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 Doxycycline when prescribing multiple routes.

Table View

MedicationRequest.id[0]	UKCore-MedicationRequest-Doxycycline-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]	41948311000001104
MedicationRequest.medication[0].coding[0].display[0]	Doxycycline 100mg capsules
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].sequence[0]	1
MedicationRequest.dosageInstruction[0].text[0]	200mg - once a day - for 1 day
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].bounds[0].value[0]	1
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].bounds[0].unit[0]	day
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].bounds[0].system[0]	http://unitsofmeasure.org
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].bounds[0].code[0]	d
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].frequency[0]	1
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].period[0]	1
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].periodUnit[0]	d
MedicationRequest.dosageInstruction[0].site[0].coding[0].system[0]	http://snomed.info/sct
MedicationRequest.dosageInstruction[0].site[0].coding[0].code[0]	738956005
MedicationRequest.dosageInstruction[0].site[0].coding[0].display[0]	Oral
MedicationRequest.dosageInstruction[0].route[0].coding[0].system[0]	http://snomed.info/sct
MedicationRequest.dosageInstruction[0].route[0].coding[0].code[0]	26643006
MedicationRequest.dosageInstruction[0].route[0].coding[0].display[0]	Oral
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]	200
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.dosageInstruction[1].sequence[0]	2
MedicationRequest.dosageInstruction[1].text[0]	100mg - once a day.
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].frequency[0]	1
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].period[0]	1
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].periodUnit[0]	d
MedicationRequest.dosageInstruction[1].site[0].coding[0].system[0]	http://snomed.info/sct
MedicationRequest.dosageInstruction[1].site[0].coding[0].code[0]	738956005
MedicationRequest.dosageInstruction[1].site[0].coding[0].display[0]	Oral
MedicationRequest.dosageInstruction[1].route[0].coding[0].system[0]	http://snomed.info/sct
MedicationRequest.dosageInstruction[1].route[0].coding[0].code[0]	26643006
MedicationRequest.dosageInstruction[1].route[0].coding[0].display[0]	Oral
MedicationRequest.dosageInstruction[1].doseAndRate[0].type[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/dose-rate-type
MedicationRequest.dosageInstruction[1].doseAndRate[0].type[0].coding[0].code[0]	ordered
MedicationRequest.dosageInstruction[1].doseAndRate[0].type[0].coding[0].display[0]	Ordered
MedicationRequest.dosageInstruction[1].doseAndRate[0].dose[0].value[0]	100
MedicationRequest.dosageInstruction[1].doseAndRate[0].dose[0].unit[0]	milligram
MedicationRequest.dosageInstruction[1].doseAndRate[0].dose[0].system[0]	http://unitsofmeasure.org
MedicationRequest.dosageInstruction[1].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-Doxycycline-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="41948311000001104" />
            <display value="Doxycycline 100mg capsules" />
        </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>
        <sequence value="1" />
        <text value="200mg - once a day - for 1 day" />
        <timing>
            <repeat>
                <boundsDuration>
                    <value value="1" />
                    <unit value="day" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="d" />
                </boundsDuration>
                <frequency value="1" />
                <period value="1" />
                <periodUnit value="d" />
            </repeat>
        </timing>
        <site>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="738956005" />
                <display value="Oral" />
            </coding>
        </site>
        <route>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="26643006" />
                <display value="Oral" />
            </coding>
        </route>
        <doseAndRate>
            <type>
                <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type" />
                    <code value="ordered" />
                    <display value="Ordered" />
                </coding>
            </type>
            <doseQuantity>
                <value value="200" />
                <unit value="milligram" />
                <system value="http://unitsofmeasure.org" />
                <code value="mg" />
            </doseQuantity>
        </doseAndRate>
    </dosageInstruction>
    <dosageInstruction>
        <sequence value="2" />
        <text value="100mg - once a day." />
        <timing>
            <repeat>
                <frequency value="1" />
                <period value="1" />
                <periodUnit value="d" />
            </repeat>
        </timing>
        <site>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="738956005" />
                <display value="Oral" />
            </coding>
        </site>
        <route>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="26643006" />
                <display value="Oral" />
            </coding>
        </route>
        <doseAndRate>
            <type>
                <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type" />
                    <code value="ordered" />
                    <display value="Ordered" />
                </coding>
            </type>
            <doseQuantity>
                <value value="100" />
                <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-Doxycycline-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": "41948311000001104",
                "display": "Doxycycline 100mg capsules"
            }
        ]
    },
    "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":  [
        {
            "sequence": 1,
            "text": "200mg - once a day - for 1 day",
            "timing": {
                "repeat": {
                    "boundsDuration": {
                        "value": 1,
                        "unit": "day",
                        "system": "http://unitsofmeasure.org",
                        "code": "d"
                    },
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d"
                }
            },
            "site": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "738956005",
                        "display": "Oral"
                    }
                ]
            },
            "route": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "26643006",
                        "display": "Oral"
                    }
                ]
            },
            "doseAndRate":  [
                {
                    "type": {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                                "code": "ordered",
                                "display": "Ordered"
                            }
                        ]
                    },
                    "doseQuantity": {
                        "value": 200,
                        "unit": "milligram",
                        "system": "http://unitsofmeasure.org",
                        "code": "mg"
                    }
                }
            ]
        },
        {
            "sequence": 2,
            "text": "100mg - once a day.",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d"
                }
            },
            "site": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "738956005",
                        "display": "Oral"
                    }
                ]
            },
            "route": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "26643006",
                        "display": "Oral"
                    }
                ]
            },
            "doseAndRate":  [
                {
                    "type": {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                                "code": "ordered",
                                "display": "Ordered"
                            }
                        ]
                    },
                    "doseQuantity": {
                        "value": 100,
                        "unit": "milligram",
                        "system": "http://unitsofmeasure.org",
                        "code": "mg"
                    }
                }
            ]
        }
    ],
    "substitution": {
        "allowedBoolean": false
    }
}