]
                },
                "intent": "original-order",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                                "code": "community",
                                "display": "Community"
                            }
                        ]
                    }
                ],
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "324252006",
                            "display": "Azithromycin 250mg capsules"
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                "subject": {
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                "requester": {
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                "groupIdentifier": {
                    "system": "https://fhir.nhs.uk/Id/prescription-order-number",
                    "value": "24F5DA-A83008-7EFE6Z",
                    "extension":  [
                        {
                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
                            "valueIdentifier": {
                                "system": "https://fhir.nhs.uk/Id/prescription",
                                "value": "20ba5fb5-cb58-462c-923e-22d180b09356"
                            }
                        }
                    ]
                },
                "courseOfTherapyType": {
                    "coding":  [
                        {
                            "system": "https://fhir.nhs.uk/CodeSystem/medicationrequest-course-of-therapy",
                            "code": "continuous-repeat-dispensing",
                            "display": "Continuous long term (repeat dispensing)"
                        }
                    ]
                },
                "dosageInstruction":  [
                    {
                        "text": "3 times a day for 10 days",
                        "timing": {
                            "repeat": {
                                "frequency": 3,
                                "period": 1,
                                "periodUnit": "d"
                            }
                        },
                        "route": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "26643006",
                                    "display": "Oral"
                                }
                            ]
                        }
                    }
                ],
                "dispenseRequest": {
                    "extension":  [
                        {
                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
                            "valueCoding": {
                                "system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
                                "code": "P1"
                            }
                        }
                    ],
                    "validityPeriod": {
                        "start": "2022-10-21"
                    },
                    "numberOfRepeatsAllowed": 6,
                    "quantity": {
                        "value": 30,
                        "unit": "tablet",
                        "system": "http://snomed.info/sct",
                        "code": "428673006"
                    },
                    "expectedSupplyDuration": {
                        "value": 10,
                        "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": "9449304130"
                    }
                ],
                "name":  [
                    {
                        "use": "usual",
                        "family": "TWITCHETT",
                        "given":  [
                            "STACEY",
                            "MARISA"
                        ],
                        "prefix":  [
                            "MS"
                        ]
                    }
                ],
                "gender": "female",
                "birthDate": "1948-04-30",
                "address":  [
                    {
                        "use": "home",
                        "line":  [
                            "10 HEATHFIELD",
                            "COBHAM",
                            "SURREY"
                        ],
                        "postalCode": "KT11 2QY"
                    }
                ],
                "generalPractitioner":  [
                    {
                        "identifier": {
                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                            "value": "A83008"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666",
            "resource": {
                "resourceType": "PractitionerRole",
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
                        "value": "200102238987"
                    }
                ],
                "practitioner": {
                    "reference": "urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a"
                },
                "organization": {
                    "reference": "urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8"
                },
                "code":  [
                    {
                        "coding":  [
                            {
                                "system": "https://fhir.nhs.uk/CodeSystem/NHSDigital-SDS-JobRoleCode",
                                "code": "R8000",
                                "display": "Clinical Practitioner Access Role"
                            },
                            {
                                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName",
                                "code": "R8000",
                                "display": "Clinical Practitioner Access Role"
                            }
                        ]
                    }
                ],
                "telecom":  [
                    {
                        "system": "phone",
                        "use": "work",
                        "value": "01234567890"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a",
            "resource": {
                "resourceType": "Practitioner",
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/sds-user-id",
                        "value": "555086689106"
                    },
                    {
                        "system": "https://fhir.hl7.org.uk/Id/gmc-number",
                        "value": "C6095103"
                    },
                    {
                        "system": "https://fhir.hl7.org.uk/Id/din-number",
                        "value": "977677"
                    }
                ],
                "name":  [
                    {
                        "family": "BOIN",
                        "given":  [
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                        ],
                        "prefix":  [
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                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8",
            "resource": {
                "resourceType": "Organization",
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "A83008"
                    }
                ],
                "type":  [
                    {
                        "coding":  [
                            {
                                "system": "https://fhir.nhs.uk/CodeSystem/organisation-role",
                                "code": "76",
                                "display": "GP PRACTICE"
                            }
                        ]
                    }
                ],
                "name": "HALLGARTH SURGERY",
                "telecom":  [
                    {
                        "system": "phone",
                        "use": "work",
                        "value": "0115 9737320"
                    }
                ],
                "address":  [
                    {
                        "use": "work",
                        "type": "both",
                        "line":  [
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                            "CHEAPSIDE"
                        ],
                        "city": "SHILDON",
                        "district": "COUNTY DURHAM",
                        "postalCode": "DL4 2HP"
                    }
                ],
                "partOf": {
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "84H"
                    },
                    "display": "NHS COUNTY DURHAM CCG"
                }
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        }
    ]
}

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    <type value="message" />
    <timestamp value="2022-10-21T13:47:00+00:00" />
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</Bundle>

Bundle

id : 0cb82cfa-76c8-4fb2-a08e-bf0e326e5487

timestamp : 2022-10-21T13:47:00+00:00

identifier

system : https://tools.ietf.org/html/rfc4122

value : 46183abc-9fad-4673-85db-ce2cb6614732

type : message

entry

fullUrl : urn:uuid:17773b27-427e-4940-8c16-64cdac715001

resource

event

system : https://fhir.nhs.uk/CodeSystem/message-event

code : prescription-order-update

display : Prescription Order Update

sender

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : A83008

display : HALLGARTH SURGERY

source

endpoint : https://directory.spineservices.nhs.uk/STU3/Organization/A83008

reason

coding

system : https://fhir.nhs.uk/CodeSystem/message-reason-prescription

code : cancel

display : Cancel

focus

reference : urn:uuid:5cb17f5a-11ac-4e18-825f-6470467238b3

focus

reference : urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666

focus

reference : urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2

entry

fullUrl : urn:uuid:5cb17f5a-11ac-4e18-825f-6470467238b3

resource

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType

value

system : https://fhir.nhs.uk/CodeSystem/prescription-type

code : 0101

display : Primary Care Prescriber - Medical Prescriber

extension

url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation

extension

url : authorisationExpiryDate

value : 2023-04-07

identifier

system : https://fhir.nhs.uk/Id/prescription-order-item-number

value : 5cb17f5a-11ac-4e18-825f-6470467238b3

status : cancelled

statusReason

coding

system : https://fhir.nhs.uk/CodeSystem/medicationrequest-status-reason

code : 0002

display : Clinical contra-indication

intent : original-order

category

coding

system : http://terminology.hl7.org/CodeSystem/medicationrequest-category

code : community

display : Community

medication

coding

system : http://snomed.info/sct

code : 324252006

display : Azithromycin 250mg capsules

subject

reference : urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2

authoredOn : 2022-10-21T13:47:00+00:00

requester

reference : urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666

groupIdentifier

system : https://fhir.nhs.uk/Id/prescription-order-number

value : 24F5DA-A83008-7EFE6Z

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId

value

system : https://fhir.nhs.uk/Id/prescription

value : 20ba5fb5-cb58-462c-923e-22d180b09356

courseOfTherapyType

coding

system : https://fhir.nhs.uk/CodeSystem/medicationrequest-course-of-therapy

code : continuous-repeat-dispensing

display : Continuous long term (repeat dispensing)

dosageInstruction

text : 3 times a day for 10 days

timing

repeat

frequency : 3

period : 1

periodUnit : d

route

coding

system : http://snomed.info/sct

code : 26643006

display : Oral

dispenseRequest

extension

url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType

value

system : https://fhir.nhs.uk/CodeSystem/dispensing-site-preference

code : P1

validityPeriod

start : 2022-10-21

numberOfRepeatsAllowed : 6

quantity

value : 30

unit : tablet

system : http://snomed.info/sct

code : 428673006

expectedSupplyDuration

value : 10

unit : day

system : http://unitsofmeasure.org

code : d

performer

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : VNE51

substitution

allowed : False

entry

fullUrl : urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2

resource

identifier

system : https://fhir.nhs.uk/Id/nhs-number

value : 9449304130

name

use : usual

family : TWITCHETT

given : STACEY

given : MARISA

prefix : MS

gender : female

birthDate : 1948-04-30

address

use : home

line : 10 HEATHFIELD

line : COBHAM

line : SURREY

postalCode : KT11 2QY

generalPractitioner

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : A83008

entry

fullUrl : urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666

resource

identifier

system : https://fhir.nhs.uk/Id/sds-role-profile-id

value : 200102238987

practitioner

reference : urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a

organization

reference : urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8

code

coding

system : https://fhir.nhs.uk/CodeSystem/NHSDigital-SDS-JobRoleCode

code : R8000

display : Clinical Practitioner Access Role

coding

system : https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName

code : R8000

display : Clinical Practitioner Access Role

telecom

system : phone

use : work

value : 01234567890

entry

fullUrl : urn:uuid:a8c85454-f8cb-498d-9629-78e2cb5fa47a

resource

identifier

system : https://fhir.nhs.uk/Id/sds-user-id

value : 555086689106

identifier

system : https://fhir.hl7.org.uk/Id/gmc-number

value : C6095103

identifier

system : https://fhir.hl7.org.uk/Id/din-number

value : 977677

name

family : BOIN

given : C

prefix : DR

entry

fullUrl : urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8

resource

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : A83008

type

coding

system : https://fhir.nhs.uk/CodeSystem/organisation-role

code : 76

display : GP PRACTICE

name : HALLGARTH SURGERY

telecom

system : phone

use : work

value : 0115 9737320

address

use : work

type : both

line : HALLGARTH SURGERY

line : CHEAPSIDE

city : SHILDON

district : COUNTY DURHAM

postalCode : DL4 2HP

partOf

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : 84H

display : NHS COUNTY DURHAM CCG