UK Core Implementation Guide Assets in Development

Please note:

This is an Implementation Guide for UK Core FHIR Assets in Development.
There will be disruption as the content will be updated on an ad-hoc basis and with links not working.
Therefore this Implementation Guide must not be implemented.
Please follow the guidance on the "Contact Us" page if you need any assistance.

Example to illustrate the option for Ciprofloxacin via IV when prescribing multiple routes.

Table View

MedicationRequest.id[0]	UKCore-MedicationRequest-CiprofloxacinIV-Example
MedicationRequest.status[0]	completed
MedicationRequest.intent[0]	option
MedicationRequest.category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/medicationrequest-category
MedicationRequest.category[0].coding[0].code[0]	inpatient
MedicationRequest.category[0].coding[0].display[0]	Inpatient
MedicationRequest.medication[0].coding[0].system[0]	https://dmd.nhs.uk
MedicationRequest.medication[0].coding[0].code[0]	36141511000001100
MedicationRequest.medication[0].coding[0].display[0]	Ciprofloxacin 400mg/200ml infusion bags
MedicationRequest.subject[0].reference[0]	Patient/UKCore-Patient-RichardSmith-Example
MedicationRequest.authoredOn[0]	2023-06-15T15:00:00.000Z
MedicationRequest.requester[0].reference[0]	Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example
MedicationRequest.courseOfTherapyType[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy
MedicationRequest.courseOfTherapyType[0].coding[0].code[0]	acute
MedicationRequest.courseOfTherapyType[0].coding[0].display[0]	Short course (acute) therapy
MedicationRequest.dosageInstruction[0].text[0]	Ciprofloxacin 400mg, twice daily.
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].frequency[0]	2
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].period[0]	1
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].periodUnit[0]	d
MedicationRequest.dosageInstruction[0].route[0].coding[0].system[0]	http://snomed.info/sct
MedicationRequest.dosageInstruction[0].route[0].coding[0].code[0]	47625008
MedicationRequest.dosageInstruction[0].route[0].coding[0].display[0]	Intravenous
MedicationRequest.dosageInstruction[0].method[0].coding[0].system[0]	http://snomed.info/sct
MedicationRequest.dosageInstruction[0].method[0].coding[0].code[0]	13283701000001109
MedicationRequest.dosageInstruction[0].method[0].coding[0].display[0]	Infusion
MedicationRequest.dosageInstruction[0].doseAndRate[0].type[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/dose-rate-type
MedicationRequest.dosageInstruction[0].doseAndRate[0].type[0].coding[0].code[0]	ordered
MedicationRequest.dosageInstruction[0].doseAndRate[0].type[0].coding[0].display[0]	Ordered
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].value[0]	400
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].unit[0]	milligram
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].system[0]	http://unitsofmeasure.org
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].code[0]	mg
MedicationRequest.substitution[0].allowed[0]	False

XML View

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="UKCore-MedicationRequest-CiprofloxacinIV-Example" />
    <status value="completed" />
    <intent value="option" />
    <category>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category" />
            <code value="inpatient" />
            <display value="Inpatient" />
        </coding>
    </category>
    <medicationCodeableConcept>
        <coding>
            <system value="https://dmd.nhs.uk" />
            <code value="36141511000001100" />
            <display value="Ciprofloxacin 400mg/200ml infusion bags" />
        </coding>
    </medicationCodeableConcept>
    <subject>
        <reference value="Patient/UKCore-Patient-RichardSmith-Example" />
    </subject>
    <authoredOn value="2023-06-15T15:00:00.000Z" />
    <requester>
        <reference value="Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example" />
    </requester>
    <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="Ciprofloxacin 400mg, twice daily." />
        <timing>
            <repeat>
                <frequency value="2" />
                <period value="1" />
                <periodUnit value="d" />
            </repeat>
        </timing>
        <route>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="47625008" />
                <display value="Intravenous" />
            </coding>
        </route>
        <method>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="13283701000001109" />
                <display value="Infusion" />
            </coding>
        </method>
        <doseAndRate>
            <type>
                <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type" />
                    <code value="ordered" />
                    <display value="Ordered" />
                </coding>
            </type>
            <doseQuantity>
                <value value="400" />
                <unit value="milligram" />
                <system value="http://unitsofmeasure.org" />
                <code value="mg" />
            </doseQuantity>
        </doseAndRate>
    </dosageInstruction>
    <substitution>
        <allowedBoolean value="false" />
    </substitution>
</MedicationRequest>

JSON View

{
    "resourceType": "MedicationRequest",
    "id": "UKCore-MedicationRequest-CiprofloxacinIV-Example",
    "status": "completed",
    "intent": "option",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code": "inpatient",
                    "display": "Inpatient"
                }
            ]
        }
    ],
    "medicationCodeableConcept": {
        "coding":  [
            {
                "system": "https://dmd.nhs.uk",
                "code": "36141511000001100",
                "display": "Ciprofloxacin 400mg/200ml infusion bags"
            }
        ]
    },
    "subject": {
        "reference": "Patient/UKCore-Patient-RichardSmith-Example"
    },
    "authoredOn": "2023-06-15T15:00:00.000Z",
    "requester": {
        "reference": "Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example"
    },
    "courseOfTherapyType": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
                "code": "acute",
                "display": "Short course (acute) therapy"
            }
        ]
    },
    "dosageInstruction":  [
        {
            "text": "Ciprofloxacin 400mg, twice daily.",
            "timing": {
                "repeat": {
                    "frequency": 2,
                    "period": 1,
                    "periodUnit": "d"
                }
            },
            "route": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "47625008",
                        "display": "Intravenous"
                    }
                ]
            },
            "method": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "13283701000001109",
                        "display": "Infusion"
                    }
                ]
            },
            "doseAndRate":  [
                {
                    "type": {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                                "code": "ordered",
                                "display": "Ordered"
                            }
                        ]
                    },
                    "doseQuantity": {
                        "value": 400,
                        "unit": "milligram",
                        "system": "http://unitsofmeasure.org",
                        "code": "mg"
                    }
                }
            ]
        }
    ],
    "substitution": {
        "allowedBoolean": false
    }
}