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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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

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

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

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

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 : 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

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

entry

fullUrl : urn:uuid:495df5c5-5931-4795-960d-d2188bec3c2e

resource

code

coding

system : http://snomed.info/sct

code : 15517911000001104

display : Methotrexate 10mg/0.2ml solution for injection pre-filled syringes

form

coding

system : http://snomed.info/sct

code : 3092611000001103

display : Injection

entry

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

resource

identifier

use : official

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

value : RBA11

status : active

mode : instance

address

use : work

line : MUSGROVE PARK HOSPITAL

city : TAUNTON

postalCode : TA1 5DA

country : NLD

entry

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

resource

id : a8c85454-f8cb-498d-9629-78e2cb5fa47a

identifier

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

value : C1234567

name

family : ALI

given : RAZIA

prefix : DR

entry

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

resource

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

identifier

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

value : RBA

name : TAUNTON AND SOMERSET NHS FOUNDATION TRUST

address

line : MUSGROVE PARK HOSPITAL

line : PARKFIELD DRIVE

line : TAUNTON

postalCode : TA1 5DA

telecom

system : phone

value : 01823333444

use : work

entry

fullUrl : urn:uuid:54b0506d-49af-4245-9d40-d7d64902055e

resource

id : 54b0506d-49af-4245-9d40-d7d64902055e

identifier

use : official

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

value : A99968

active : True

location

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

name : SOMERSET BOWEL CANCER SCREENING CENTRE

telecom

system : phone

value : 01823 333444

use : work

Prescription Order Outpatient Multiple Medications

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

Command 'json' could not render: File was not found for Bundle-outpatient-4-duplicate-2

Command 'xml' could not render: File was not found for Bundle-outpatient-4-duplicate-2

Command 'tree' could not render: File was not found for Bundle-outpatient-4-duplicate-2

Prescription Order Outpatient Acute Medication

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

Command 'json' could not render: File was not found for Bundle-outpatient-1b-duplicate-2

Command 'xml' could not render: File was not found for Bundle-outpatient-1b-duplicate-2

Command 'tree' could not render: File was not found for Bundle-outpatient-1b-duplicate-2

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.

Command 'json' could not render: File was not found for Bundle-outpatient-1-duplicate-2

Command 'xml' could not render: File was not found for Bundle-outpatient-1-duplicate-2

Command 'tree' could not render: File was not found for Bundle-outpatient-1-duplicate-2

Prescription Order Community No Nominated Pharmacy

Community repeat dispensing prescription, no nominated pharmacy

Command 'json' could not render: Sequence contains more than one element

Command 'xml' could not render: Sequence contains more than one element

Command 'tree' could not render: Sequence contains more than one element

Prescription Order Community Nurse Prescriber

Community acute prescription, nurse prescriber with legal authenticator.

{
    "resourceType": "Bundle",
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        "system": "https://tools.ietf.org/html/rfc4122",
        "value": "e5032ccc-9131-4eab-9983-cc8ecd49f18a"
    },
    "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",
                    "display": "Prescription Order"
                },
                "source": {
                    "endpoint": "https://directory.spineservices.nhs.uk/STU3/Organization/RBA"
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                    {
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        {
            "fullUrl": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6",
            "resource": {
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                    {
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                            "system": "https://fhir.nhs.uk/CodeSystem/prescription-type",
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                            "display": "Outpatient Community Prescriber - Community Practitioner Nurse prescriber"
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                    },
                    {
                        "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-LegalAuthenticator",
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                    }
                ],
                "identifier":  [
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                        "system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
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                "status": "active",
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                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                                "code": "community",
                                "display": "Community"
                            }
                        ]
                    }
                ],
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "41946511000001109",
                            "display": "Clarithromycin 500mg tablets"
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                },
                "subject": {
                    "reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2"
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                "authoredOn": "2020-12-21T18:15:29+00:00",
                "requester": {
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                    "extension":  [
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                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
                            "valueIdentifier": {
                                "system": "https://fhir.nhs.uk/Id/prescription",
                                "value": "f441aad2-90b9-43cc-acce-82b8d8ea90ba"
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                        }
                    ],
                    "system": "https://fhir.nhs.uk/Id/prescription-order-number",
                    "value": "82D996-Z9243B-11DA97"
                },
                "courseOfTherapyType": {
                    "coding":  [
                        {
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                            "code": "acute",
                            "display": "Short course (acute) therapy"
                        }
                    ]
                },
                "dosageInstruction":  [
                    {
                        "text": "14 tablets. One tablet to be taken twice daily",
                        "additionalInstruction":  [
                            {
                                "coding":  [
                                    {
                                        "system": "http://snomed.info/sct",
                                        "code": "419444006",
                                        "display": "Do not stop taking this medicine except on your doctor's advice"
                                    }
                                ]
                            }
                        ],
                        "patientInstruction": "Please tell patient to stop simvastatin whilst on this antibiotic",
                        "timing": {
                            "repeat": {
                                "frequency": 2,
                                "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": "2020-06-10",
                        "end": "2020-12-07"
                    },
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                        "system": "http://unitsofmeasure.org",
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                    },
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                            "value": "VNE51"
                        }
                    },
                    "quantity": {
                        "value": 14,
                        "unit": "Tablet",
                        "system": "http://snomed.info/sct",
                        "code": "732936001"
                    }
                },
                "substitution": {
                    "allowedBoolean": false
                }
            }
        },
        {
            "fullUrl": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2",
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                ],
                "name":  [
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                            "MISS"
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                    }
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                    "reference": "urn:uuid:3b4b03a5-52ba-4ba6-9b82-70350aa109d8"
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                "healthcareService":  [
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                    }
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                "specialty":  [
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                        "coding":  [
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                "identifier":  [
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                ],
                "name":  [
                    {
                        "family": "EDWARDS",
                        "given":  [
                            "Thomas"
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                "name":  [
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}

<Bundle xmlns="http://hl7.org/fhir">
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    <identifier>
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    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:17773b27-427e-4940-8c16-64cdac715001" />
        <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:a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
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    <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="1005" />
                        <display value="Outpatient Community Prescriber - Community Practitioner Nurse prescriber" />
                    </valueCoding>
                </extension>
                <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-LegalAuthenticator">
                    <valueReference>
                        <reference value="urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666" />
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                <identifier>
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                    <value value="0f644cc3-ed07-4d62-b4a6-8adf50cc29c4" />
                </identifier>
                <status value="active" />
                <intent value="order" />
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                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category" />
                        <code value="community" />
                        <display value="Community" />
                    </coding>
                </category>
                <medicationCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="41946511000001109" />
                        <display value="Clarithromycin 500mg tablets" />
                    </coding>
                </medicationCodeableConcept>
                <subject>
                    <reference value="urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2" />
                </subject>
                <authoredOn value="2020-12-21T18:15:29+00:00" />
                <requester>
                    <reference value="urn:uuid:20065b0e-0b60-4bef-9044-2c08115ede29" />
                </requester>
                <groupIdentifier>
                    <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
                        <valueIdentifier>
                            <system value="https://fhir.nhs.uk/Id/prescription" />
                            <value value="f441aad2-90b9-43cc-acce-82b8d8ea90ba" />
                        </valueIdentifier>
                    </extension>
                    <system value="https://fhir.nhs.uk/Id/prescription-order-number" />
                    <value value="82D996-Z9243B-11DA97" />
                </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="14 tablets. One tablet to be taken twice daily" />
                    <additionalInstruction>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="419444006" />
                            <display value="Do not stop taking this medicine except on your doctor&#39;s advice" />
                        </coding>
                    </additionalInstruction>
                    <patientInstruction value="Please tell patient to stop simvastatin whilst on this antibiotic" />
                    <timing>
                        <repeat>
                            <frequency value="2" />
                            <period value="1" />
                            <periodUnit value="d" />
                        </repeat>
                    </timing>
                    <route>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="26643006" />
                            <display value="Oral" />
                        </coding>
                    </route>
                </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>
                    <validityPeriod>
                        <start value="2020-06-10" />
                        <end value="2020-12-07" />
                    </validityPeriod>
                    <quantity>
                        <value value="14" />
                        <unit value="Tablet" />
                        <system value="http://snomed.info/sct" />
                        <code value="732936001" />
                    </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>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/nhs-number" />
                    <value value="9449305552" />
                </identifier>
                <name>
                    <use value="usual" />
                    <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>
                <managingOrganization>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="B81001" />
                    </identifier>
                </managingOrganization>
            </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="G6123456" />
                </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>
                <specialty>
                    <coding>
                        <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode" />
                        <code value="370" />
                        <display value="MEDICAL ONCOLOGY" />
                    </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:20065b0e-0b60-4bef-9044-2c08115ede29" />
        <resource>
            <PractitionerRole>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" />
                    <value value="100102235432" />
                </identifier>
                <practitioner>
                    <reference value="urn:uuid:58e2eb2c-f912-46fe-bc8e-d88381594780" />
                </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="R0700" />
                        <display value="Community Nurse" />
                    </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: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/nmc-number" />
                    <value value="65A4321A" />
                </identifier>
                <name>
                    <family value="EDWARDS" />
                    <given value="Thomas" />
                    <prefix value="DR" />
                </name>
            </Practitioner>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:58e2eb2c-f912-46fe-bc8e-d88381594780" />
        <resource>
            <Practitioner>
                <id value="58e2eb2c-f912-46fe-bc8e-d88381594780" />
                <identifier>
                    <system value="https://fhir.hl7.org.uk/Id/nmc-number" />
                    <value value="65A4321A" />
                </identifier>
                <name>
                    <family value="Mahfeld" />
                    <given value="Dusk" />
                    <prefix value="Mrs" />
                </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 : 17773b27-427e-4940-8c16-64cdac715001

identifier

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

value : e5032ccc-9131-4eab-9983-cc8ecd49f18a

type : message

entry

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

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

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 : 1005

display : Outpatient Community Prescriber - Community Practitioner Nurse prescriber

extension

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

value

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

identifier

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

value : 0f644cc3-ed07-4d62-b4a6-8adf50cc29c4

status : active

intent : order

category

coding

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

code : community

display : Community

medication

coding

system : http://snomed.info/sct

code : 41946511000001109

display : Clarithromycin 500mg tablets

subject

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

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

requester

reference : urn:uuid:20065b0e-0b60-4bef-9044-2c08115ede29

groupIdentifier

extension

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

value

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

value : f441aad2-90b9-43cc-acce-82b8d8ea90ba

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

value : 82D996-Z9243B-11DA97

courseOfTherapyType

coding

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

code : acute

display : Short course (acute) therapy

dosageInstruction

text : 14 tablets. One tablet to be taken twice daily

additionalInstruction

coding

system : http://snomed.info/sct

code : 419444006

display : Do not stop taking this medicine except on your doctor's advice

patientInstruction : Please tell patient to stop simvastatin whilst on this antibiotic

timing

repeat

frequency : 2

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 : 2020-06-10

end : 2020-12-07

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 : 14

unit : Tablet

system : http://snomed.info/sct

code : 732936001

substitution

allowed : False

entry

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

resource

identifier

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

value : 9449305552

name

use : usual

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

managingOrganization

identifier

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

value : B81001

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 : G6123456

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

entry

fullUrl : urn:uuid:20065b0e-0b60-4bef-9044-2c08115ede29

resource

identifier

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

value : 100102235432

practitioner

reference : urn:uuid:58e2eb2c-f912-46fe-bc8e-d88381594780

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 : R0700

display : Community Nurse

location

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

display : MUSGROVE PARK HOSPITAL

telecom

system : phone

value : 01234567890

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/nmc-number

value : 65A4321A

name

family : EDWARDS

given : Thomas

prefix : DR

entry

fullUrl : urn:uuid:58e2eb2c-f912-46fe-bc8e-d88381594780

resource

id : 58e2eb2c-f912-46fe-bc8e-d88381594780

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",
    "identifier": {
        "system": "https://tools.ietf.org/html/rfc4122",
        "value": "0cb82cfa-76c8-4fb2-a08e-bf0e326e5487"
    },
    "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",
                    "display": "Prescription Order"
                },
                "source": {
                    "endpoint": "https://directory.spineservices.nhs.uk/STU3/Organization/C81010"
                },
                "focus":  [
                    {
                        "reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666"
                    },
                    {
                        "reference": "urn:uuid:5cb17f5a-11ac-4e18-825f-6470467238b3"
                    },
                    {
                        "reference": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6"
                    },
                    {
                        "reference": "urn:uuid:51793ac0-112f-46c7-a891-9af8cefb206e"
                    }
                ]
            }
        },
        {
            "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": "0101",
                            "display": "Primary Care Prescriber – Medical Prescriber"
                        }
                    }
                ],
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
                        "value": "299c610b-f4f1-4eac-a7d7-4fb6b0556e11"
                    }
                ],
                "status": "active",
                "intent": "order",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                                "code": "community",
                                "display": "Community"
                            }
                        ]
                    }
                ],
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "39720311000001101",
                            "display": "Paracetamol 500mg soluble tablets"
                        }
                    ]
                },
                "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",
                            "valueIdentifier": {
                                "system": "https://fhir.nhs.uk/Id/prescription",
                                "value": "b2fc79f0-2793-4736-9b2d-0976c21e73a5"
                            }
                        }
                    ],
                    "system": "https://fhir.nhs.uk/Id/prescription-order-number",
                    "value": "82D996-C81010-11DB12"
                },
                "courseOfTherapyType": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
                            "code": "acute",
                            "display": "Short course (acute) therapy"
                        }
                    ]
                },
                "dosageInstruction":  [
                    {
                        "text": "one tablet - four times a day - oral",
                        "timing": {
                            "repeat": {
                                "frequency": 4,
                                "period": 1,
                                "periodUnit": "d"
                            }
                        },
                        "route": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "26643006",
                                    "display": "Oral"
                                }
                            ]
                        },
                        "doseAndRate":  [
                            {
                                "doseQuantity": {
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