Implementation guide for interoperable medicines

Ceftriaxone continuous infusion

Clinical Scenario

The patient requires 1 gram of Ceftriaxone to be infused over 30 minutes, once a day, for 5 days, for pneumonia.

Prescribing Event

This MedicationRequest is created by the EPMA system for the prescription/order for Ceftriaxone via an infusion. This resource would be made available to the hospital pharmacy.

<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="34eb3c92-76e6-48c2-9691-aa1f0b58369b" />
    <meta>
        <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest" />
    </meta>
    <status value="active" />
    <intent value="order" />
    <medicationCodeableConcept>
        <coding>
            <system value="https://dmd.nhs.uk" />
            <code value="775120003" />
            <display value="Ceftriaxone" />
        </coding>
    </medicationCodeableConcept>
    <subject>
        <reference value="Patient/UKCore-Patient-RichardSmith-Example" />
    </subject>
    <reasonCode>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="233604007" />
            <display value="Pneumonia" />
        </coding>
    </reasonCode>
    <dosageInstruction>
        <text value="Continuous infusion 1 gram - Intravenous - over 30 minutes - daily - for 5 days" />
        <timing>
            <repeat>
                <boundsDuration>
                    <value value="5" />
                    <unit value="day" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="d" />
                </boundsDuration>
                <duration value="30" />
                <durationUnit value="min" />
                <frequency value="1" />
                <period value="1" />
                <periodUnit value="d" />
            </repeat>
        </timing>
        <route>
            <coding>
                <system value="https://dmd.nhs.uk" />
                <code value="47625008" />
                <display value="Intravenous" />
            </coding>
        </route>
        <method>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="261754007" />
                <display value="Continuous infusion" />
            </coding>
        </method>
        <doseAndRate>
            <doseQuantity>
                <value value="1" />
                <unit value="gram" />
                <system value="http://unitsofmeasure.org" />
                <code value="g" />
            </doseQuantity>
        </doseAndRate>
    </dosageInstruction>
    <substitution>
        <allowedBoolean value="false" />
    </substitution>
</MedicationRequest>

{
    "resourceType": "MedicationRequest",
    "id": "34eb3c92-76e6-48c2-9691-aa1f0b58369b",
    "meta": {
        "profile":  [
            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest"
        ]
    },
    "status": "active",
    "intent": "order",
    "substitution": {
        "allowedBoolean": false
    },
    "subject": {
        "reference": "Patient/UKCore-Patient-RichardSmith-Example"
    },
    "medicationCodeableConcept": {
        "coding":  [
            {
                "system": "https://dmd.nhs.uk",
                "code": "775120003",
                "display": "Ceftriaxone"
            }
        ]
    },
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "233604007",
                    "display": "Pneumonia"
                }
            ]
        }
    ],
    "dosageInstruction":  [
        {
            "text": "Continuous infusion 1 gram - Intravenous - over 30 minutes - daily - for 5 days",
            "timing": {
                "repeat": {
                    "boundsDuration": {
                        "value": 5,
                        "unit": "day",
                        "system": "http://unitsofmeasure.org",
                        "code": "d"
                    },
                    "duration": 30,
                    "durationUnit": "min",
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d"
                }
            },
            "method": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "261754007",
                        "display": "Continuous infusion"
                    }
                ]
            },
            "route": {
                "coding":  [
                    {
                        "system": "https://dmd.nhs.uk",
                        "code": "47625008",
                        "display": "Intravenous"
                    }
                ]
            },
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "value": 1,
                        "unit": "gram",
                        "system": "http://unitsofmeasure.org",
                        "code": "g"
                    }
                }
            ]
        }
    ]
}

MedicationRequest.id[0]	34eb3c92-76e6-48c2-9691-aa1f0b58369b
MedicationRequest.meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest
MedicationRequest.status[0]	active
MedicationRequest.intent[0]	order
MedicationRequest.medication[0].coding[0].system[0]	https://dmd.nhs.uk
MedicationRequest.medication[0].coding[0].code[0]	775120003
MedicationRequest.medication[0].coding[0].display[0]	Ceftriaxone
MedicationRequest.subject[0].reference[0]	Patient/UKCore-Patient-RichardSmith-Example
MedicationRequest.reasonCode[0].coding[0].system[0]	http://snomed.info/sct
MedicationRequest.reasonCode[0].coding[0].code[0]	233604007
MedicationRequest.reasonCode[0].coding[0].display[0]	Pneumonia
MedicationRequest.dosageInstruction[0].text[0]	Continuous infusion 1 gram - Intravenous - over 30 minutes - daily - for 5 days
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].bounds[0].value[0]	5
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].duration[0]	30
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].durationUnit[0]	min
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].route[0].coding[0].system[0]	https://dmd.nhs.uk
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]	261754007
MedicationRequest.dosageInstruction[0].method[0].coding[0].display[0]	Continuous infusion
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].value[0]	1
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].unit[0]	gram
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].system[0]	http://unitsofmeasure.org
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].code[0]	g
MedicationRequest.substitution[0].allowed[0]	False

MedicationRequest

id : 34eb3c92-76e6-48c2-9691-aa1f0b58369b

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest

status : active

intent : order

substitution

allowed : False

subject

reference : Patient/UKCore-Patient-RichardSmith-Example

medication

coding

system : https://dmd.nhs.uk

code : 775120003

display : Ceftriaxone

reasonCode

coding

system : http://snomed.info/sct

code : 233604007

display : Pneumonia

dosageInstruction

text : Continuous infusion 1 gram - Intravenous - over 30 minutes - daily - for 5 days

timing

repeat

bounds

value : 5

unit : day

system : http://unitsofmeasure.org

code : d

duration : 30

durationUnit : min

frequency : 1

period : 1

periodUnit : d

method

coding

system : http://snomed.info/sct

code : 261754007

display : Continuous infusion

route

coding

system : https://dmd.nhs.uk

code : 47625008

display : Intravenous

doseAndRate

dose

value : 1

unit : gram

system : http://unitsofmeasure.org

code : g

Dispensing Event: Prepared by Pharmacy

If the infusion is to be prepared by the hospital pharamcy team.

This Bundle is created by the pharmacy system for what has been dispensed. A bundle is used in this example because it contains two resources. A Medication resource details the two ingredients that have been used to prepare the infusion. A MedicationDispense references the Medication and details the dosing instruction for the infusion. This bundle would be made available to the ward EPMA system.

<Bundle xmlns="http://hl7.org/fhir">
    <type value="message" />
    <entry>
        <fullUrl value="MessageHeader/682858a9-3942-412d-9ae5-71a2f17f7c5b" />
        <resource>
            <MessageHeader>
                <id value="urn:uuid:682858a9-3942-412d-9ae5-71a2f17f7c5b" />
                <eventCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373784005" />
                    <display value="Dispensing medication" />
                </eventCoding>
                <source>
                    <endpoint value="https://myendpoint.nhs.uk/" />
                </source>
                <focus>
                    <reference value="MedicationDispense/7b36eb7b-ea3f-44fb-87c9-dfa51e4b6d5b" />
                    <type value="MedicationDispense" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="Medication/11dc9519-b6e8-41bb-bce5-f6f724b743bc" />
        <resource>
            <Medication>
                <id value="urn:uuid:11dc9519-b6e8-41bb-bce5-f6f724b743bc" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Medication" />
                </meta>
                <code>
                    <text value="Ceftriaxone 1g in 50mL Sodium chloride 0.9% solution for infusion" />
                </code>
                <form>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="385229008" />
                        <display value="Solution for infusion" />
                    </coding>
                </form>
                <ingredient>
                    <itemCodeableConcept>
                        <coding>
                            <system value="https://dmd.nhs.uk" />
                            <code value="22824911000001102" />
                            <display value="Ceftriaxone 1g powder for solution for injection vials (Kent Pharma (UK) Ltd)" />
                        </coding>
                    </itemCodeableConcept>
                    <strength>
                        <numerator>
                            <value value="1" />
                            <unit value="gram" />
                            <system value="http://unitsofmeasure.org" />
                            <code value="g" />
                        </numerator>
                        <denominator>
                            <value value="1" />
                        </denominator>
                    </strength>
                </ingredient>
                <ingredient>
                    <itemCodeableConcept>
                        <coding>
                            <system value="https://dmd.nhs.uk" />
                            <code value="4880711000001109" />
                            <display value="Sodium chloride 0.9% infusion 50ml bags" />
                        </coding>
                    </itemCodeableConcept>
                    <strength>
                        <numerator>
                            <value value="50" />
                            <unit value="millilitre" />
                            <system value="http://unitsofmeasure.org" />
                            <code value="ml" />
                        </numerator>
                        <denominator>
                            <value value="1" />
                        </denominator>
                    </strength>
                </ingredient>
            </Medication>
        </resource>
    </entry>
    <entry>
        <fullUrl value="MedicationDispense/7b36eb7b-ea3f-44fb-87c9-dfa51e4b6d5b" />
        <resource>
            <MedicationDispense>
                <id value="urn:uuid:7b36eb7b-ea3f-44fb-87c9-dfa51e4b6d5b" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense" />
                </meta>
                <status value="completed" />
                <medicationReference>
                    <reference value="Medication/11dc9519-b6e8-41bb-bce5-f6f724b743bc" />
                    <type value="Medication" />
                </medicationReference>
                <subject>
                    <reference value="Patient/UKCore-Patient-RichardSmith-Example" />
                </subject>
                <authorizingPrescription>
                    <reference value="MedicationRequest/34eb3c92-76e6-48c2-9691-aa1f0b58369b" />
                    <type value="MedicationRequest" />
                </authorizingPrescription>
                <quantity>
                    <value value="5" />
                    <unit value="bag" />
                    <system value="http://snomed.info/sct" />
                    <code value="428672001" />
                </quantity>
                <dosageInstruction>
                    <text value="Continuous infusion 50 millilitre - Intravenous - over 30 minutes - daily - for 5 days" />
                    <timing>
                        <repeat>
                            <boundsDuration>
                                <value value="5" />
                                <unit value="day" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="d" />
                            </boundsDuration>
                            <duration value="30" />
                            <durationUnit value="min" />
                            <frequency value="1" />
                            <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="261754007" />
                            <display value="Continuous infusion" />
                        </coding>
                    </method>
                    <doseAndRate>
                        <doseQuantity>
                            <value value="50" />
                            <unit value="millilitre" />
                            <system value="http://unitsofmeasure.org" />
                            <code value="ml" />
                        </doseQuantity>
                    </doseAndRate>
                </dosageInstruction>
            </MedicationDispense>
        </resource>
    </entry>
</Bundle>

{
    "resourceType": "Bundle",
    "type": "message",
    "entry":  [
        {
            "fullUrl": "MessageHeader/682858a9-3942-412d-9ae5-71a2f17f7c5b",
            "resource": {
                "resourceType": "MessageHeader",
                "id": "urn:uuid:682858a9-3942-412d-9ae5-71a2f17f7c5b",
                "eventCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "373784005",
                    "display": "Dispensing medication"
                },
                "source": {
                    "endpoint": "https://myendpoint.nhs.uk/"
                },
                "focus":  [
                    {
                        "reference": "MedicationDispense/7b36eb7b-ea3f-44fb-87c9-dfa51e4b6d5b",
                        "type": "MedicationDispense"
                    }
                ]
            }
        },
        {
            "fullUrl": "Medication/11dc9519-b6e8-41bb-bce5-f6f724b743bc",
            "resource": {
                "resourceType": "Medication",
                "id": "urn:uuid:11dc9519-b6e8-41bb-bce5-f6f724b743bc",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Medication"
                    ]
                },
                "form": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "385229008",
                            "display": "Solution for infusion"
                        }
                    ]
                },
                "code": {
                    "text": "Ceftriaxone 1g in 50mL Sodium chloride 0.9% solution for infusion"
                },
                "ingredient":  [
                    {
                        "itemCodeableConcept": {
                            "coding":  [
                                {
                                    "system": "https://dmd.nhs.uk",
                                    "code": "22824911000001102",
                                    "display": "Ceftriaxone 1g powder for solution for injection vials (Kent Pharma (UK) Ltd)"
                                }
                            ]
                        },
                        "strength": {
                            "numerator": {
                                "value": 1,
                                "unit": "gram",
                                "system": "http://unitsofmeasure.org",
                                "code": "g"
                            },
                            "denominator": {
                                "value": 1
                            }
                        }
                    },
                    {
                        "itemCodeableConcept": {
                            "coding":  [
                                {
                                    "system": "https://dmd.nhs.uk",
                                    "code": "4880711000001109",
                                    "display": "Sodium chloride 0.9% infusion 50ml bags"
                                }
                            ]
                        },
                        "strength": {
                            "numerator": {
                                "value": 50,
                                "unit": "millilitre",
                                "system": "http://unitsofmeasure.org",
                                "code": "ml"
                            },
                            "denominator": {
                                "value": 1
                            }
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "MedicationDispense/7b36eb7b-ea3f-44fb-87c9-dfa51e4b6d5b",
            "resource": {
                "resourceType": "MedicationDispense",
                "id": "urn:uuid:7b36eb7b-ea3f-44fb-87c9-dfa51e4b6d5b",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense"
                    ]
                },
                "subject": {
                    "reference": "Patient/UKCore-Patient-RichardSmith-Example"
                },
                "status": "completed",
                "medicationReference": {
                    "reference": "Medication/11dc9519-b6e8-41bb-bce5-f6f724b743bc",
                    "type": "Medication"
                },
                "authorizingPrescription":  [
                    {
                        "reference": "MedicationRequest/34eb3c92-76e6-48c2-9691-aa1f0b58369b",
                        "type": "MedicationRequest"
                    }
                ],
                "quantity": {
                    "value": 5,
                    "unit": "bag",
                    "system": "http://snomed.info/sct",
                    "code": "428672001"
                },
                "dosageInstruction":  [
                    {
                        "text": "Continuous infusion 50 millilitre - Intravenous - over 30 minutes - daily - for 5 days",
                        "timing": {
                            "repeat": {
                                "boundsDuration": {
                                    "value": 5,
                                    "unit": "day",
                                    "system": "http://unitsofmeasure.org",
                                    "code": "d"
                                },
                                "duration": 30,
                                "durationUnit": "min",
                                "frequency": 1,
                                "period": 1,
                                "periodUnit": "d"
                            }
                        },
                        "method": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "261754007",
                                    "display": "Continuous infusion"
                                }
                            ]
                        },
                        "route": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "47625008",
                                    "display": "Intravenous"
                                }
                            ]
                        },
                        "doseAndRate":  [
                            {
                                "doseQuantity": {
                                    "value": 50,
                                    "unit": "millilitre",
                                    "system": "http://unitsofmeasure.org",
                                    "code": "ml"
                                }
                            }
                        ]
                    }
                ]
            }
        }
    ]
}

Bundle.type[0]	message
Bundle.entry[0].fullUrl[0]	MessageHeader/682858a9-3942-412d-9ae5-71a2f17f7c5b
Bundle.entry[0].resource[0].id[0]	urn:uuid:682858a9-3942-412d-9ae5-71a2f17f7c5b
Bundle.entry[0].resource[0].event[0].system[0]	http://snomed.info/sct
Bundle.entry[0].resource[0].event[0].code[0]	373784005
Bundle.entry[0].resource[0].event[0].display[0]	Dispensing medication
Bundle.entry[0].resource[0].source[0].endpoint[0]	https://myendpoint.nhs.uk/
Bundle.entry[0].resource[0].focus[0].reference[0]	MedicationDispense/7b36eb7b-ea3f-44fb-87c9-dfa51e4b6d5b
Bundle.entry[0].resource[0].focus[0].type[0]	MedicationDispense
Bundle.entry[1].fullUrl[0]	Medication/11dc9519-b6e8-41bb-bce5-f6f724b743bc
Bundle.entry[1].resource[0].id[0]	urn:uuid:11dc9519-b6e8-41bb-bce5-f6f724b743bc
Bundle.entry[1].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Medication
Bundle.entry[1].resource[0].code[0].text[0]	Ceftriaxone 1g in 50mL Sodium chloride 0.9% solution for infusion
Bundle.entry[1].resource[0].form[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[1].resource[0].form[0].coding[0].code[0]	385229008
Bundle.entry[1].resource[0].form[0].coding[0].display[0]	Solution for infusion
Bundle.entry[1].resource[0].ingredient[0].item[0].coding[0].system[0]	https://dmd.nhs.uk
Bundle.entry[1].resource[0].ingredient[0].item[0].coding[0].code[0]	22824911000001102
Bundle.entry[1].resource[0].ingredient[0].item[0].coding[0].display[0]	Ceftriaxone 1g powder for solution for injection vials (Kent Pharma (UK) Ltd)
Bundle.entry[1].resource[0].ingredient[0].strength[0].numerator[0].value[0]	1
Bundle.entry[1].resource[0].ingredient[0].strength[0].numerator[0].unit[0]	gram
Bundle.entry[1].resource[0].ingredient[0].strength[0].numerator[0].system[0]	http://unitsofmeasure.org
Bundle.entry[1].resource[0].ingredient[0].strength[0].numerator[0].code[0]	g
Bundle.entry[1].resource[0].ingredient[0].strength[0].denominator[0].value[0]	1
Bundle.entry[1].resource[0].ingredient[1].item[0].coding[0].system[0]	https://dmd.nhs.uk
Bundle.entry[1].resource[0].ingredient[1].item[0].coding[0].code[0]	4880711000001109
Bundle.entry[1].resource[0].ingredient[1].item[0].coding[0].display[0]	Sodium chloride 0.9% infusion 50ml bags
Bundle.entry[1].resource[0].ingredient[1].strength[0].numerator[0].value[0]	50
Bundle.entry[1].resource[0].ingredient[1].strength[0].numerator[0].unit[0]	millilitre
Bundle.entry[1].resource[0].ingredient[1].strength[0].numerator[0].system[0]	http://unitsofmeasure.org
Bundle.entry[1].resource[0].ingredient[1].strength[0].numerator[0].code[0]	ml
Bundle.entry[1].resource[0].ingredient[1].strength[0].denominator[0].value[0]	1
Bundle.entry[2].fullUrl[0]	MedicationDispense/7b36eb7b-ea3f-44fb-87c9-dfa51e4b6d5b
Bundle.entry[2].resource[0].id[0]	urn:uuid:7b36eb7b-ea3f-44fb-87c9-dfa51e4b6d5b
Bundle.entry[2].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense
Bundle.entry[2].resource[0].status[0]	completed
Bundle.entry[2].resource[0].medication[0].reference[0]	Medication/11dc9519-b6e8-41bb-bce5-f6f724b743bc
Bundle.entry[2].resource[0].medication[0].type[0]	Medication
Bundle.entry[2].resource[0].subject[0].reference[0]	Patient/UKCore-Patient-RichardSmith-Example
Bundle.entry[2].resource[0].authorizingPrescription[0].reference[0]	MedicationRequest/34eb3c92-76e6-48c2-9691-aa1f0b58369b
Bundle.entry[2].resource[0].authorizingPrescription[0].type[0]	MedicationRequest
Bundle.entry[2].resource[0].quantity[0].value[0]	5
Bundle.entry[2].resource[0].quantity[0].unit[0]	bag
Bundle.entry[2].resource[0].quantity[0].system[0]	http://snomed.info/sct
Bundle.entry[2].resource[0].quantity[0].code[0]	428672001
Bundle.entry[2].resource[0].dosageInstruction[0].text[0]	Continuous infusion 50 millilitre - Intravenous - over 30 minutes - daily - for 5 days
Bundle.entry[2].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].value[0]	5
Bundle.entry[2].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].unit[0]	day
Bundle.entry[2].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].system[0]	http://unitsofmeasure.org
Bundle.entry[2].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].code[0]	d
Bundle.entry[2].resource[0].dosageInstruction[0].timing[0].repeat[0].duration[0]	30
Bundle.entry[2].resource[0].dosageInstruction[0].timing[0].repeat[0].durationUnit[0]	min
Bundle.entry[2].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0]	1
Bundle.entry[2].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0]	1
Bundle.entry[2].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0]	d
Bundle.entry[2].resource[0].dosageInstruction[0].route[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[2].resource[0].dosageInstruction[0].route[0].coding[0].code[0]	47625008
Bundle.entry[2].resource[0].dosageInstruction[0].route[0].coding[0].display[0]	Intravenous
Bundle.entry[2].resource[0].dosageInstruction[0].method[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[2].resource[0].dosageInstruction[0].method[0].coding[0].code[0]	261754007
Bundle.entry[2].resource[0].dosageInstruction[0].method[0].coding[0].display[0]	Continuous infusion
Bundle.entry[2].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].value[0]	50
Bundle.entry[2].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].unit[0]	millilitre
Bundle.entry[2].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].system[0]	http://unitsofmeasure.org
Bundle.entry[2].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].code[0]	ml

Bundle

type : message

entry

fullUrl : MessageHeader/682858a9-3942-412d-9ae5-71a2f17f7c5b

resource

id : urn:uuid:682858a9-3942-412d-9ae5-71a2f17f7c5b

event

system : http://snomed.info/sct

code : 373784005

display : Dispensing medication

source

endpoint : https://myendpoint.nhs.uk/

focus

reference : MedicationDispense/7b36eb7b-ea3f-44fb-87c9-dfa51e4b6d5b

type : MedicationDispense

entry

fullUrl : Medication/11dc9519-b6e8-41bb-bce5-f6f724b743bc

resource

id : urn:uuid:11dc9519-b6e8-41bb-bce5-f6f724b743bc

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Medication

form

coding

system : http://snomed.info/sct

code : 385229008

display : Solution for infusion

code

text : Ceftriaxone 1g in 50mL Sodium chloride 0.9% solution for infusion

ingredient

item

coding

system : https://dmd.nhs.uk

code : 22824911000001102

display : Ceftriaxone 1g powder for solution for injection vials (Kent Pharma (UK) Ltd)

strength

numerator

value : 1

unit : gram

system : http://unitsofmeasure.org

code : g

denominator

value : 1

ingredient

item

coding

system : https://dmd.nhs.uk

code : 4880711000001109

display : Sodium chloride 0.9% infusion 50ml bags

strength

numerator

value : 50

unit : millilitre

system : http://unitsofmeasure.org

code : ml

denominator

value : 1

entry

fullUrl : MedicationDispense/7b36eb7b-ea3f-44fb-87c9-dfa51e4b6d5b

resource

id : urn:uuid:7b36eb7b-ea3f-44fb-87c9-dfa51e4b6d5b

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense

subject

reference : Patient/UKCore-Patient-RichardSmith-Example

status : completed

medication

reference : Medication/11dc9519-b6e8-41bb-bce5-f6f724b743bc

type : Medication

authorizingPrescription

reference : MedicationRequest/34eb3c92-76e6-48c2-9691-aa1f0b58369b

type : MedicationRequest

quantity

value : 5

unit : bag

system : http://snomed.info/sct

code : 428672001

dosageInstruction

text : Continuous infusion 50 millilitre - Intravenous - over 30 minutes - daily - for 5 days

timing

repeat

bounds

value : 5

unit : day

system : http://unitsofmeasure.org

code : d

duration : 30

durationUnit : min

frequency : 1

period : 1

periodUnit : d

method

coding

system : http://snomed.info/sct

code : 261754007

display : Continuous infusion

route

coding

system : http://snomed.info/sct

code : 47625008

display : Intravenous

doseAndRate

dose

value : 50

unit : millilitre

system : http://unitsofmeasure.org

code : ml

Dispensing Event: Prepared by Ward

If the infusion is to be prepared by the hospital ward team.

This Bundle is created by the pharmacy system for what has been dispensed. A bundle is used in this example because it contains two MedicationDispense resources. The first is for the Ceftriaxone powder. The second is for the Sodium chloride diluent. This bundle would be made available to the ward EPMA system. The infusion would be prepared on the ward.

<Bundle xmlns="http://hl7.org/fhir">
    <type value="transaction" />
    <entry>
        <fullUrl value="MedicationDispense/b74a61af-3a12-4d55-9e7a-949fff9f713a" />
        <resource>
            <MedicationDispense>
                <id value="urn:uuid:b74a61af-3a12-4d55-9e7a-949fff9f713a" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense" />
                </meta>
                <status value="completed" />
                <medicationCodeableConcept>
                    <coding>
                        <system value="https://dmd.nhs.uk" />
                        <code value="22824911000001102" />
                        <display value="Ceftriaxone 1g powder for solution for injection vials (Kent Pharma (UK) Ltd)" />
                    </coding>
                </medicationCodeableConcept>
                <subject>
                    <reference value="Patient/UKCore-Patient-RichardSmith-Example" />
                </subject>
                <authorizingPrescription>
                    <reference value="MedicationRequest/34eb3c92-76e6-48c2-9691-aa1f0b58369b" />
                    <type value="MedicationRequest" />
                </authorizingPrescription>
                <quantity>
                    <value value="5" />
                    <unit value="vial" />
                    <system value="http://snomed.info/sct" />
                    <code value="415818006" />
                </quantity>
                <dosageInstruction>
                    <text value="Continuous infusion 1 gram - Intravenous - over 30 minutes - daily - for 5 days" />
                    <timing>
                        <repeat>
                            <boundsDuration>
                                <value value="5" />
                                <unit value="day" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="d" />
                            </boundsDuration>
                            <duration value="30" />
                            <durationUnit value="min" />
                            <frequency value="1" />
                            <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="261754007" />
                            <display value="Continuous infusion" />
                        </coding>
                    </method>
                    <doseAndRate>
                        <doseQuantity>
                            <value value="1" />
                            <unit value="gram" />
                            <system value="http://unitsofmeasure.org" />
                            <code value="g" />
                        </doseQuantity>
                    </doseAndRate>
                </dosageInstruction>
            </MedicationDispense>
        </resource>
        <request>
            <method value="POST" />
            <url value="https://myendpoint.nhs.uk/epma/" />
        </request>
    </entry>
    <entry>
        <fullUrl value="MedicationDispense/0ec3b0f4-91fa-42eb-a324-a29ff01c71b4" />
        <resource>
            <MedicationDispense>
                <id value="urn:uuid:0ec3b0f4-91fa-42eb-a324-a29ff01c71b4" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense" />
                </meta>
                <status value="completed" />
                <medicationCodeableConcept>
                    <coding>
                        <system value="https://dmd.nhs.uk" />
                        <code value="4880711000001109" />
                        <display value="Sodium chloride 0.9% infusion 50ml bags" />
                    </coding>
                </medicationCodeableConcept>
                <authorizingPrescription>
                    <reference value="MedicationRequest/34eb3c92-76e6-48c2-9691-aa1f0b58369b" />
                    <type value="MedicationRequest" />
                </authorizingPrescription>
                <quantity>
                    <value value="5" />
                    <unit value="bag" />
                    <system value="http://snomed.info/sct" />
                    <code value="428672001" />
                </quantity>
                <dosageInstruction>
                    <text value="Continuous infusion 100 millilitre - Intravenous - over 30 minutes - daily - for 5 days" />
                    <timing>
                        <repeat>
                            <boundsDuration>
                                <value value="5" />
                                <unit value="day" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="d" />
                            </boundsDuration>
                            <duration value="30" />
                            <durationUnit value="min" />
                            <frequency value="1" />
                            <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="261754007" />
                            <display value="Continuous infusion" />
                        </coding>
                    </method>
                    <doseAndRate>
                        <doseQuantity>
                            <value value="50" />
                            <unit value="millilitre" />
                            <system value="http://unitsofmeasure.org" />
                            <code value="ml" />
                        </doseQuantity>
                    </doseAndRate>
                </dosageInstruction>
            </MedicationDispense>
        </resource>
        <request>
            <method value="POST" />
            <url value="https://myendpoint.nhs.uk/epma/" />
        </request>
    </entry>
</Bundle>

{
    "resourceType": "Bundle",
    "type": "transaction",
    "entry":  [
        {
            "fullUrl": "MedicationDispense/b74a61af-3a12-4d55-9e7a-949fff9f713a",
            "request": {
                "method": "POST",
                "url": "https://myendpoint.nhs.uk/epma/"
            },
            "resource": {
                "resourceType": "MedicationDispense",
                "id": "urn:uuid:b74a61af-3a12-4d55-9e7a-949fff9f713a",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense"
                    ]
                },
                "subject": {
                    "reference": "Patient/UKCore-Patient-RichardSmith-Example"
                },
                "status": "completed",
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "https://dmd.nhs.uk",
                            "code": "22824911000001102",
                            "display": "Ceftriaxone 1g powder for solution for injection vials (Kent Pharma (UK) Ltd)"
                        }
                    ]
                },
                "authorizingPrescription":  [
                    {
                        "reference": "MedicationRequest/34eb3c92-76e6-48c2-9691-aa1f0b58369b",
                        "type": "MedicationRequest"
                    }
                ],
                "quantity": {
                    "value": 5,
                    "unit": "vial",
                    "system": "http://snomed.info/sct",
                    "code": "415818006"
                },
                "dosageInstruction":  [
                    {
                        "text": "Continuous infusion 1 gram - Intravenous - over 30 minutes - daily - for 5 days",
                        "timing": {
                            "repeat": {
                                "boundsDuration": {
                                    "value": 5,
                                    "unit": "day",
                                    "system": "http://unitsofmeasure.org",
                                    "code": "d"
                                },
                                "duration": 30,
                                "durationUnit": "min",
                                "frequency": 1,
                                "period": 1,
                                "periodUnit": "d"
                            }
                        },
                        "method": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "261754007",
                                    "display": "Continuous infusion"
                                }
                            ]
                        },
                        "route": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "47625008",
                                    "display": "Intravenous"
                                }
                            ]
                        },
                        "doseAndRate":  [
                            {
                                "doseQuantity": {
                                    "value": 1,
                                    "unit": "gram",
                                    "system": "http://unitsofmeasure.org",
                                    "code": "g"
                                }
                            }
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "MedicationDispense/0ec3b0f4-91fa-42eb-a324-a29ff01c71b4",
            "request": {
                "method": "POST",
                "url": "https://myendpoint.nhs.uk/epma/"
            },
            "resource": {
                "resourceType": "MedicationDispense",
                "id": "urn:uuid:0ec3b0f4-91fa-42eb-a324-a29ff01c71b4",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense"
                    ]
                },
                "status": "completed",
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "https://dmd.nhs.uk",
                            "code": "4880711000001109",
                            "display": "Sodium chloride 0.9% infusion 50ml bags"
                        }
                    ]
                },
                "authorizingPrescription":  [
                    {
                        "reference": "MedicationRequest/34eb3c92-76e6-48c2-9691-aa1f0b58369b",
                        "type": "MedicationRequest"
                    }
                ],
                "quantity": {
                    "value": 5,
                    "unit": "bag",
                    "system": "http://snomed.info/sct",
                    "code": "428672001"
                },
                "dosageInstruction":  [
                    {
                        "text": "Continuous infusion 100 millilitre - Intravenous - over 30 minutes - daily - for 5 days",
                        "timing": {
                            "repeat": {
                                "boundsDuration": {
                                    "value": 5,
                                    "unit": "day",
                                    "system": "http://unitsofmeasure.org",
                                    "code": "d"
                                },
                                "duration": 30,
                                "durationUnit": "min",
                                "frequency": 1,
                                "period": 1,
                                "periodUnit": "d"
                            }
                        },
                        "method": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "261754007",
                                    "display": "Continuous infusion"
                                }
                            ]
                        },
                        "route": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "47625008",
                                    "display": "Intravenous"
                                }
                            ]
                        },
                        "doseAndRate":  [
                            {
                                "doseQuantity": {
                                    "value": 50,
                                    "unit": "millilitre",
                                    "system": "http://unitsofmeasure.org",
                                    "code": "ml"
                                }
                            }
                        ]
                    }
                ]
            }
        }
    ]
}

Bundle.type[0]	transaction
Bundle.entry[0].fullUrl[0]	MedicationDispense/b74a61af-3a12-4d55-9e7a-949fff9f713a
Bundle.entry[0].resource[0].id[0]	urn:uuid:b74a61af-3a12-4d55-9e7a-949fff9f713a
Bundle.entry[0].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense
Bundle.entry[0].resource[0].status[0]	completed
Bundle.entry[0].resource[0].medication[0].coding[0].system[0]	https://dmd.nhs.uk
Bundle.entry[0].resource[0].medication[0].coding[0].code[0]	22824911000001102
Bundle.entry[0].resource[0].medication[0].coding[0].display[0]	Ceftriaxone 1g powder for solution for injection vials (Kent Pharma (UK) Ltd)
Bundle.entry[0].resource[0].subject[0].reference[0]	Patient/UKCore-Patient-RichardSmith-Example
Bundle.entry[0].resource[0].authorizingPrescription[0].reference[0]	MedicationRequest/34eb3c92-76e6-48c2-9691-aa1f0b58369b
Bundle.entry[0].resource[0].authorizingPrescription[0].type[0]	MedicationRequest
Bundle.entry[0].resource[0].quantity[0].value[0]	5
Bundle.entry[0].resource[0].quantity[0].unit[0]	vial
Bundle.entry[0].resource[0].quantity[0].system[0]	http://snomed.info/sct
Bundle.entry[0].resource[0].quantity[0].code[0]	415818006
Bundle.entry[0].resource[0].dosageInstruction[0].text[0]	Continuous infusion 1 gram - Intravenous - over 30 minutes - daily - for 5 days
Bundle.entry[0].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].value[0]	5
Bundle.entry[0].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].unit[0]	day
Bundle.entry[0].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].system[0]	http://unitsofmeasure.org
Bundle.entry[0].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].code[0]	d
Bundle.entry[0].resource[0].dosageInstruction[0].timing[0].repeat[0].duration[0]	30
Bundle.entry[0].resource[0].dosageInstruction[0].timing[0].repeat[0].durationUnit[0]	min
Bundle.entry[0].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0]	1
Bundle.entry[0].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0]	1
Bundle.entry[0].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0]	d
Bundle.entry[0].resource[0].dosageInstruction[0].route[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[0].resource[0].dosageInstruction[0].route[0].coding[0].code[0]	47625008
Bundle.entry[0].resource[0].dosageInstruction[0].route[0].coding[0].display[0]	Intravenous
Bundle.entry[0].resource[0].dosageInstruction[0].method[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[0].resource[0].dosageInstruction[0].method[0].coding[0].code[0]	261754007
Bundle.entry[0].resource[0].dosageInstruction[0].method[0].coding[0].display[0]	Continuous infusion
Bundle.entry[0].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].value[0]	1
Bundle.entry[0].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].unit[0]	gram
Bundle.entry[0].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].system[0]	http://unitsofmeasure.org
Bundle.entry[0].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].code[0]	g
Bundle.entry[0].request[0].method[0]	POST
Bundle.entry[0].request[0].url[0]	https://myendpoint.nhs.uk/epma/
Bundle.entry[1].fullUrl[0]	MedicationDispense/0ec3b0f4-91fa-42eb-a324-a29ff01c71b4
Bundle.entry[1].resource[0].id[0]	urn:uuid:0ec3b0f4-91fa-42eb-a324-a29ff01c71b4
Bundle.entry[1].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense
Bundle.entry[1].resource[0].status[0]	completed
Bundle.entry[1].resource[0].medication[0].coding[0].system[0]	https://dmd.nhs.uk
Bundle.entry[1].resource[0].medication[0].coding[0].code[0]	4880711000001109
Bundle.entry[1].resource[0].medication[0].coding[0].display[0]	Sodium chloride 0.9% infusion 50ml bags
Bundle.entry[1].resource[0].authorizingPrescription[0].reference[0]	MedicationRequest/34eb3c92-76e6-48c2-9691-aa1f0b58369b
Bundle.entry[1].resource[0].authorizingPrescription[0].type[0]	MedicationRequest
Bundle.entry[1].resource[0].quantity[0].value[0]	5
Bundle.entry[1].resource[0].quantity[0].unit[0]	bag
Bundle.entry[1].resource[0].quantity[0].system[0]	http://snomed.info/sct
Bundle.entry[1].resource[0].quantity[0].code[0]	428672001
Bundle.entry[1].resource[0].dosageInstruction[0].text[0]	Continuous infusion 100 millilitre - Intravenous - over 30 minutes - daily - for 5 days
Bundle.entry[1].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].value[0]	5
Bundle.entry[1].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].unit[0]	day
Bundle.entry[1].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].system[0]	http://unitsofmeasure.org
Bundle.entry[1].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].code[0]	d
Bundle.entry[1].resource[0].dosageInstruction[0].timing[0].repeat[0].duration[0]	30
Bundle.entry[1].resource[0].dosageInstruction[0].timing[0].repeat[0].durationUnit[0]	min
Bundle.entry[1].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0]	1
Bundle.entry[1].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0]	1
Bundle.entry[1].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0]	d
Bundle.entry[1].resource[0].dosageInstruction[0].route[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[1].resource[0].dosageInstruction[0].route[0].coding[0].code[0]	47625008
Bundle.entry[1].resource[0].dosageInstruction[0].route[0].coding[0].display[0]	Intravenous
Bundle.entry[1].resource[0].dosageInstruction[0].method[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[1].resource[0].dosageInstruction[0].method[0].coding[0].code[0]	261754007
Bundle.entry[1].resource[0].dosageInstruction[0].method[0].coding[0].display[0]	Continuous infusion
Bundle.entry[1].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].value[0]	50
Bundle.entry[1].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].unit[0]	millilitre
Bundle.entry[1].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].system[0]	http://unitsofmeasure.org
Bundle.entry[1].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].code[0]	ml
Bundle.entry[1].request[0].method[0]	POST
Bundle.entry[1].request[0].url[0]	https://myendpoint.nhs.uk/epma/

Bundle

type : transaction

entry

fullUrl : MedicationDispense/b74a61af-3a12-4d55-9e7a-949fff9f713a

request

method : POST

url : https://myendpoint.nhs.uk/epma/

resource

id : urn:uuid:b74a61af-3a12-4d55-9e7a-949fff9f713a

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense

subject

reference : Patient/UKCore-Patient-RichardSmith-Example

status : completed

medication

coding

system : https://dmd.nhs.uk

code : 22824911000001102

display : Ceftriaxone 1g powder for solution for injection vials (Kent Pharma (UK) Ltd)

authorizingPrescription

reference : MedicationRequest/34eb3c92-76e6-48c2-9691-aa1f0b58369b

type : MedicationRequest

quantity

value : 5

unit : vial

system : http://snomed.info/sct

code : 415818006

dosageInstruction

text : Continuous infusion 1 gram - Intravenous - over 30 minutes - daily - for 5 days

timing

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doseAndRate

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entry

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request

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resource

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meta

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quantity

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dosageInstruction

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timing

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bounds

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system : http://unitsofmeasure.org

code : d

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durationUnit : min

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route

coding

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display : Intravenous

doseAndRate

dose

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unit : millilitre

system : http://unitsofmeasure.org

code : ml

Dispensing Event: Dispensed by Pharmacy using a pre-prepared product

Pre-prepared and dm+d coded Ceftriaxone 1g/50ml infusion bags products are dispensed to the ward.

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                    </doseAndRate>
                </dosageInstruction>
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        </resource>
    </entry>
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Bundle.type[0]	message
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Bundle.entry[0].resource[0].id[0]	urn:uuid:ee6f0a35-4e84-4b75-8b22-c2111878e548
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Bundle.entry[0].resource[0].event[0].code[0]	373784005
Bundle.entry[0].resource[0].event[0].display[0]	Dispensing medication
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Bundle.entry[1].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense
Bundle.entry[1].resource[0].status[0]	completed
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Bundle.entry[1].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].unit[0]	day
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Bundle.entry[1].resource[0].dosageInstruction[0].route[0].coding[0].code[0]	47625008
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code : 428672001

Administration Event: Using infusion prepared by pharmacy or ward

An administration record using an infusion prepared either by the pharmacy or on the ward. There would be five administration records, one for each infusion, on each day.

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                        <unit value="millilitre" />
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                        <code value="ml" />
                    </dose>
                </dosage>
            </MedicationAdministration>
        </resource>
    </entry>
</Bundle>

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Administration Event: Using a pre-prepared infusion product

An administration record using a pre-prepared and dm+d coded Ceftriaxone 1g/50ml infusion bags product. There would be five administration records, one for each infusion, on each day.

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MedicationAdministration

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