Implementation guide for interoperable medicines

This guidance is under active development by NHS England and content may be added or updated on a regular basis.

Example 1: MedicationRequest

Note: Example validated against UKCore, dm+d and SNOMED-CT on 23 May 2025.

A re-supply of this medication is requested as per the MedicationRequest below.

Actors

Provider System = Ward EPMA system

Consumer System = Hospital pharmacy system

Example

<Bundle xmlns="http://hl7.org/fhir">
<id value="d0a503d2-6809-4055-be82-308183e64734" />
<type value="message" />
<timestamp value="2020-05-15T15:00:00+00:00" />
<entry>
<fullUrl value="urn:message-header-167434" />
<resource>
<MessageHeader>
<id value="urn:message-header-167434" />
<eventCoding>
<system value="https://fhir.hl7.org.uk//CodeSystem/message-event" />
<code value="prescription-order" />
<display value="Prescription Order" />
</eventCoding>
<source>
<name value="ACME Clinical Systems" />
<software value="ACME ePMA" />
<version value="3.5.68" />
<endpoint value="urn:nhs-uk:addressing:ods:T48NT" />
</source>
<focus>
<reference value="urn:med-req-1023938" />
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:patient-011223344" />
<resource>
<Patient>
<id value="urn:patient-011223344" />
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="2377954310" />
</identifier>
<name>
<use value="official" />
<text value="Mrs Anne Teak" />
<family value="Teak" />
<given value="Anne" />
<prefix value="Mrs" />
</name>
<gender value="female" />
<birthDate value="1956-02-04" />
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:staff-1112" />
<resource>
<Practitioner>
<id value="urn:staff-1112" />
<name>
<text value="Dr Maikeu Well" />
<family value="Well" />
<given value="Maikeu" />
<prefix value="Dr" />
</name>
<qualification>
<code>
<coding>
<system value="https://fhir.hl7.org.uk/Id/gmc-number" />
<code value="2145879" />
<display value="General Medical Council" />
</coding>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:medication-38769117" />
<resource>
<Medication>
<id value="urn:medication-38769117" />
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="774586009" />
<display value="Amoxicillin" />
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:med-req-1023938" />
<resource>
<MedicationRequest>
<id value="urn:med-req-1023938" />
<status value="active" />
<intent value="order" />
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category" />
<code value="inpatient" />
<display value="inpatient" />
</coding>
</category>
<priority value="routine" />
<medicationReference>
<reference value="urn:medication-38769117" />
</medicationReference>
<subject>
<reference value="urn:patient-011223344" />
<display value="Mrs Anne Teak" />
</subject>
<authoredOn value="2020-05-15T15:00:00+00:00" />
<requester>
<reference value="urn:staff-1112" />
<display value="Dr Maikeu Well" />
</requester>
<recorder>
<reference value="urn:staff-1112" />
<display value="Dr Maikeu Well" />
</recorder>
<dosageInstruction>
<timing>
<repeat>
<frequency value="3" />
<period value="1" />
<periodUnit value="d" />
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct" />
<code value="26643006" />
<display value="Oral" />
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="500" />
<unit value="milligram" />
<system value="http://unitsofmeasure.org" />
<code value="mg" />
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<substitution>
<allowedBoolean value="false" />
</substitution>
</MedicationRequest>
</resource>
</entry>
</Bundle>
{
"resourceType": "Bundle",
"id": "d0a503d2-6809-4055-be82-308183e64734",
"type": "message",
"timestamp": "2020-05-15T15:00:00+00:00",
"entry": [
{
"fullUrl": "urn:message-header-167434",
"resource": {
"resourceType": "MessageHeader",
"id": "urn:message-header-167434",
"eventCoding": {
"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-1023938"
}
]
}
},
{
"fullUrl": "urn:patient-011223344",
"resource": {
"resourceType": "Patient",
"id": "urn:patient-011223344",
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "2377954310"
}
],
"name": [
{
"use": "official",
"text": "Mrs Anne Teak",
"family": "Teak",
"given": [
"Anne"
],
"prefix": [
"Mrs"
]
}
],
"gender": "female",
"birthDate": "1956-02-04"
}
},
{
"fullUrl": "urn:staff-1112",
"resource": {
"resourceType": "Practitioner",
"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"
}
]
}
}
]
}
},
{
"fullUrl": "urn:medication-38769117",
"resource": {
"resourceType": "Medication",
"id": "urn:medication-38769117",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "774586009",
"display": "Amoxicillin"
}
]
}
}
},
{
"fullUrl": "urn:med-req-1023938",
"resource": {
"resourceType": "MedicationRequest",
"id": "urn:med-req-1023938",
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "inpatient",
"display": "inpatient"
}
]
}
],
"priority": "routine",
"medicationReference": {
"reference": "urn:medication-38769117"
},
"subject": {
"reference": "urn:patient-011223344",
"display": "Mrs Anne Teak"
},
"authoredOn": "2020-05-15T15:00:00+00:00",
"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": [
{
"doseQuantity": {
"value": 500,
"unit": "milligram",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
]
}
],
"substitution": {
"allowedBoolean": false
}
}
}
]
}
Bundle.id[0]d0a503d2-6809-4055-be82-308183e64734
Bundle.type[0]message
Bundle.timestamp[0]2020-05-15T15:00:00+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-1023938
Bundle.entry[1].fullUrl[0]urn:patient-011223344
Bundle.entry[1].resource[0].id[0]urn:patient-011223344
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]2377954310
Bundle.entry[1].resource[0].name[0].use[0]official
Bundle.entry[1].resource[0].name[0].text[0]Mrs Anne Teak
Bundle.entry[1].resource[0].name[0].family[0]Teak
Bundle.entry[1].resource[0].name[0].given[0]Anne
Bundle.entry[1].resource[0].name[0].prefix[0]Mrs
Bundle.entry[1].resource[0].gender[0]female
Bundle.entry[1].resource[0].birthDate[0]1956-02-04
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-38769117
Bundle.entry[3].resource[0].id[0]urn:medication-38769117
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]774586009
Bundle.entry[3].resource[0].code[0].coding[0].display[0]Amoxicillin
Bundle.entry[4].fullUrl[0]urn:med-req-1023938
Bundle.entry[4].resource[0].id[0]urn:med-req-1023938
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://terminology.hl7.org/CodeSystem/medicationrequest-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-38769117
Bundle.entry[4].resource[0].subject[0].reference[0]urn:patient-011223344
Bundle.entry[4].resource[0].subject[0].display[0]Mrs Anne Teak
Bundle.entry[4].resource[0].authoredOn[0]2020-05-15T15:00:00+00:00
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]3
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]500
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].substitution[0].allowed[0]False
Bundle
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