Admission, Discharge and change in Medication / Chris Packet
Patient Journey: Chris Packet
- Chris is prescribed repeat medication of Paracetamol, Codeine and Ibuprofen by his GP. This is via the EPS and is out of scope for this implementation guide. Please assume the GP record of 'current medication' has been shared with the regional shared medication record.
- Chris is admitted to hospital. A medicines reconcillation process is undertaken. The ePMA system receives a Bundle of
MedicationStatement
resources [Example 1] from the regional shared medication record. - The hospital doctor stops the Codeine medication and starts Pregabalin medication. A
MedicationRequest
[Example 2] is sent to the hospital pharmacy, unless the medication is available from ward stock. - If sent to the hospital pharmacy, they dispense and return a
MedicationDispense
[Example 3] to the ePMA system. - Chris is to be discharged and given two weeks supply of medication as a 'To Take Out' (TTO). A
MedicationRequest
[Example 4] is sent to the hospital pharmacy, unless the medication is available from ward stock. - If sent to the hospital pharmacy, they dispense and return a
MedicationDispense
[Example 5] to the ePMA system. - Chris' discharge medications are verified by a pharmacist. Due to Chris also on renal medication, the on-going dosage for the GP to continue Pregabalin is changed. Two
MedicationStatement
[Example 6] resources are sent to the regional shared medication record stating that Codeine medication has been stopped and Pregabalin, with the amended dose, has been started. A discharge summary is sent to Chris' GP requesting that their records are updated to stop Codeine and start Pregabalin. - The GP actions the discharge instructions, changes Chris' repeat medication and authorises a new prescription for his medication in time for when his TTO supply runs out. This is via the EPS and is out of scope for this implementation guide.
- When the regional shared medication record is next updated from GP records it will include a
MedicationStatement
for the stopped Codeine medication, and aMedicationStatement
for the new Pregabalin medication. See [Example 7].
Expected Outcome
At the start of this scenario, the patient's current medication is:
- Paracetamol 500mg tablets - take 2 tablets - four times - daily - oral
- Codeine 30mg tablets - take 2 tablets - four times - daily - oral
- Ibuprofen 800mg modified-release tablets - take one - two times - daily - oral
At the end of this scenario, the patient's current medication is:
- Paracetamol 500mg tablets - take 2 tablets - four times - daily - oral
- [
STOPPED
] Codeine 30mg tablets - take 2 tablets - four times - daily - oral - Ibuprofen 800mg modified-release tablets - take one - two times - daily - oral
- Pregabalin 100mg tablets - two times per day - oral
Note: The data held within a shared record should be fully structured and coded. Text is shown here to aid human readability.
Example 1: GP MedicationStatement
Chris currently has three active medications:
- Paracetamol 500mg tablet - take 2 tablets - four times - daily - oral
- Codeine 30mg tablet - take 2 tablets - four times - daily - oral
- Ibuprofen 800mg modified-release tablet - take one - two times - daily - oral
Actors
Provider System = GP System
Consumer System = Any system requiring a view of current medication, including a shared patient record
Example
Bundle.id[0] | 7cd3f180-76f7-4bc6-b6d5-e672acd83b81 |
Bundle.identifier[0].system[0] | urn:[organisation_name]:[system_name] |
Bundle.identifier[0].value[0] | urn:8cd8108d-8c72-4fe9-a284-cd28b127fcfa |
Bundle.type[0] | message |
Bundle.timestamp[0] | 2021-05-07T13:00:25+00:00 |
Bundle.entry[0].fullUrl[0] | urn:message-header-234234234 |
Bundle.entry[0].resource[0].id[0] | message-header-234234234 |
Bundle.entry[0].resource[0].event[0].system[0] | http://hl7.org/fhir/message-events |
Bundle.entry[0].resource[0].event[0].code[0] | current-medication |
Bundle.entry[0].resource[0].event[0].display[0] | Current Medication |
Bundle.entry[0].resource[0].source[0].name[0] | ACME GP Systems |
Bundle.entry[0].resource[0].source[0].software[0] | ACME GP |
Bundle.entry[0].resource[0].source[0].version[0] | 5.5.00 |
Bundle.entry[0].resource[0].source[0].endpoint[0] | urn:nhs-uk:addressing:ods:M12345 |
Bundle.entry[0].resource[0].focus[0].reference[0] | urn:medication-statement-1234 |
Bundle.entry[0].resource[0].focus[1].reference[0] | urn:medication-statement-3452456 |
Bundle.entry[0].resource[0].focus[2].reference[0] | urn:medication-statement-876543 |
Bundle.entry[1].fullUrl[0] | urn:patient-01912 |
Bundle.entry[1].resource[0].id[0] | patient-01912 |
Bundle.entry[1].resource[0].identifier[0].system[0] | https://fhir.nhs.uk/Id/nhs-number |
Bundle.entry[1].resource[0].identifier[0].value[0] | 4857773456 |
Bundle.entry[1].resource[0].name[0].use[0] | official |
Bundle.entry[1].resource[0].name[0].text[0] | Mr Chris Packet |
Bundle.entry[1].resource[0].name[0].family[0] | Packet |
Bundle.entry[1].resource[0].name[0].given[0] | Chris |
Bundle.entry[1].resource[0].name[0].prefix[0] | Mr |
Bundle.entry[1].resource[0].gender[0] | male |
Bundle.entry[1].resource[0].birthDate[0] | 1995-11-12 |
Bundle.entry[2].fullUrl[0] | urn:staff-0002 |
Bundle.entry[2].resource[0].id[0] | staff-0002 |
Bundle.entry[2].resource[0].name[0].text[0] | Dr Maikeu Better |
Bundle.entry[2].resource[0].name[0].family[0] | Better |
Bundle.entry[2].resource[0].name[0].given[0] | Maikeu |
Bundle.entry[2].resource[0].name[0].prefix[0] | Dr |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].system[0] | https://fhir.hl7.org.uk/Id/gmc-number |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].code[0] | 2145879 |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].display[0] | General Medical Council |
Bundle.entry[3].fullUrl[0] | urn:medication-685463 |
Bundle.entry[3].resource[0].id[0] | medication-685463 |
Bundle.entry[3].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[3].resource[0].code[0].coding[0].code[0] | 90332006 |
Bundle.entry[3].resource[0].code[0].coding[0].display[0] | Paracetamol 500mg tablets |
Bundle.entry[4].fullUrl[0] | urn:medication-statement-1234 |
Bundle.entry[4].resource[0].id[0] | medication-statement-1234 |
Bundle.entry[4].resource[0].status[0] | active |
Bundle.entry[4].resource[0].category[0].coding[0].system[0] | http://hl7.org/fhir/medication-request-category |
Bundle.entry[4].resource[0].category[0].coding[0].code[0] | patientspecified |
Bundle.entry[4].resource[0].category[0].coding[0].display[0] | patientspecified |
Bundle.entry[4].resource[0].medication[0].reference[0] | medication-685463 |
Bundle.entry[4].resource[0].medication[0].display[0] | Paracetamol 500mg tablets |
Bundle.entry[4].resource[0].subject[0].reference[0] | patient-01912 |
Bundle.entry[4].resource[0].subject[0].display[0] | Mr Chris PACKET |
Bundle.entry[4].resource[0].dateAsserted[0] | 2021-05-07T13:00:25Z |
Bundle.entry[4].resource[0].informationSource[0].reference[0] | staff-0002 |
Bundle.entry[4].resource[0].informationSource[0].display[0] | Dr Maikeu Better |
Bundle.entry[4].resource[0].dosage[0].timing[0].repeat[0].frequency[0] | 4 |
Bundle.entry[4].resource[0].dosage[0].timing[0].repeat[0].period[0] | 1 |
Bundle.entry[4].resource[0].dosage[0].timing[0].repeat[0].periodUnit[0] | d |
Bundle.entry[4].resource[0].dosage[0].route[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[4].resource[0].dosage[0].route[0].coding[0].code[0] | 26643006 |
Bundle.entry[4].resource[0].dosage[0].route[0].coding[0].display[0] | oral |
Bundle.entry[4].resource[0].dosage[0].doseAndRate[0].dose[0].value[0] | 2 |
Bundle.entry[4].resource[0].dosage[0].doseAndRate[0].dose[0].unit[0] | tablet |
Bundle.entry[4].resource[0].dosage[0].doseAndRate[0].dose[0].system[0] | http://snomed.info/sct |
Bundle.entry[4].resource[0].dosage[0].doseAndRate[0].dose[0].code[0] | 428673006 |
Bundle.entry[5].fullUrl[0] | urn:medication-634523423 |
Bundle.entry[5].resource[0].id[0] | medication-634523423 |
Bundle.entry[5].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[5].resource[0].code[0].coding[0].code[0] | 322503009 |
Bundle.entry[5].resource[0].code[0].coding[0].display[0] | Codeine 30mg tablets |
Bundle.entry[6].fullUrl[0] | urn:medication-statement-3452456 |
Bundle.entry[6].resource[0].id[0] | medication-statement-3452456 |
Bundle.entry[6].resource[0].status[0] | active |
Bundle.entry[6].resource[0].category[0].coding[0].system[0] | http://hl7.org/fhir/medication-request-category |
Bundle.entry[6].resource[0].category[0].coding[0].code[0] | patientspecified |
Bundle.entry[6].resource[0].category[0].coding[0].display[0] | patientspecified |
Bundle.entry[6].resource[0].medication[0].reference[0] | medication-634523423 |
Bundle.entry[6].resource[0].medication[0].display[0] | Codeine 30mg tablets |
Bundle.entry[6].resource[0].subject[0].reference[0] | patient-01912 |
Bundle.entry[6].resource[0].subject[0].display[0] | Mr Chris PACKET |
Bundle.entry[6].resource[0].dateAsserted[0] | 2021-05-07T13:00:25Z |
Bundle.entry[6].resource[0].informationSource[0].reference[0] | staff-0002 |
Bundle.entry[6].resource[0].informationSource[0].display[0] | Dr Maikeu Better |
Bundle.entry[6].resource[0].dosage[0].timing[0].repeat[0].frequency[0] | 4 |
Bundle.entry[6].resource[0].dosage[0].timing[0].repeat[0].period[0] | 1 |
Bundle.entry[6].resource[0].dosage[0].timing[0].repeat[0].periodUnit[0] | d |
Bundle.entry[6].resource[0].dosage[0].route[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[6].resource[0].dosage[0].route[0].coding[0].code[0] | 26643006 |
Bundle.entry[6].resource[0].dosage[0].route[0].coding[0].display[0] | oral |
Bundle.entry[6].resource[0].dosage[0].doseAndRate[0].dose[0].value[0] | 2 |
Bundle.entry[6].resource[0].dosage[0].doseAndRate[0].dose[0].unit[0] | tablet |
Bundle.entry[6].resource[0].dosage[0].doseAndRate[0].dose[0].system[0] | http://snomed.info/sct |
Bundle.entry[6].resource[0].dosage[0].doseAndRate[0].dose[0].code[0] | 428673006 |
Bundle.entry[7].fullUrl[0] | urn:medication-784234 |
Bundle.entry[7].resource[0].id[0] | medication-784234 |
Bundle.entry[7].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[7].resource[0].code[0].coding[0].code[0] | 39110311000001101 |
Bundle.entry[7].resource[0].code[0].coding[0].display[0] | Ibuprofen 800mg modified-release tablets |
Bundle.entry[8].fullUrl[0] | urn:medication-statement-876543 |
Bundle.entry[8].resource[0].id[0] | medication-statement-876543 |
Bundle.entry[8].resource[0].status[0] | active |
Bundle.entry[8].resource[0].category[0].coding[0].system[0] | http://hl7.org/fhir/medication-request-category |
Bundle.entry[8].resource[0].category[0].coding[0].code[0] | patientspecified |
Bundle.entry[8].resource[0].category[0].coding[0].display[0] | patientspecified |
Bundle.entry[8].resource[0].medication[0].reference[0] | medication-634523423 |
Bundle.entry[8].resource[0].medication[0].display[0] | Ibuprofen 800mg modified-release tablets |
Bundle.entry[8].resource[0].subject[0].reference[0] | patient-01912 |
Bundle.entry[8].resource[0].subject[0].display[0] | Mr Chris PACKET |
Bundle.entry[8].resource[0].dateAsserted[0] | 2021-05-07T13:00:25Z |
Bundle.entry[8].resource[0].informationSource[0].reference[0] | staff-0002 |
Bundle.entry[8].resource[0].informationSource[0].display[0] | Dr Maikeu Better |
Bundle.entry[8].resource[0].dosage[0].timing[0].repeat[0].frequency[0] | 2 |
Bundle.entry[8].resource[0].dosage[0].timing[0].repeat[0].period[0] | 1 |
Bundle.entry[8].resource[0].dosage[0].timing[0].repeat[0].periodUnit[0] | d |
Bundle.entry[8].resource[0].dosage[0].route[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[8].resource[0].dosage[0].route[0].coding[0].code[0] | 26643006 |
Bundle.entry[8].resource[0].dosage[0].route[0].coding[0].display[0] | oral |
Bundle.entry[8].resource[0].dosage[0].doseAndRate[0].dose[0].value[0] | 1 |
Bundle.entry[8].resource[0].dosage[0].doseAndRate[0].dose[0].unit[0] | tablet |
Bundle.entry[8].resource[0].dosage[0].doseAndRate[0].dose[0].system[0] | http://snomed.info/sct |
Bundle.entry[8].resource[0].dosage[0].doseAndRate[0].dose[0].code[0] | 428673006 |
Bundle |
id : 7cd3f180-76f7-4bc6-b6d5-e672acd83b81 |
identifier |
system : urn:[organisation_name]:[system_name] |
value : urn:8cd8108d-8c72-4fe9-a284-cd28b127fcfa |
type : message |
timestamp : 2021-05-07T13:00:25Z |
entry |
fullUrl : urn:message-header-234234234 |
resource |
id : message-header-234234234 |
event |
system : http://hl7.org/fhir/message-events |
code : current-medication |
display : Current Medication |
source |
name : ACME GP Systems |
software : ACME GP |
version : 5.5.00 |
endpoint : urn:nhs-uk:addressing:ods:M12345 |
focus |
reference : urn:medication-statement-1234 |
focus |
reference : urn:medication-statement-3452456 |
focus |
reference : urn:medication-statement-876543 |
entry |
fullUrl : urn:patient-01912 |
resource |
id : patient-01912 |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 4857773456 |
name |
use : official |
text : Mr Chris Packet |
family : Packet |
given : Chris |
prefix : Mr |
gender : male |
birthDate : 1995-11-12 |
entry |
fullUrl : urn:staff-0002 |
resource |
id : staff-0002 |
name |
text : Dr Maikeu Better |
family : Better |
given : Maikeu |
prefix : Dr |
qualification |
code |
coding |
system : https://fhir.hl7.org.uk/Id/gmc-number |
code : 2145879 |
display : General Medical Council |
entry |
fullUrl : urn:medication-685463 |
resource |
id : medication-685463 |
code |
coding |
system : http://snomed.info/sct |
code : 90332006 |
display : Paracetamol 500mg tablets |
entry |
fullUrl : urn:medication-statement-1234 |
resource |
id : medication-statement-1234 |
status : active |
category |
coding |
system : http://hl7.org/fhir/medication-request-category |
code : patientspecified |
display : patientspecified |
medication |
reference : medication-685463 |
display : Paracetamol 500mg tablets |
subject |
reference : patient-01912 |
display : Mr Chris PACKET |
dateAsserted : 2021-05-07T13:00:25Z |
informationSource |
reference : staff-0002 |
display : Dr Maikeu Better |
dosage |
timing |
repeat |
frequency : 4 |
period : 1 |
periodUnit : d |
route |
coding |
system : http://snomed.info/sct |
code : 26643006 |
display : oral |
doseAndRate |
dose |
value : 2 |
unit : tablet |
system : http://snomed.info/sct |
code : 428673006 |
entry |
fullUrl : urn:medication-634523423 |
resource |
id : medication-634523423 |
code |
coding |
system : http://snomed.info/sct |
code : 322503009 |
display : Codeine 30mg tablets |
entry |
fullUrl : urn:medication-statement-3452456 |
resource |
id : medication-statement-3452456 |
status : active |
category |
coding |
system : http://hl7.org/fhir/medication-request-category |
code : patientspecified |
display : patientspecified |
medication |
reference : medication-634523423 |
display : Codeine 30mg tablets |
subject |
reference : patient-01912 |
display : Mr Chris PACKET |
dateAsserted : 2021-05-07T13:00:25Z |
informationSource |
reference : staff-0002 |
display : Dr Maikeu Better |
dosage |
timing |
repeat |
frequency : 4 |
period : 1 |
periodUnit : d |
route |
coding |
system : http://snomed.info/sct |
code : 26643006 |
display : oral |
doseAndRate |
dose |
value : 2 |
unit : tablet |
system : http://snomed.info/sct |
code : 428673006 |
entry |
fullUrl : urn:medication-784234 |
resource |
id : medication-784234 |
code |
coding |
system : http://snomed.info/sct |
code : 39110311000001101 |
display : Ibuprofen 800mg modified-release tablets |
entry |
fullUrl : urn:medication-statement-876543 |
resource |
id : medication-statement-876543 |
status : active |
category |
coding |
system : http://hl7.org/fhir/medication-request-category |
code : patientspecified |
display : patientspecified |
medication |
reference : medication-634523423 |
display : Ibuprofen 800mg modified-release tablets |
subject |
reference : patient-01912 |
display : Mr Chris PACKET |
dateAsserted : 2021-05-07T13:00:25Z |
informationSource |
reference : staff-0002 |
display : Dr Maikeu Better |
dosage |
timing |
repeat |
frequency : 2 |
period : 1 |
periodUnit : d |
route |
coding |
system : http://snomed.info/sct |
code : 26643006 |
display : oral |
doseAndRate |
dose |
value : 1 |
unit : tablet |
system : http://snomed.info/sct |
code : 428673006 |
Example 2: Inpatient MedicationRequest
Chris is started on new medication. 75mg of Pregabalin twice per day for three days, increased to 75mg three times per day thereafter.
Actors
Provider System = Ward EMPA system
Consumer System = Hospital pharamcy system
Example
Bundle.id[0] | 7d107ed2-70c6-43d9-9cbe-f19c319d1456 |
Bundle.identifier[0].system[0] | urn:[organisation_name]:[system_name] |
Bundle.identifier[0].value[0] | urn:8cd8108d-8c72-4fe9-a284-cd28b127fcfa |
Bundle.type[0] | message |
Bundle.timestamp[0] | 2021-05-07T16:15:32+00:00 |
Bundle.entry[0].fullUrl[0] | urn:message-header-167434 |
Bundle.entry[0].resource[0].id[0] | urn:message-header-167434 |
Bundle.entry[0].resource[0].event[0].system[0] | https://fhir.hl7.org.uk//CodeSystem/message-event |
Bundle.entry[0].resource[0].event[0].code[0] | prescription-order |
Bundle.entry[0].resource[0].event[0].display[0] | Prescription Order |
Bundle.entry[0].resource[0].source[0].name[0] | ACME Clinical Systems |
Bundle.entry[0].resource[0].source[0].software[0] | ACME ePMA |
Bundle.entry[0].resource[0].source[0].version[0] | 3.5.68 |
Bundle.entry[0].resource[0].source[0].endpoint[0] | urn:nhs-uk:addressing:ods:T48NT |
Bundle.entry[0].resource[0].focus[0].reference[0] | urn:med-req-01923 |
Bundle.entry[1].fullUrl[0] | urn:patient-01912 |
Bundle.entry[1].resource[0].id[0] | patient-01912 |
Bundle.entry[1].resource[0].identifier[0].system[0] | https://fhir.nhs.uk/Id/nhs-number |
Bundle.entry[1].resource[0].identifier[0].value[0] | 4857773456 |
Bundle.entry[1].resource[0].name[0].use[0] | official |
Bundle.entry[1].resource[0].name[0].text[0] | Mr Chris Packet |
Bundle.entry[1].resource[0].name[0].family[0] | Packet |
Bundle.entry[1].resource[0].name[0].given[0] | Chris |
Bundle.entry[1].resource[0].name[0].prefix[0] | Mr |
Bundle.entry[1].resource[0].gender[0] | male |
Bundle.entry[1].resource[0].birthDate[0] | 1995-11-12 |
Bundle.entry[2].fullUrl[0] | urn:staff-1112 |
Bundle.entry[2].resource[0].id[0] | staff-1112 |
Bundle.entry[2].resource[0].name[0].text[0] | Dr Maikeu Well |
Bundle.entry[2].resource[0].name[0].family[0] | Well |
Bundle.entry[2].resource[0].name[0].given[0] | Maikeu |
Bundle.entry[2].resource[0].name[0].prefix[0] | Dr |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].system[0] | https://fhir.hl7.org.uk/Id/gmc-number |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].code[0] | 2145879 |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].display[0] | General Medical Council |
Bundle.entry[3].fullUrl[0] | urn:medication-99101 |
Bundle.entry[3].resource[0].id[0] | medication-99101 |
Bundle.entry[3].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[3].resource[0].code[0].coding[0].code[0] | 415159003 |
Bundle.entry[3].resource[0].code[0].coding[0].display[0] | Pregabalin |
Bundle.entry[4].fullUrl[0] | urn:med-req-01923 |
Bundle.entry[4].resource[0].id[0] | med-req-01923 |
Bundle.entry[4].resource[0].identifier[0].value[0] | 6d2bfb69-656a-45ef-92d0-d4aae02bb438 |
Bundle.entry[4].resource[0].status[0] | active |
Bundle.entry[4].resource[0].intent[0] | order |
Bundle.entry[4].resource[0].category[0].coding[0].system[0] | http://hl7.org/fhir/medication-request-category |
Bundle.entry[4].resource[0].category[0].coding[0].code[0] | inpatient |
Bundle.entry[4].resource[0].category[0].coding[0].display[0] | inpatient |
Bundle.entry[4].resource[0].priority[0] | routine |
Bundle.entry[4].resource[0].medication[0].reference[0] | medication-99101 |
Bundle.entry[4].resource[0].medication[0].display[0] | Pregabalin |
Bundle.entry[4].resource[0].subject[0].reference[0] | patient-01912 |
Bundle.entry[4].resource[0].subject[0].display[0] | Mr Chris Packet |
Bundle.entry[4].resource[0].authoredOn[0] | 2021-05-07T18:12:41+01:00 |
Bundle.entry[4].resource[0].requester[0].reference[0] | staff-1112 |
Bundle.entry[4].resource[0].requester[0].display[0] | Dr Maikeu Well |
Bundle.entry[4].resource[0].recorder[0].reference[0] | staff-1112 |
Bundle.entry[4].resource[0].recorder[0].display[0] | Dr Maikeu Well |
Bundle.entry[4].resource[0].dosageInstruction[0].sequence[0] | 1 |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].value[0] | 3 |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].unit[0] | day |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].system[0] | http://unitsofmeasure.org |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].code[0] | d |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0] | 2 |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0] | 1 |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0] | d |
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].code[0] | 26643006 |
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].display[0] | oral |
Bundle.entry[4].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].value[0] | 75 |
Bundle.entry[4].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].unit[0] | milligram |
Bundle.entry[4].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].system[0] | http://unitsofmeasure.org |
Bundle.entry[4].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].code[0] | mg |
Bundle.entry[4].resource[0].dosageInstruction[1].sequence[0] | 2 |
Bundle.entry[4].resource[0].dosageInstruction[1].timing[0].repeat[0].frequency[0] | 3 |
Bundle.entry[4].resource[0].dosageInstruction[1].timing[0].repeat[0].period[0] | 1 |
Bundle.entry[4].resource[0].dosageInstruction[1].timing[0].repeat[0].periodUnit[0] | d |
Bundle.entry[4].resource[0].dosageInstruction[1].route[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[4].resource[0].dosageInstruction[1].route[0].coding[0].code[0] | 26643006 |
Bundle.entry[4].resource[0].dosageInstruction[1].route[0].coding[0].display[0] | oral |
Bundle.entry[4].resource[0].dosageInstruction[1].doseAndRate[0].dose[0].value[0] | 75 |
Bundle.entry[4].resource[0].dosageInstruction[1].doseAndRate[0].dose[0].unit[0] | milligram |
Bundle.entry[4].resource[0].dosageInstruction[1].doseAndRate[0].dose[0].system[0] | http://unitsofmeasure.org |
Bundle.entry[4].resource[0].dosageInstruction[1].doseAndRate[0].dose[0].code[0] | mg |
Bundle.entry[4].resource[0].substitution[0].allowed[0] | False |
Bundle |
id : 7d107ed2-70c6-43d9-9cbe-f19c319d1456 |
identifier |
system : urn:[organisation_name]:[system_name] |
value : urn:8cd8108d-8c72-4fe9-a284-cd28b127fcfa |
type : message |
timestamp : 2021-05-07T16:15:32Z |
entry |
fullUrl : urn:message-header-167434 |
resource |
id : urn:message-header-167434 |
event |
system : https://fhir.hl7.org.uk//CodeSystem/message-event |
code : prescription-order |
display : Prescription Order |
source |
name : ACME Clinical Systems |
software : ACME ePMA |
version : 3.5.68 |
endpoint : urn:nhs-uk:addressing:ods:T48NT |
focus |
reference : urn:med-req-01923 |
entry |
fullUrl : urn:patient-01912 |
resource |
id : patient-01912 |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 4857773456 |
name |
use : official |
text : Mr Chris Packet |
family : Packet |
given : Chris |
prefix : Mr |
gender : male |
birthDate : 1995-11-12 |
entry |
fullUrl : urn:staff-1112 |
resource |
id : staff-1112 |
name |
text : Dr Maikeu Well |
family : Well |
given : Maikeu |
prefix : Dr |
qualification |
code |
coding |
system : https://fhir.hl7.org.uk/Id/gmc-number |
code : 2145879 |
display : General Medical Council |
entry |
fullUrl : urn:medication-99101 |
resource |
id : medication-99101 |
code |
coding |
system : http://snomed.info/sct |
code : 415159003 |
display : Pregabalin |
entry |
fullUrl : urn:med-req-01923 |
resource |
id : med-req-01923 |
identifier |
value : 6d2bfb69-656a-45ef-92d0-d4aae02bb438 |
status : active |
intent : order |
category |
coding |
system : http://hl7.org/fhir/medication-request-category |
code : inpatient |
display : inpatient |
priority : routine |
medication |
reference : medication-99101 |
display : Pregabalin |
subject |
reference : patient-01912 |
display : Mr Chris Packet |
authoredOn : 2021-05-07T18:12:41+01:00 |
requester |
reference : staff-1112 |
display : Dr Maikeu Well |
recorder |
reference : staff-1112 |
display : Dr Maikeu Well |
dosageInstruction |
sequence : 1 |
timing |
repeat |
bounds |
value : 3 |
unit : day |
system : http://unitsofmeasure.org |
code : d |
frequency : 2 |
period : 1 |
periodUnit : d |
route |
coding |
system : http://snomed.info/sct |
code : 26643006 |
display : oral |
doseAndRate |
dose |
value : 75 |
unit : milligram |
system : http://unitsofmeasure.org |
code : mg |
dosageInstruction |
sequence : 2 |
timing |
repeat |
frequency : 3 |
period : 1 |
periodUnit : d |
route |
coding |
system : http://snomed.info/sct |
code : 26643006 |
display : oral |
doseAndRate |
dose |
value : 75 |
unit : milligram |
system : http://unitsofmeasure.org |
code : mg |
substitution |
allowed : False |
Example 3: Inpatient MedicationDispense
The dispensing of Pregabalin.
Actors
Provider System = Hospital pharamcy system
Consumer System = Ward EMPA system
Example
Example will be re-published soon...
Example 4: Discharge MedicationRequest
Discharge TTO medication requests for Paracetamol , Ibuprofen and Pregabalin.
Actors
Provider System = Ward EMPA system
Consumer System = Hospital pharamcy system
Example
Bundle.id[0] | acd1d58c-4abd-415b-a5a3-88f5dac71ec0 |
Bundle.type[0] | message |
Bundle.timestamp[0] | 2021-05-07T16:15:32+00:00 |
Bundle.entry[0].fullUrl[0] | urn:message-header-9920192 |
Bundle.entry[0].resource[0].id[0] | urn:message-header-9920192 |
Bundle.entry[0].resource[0].event[0].system[0] | https://fhir.nhs.uk/STU3/CodeSystem/EventType-1 |
Bundle.entry[0].resource[0].event[0].code[0] | prescription-order |
Bundle.entry[0].resource[0].event[0].display[0] | Prescription Order |
Bundle.entry[0].resource[0].source[0].name[0] | ACME Clinical Systems |
Bundle.entry[0].resource[0].source[0].software[0] | ACME ePMA |
Bundle.entry[0].resource[0].source[0].version[0] | 3.5.68 |
Bundle.entry[0].resource[0].source[0].endpoint[0] | urn:nhs-uk:addressing:ods:T48NT |
Bundle.entry[0].resource[0].focus[0].reference[0] | urn:med-req-76462 |
Bundle.entry[0].resource[0].focus[1].reference[0] | urn:med-req-987765745 |
Bundle.entry[0].resource[0].focus[2].reference[0] | urn:med-req-11adfw53446 |
Bundle.entry[1].fullUrl[0] | urn:patient-01912 |
Bundle.entry[1].resource[0].id[0] | urn:patient-01912 |
Bundle.entry[1].resource[0].identifier[0].system[0] | https://fhir.nhs.uk/Id/nhs-number |
Bundle.entry[1].resource[0].identifier[0].value[0] | 4857773456 |
Bundle.entry[1].resource[0].name[0].use[0] | official |
Bundle.entry[1].resource[0].name[0].text[0] | Mr Chris Packet |
Bundle.entry[1].resource[0].name[0].family[0] | Packet |
Bundle.entry[1].resource[0].name[0].given[0] | Chris |
Bundle.entry[1].resource[0].name[0].prefix[0] | Mr |
Bundle.entry[1].resource[0].gender[0] | male |
Bundle.entry[1].resource[0].birthDate[0] | 1995-11-12 |
Bundle.entry[2].fullUrl[0] | urn:staff-1112 |
Bundle.entry[2].resource[0].id[0] | urn:staff-1112 |
Bundle.entry[2].resource[0].name[0].text[0] | Dr Maikeu Well |
Bundle.entry[2].resource[0].name[0].family[0] | Well |
Bundle.entry[2].resource[0].name[0].given[0] | Maikeu |
Bundle.entry[2].resource[0].name[0].prefix[0] | Dr |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].system[0] | https://fhir.hl7.org.uk/Id/gmc-number |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].code[0] | 2145879 |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].display[0] | General Medical Council |
Bundle.entry[3].fullUrl[0] | urn:medication-90332006 |
Bundle.entry[3].resource[0].id[0] | urn:medication-90332006 |
Bundle.entry[3].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[3].resource[0].code[0].coding[0].code[0] | 90332006 |
Bundle.entry[3].resource[0].code[0].coding[0].display[0] | Paracetamol |
Bundle.entry[4].fullUrl[0] | urn:med-req-76462 |
Bundle.entry[4].resource[0].id[0] | urn:med-req-76462 |
Bundle.entry[4].resource[0].identifier[0].value[0] | 35873655-0d53-469a-9428-04df65f5cbb4 |
Bundle.entry[4].resource[0].status[0] | active |
Bundle.entry[4].resource[0].intent[0] | order |
Bundle.entry[4].resource[0].category[0].coding[0].system[0] | http://hl7.org/fhir/medication-request-category |
Bundle.entry[4].resource[0].category[0].coding[0].code[0] | inpatient |
Bundle.entry[4].resource[0].category[0].coding[0].display[0] | inpatient |
Bundle.entry[4].resource[0].priority[0] | routine |
Bundle.entry[4].resource[0].medication[0].reference[0] | urn:medication-90332006 |
Bundle.entry[4].resource[0].medication[0].display[0] | Paracetamol |
Bundle.entry[4].resource[0].subject[0].reference[0] | urn:patient-01912 |
Bundle.entry[4].resource[0].subject[0].display[0] | Mr Chris Packet |
Bundle.entry[4].resource[0].authoredOn[0] | 2021-05-14T11:34:12+01:00 |
Bundle.entry[4].resource[0].requester[0].reference[0] | urn:staff-1112 |
Bundle.entry[4].resource[0].requester[0].display[0] | Dr Maikeu Well |
Bundle.entry[4].resource[0].recorder[0].reference[0] | urn:staff-1112 |
Bundle.entry[4].resource[0].recorder[0].display[0] | Dr Maikeu Well |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0] | 4 |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0] | 1 |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0] | d |
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].code[0] | 26643006 |
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].display[0] | oral |
Bundle.entry[4].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].value[0] | 1 |
Bundle.entry[4].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].unit[0] | gram |
Bundle.entry[4].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].system[0] | http://unitsofmeasure.org |
Bundle.entry[4].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].code[0] | g |
Bundle.entry[4].resource[0].substitution[0].allowed[0] | False |
Bundle.entry[5].fullUrl[0] | urn:medication-39110311000001101 |
Bundle.entry[5].resource[0].id[0] | urn:medication-39110311000001101 |
Bundle.entry[5].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[5].resource[0].code[0].coding[0].code[0] | 39110311000001101 |
Bundle.entry[5].resource[0].code[0].coding[0].display[0] | Ibuprofen 800mg modified-release tablets |
Bundle.entry[6].fullUrl[0] | urn:med-req-987765745 |
Bundle.entry[6].resource[0].id[0] | urn:med-req-987765745 |
Bundle.entry[6].resource[0].identifier[0].value[0] | 63a40946-c387-4810-9458-c573f873d7b4 |
Bundle.entry[6].resource[0].status[0] | active |
Bundle.entry[6].resource[0].intent[0] | order |
Bundle.entry[6].resource[0].category[0].coding[0].system[0] | http://hl7.org/fhir/medication-request-category |
Bundle.entry[6].resource[0].category[0].coding[0].code[0] | inpatient |
Bundle.entry[6].resource[0].category[0].coding[0].display[0] | inpatient |
Bundle.entry[6].resource[0].priority[0] | routine |
Bundle.entry[6].resource[0].medication[0].reference[0] | urn:medication-39110311000001101 |
Bundle.entry[6].resource[0].medication[0].display[0] | Ibuprofen 800mg modified-release tablets |
Bundle.entry[6].resource[0].subject[0].reference[0] | urn:patient-01912 |
Bundle.entry[6].resource[0].subject[0].display[0] | Mr Chris Packet |
Bundle.entry[6].resource[0].authoredOn[0] | 2021-05-14T11:34:12Z |
Bundle.entry[6].resource[0].requester[0].reference[0] | urn:staff-1112 |
Bundle.entry[6].resource[0].requester[0].display[0] | Dr Maikeu Well |
Bundle.entry[6].resource[0].recorder[0].reference[0] | urn:staff-1112 |
Bundle.entry[6].resource[0].recorder[0].display[0] | Dr Maikeu Well |
Bundle.entry[6].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0] | 2 |
Bundle.entry[6].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0] | 1 |
Bundle.entry[6].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0] | d |
Bundle.entry[6].resource[0].dosageInstruction[0].route[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[6].resource[0].dosageInstruction[0].route[0].coding[0].code[0] | 26643006 |
Bundle.entry[6].resource[0].dosageInstruction[0].route[0].coding[0].display[0] | oral |
Bundle.entry[6].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].value[0] | 800 |
Bundle.entry[6].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].unit[0] | milligram |
Bundle.entry[6].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].system[0] | http://unitsofmeasure.org |
Bundle.entry[6].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].code[0] | mg |
Bundle.entry[6].resource[0].substitution[0].allowed[0] | False |
Bundle.entry[7].fullUrl[0] | urn:medication-234567321 |
Bundle.entry[7].resource[0].id[0] | urn:medication-234567321 |
Bundle.entry[7].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[7].resource[0].code[0].coding[0].code[0] | 415160008 |
Bundle.entry[7].resource[0].code[0].coding[0].display[0] | Pregabalin |
Bundle.entry[8].fullUrl[0] | urn:med-req-11adfw53446 |
Bundle.entry[8].resource[0].id[0] | urn:med-req-11adfw53446 |
Bundle.entry[8].resource[0].identifier[0].value[0] | 63a40946-c387-4810-9458-c573f873d7b4 |
Bundle.entry[8].resource[0].status[0] | active |
Bundle.entry[8].resource[0].intent[0] | order |
Bundle.entry[8].resource[0].category[0].coding[0].system[0] | http://hl7.org/fhir/medication-request-category |
Bundle.entry[8].resource[0].category[0].coding[0].code[0] | inpatient |
Bundle.entry[8].resource[0].category[0].coding[0].display[0] | inpatient |
Bundle.entry[8].resource[0].priority[0] | routine |
Bundle.entry[8].resource[0].medication[0].reference[0] | urn:medication-234567321 |
Bundle.entry[8].resource[0].medication[0].display[0] | Pregabalin |
Bundle.entry[8].resource[0].subject[0].reference[0] | urn:patient-01912 |
Bundle.entry[8].resource[0].subject[0].display[0] | Mr Chris Packet |
Bundle.entry[8].resource[0].authoredOn[0] | 2021-05-14T11:34:12Z |
Bundle.entry[8].resource[0].requester[0].reference[0] | urn:staff-1112 |
Bundle.entry[8].resource[0].requester[0].display[0] | Dr Maikeu Well |
Bundle.entry[8].resource[0].recorder[0].reference[0] | urn:staff-1112 |
Bundle.entry[8].resource[0].recorder[0].display[0] | Dr Maikeu Well |
Bundle.entry[8].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0] | 3 |
Bundle.entry[8].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0] | 1 |
Bundle.entry[8].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0] | d |
Bundle.entry[8].resource[0].dosageInstruction[0].route[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[8].resource[0].dosageInstruction[0].route[0].coding[0].code[0] | 26643006 |
Bundle.entry[8].resource[0].dosageInstruction[0].route[0].coding[0].display[0] | oral |
Bundle.entry[8].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].value[0] | 75 |
Bundle.entry[8].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].unit[0] | milligram |
Bundle.entry[8].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].system[0] | http://unitsofmeasure.org |
Bundle.entry[8].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].code[0] | mg |
Bundle.entry[8].resource[0].substitution[0].allowed[0] | False |
Bundle |
id : acd1d58c-4abd-415b-a5a3-88f5dac71ec0 |
type : message |
timestamp : 2021-05-07T16:15:32Z |
entry |
fullUrl : urn:message-header-9920192 |
resource |
id : urn:message-header-9920192 |
event |
system : https://fhir.nhs.uk/STU3/CodeSystem/EventType-1 |
code : prescription-order |
display : Prescription Order |
source |
name : ACME Clinical Systems |
software : ACME ePMA |
version : 3.5.68 |
endpoint : urn:nhs-uk:addressing:ods:T48NT |
focus |
reference : urn:med-req-76462 |
focus |
reference : urn:med-req-987765745 |
focus |
reference : urn:med-req-11adfw53446 |
entry |
fullUrl : urn:patient-01912 |
resource |
id : urn:patient-01912 |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 4857773456 |
name |
use : official |
text : Mr Chris Packet |
family : Packet |
given : Chris |
prefix : Mr |
gender : male |
birthDate : 1995-11-12 |
entry |
fullUrl : urn:staff-1112 |
resource |
id : urn:staff-1112 |
name |
text : Dr Maikeu Well |
family : Well |
given : Maikeu |
prefix : Dr |
qualification |
code |
coding |
system : https://fhir.hl7.org.uk/Id/gmc-number |
code : 2145879 |
display : General Medical Council |
entry |
fullUrl : urn:medication-90332006 |
resource |
id : urn:medication-90332006 |
code |
coding |
system : http://snomed.info/sct |
code : 90332006 |
display : Paracetamol |
entry |
fullUrl : urn:med-req-76462 |
resource |
id : urn:med-req-76462 |
identifier |
value : 35873655-0d53-469a-9428-04df65f5cbb4 |
status : active |
intent : order |
category |
coding |
system : http://hl7.org/fhir/medication-request-category |
code : inpatient |
display : inpatient |
priority : routine |
medication |
reference : urn:medication-90332006 |
display : Paracetamol |
subject |
reference : urn:patient-01912 |
display : Mr Chris Packet |
authoredOn : 2021-05-14T11:34:12+01:00 |
requester |
reference : urn:staff-1112 |
display : Dr Maikeu Well |
recorder |
reference : urn:staff-1112 |
display : Dr Maikeu Well |
dosageInstruction |
timing |
repeat |
frequency : 4 |
period : 1 |
periodUnit : d |
route |
coding |
system : http://snomed.info/sct |
code : 26643006 |
display : oral |
doseAndRate |
dose |
value : 1 |
unit : gram |
system : http://unitsofmeasure.org |
code : g |
substitution |
allowed : False |
entry |
fullUrl : urn:medication-39110311000001101 |
resource |
id : urn:medication-39110311000001101 |
code |
coding |
system : http://snomed.info/sct |
code : 39110311000001101 |
display : Ibuprofen 800mg modified-release tablets |
entry |
fullUrl : urn:med-req-987765745 |
resource |
id : urn:med-req-987765745 |
identifier |
value : 63a40946-c387-4810-9458-c573f873d7b4 |
status : active |
intent : order |
category |
coding |
system : http://hl7.org/fhir/medication-request-category |
code : inpatient |
display : inpatient |
priority : routine |
medication |
reference : urn:medication-39110311000001101 |
display : Ibuprofen 800mg modified-release tablets |
subject |
reference : urn:patient-01912 |
display : Mr Chris Packet |
authoredOn : 2021-05-14T11:34:12Z |
requester |
reference : urn:staff-1112 |
display : Dr Maikeu Well |
recorder |
reference : urn:staff-1112 |
display : Dr Maikeu Well |
dosageInstruction |
timing |
repeat |
frequency : 2 |
period : 1 |
periodUnit : d |
route |
coding |
system : http://snomed.info/sct |
code : 26643006 |
display : oral |
doseAndRate |
dose |
value : 800 |
unit : milligram |
system : http://unitsofmeasure.org |
code : mg |
substitution |
allowed : False |
entry |
fullUrl : urn:medication-234567321 |
resource |
id : urn:medication-234567321 |
code |
coding |
system : http://snomed.info/sct |
code : 415160008 |
display : Pregabalin |
entry |
fullUrl : urn:med-req-11adfw53446 |
resource |
id : urn:med-req-11adfw53446 |
identifier |
value : 63a40946-c387-4810-9458-c573f873d7b4 |
status : active |
intent : order |
category |
coding |
system : http://hl7.org/fhir/medication-request-category |
code : inpatient |
display : inpatient |
priority : routine |
medication |
reference : urn:medication-234567321 |
display : Pregabalin |
subject |
reference : urn:patient-01912 |
display : Mr Chris Packet |
authoredOn : 2021-05-14T11:34:12Z |
requester |
reference : urn:staff-1112 |
display : Dr Maikeu Well |
recorder |
reference : urn:staff-1112 |
display : Dr Maikeu Well |
dosageInstruction |
timing |
repeat |
frequency : 3 |
period : 1 |
periodUnit : d |
route |
coding |
system : http://snomed.info/sct |
code : 26643006 |
display : oral |
doseAndRate |
dose |
value : 75 |
unit : milligram |
system : http://unitsofmeasure.org |
code : mg |
substitution |
allowed : False |
Example 5: Discharge MedicationDispense
The pharmacy dispenseses the following for the Discharge Medication (TTO) request
- Paracetamol 500mg tablets, 112 tablets
- Ibuprofen 800mg modified-release tablets, 56 tablets
- Pregabalin 75mg tablets, 56 tablets
Actors
Provider System = Hospital pharamcy system
Consumer System = Ward EMPA system
Example
Example will be re-published soon...
Example 6: Discharge MedicationStatement
Codeine has been stopped. Pregabalin has been started. The MedicationStatement
resources here would be included within any Discharge Summary sent to the patient's registered GP practice.
Actors
Provider System = Ward EMPA system
Consumer System = Any system requiring a view of current medication, including a shared patient record
Example
Bundle.id[0] | 24e34f04-270d-446a-a8c2-0991c93e9b46 |
Bundle.identifier[0].system[0] | urn:[organisation_name]:[system_name] |
Bundle.identifier[0].value[0] | urn:8cd8108d-8c72-4fe9-a284-cd28b127fcfa |
Bundle.type[0] | message |
Bundle.timestamp[0] | 2021-05-07T16:15:32+00:00 |
Bundle.entry[0].fullUrl[0] | urn:message-header-167434 |
Bundle.entry[0].resource[0].id[0] | urn:message-header-167434 |
Bundle.entry[0].resource[0].event[0].system[0] | https://fhir.hl7.org.uk//CodeSystem/message-event |
Bundle.entry[0].resource[0].event[0].code[0] | medication-statement |
Bundle.entry[0].resource[0].event[0].display[0] | Medication Statement |
Bundle.entry[0].resource[0].source[0].name[0] | ACME Clinical Systems |
Bundle.entry[0].resource[0].source[0].software[0] | ACME ePMA |
Bundle.entry[0].resource[0].source[0].version[0] | 3.5.68 |
Bundle.entry[0].resource[0].source[0].endpoint[0] | urn:nhs-uk:addressing:ods:T48NT |
Bundle.entry[0].resource[0].focus[0].reference[0] | urn:medication-statement-123456 |
Bundle.entry[1].fullUrl[0] | urn:patient-01912 |
Bundle.entry[1].resource[0].id[0] | urn:patient-01912 |
Bundle.entry[1].resource[0].identifier[0].system[0] | https://fhir.nhs.uk/Id/nhs-number |
Bundle.entry[1].resource[0].identifier[0].value[0] | 4857773456 |
Bundle.entry[1].resource[0].name[0].use[0] | official |
Bundle.entry[1].resource[0].name[0].text[0] | Mr Chris Packet |
Bundle.entry[1].resource[0].name[0].family[0] | Packet |
Bundle.entry[1].resource[0].name[0].given[0] | Chris |
Bundle.entry[1].resource[0].name[0].prefix[0] | Mr |
Bundle.entry[1].resource[0].gender[0] | male |
Bundle.entry[1].resource[0].birthDate[0] | 1995-11-12 |
Bundle.entry[2].fullUrl[0] | urn:staff-1112 |
Bundle.entry[2].resource[0].id[0] | urn:staff-1112 |
Bundle.entry[2].resource[0].name[0].text[0] | Dr Maikeu Well |
Bundle.entry[2].resource[0].name[0].family[0] | Well |
Bundle.entry[2].resource[0].name[0].given[0] | Maikeu |
Bundle.entry[2].resource[0].name[0].prefix[0] | Dr |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].system[0] | https://fhir.hl7.org.uk/Id/gmc-number |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].code[0] | 2145879 |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].display[0] | General Medical Council |
Bundle.entry[3].fullUrl[0] | urn:staff-0009 |
Bundle.entry[3].resource[0].id[0] | urn:staff-0009 |
Bundle.entry[3].resource[0].name[0].text[0] | Mrs Janet Wilson |
Bundle.entry[3].resource[0].name[0].family[0] | Wilson |
Bundle.entry[3].resource[0].name[0].given[0] | Janet |
Bundle.entry[3].resource[0].name[0].prefix[0] | Mrs |
Bundle.entry[3].resource[0].qualification[0].code[0].coding[0].system[0] | https://fhir.hl7.org.uk/Id/gphc-number |
Bundle.entry[3].resource[0].qualification[0].code[0].coding[0].code[0] | 4563190 |
Bundle.entry[3].resource[0].qualification[0].code[0].coding[0].display[0] | General Pharmaceutical Council |
Bundle.entry[4].fullUrl[0] | urn:medication-634523423 |
Bundle.entry[4].resource[0].id[0] | urn:medication-634523423 |
Bundle.entry[4].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[4].resource[0].code[0].coding[0].code[0] | 322503009 |
Bundle.entry[4].resource[0].code[0].coding[0].display[0] | Codeine 30mg tablets |
Bundle.entry[5].fullUrl[0] | urn:medication-statement-1234 |
Bundle.entry[5].resource[0].id[0] | urn:medication-statement-1234 |
Bundle.entry[5].resource[0].status[0] | stopped |
Bundle.entry[5].resource[0].category[0].coding[0].system[0] | http://hl7.org/fhir/medication-request-category |
Bundle.entry[5].resource[0].category[0].coding[0].code[0] | discharge |
Bundle.entry[5].resource[0].category[0].coding[0].display[0] | Discharge |
Bundle.entry[5].resource[0].medication[0].reference[0] | urn:medication-634523423 |
Bundle.entry[5].resource[0].medication[0].display[0] | Codeine 30mg tablets |
Bundle.entry[5].resource[0].subject[0].reference[0] | urn:patient-01912 |
Bundle.entry[5].resource[0].subject[0].display[0] | Mr Chris PACKET |
Bundle.entry[5].resource[0].dateAsserted[0] | 2021-05-07T16:15:32Z |
Bundle.entry[5].resource[0].informationSource[0].reference[0] | urn:staff-1112 |
Bundle.entry[5].resource[0].informationSource[0].display[0] | Dr Maikeu Better |
Bundle.entry[5].resource[0].dosage[0].timing[0].repeat[0].frequency[0] | 4 |
Bundle.entry[5].resource[0].dosage[0].timing[0].repeat[0].period[0] | 1 |
Bundle.entry[5].resource[0].dosage[0].timing[0].repeat[0].periodUnit[0] | d |
Bundle.entry[5].resource[0].dosage[0].route[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[5].resource[0].dosage[0].route[0].coding[0].code[0] | 26643006 |
Bundle.entry[5].resource[0].dosage[0].route[0].coding[0].display[0] | oral |
Bundle.entry[5].resource[0].dosage[0].doseAndRate[0].dose[0].value[0] | 2 |
Bundle.entry[5].resource[0].dosage[0].doseAndRate[0].dose[0].unit[0] | tablet |
Bundle.entry[5].resource[0].dosage[0].doseAndRate[0].dose[0].system[0] | http://snomed.info/sct |
Bundle.entry[5].resource[0].dosage[0].doseAndRate[0].dose[0].code[0] | 428673006 |
Bundle.entry[6].fullUrl[0] | urn:medication-415159003 |
Bundle.entry[6].resource[0].id[0] | urn:medication-415159003 |
Bundle.entry[6].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[6].resource[0].code[0].coding[0].code[0] | 415159003 |
Bundle.entry[6].resource[0].code[0].coding[0].display[0] | Pregabalin |
Bundle.entry[7].fullUrl[0] | urn:medication-statement-123456 |
Bundle.entry[7].resource[0].id[0] | urn:medication-statement-123456 |
Bundle.entry[7].resource[0].status[0] | active |
Bundle.entry[7].resource[0].category[0].coding[0].system[0] | http://hl7.org/fhir/medication-request-category |
Bundle.entry[7].resource[0].category[0].coding[0].code[0] | discharge |
Bundle.entry[7].resource[0].category[0].coding[0].display[0] | Discharge |
Bundle.entry[7].resource[0].medication[0].reference[0] | urn:medication-415159003 |
Bundle.entry[7].resource[0].medication[0].display[0] | Pregabalin |
Bundle.entry[7].resource[0].subject[0].reference[0] | urn:patient-01912 |
Bundle.entry[7].resource[0].subject[0].display[0] | Mr Chris PACKET |
Bundle.entry[7].resource[0].dateAsserted[0] | 2021-05-09T10:12:42Z |
Bundle.entry[7].resource[0].informationSource[0].reference[0] | urn:staff-0009 |
Bundle.entry[7].resource[0].informationSource[0].display[0] | Mrs Janet Wilson |
Bundle.entry[7].resource[0].dosage[0].timing[0].repeat[0].frequency[0] | 2 |
Bundle.entry[7].resource[0].dosage[0].timing[0].repeat[0].period[0] | 1 |
Bundle.entry[7].resource[0].dosage[0].timing[0].repeat[0].periodUnit[0] | d |
Bundle.entry[7].resource[0].dosage[0].route[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[7].resource[0].dosage[0].route[0].coding[0].code[0] | 26643006 |
Bundle.entry[7].resource[0].dosage[0].route[0].coding[0].display[0] | oral |
Bundle.entry[7].resource[0].dosage[0].doseAndRate[0].dose[0].value[0] | 100 |
Bundle.entry[7].resource[0].dosage[0].doseAndRate[0].dose[0].unit[0] | milligram |
Bundle.entry[7].resource[0].dosage[0].doseAndRate[0].dose[0].system[0] | http://unitsofmeasure.org |
Bundle.entry[7].resource[0].dosage[0].doseAndRate[0].dose[0].code[0] | mg |
Bundle |
id : 24e34f04-270d-446a-a8c2-0991c93e9b46 |
identifier |
system : urn:[organisation_name]:[system_name] |
value : urn:8cd8108d-8c72-4fe9-a284-cd28b127fcfa |
type : message |
timestamp : 2021-05-07T16:15:32Z |
entry |
fullUrl : urn:message-header-167434 |
resource |
id : urn:message-header-167434 |
event |
system : https://fhir.hl7.org.uk//CodeSystem/message-event |
code : medication-statement |
display : Medication Statement |
source |
name : ACME Clinical Systems |
software : ACME ePMA |
version : 3.5.68 |
endpoint : urn:nhs-uk:addressing:ods:T48NT |
focus |
reference : urn:medication-statement-1234 |
reference : urn:medication-statement-123456 |
entry |
fullUrl : urn:patient-01912 |
resource |
id : urn:patient-01912 |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 4857773456 |
name |
use : official |
text : Mr Chris Packet |
family : Packet |
given : Chris |
prefix : Mr |
gender : male |
birthDate : 1995-11-12 |
entry |
fullUrl : urn:staff-1112 |
resource |
id : urn:staff-1112 |
name |
text : Dr Maikeu Well |
family : Well |
given : Maikeu |
prefix : Dr |
qualification |
code |
coding |
system : https://fhir.hl7.org.uk/Id/gmc-number |
code : 2145879 |
display : General Medical Council |
entry |
fullUrl : urn:staff-0009 |
resource |
id : urn:staff-0009 |
name |
text : Mrs Janet Wilson |
family : Wilson |
given : Janet |
prefix : Mrs |
qualification |
code |
coding |
system : https://fhir.hl7.org.uk/Id/gphc-number |
code : 4563190 |
display : General Pharmaceutical Council |
entry |
fullUrl : urn:medication-634523423 |
resource |
id : urn:medication-634523423 |
code |
coding |
system : http://snomed.info/sct |
code : 322503009 |
display : Codeine 30mg tablets |
entry |
fullUrl : urn:medication-statement-1234 |
resource |
id : urn:medication-statement-1234 |
status : stopped |
category |
coding |
system : http://hl7.org/fhir/medication-request-category |
code : discharge |
display : Discharge |
medication |
reference : urn:medication-634523423 |
display : Codeine 30mg tablets |
subject |
reference : urn:patient-01912 |
display : Mr Chris PACKET |
dateAsserted : 2021-05-07T16:15:32Z |
informationSource |
reference : urn:staff-1112 |
display : Dr Maikeu Better |
dosage |
timing |
repeat |
frequency : 4 |
period : 1 |
periodUnit : d |
route |
coding |
system : http://snomed.info/sct |
code : 26643006 |
display : oral |
doseAndRate |
dose |
value : 2 |
unit : tablet |
system : http://snomed.info/sct |
code : 428673006 |
entry |
fullUrl : urn:medication-415159003 |
resource |
id : urn:medication-415159003 |
code |
coding |
system : http://snomed.info/sct |
code : 415159003 |
display : Pregabalin |
entry |
fullUrl : urn:medication-statement-123456 |
resource |
id : urn:medication-statement-123456 |
status : active |
category |
coding |
system : http://hl7.org/fhir/medication-request-category |
code : discharge |
display : Discharge |
medication |
reference : urn:medication-415159003 |
display : Pregabalin |
subject |
reference : urn:patient-01912 |
display : Mr Chris PACKET |
dateAsserted : 2021-05-09T10:12:42Z |
informationSource |
reference : urn:staff-0009 |
display : Mrs Janet Wilson |
dosage |
timing |
repeat |
frequency : 2 |
period : 1 |
periodUnit : d |
route |
coding |
system : http://snomed.info/sct |
code : 26643006 |
display : oral |
doseAndRate |
dose |
value : 100 |
unit : milligram |
system : http://unitsofmeasure.org |
code : mg |
Example 7: GP MedicationStatement
The GP record sharing the Codine medication has been stopped and the Pregabalin medication has been started.
Actors
Provider System = GP System
Consumer System = Any system requiring a view of current medication, including a shared patient record
Example
Bundle.id[0] | 5e6906dc-e333-4e1a-a638-13ac163ec63d |
Bundle.identifier[0].system[0] | urn:[organisation_name]:[system_name] |
Bundle.identifier[0].value[0] | urn:457759fb-ea9e-4f23-9d2e-5387eb4bf23e |
Bundle.type[0] | message |
Bundle.timestamp[0] | 2021-05-07T16:15:32+00:00 |
Bundle.entry[0].fullUrl[0] | urn:message-header-167434 |
Bundle.entry[0].resource[0].id[0] | urn:message-header-167434 |
Bundle.entry[0].resource[0].event[0].system[0] | http://hl7.org/fhir/message-events |
Bundle.entry[0].resource[0].event[0].code[0] | medication-statement |
Bundle.entry[0].resource[0].event[0].display[0] | Medication Statement |
Bundle.entry[0].resource[0].source[0].name[0] | ACME GP Systems |
Bundle.entry[0].resource[0].source[0].software[0] | ACME GP |
Bundle.entry[0].resource[0].source[0].version[0] | 5.5.00 |
Bundle.entry[0].resource[0].source[0].endpoint[0] | urn:nhs-uk:addressing:ods:M12345 |
Bundle.entry[0].resource[0].focus[0].reference[0] | urn:medication-statement-1234 |
Bundle.entry[0].resource[0].focus[1].reference[0] | urn:medication-statement-5678 |
Bundle.entry[1].fullUrl[0] | urn:patient-01912 |
Bundle.entry[1].resource[0].id[0] | urn:patient-01912 |
Bundle.entry[1].resource[0].identifier[0].system[0] | https://fhir.nhs.uk/Id/nhs-number |
Bundle.entry[1].resource[0].identifier[0].value[0] | 4857773456 |
Bundle.entry[1].resource[0].name[0].use[0] | official |
Bundle.entry[1].resource[0].name[0].text[0] | Mr Chris Packet |
Bundle.entry[1].resource[0].name[0].family[0] | Packet |
Bundle.entry[1].resource[0].name[0].given[0] | Chris |
Bundle.entry[1].resource[0].name[0].prefix[0] | Mr |
Bundle.entry[1].resource[0].gender[0] | male |
Bundle.entry[1].resource[0].birthDate[0] | 1995-11-12 |
Bundle.entry[2].fullUrl[0] | urn:gp-1234 |
Bundle.entry[2].resource[0].id[0] | urn:gp-1234 |
Bundle.entry[2].resource[0].name[0].text[0] | Dr Levy Tate |
Bundle.entry[2].resource[0].name[0].family[0] | Tate |
Bundle.entry[2].resource[0].name[0].given[0] | Levy |
Bundle.entry[2].resource[0].name[0].prefix[0] | Dr |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].system[0] | https://fhir.hl7.org.uk/Id/gmc-number |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].code[0] | 125654 |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].display[0] | General Medical Council |
Bundle.entry[3].fullUrl[0] | urn:medication-634523423 |
Bundle.entry[3].resource[0].id[0] | urn:medication-634523423 |
Bundle.entry[3].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[3].resource[0].code[0].coding[0].code[0] | 322503009 |
Bundle.entry[3].resource[0].code[0].coding[0].display[0] | Codeine 30mg tablets |
Bundle.entry[4].fullUrl[0] | urn:medication-statement-1234 |
Bundle.entry[4].resource[0].id[0] | urn:medication-statement-1234 |
Bundle.entry[4].resource[0].status[0] | stopped |
Bundle.entry[4].resource[0].category[0].coding[0].system[0] | http://hl7.org/fhir/medication-request-category |
Bundle.entry[4].resource[0].category[0].coding[0].code[0] | community |
Bundle.entry[4].resource[0].category[0].coding[0].display[0] | Community |
Bundle.entry[4].resource[0].medication[0].reference[0] | urn:medication-634523423 |
Bundle.entry[4].resource[0].medication[0].display[0] | Codeine 30mg tablets |
Bundle.entry[4].resource[0].subject[0].reference[0] | urn:patient-01912 |
Bundle.entry[4].resource[0].subject[0].display[0] | Mr Chris PACKET |
Bundle.entry[4].resource[0].dateAsserted[0] | 2021-05-09T10:12:42Z |
Bundle.entry[4].resource[0].informationSource[0].reference[0] | urn:gp-1234 |
Bundle.entry[4].resource[0].informationSource[0].display[0] | Dr Levy Tate |
Bundle.entry[4].resource[0].dosage[0].timing[0].repeat[0].frequency[0] | 4 |
Bundle.entry[4].resource[0].dosage[0].timing[0].repeat[0].period[0] | 1 |
Bundle.entry[4].resource[0].dosage[0].timing[0].repeat[0].periodUnit[0] | d |
Bundle.entry[4].resource[0].dosage[0].route[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[4].resource[0].dosage[0].route[0].coding[0].code[0] | 26643006 |
Bundle.entry[4].resource[0].dosage[0].route[0].coding[0].display[0] | oral |
Bundle.entry[4].resource[0].dosage[0].doseAndRate[0].dose[0].value[0] | 2 |
Bundle.entry[4].resource[0].dosage[0].doseAndRate[0].dose[0].unit[0] | tablet |
Bundle.entry[4].resource[0].dosage[0].doseAndRate[0].dose[0].system[0] | http://snomed.info/sct |
Bundle.entry[4].resource[0].dosage[0].doseAndRate[0].dose[0].code[0] | 428673006 |
Bundle.entry[5].fullUrl[0] | urn:medication-2378976 |
Bundle.entry[5].resource[0].id[0] | urn:medication-2378976 |
Bundle.entry[5].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[5].resource[0].code[0].coding[0].code[0] | 38019511000001108 |
Bundle.entry[5].resource[0].code[0].coding[0].display[0] | Pregabalin 100mg tablets |
Bundle.entry[6].fullUrl[0] | urn:medication-statement-5678 |
Bundle.entry[6].resource[0].id[0] | urn:medication-statement-5678 |
Bundle.entry[6].resource[0].status[0] | active |
Bundle.entry[6].resource[0].category[0].coding[0].system[0] | http://hl7.org/fhir/medication-request-category |
Bundle.entry[6].resource[0].category[0].coding[0].code[0] | community |
Bundle.entry[6].resource[0].category[0].coding[0].display[0] | Community |
Bundle.entry[6].resource[0].medication[0].reference[0] | urn:medication-2378976 |
Bundle.entry[6].resource[0].medication[0].display[0] | Pregabalin 100mg tablets |
Bundle.entry[6].resource[0].subject[0].reference[0] | urn:patient-01912 |
Bundle.entry[6].resource[0].subject[0].display[0] | Mr Chris PACKET |
Bundle.entry[6].resource[0].dateAsserted[0] | 2021-05-09T10:12:42Z |
Bundle.entry[6].resource[0].informationSource[0].reference[0] | urn:gp-1234 |
Bundle.entry[6].resource[0].informationSource[0].display[0] | Dr Levy Tate |
Bundle.entry[6].resource[0].dosage[0].timing[0].repeat[0].frequency[0] | 2 |
Bundle.entry[6].resource[0].dosage[0].timing[0].repeat[0].period[0] | 1 |
Bundle.entry[6].resource[0].dosage[0].timing[0].repeat[0].periodUnit[0] | d |
Bundle.entry[6].resource[0].dosage[0].route[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[6].resource[0].dosage[0].route[0].coding[0].code[0] | 26643006 |
Bundle.entry[6].resource[0].dosage[0].route[0].coding[0].display[0] | oral |
Bundle.entry[6].resource[0].dosage[0].doseAndRate[0].dose[0].value[0] | 1 |
Bundle.entry[6].resource[0].dosage[0].doseAndRate[0].dose[0].unit[0] | tablet |
Bundle.entry[6].resource[0].dosage[0].doseAndRate[0].dose[0].system[0] | http://snomed.info/sct |
Bundle.entry[6].resource[0].dosage[0].doseAndRate[0].dose[0].code[0] | 428673006 |
Bundle |
id : 5e6906dc-e333-4e1a-a638-13ac163ec63d |
identifier |
system : urn:[organisation_name]:[system_name] |
value : urn:457759fb-ea9e-4f23-9d2e-5387eb4bf23e |
type : message |
timestamp : 2021-05-07T16:15:32Z |
entry |
fullUrl : urn:message-header-167434 |
resource |
id : urn:message-header-167434 |
event |
system : http://hl7.org/fhir/message-events |
code : medication-statement |
display : Medication Statement |
source |
name : ACME GP Systems |
software : ACME GP |
version : 5.5.00 |
endpoint : urn:nhs-uk:addressing:ods:M12345 |
focus |
reference : urn:medication-statement-1234 |
focus |
reference : urn:medication-statement-5678 |
entry |
fullUrl : urn:patient-01912 |
resource |
id : urn:patient-01912 |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 4857773456 |
name |
use : official |
text : Mr Chris Packet |
family : Packet |
given : Chris |
prefix : Mr |
gender : male |
birthDate : 1995-11-12 |
entry |
fullUrl : urn:gp-1234 |
resource |
id : urn:gp-1234 |
name |
text : Dr Levy Tate |
family : Tate |
given : Levy |
prefix : Dr |
qualification |
code |
coding |
system : https://fhir.hl7.org.uk/Id/gmc-number |
code : 125654 |
display : General Medical Council |
entry |
fullUrl : urn:medication-634523423 |
resource |
id : urn:medication-634523423 |
code |
coding |
system : http://snomed.info/sct |
code : 322503009 |
display : Codeine 30mg tablets |
entry |
fullUrl : urn:medication-statement-1234 |
resource |
id : urn:medication-statement-1234 |
status : stopped |
category |
coding |
system : http://hl7.org/fhir/medication-request-category |
code : community |
display : Community |
medication |
reference : urn:medication-634523423 |
display : Codeine 30mg tablets |
subject |
reference : urn:patient-01912 |
display : Mr Chris PACKET |
dateAsserted : 2021-05-09T10:12:42Z |
informationSource |
reference : urn:gp-1234 |
display : Dr Levy Tate |
dosage |
timing |
repeat |
frequency : 4 |
period : 1 |
periodUnit : d |
route |
coding |
system : http://snomed.info/sct |
code : 26643006 |
display : oral |
doseAndRate |
dose |
value : 2 |
unit : tablet |
system : http://snomed.info/sct |
code : 428673006 |
entry |
fullUrl : urn:medication-2378976 |
resource |
id : urn:medication-2378976 |
code |
coding |
system : http://snomed.info/sct |
code : 38019511000001108 |
display : Pregabalin 100mg tablets |
entry |
fullUrl : urn:medication-statement-5678 |
resource |
id : urn:medication-statement-5678 |
status : active |
category |
coding |
system : http://hl7.org/fhir/medication-request-category |
code : community |
display : Community |
medication |
reference : urn:medication-2378976 |
display : Pregabalin 100mg tablets |
subject |
reference : urn:patient-01912 |
display : Mr Chris PACKET |
dateAsserted : 2021-05-09T10:12:42Z |
informationSource |
reference : urn:gp-1234 |
display : Dr Levy Tate |
dosage |
timing |
repeat |
frequency : 2 |
period : 1 |
periodUnit : d |
route |
coding |
system : http://snomed.info/sct |
code : 26643006 |
display : oral |
doseAndRate |
dose |
value : 1 |
unit : tablet |
system : http://snomed.info/sct |
code : 428673006 |