UK Core Implementation Guide STU3 Sequence

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This version of the UK Core is for C&TA Sprint 7 Review.
This version is not suitable for implementation. Other versions are available on the UK Core Version History Guide
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A summary of changes is available on the STU3 Sequence Change Log

An example to illustrate a medication statement for Amoxicillin

Table View

MedicationStatement.id[0]	UKCore-MedicationStatement-Amoxicillin-Example
MedicationStatement.identifier[0].system[0]	https://tools.ietf.org/html/rfc4122
MedicationStatement.identifier[0].value[0]	ac0ffbdf-3289-41d5-84d9-068a1f5937db
MedicationStatement.status[0]	active
MedicationStatement.category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/medication-statement-category
MedicationStatement.category[0].coding[0].code[0]	outpatient
MedicationStatement.category[0].coding[0].display[0]	Outpatient
MedicationStatement.medication[0].coding[0].system[0]	https://dmd.nhs.uk
MedicationStatement.medication[0].coding[0].code[0]	39732311000001104
MedicationStatement.medication[0].coding[0].display[0]	Amoxicillin 250mg capsules
MedicationStatement.subject[0].reference[0]	Patient/UKCore-Patient-RichardSmith-Example
MedicationStatement.effective[0].start[0]	2021-02-15T13:50:00+00:00
MedicationStatement.effective[0].end[0]	2021-05-15T13:50:00+00:00
MedicationStatement.dateAsserted[0]	2017-02-22
MedicationStatement.reasonCode[0].coding[0].system[0]	http://snomed.info/sct
MedicationStatement.reasonCode[0].coding[0].code[0]	65363002
MedicationStatement.reasonCode[0].coding[0].display[0]	Otitis media
MedicationStatement.dosage[0].text[0]	2 capsules 4 times a day.
MedicationStatement.dosage[0].timing[0].repeat[0].frequency[0]	4
MedicationStatement.dosage[0].timing[0].repeat[0].period[0]	1
MedicationStatement.dosage[0].timing[0].repeat[0].periodUnit[0]	d
MedicationStatement.dosage[0].asNeeded[0].coding[0].system[0]	http://snomed.info/sct
MedicationStatement.dosage[0].asNeeded[0].coding[0].code[0]	301354004
MedicationStatement.dosage[0].asNeeded[0].coding[0].display[0]	Pain of ear
MedicationStatement.dosage[0].site[0].coding[0].system[0]	http://snomed.info/sct
MedicationStatement.dosage[0].site[0].coding[0].code[0]	123851003
MedicationStatement.dosage[0].site[0].coding[0].display[0]	Mouth region structure
MedicationStatement.dosage[0].route[0].coding[0].system[0]	http://snomed.info/sct
MedicationStatement.dosage[0].route[0].coding[0].code[0]	26643006
MedicationStatement.dosage[0].route[0].coding[0].display[0]	Oral
MedicationStatement.dosage[0].method[0].coding[0].system[0]	http://snomed.info/sct
MedicationStatement.dosage[0].method[0].coding[0].code[0]	421984009
MedicationStatement.dosage[0].method[0].coding[0].display[0]	Until finished
MedicationStatement.dosage[0].doseAndRate[0].dose[0].value[0]	500
MedicationStatement.dosage[0].doseAndRate[0].dose[0].unit[0]	milligram
MedicationStatement.dosage[0].doseAndRate[0].dose[0].system[0]	http://unitsofmeasure.org
MedicationStatement.dosage[0].doseAndRate[0].dose[0].code[0]	mg

XML View

<MedicationStatement xmlns="http://hl7.org/fhir">
    <id value="UKCore-MedicationStatement-Amoxicillin-Example" />
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="ac0ffbdf-3289-41d5-84d9-068a1f5937db" />
    </identifier>
    <status value="active" />
    <category>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/medication-statement-category" />
            <code value="outpatient" />
            <display value="Outpatient" />
        </coding>
    </category>
    <medicationCodeableConcept>
        <coding>
            <system value="https://dmd.nhs.uk" />
            <code value="39732311000001104" />
            <display value="Amoxicillin 250mg capsules" />
        </coding>
    </medicationCodeableConcept>
    <subject>
        <reference value="Patient/UKCore-Patient-RichardSmith-Example" />
    </subject>
    <effectivePeriod>
        <start value="2021-02-15T13:50:00+00:00" />
        <end value="2021-05-15T13:50:00+00:00" />
    </effectivePeriod>
    <dateAsserted value="2017-02-22" />
    <reasonCode>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="65363002" />
            <display value="Otitis media" />
        </coding>
    </reasonCode>
    <dosage>
        <text value="2 capsules 4 times a day." />
        <timing>
            <repeat>
                <frequency value="4" />
                <period value="1" />
                <periodUnit value="d" />
            </repeat>
        </timing>
        <asNeededCodeableConcept>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="301354004" />
                <display value="Pain of ear" />
            </coding>
        </asNeededCodeableConcept>
        <site>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="123851003" />
                <display value="Mouth region structure" />
            </coding>
        </site>
        <route>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="26643006" />
                <display value="Oral" />
            </coding>
        </route>
        <method>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="421984009" />
                <display value="Until finished" />
            </coding>
        </method>
        <doseAndRate>
            <doseQuantity>
                <value value="500" />
                <unit value="milligram" />
                <system value="http://unitsofmeasure.org" />
                <code value="mg" />
            </doseQuantity>
        </doseAndRate>
    </dosage>
</MedicationStatement>

JSON View

{
    "resourceType": "MedicationStatement",
    "id": "UKCore-MedicationStatement-Amoxicillin-Example",
    "identifier":  [
        {
            "system": "https://tools.ietf.org/html/rfc4122",
            "value": "ac0ffbdf-3289-41d5-84d9-068a1f5937db"
        }
    ],
    "status": "active",
    "category": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/medication-statement-category",
                "code": "outpatient",
                "display": "Outpatient"
            }
        ]
    },
    "medicationCodeableConcept": {
        "coding":  [
            {
                "system": "https://dmd.nhs.uk",
                "code": "39732311000001104",
                "display": "Amoxicillin 250mg capsules"
            }
        ]
    },
    "subject": {
        "reference": "Patient/UKCore-Patient-RichardSmith-Example"
    },
    "effectivePeriod": {
        "start": "2021-02-15T13:50:00+00:00",
        "end": "2021-05-15T13:50:00+00:00"
    },
    "dateAsserted": "2017-02-22",
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "65363002",
                    "display": "Otitis media"
                }
            ]
        }
    ],
    "dosage":  [
        {
            "text": "2 capsules 4 times a day.",
            "timing": {
                "repeat": {
                    "frequency": 4,
                    "period": 1,
                    "periodUnit": "d"
                }
            },
            "asNeededCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "301354004",
                        "display": "Pain of ear"
                    }
                ]
            },
            "site": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "123851003",
                        "display": "Mouth region structure"
                    }
                ]
            },
            "route": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "26643006",
                        "display": "Oral"
                    }
                ]
            },
            "method": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "421984009",
                        "display": "Until finished"
                    }
                ]
            },
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "value": 500,
                        "unit": "milligram",
                        "system": "http://unitsofmeasure.org",
                        "code": "mg"
                    }
                }
            ]
        }
    ]
}