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 #2: Bundle - Medication on Transfer

Note: This example below is a draft and requires clinical verification.
<Bundle xmlns="http://hl7.org/fhir">
    <id value="52e9c212-403a-40d5-a29c-bf8bda88a812" />
    <identifier>
        <system value="urn:[organisation_name]:[system_name]" />
        <value value="urn:1089540d-7bd6-42cc-bfc1-e35b70b29d47" />
    </identifier>
    <type value="message" />
    <timestamp value="2021-05-16T09:12:53Z" />
    <!--   Message Header   -->
    <entry>
        <fullUrl value="urn:message-header-32423423" />
        <resource>
            <MessageHeader>
                <id value="urn:message-header-32423423" />
                <eventCoding>
                    <system value="http://hl7.org/fhir/message-events" />
                    <code value="current-medication" />
                    <display value="Current Medication" />
                </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:medication-statement-12323434534" />
                </focus>
                <focus>
                    <reference value="urn:medication-statement-34544333" />
                </focus>
                <focus>
                    <reference value="urn:medication-statement-12354564" />
                </focus>
                <focus>
                    <reference value="urn:medication-statement-0931203120" />
                </focus>
                <focus>
                    <reference value="urn:medication-statement-3464323423" />
                </focus>
                <focus>
                    <reference value="urn:medication-statement-7674545645" />
                </focus>
                <focus>
                    <reference value="urn:medication-statement-234545645" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <!--    // Patient associated with the encounter    -->
    <entry>
        <fullUrl value="urn:patient-00123943" />
        <resource>
            <Patient>
                <id value="urn:patient-00123943" />
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/nhs-number" />
                    <value value="00123943" />
                </identifier>
                <name>
                    <use value="official" />
                    <text value="Miss Cedeep Laya" />
                    <family value="Laya" />
                    <given value="Cedeep" />
                    <prefix value="Miss" />
                </name>
                <gender value="female" />
                <birthDate value="1979-04-13" />
            </Patient>
        </resource>
    </entry>
    <!--    // Prescribing clinician associated with the encounter.     -->
    <entry>
        <fullUrl value="urn:staff-0002" />
        <resource>
            <Practitioner>
                <id value="urn:staff-0002" />
                <name>
                    <text value="Dr Maikeu Better" />
                    <family value="Better" />
                    <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>
    <!--    // Medication #1: Ventolin 100micrograms/dose Evohaler (GlaxoSmithKline UK Ltd) two doses - twice daily    -->
    <entry>
        <fullUrl value="urn:medication-345345345" />
        <resource>
            <Medication>
                <id value="urn:medication-345345345" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="222311000001102" />
                        <display value="Ventolin 100micrograms/dose Evohaler (GlaxoSmithKline UK Ltd)" />
                    </coding>
                </code>
            </Medication>
        </resource>
    </entry>
    <!--    // MedicationStatement #1: Ventolin 100micrograms/dose Evohaler (GlaxoSmithKline UK Ltd) two doses - twice daily    -->
    <entry>
        <fullUrl value="urn:medication-statement-12323434534" />
        <resource>
            <MedicationStatement>
                <id value="urn:medication-statement-12323434534" />
                <status value="active" />
                <category>
                    <coding>
                        <system value="http://hl7.org/fhir/medication-request-category" />
                        <code value="community" />
                        <display value="community" />
                    </coding>
                </category>
                <medicationReference>
                    <reference value="urn:medication-345345345" />
                    <display value="Ventolin 100micrograms/dose Evohaler (GlaxoSmithKline UK Ltd)" />
                </medicationReference>
                <subject>
                    <reference value="urn:patient-00123943" />
                    <display value="Miss Cedeep Laya" />
                </subject>
                <dateAsserted value="2019-12-13T15:00:25Z" />
                <informationSource>
                    <reference value="urn:staff-0002" />
                    <display value="Dr Maikeu Better" />
                </informationSource>
                <dosage>
                    <timing>
                        <repeat>
                            <frequency value="2" />
                            <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="2" />
                            <unit value="dose" />
                            <system value="http://snomed.info/sct" />
                            <code value="3317411000001100" />
                        </doseQuantity>
                    </doseAndRate>
                </dosage>
            </MedicationStatement>
        </resource>
    </entry>
    <!--    //  MedicationStatement #2: Becotide 100 inhaler (GlaxoSmithKline UK Ltd) one dose - twice daily   -->
    <entry>
        <fullUrl value="urn:medication-554312" />
        <resource>
            <Medication>
                <id value="urn:medication-554312" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="3178611000001100" />
                        <display value="Becotide 100 inhaler (GlaxoSmithKline UK Ltd)" />
                    </coding>
                </code>
            </Medication>
        </resource>
    </entry>
    <!--    //  MedicationStatement #2: Becotide 100 inhaler (GlaxoSmithKline UK Ltd) one dose - twice daily    -->
    <entry>
        <fullUrl value="urn:medication-statement-34544333" />
        <resource>
            <MedicationStatement>
                <id value="urn:medication-statement-34544333" />
                <status value="active" />
                <category>
                    <coding>
                        <system value="http://hl7.org/fhir/medication-request-category" />
                        <code value="community" />
                        <display value="community" />
                    </coding>
                </category>
                <medicationReference>
                    <reference value="urn:medication-554312" />
                    <display value="Becotide 100 inhaler (GlaxoSmithKline UK Ltd)" />
                </medicationReference>
                <subject>
                    <reference value="urn:patient-00123943" />
                    <display value="Miss Cedeep Laya" />
                </subject>
                <dateAsserted value="2020-01-07T10:12:25Z" />
                <informationSource>
                    <reference value="urn:staff-0002" />
                    <display value="Dr Maikeu Better" />
                </informationSource>
                <dosage>
                    <timing>
                        <repeat>
                            <frequency value="2" />
                            <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="1" />
                            <unit value="dose" />
                            <system value="http://snomed.info/sct" />
                            <code value="3317411000001100" />
                        </doseQuantity>
                    </doseAndRate>
                </dosage>
            </MedicationStatement>
        </resource>
    </entry>
    <!--    // Medication #3: Paracetamol 500mg tablets two to be taken when required - up to four times daily    -->
    <entry>
        <fullUrl value="urn:medication-9908182" />
        <resource>
            <Medication>
                <id value="urn:medication-9908182" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="322236009" />
                        <display value="Paracetamol 500mg tablets" />
                    </coding>
                </code>
            </Medication>
        </resource>
    </entry>
    <!--    // MedicationStatement #3: Paracetamol 500mg tablets    -->
    <entry>
        <fullUrl value="urn:medication-statement-12354564" />
        <resource>
            <MedicationStatement>
                <id value="urn:medication-statement-12354564" />
                <status value="active" />
                <category>
                    <coding>
                        <system value="http://hl7.org/fhir/medication-request-category" />
                        <code value="community" />
                        <display value="community" />
                    </coding>
                </category>
                <medicationReference>
                    <reference value="urn:medication-9908182" />
                    <display value="Paracetamol 500mg tablets" />
                </medicationReference>
                <subject>
                    <reference value="urn:patient-00123943" />
                    <display value="Miss Cedeep Laya" />
                </subject>
                <dateAsserted value="2021-05-07T13:00:25Z" />
                <informationSource>
                    <reference value="urn:staff-0002" />
                    <display value="Dr Maikeu Better" />
                </informationSource>
                <dosage>
                    <timing>
                        <repeat>
                            <frequencyMax value="4" />
                            <period value="1" />
                            <periodUnit value="d" />
                        </repeat>
                    </timing>
                    <asNeededBoolean value="true" />
                    <route>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="26643006" />
                            <display value="oral" />
                        </coding>
                    </route>
                    <doseAndRate>
                        <doseQuantity>
                            <value value="2" />
                            <unit value="tablet" />
                            <system value="http://snomed.info/sct" />
                            <code value="428673006" />
                        </doseQuantity>
                    </doseAndRate>
                </dosage>
            </MedicationStatement>
        </resource>
    </entry>
    <!--    // Medication #4: Diazepam    -->
    <entry>
        <fullUrl value="urn:medication-115643534" />
        <resource>
            <Medication>
                <id value="urn:medication-115643534" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="48546005" />
                        <display value="Diazepam" />
                    </coding>
                </code>
            </Medication>
        </resource>
    </entry>
    <!--    // MedicationStatement #4: Diazepam    -->
    <entry>
        <fullUrl value="urn:medication-statement-0931203120" />
        <resource>
            <MedicationStatement>
                <id value="urn:medication-statement-0931203120" />
                <status value="active" />
                <category>
                    <coding>
                        <system value="http://hl7.org/fhir/medication-request-category" />
                        <code value="inpatient" />
                        <display value="inpatient" />
                    </coding>
                </category>
                <medicationReference>
                    <reference value="urn:medication-115643534" />
                    <display value="Diazepam" />
                </medicationReference>
                <subject>
                    <reference value="urn:patient-00123943" />
                    <display value="Miss Cedeep Laya" />
                </subject>
                <dateAsserted value="2021-05-07T13:00:25Z" />
                <informationSource>
                    <reference value="urn:staff-0002" />
                    <display value="Dr Maikeu Better" />
                </informationSource>
                <dosage>
                    <timing>
                        <repeat>
                            <count value="1" />
                        </repeat>
                    </timing>
                    <route>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="26643006" />
                            <display value="oral" />
                        </coding>
                    </route>
                    <doseAndRate>
                        <doseQuantity>
                            <value value="5" />
                            <unit value="milligram" />
                            <system value="http://unitsofmeasure.org" />
                            <code value="mg" />
                        </doseQuantity>
                    </doseAndRate>
                </dosage>
            </MedicationStatement>
        </resource>
    </entry>
    <!--    // Medication #5: Amoxicillin    -->
    <entry>
        <fullUrl value="urn:medication-442343243" />
        <resource>
            <Medication>
                <id value="urn:medication-442343243" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="27658006" />
                        <display value="Amoxicillin" />
                    </coding>
                </code>
            </Medication>
        </resource>
    </entry>
    <!--    // MedicationStatement #5: Amoxicillin    -->
    <entry>
        <fullUrl value="urn:medication-statement-3464323423" />
        <resource>
            <MedicationStatement>
                <id value="urn:medication-statement-3464323423" />
                <status value="active" />
                <category>
                    <coding>
                        <system value="http://hl7.org/fhir/medication-request-category" />
                        <code value="inpatient" />
                        <display value="inpatient" />
                    </coding>
                </category>
                <medicationReference>
                    <reference value="urn:medication-442343243" />
                    <display value="Amoxicillin" />
                </medicationReference>
                <subject>
                    <reference value="urn:patient-00123943" />
                    <display value="Miss Cedeep Laya" />
                </subject>
                <dateAsserted value="2021-05-07T13:00:25Z" />
                <informationSource>
                    <reference value="urn:staff-0002" />
                    <display value="Dr Maikeu Better" />
                </informationSource>
                <dosage>
                    <additionalInstruction>
                        <text value="1 hour before the procedure" />
                    </additionalInstruction>
                    <timing>
                        <repeat>
                            <count value="1" />
                        </repeat>
                    </timing>
                    <route>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="26643006" />
                            <display value="oral" />
                        </coding>
                    </route>
                    <doseAndRate>
                        <doseQuantity>
                            <value value="3" />
                            <unit value="gram" />
                            <system value="http://unitsofmeasure.org" />
                            <code value="g" />
                        </doseQuantity>
                    </doseAndRate>
                </dosage>
            </MedicationStatement>
        </resource>
    </entry>
    <!--    // Medication #6: Chlorhexidine gluconate 0.2% mouthwash    -->
    <entry>
        <fullUrl value="urn:medication-3342366" />
        <resource>
            <Medication>
                <id value="urn:medication-3342366" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="39112311000001102" />
                        <display value="Chlorhexidine gluconate 0.2% mouthwash" />
                    </coding>
                </code>
            </Medication>
        </resource>
    </entry>
    <!--    // MedicationStatement #6: Chlorhexidine gluconate 0.2% mouthwash    -->
    <entry>
        <fullUrl value="urn:medication-statement-7674545645" />
        <resource>
            <MedicationStatement>
                <id value="urn:medication-statement-7674545645" />
                <status value="active" />
                <category>
                    <coding>
                        <system value="http://hl7.org/fhir/medication-request-category" />
                        <code value="inpatient" />
                        <display value="inpatient" />
                    </coding>
                </category>
                <medicationReference>
                    <reference value="urn:medication-3342366" />
                    <display value="Chlorhexidine gluconate 0.2% mouthwash" />
                </medicationReference>
                <subject>
                    <reference value="urn:patient-00123943" />
                    <display value="Miss Cedeep Laya" />
                </subject>
                <dateAsserted value="2021-05-07T13:00:25Z" />
                <informationSource>
                    <reference value="urn:staff-0002" />
                    <display value="Dr Maikeu Better" />
                </informationSource>
                <dosage>
                    <additionalInstruction>
                        <text value="to be used as a mouthwash" />
                    </additionalInstruction>
                    <timing>
                        <repeat>
                            <frequency value="4" />
                            <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="10" />
                            <unit value="millilitre" />
                            <system value="http://unitsofmeasure.org" />
                            <code value="ml" />
                        </doseQuantity>
                    </doseAndRate>
                </dosage>
            </MedicationStatement>
        </resource>
    </entry>
    <!--    // Medication #7: Enoxaparin    -->
    <entry>
        <fullUrl value="urn:medication-85635324" />
        <resource>
            <Medication>
                <id value="urn:medication-85635324" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="108984007" />
                        <display value="Enoxaparin" />
                    </coding>
                </code>
            </Medication>
        </resource>
    </entry>
    <!--    // MedicationStatement #7: Enoxaparin    -->
    <entry>
        <fullUrl value="urn:medication-statement-234545645" />
        <resource>
            <MedicationStatement>
                <id value="urn:medication-statement-234545645" />
                <status value="active" />
                <category>
                    <coding>
                        <system value="http://hl7.org/fhir/medication-request-category" />
                        <code value="inpatient" />
                        <display value="inpatient" />
                    </coding>
                </category>
                <medicationReference>
                    <reference value="urn:medication-85635324" />
                    <display value="Enoxaparin" />
                </medicationReference>
                <subject>
                    <reference value="urn:patient-00123943" />
                    <display value="Miss Cedeep Laya" />
                </subject>
                <dateAsserted value="2021-05-07T13:00:25Z" />
                <informationSource>
                    <reference value="urn:staff-0002" />
                    <display value="Dr Maikeu Better" />
                </informationSource>
                <dosage>
                    <timing>
                        <repeat>
                            <frequency value="12" />
                            <period value="1" />
                            <periodUnit value="h" />
                        </repeat>
                    </timing>
                    <route>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="34206005" />
                            <display value="subcutaneous route" />
                        </coding>
                    </route>
                    <method>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="422145002" />
                            <display value="inject" />
                        </coding>
                    </method>
                    <doseAndRate>
                        <doseQuantity>
                            <value value="60" />
                            <unit value="milligram" />
                            <system value="http://unitsofmeasure.org" />
                            <code value="mg" />
                        </doseQuantity>
                    </doseAndRate>
                </dosage>
            </MedicationStatement>
        </resource>
    </entry>
</Bundle>

{
    "resourceType": "Bundle",
    "id": "52e9c212-403a-40d5-a29c-bf8bda88a812",
    "identifier": {
        "system": "urn:[organisation_name]:[system_name]",
        "value": "urn:1089540d-7bd6-42cc-bfc1-e35b70b29d47"
    },
    "type": "message",
    "timestamp": "2021-05-16T09:12:53+00:00",
    "entry":  [
        {
            "fullUrl": "urn:message-header-32423423",
            "resource": {
                "resourceType": "MessageHeader",
                "id": "urn:message-header-32423423",
                "eventCoding": {
                    "system": "http://hl7.org/fhir/message-events",
                    "code": "current-medication",
                    "display": "Current Medication"
                },
                "source": {
                    "name": "ACME Clinical Systems",
                    "software": "ACME ePMA",
                    "version": "3.5.68",
                    "endpoint": "urn:nhs-uk:addressing:ods:T48NT"
                },
                "focus":  [
                    {
                        "reference": "urn:medication-statement-12323434534"
                    },
                    {
                        "reference": "urn:medication-statement-34544333"
                    },
                    {
                        "reference": "urn:medication-statement-12354564"
                    },
                    {
                        "reference": "urn:medication-statement-0931203120"
                    },
                    {
                        "reference": "urn:medication-statement-3464323423"
                    },
                    {
                        "reference": "urn:medication-statement-7674545645"
                    },
                    {
                        "reference": "urn:medication-statement-234545645"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:patient-00123943",
            "resource": {
                "resourceType": "Patient",
                "id": "urn:patient-00123943",
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/nhs-number",
                        "value": "00123943"
                    }
                ],
                "name":  [
                    {
                        "use": "official",
                        "text": "Miss Cedeep Laya",
                        "family": "Laya",
                        "given":  [
                            "Cedeep"
                        ],
                        "prefix":  [
                            "Miss"
                        ]
                    }
                ],
                "gender": "female",
                "birthDate": "1979-04-13"
            }
        },
        {
            "fullUrl": "urn:staff-0002",
            "resource": {
                "resourceType": "Practitioner",
                "id": "urn: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"
                                }
                            ]
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:medication-345345345",
            "resource": {
                "resourceType": "Medication",
                "id": "urn:medication-345345345",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "222311000001102",
                            "display": "Ventolin 100micrograms/dose Evohaler (GlaxoSmithKline UK Ltd)"
                        }
                    ]
                }
            }
        },
        {
            "fullUrl": "urn:medication-statement-12323434534",
            "resource": {
                "resourceType": "MedicationStatement",
                "id": "urn:medication-statement-12323434534",
                "status": "active",
                "category": {
                    "coding":  [
                        {
                            "system": "http://hl7.org/fhir/medication-request-category",
                            "code": "community",
                            "display": "community"
                        }
                    ]
                },
                "medicationReference": {
                    "reference": "urn:medication-345345345",
                    "display": "Ventolin 100micrograms/dose Evohaler (GlaxoSmithKline UK Ltd)"
                },
                "subject": {
                    "reference": "urn:patient-00123943",
                    "display": "Miss Cedeep Laya"
                },
                "dateAsserted": "2019-12-13T15:00:25Z",
                "informationSource": {
                    "reference": "urn: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":  [
                            {
                                "doseQuantity": {
                                    "value": 2,
                                    "unit": "dose",
                                    "system": "http://snomed.info/sct",
                                    "code": "3317411000001100"
                                }
                            }
                        ]
                    }
                ]
            }
        },
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Bundle.entry[10].resource[0].subject[0].reference[0]urn:patient-00123943
Bundle.entry[10].resource[0].subject[0].display[0]Miss Cedeep Laya
Bundle.entry[10].resource[0].dateAsserted[0]2021-05-07T13:00:25Z
Bundle.entry[10].resource[0].informationSource[0].reference[0]urn:staff-0002
Bundle.entry[10].resource[0].informationSource[0].display[0]Dr Maikeu Better
Bundle.entry[10].resource[0].dosage[0].timing[0].repeat[0].count[0]1
Bundle.entry[10].resource[0].dosage[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[10].resource[0].dosage[0].route[0].coding[0].code[0]26643006
Bundle.entry[10].resource[0].dosage[0].route[0].coding[0].display[0]oral
Bundle.entry[10].resource[0].dosage[0].doseAndRate[0].dose[0].value[0]5
Bundle.entry[10].resource[0].dosage[0].doseAndRate[0].dose[0].unit[0]milligram
Bundle.entry[10].resource[0].dosage[0].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
Bundle.entry[10].resource[0].dosage[0].doseAndRate[0].dose[0].code[0]mg
Bundle.entry[11].fullUrl[0]urn:medication-442343243
Bundle.entry[11].resource[0].id[0]urn:medication-442343243
Bundle.entry[11].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[11].resource[0].code[0].coding[0].code[0]27658006
Bundle.entry[11].resource[0].code[0].coding[0].display[0]Amoxicillin
Bundle.entry[12].fullUrl[0]urn:medication-statement-3464323423
Bundle.entry[12].resource[0].id[0]urn:medication-statement-3464323423
Bundle.entry[12].resource[0].status[0]active
Bundle.entry[12].resource[0].category[0].coding[0].system[0]http://hl7.org/fhir/medication-request-category
Bundle.entry[12].resource[0].category[0].coding[0].code[0]inpatient
Bundle.entry[12].resource[0].category[0].coding[0].display[0]inpatient
Bundle.entry[12].resource[0].medication[0].reference[0]urn:medication-442343243
Bundle.entry[12].resource[0].medication[0].display[0]Amoxicillin
Bundle.entry[12].resource[0].subject[0].reference[0]urn:patient-00123943
Bundle.entry[12].resource[0].subject[0].display[0]Miss Cedeep Laya
Bundle.entry[12].resource[0].dateAsserted[0]2021-05-07T13:00:25Z
Bundle.entry[12].resource[0].informationSource[0].reference[0]urn:staff-0002
Bundle.entry[12].resource[0].informationSource[0].display[0]Dr Maikeu Better
Bundle.entry[12].resource[0].dosage[0].additionalInstruction[0].text[0]1 hour before the procedure
Bundle.entry[12].resource[0].dosage[0].timing[0].repeat[0].count[0]1
Bundle.entry[12].resource[0].dosage[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[12].resource[0].dosage[0].route[0].coding[0].code[0]26643006
Bundle.entry[12].resource[0].dosage[0].route[0].coding[0].display[0]oral
Bundle.entry[12].resource[0].dosage[0].doseAndRate[0].dose[0].value[0]3
Bundle.entry[12].resource[0].dosage[0].doseAndRate[0].dose[0].unit[0]gram
Bundle.entry[12].resource[0].dosage[0].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
Bundle.entry[12].resource[0].dosage[0].doseAndRate[0].dose[0].code[0]g
Bundle.entry[13].fullUrl[0]urn:medication-3342366
Bundle.entry[13].resource[0].id[0]urn:medication-3342366
Bundle.entry[13].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[13].resource[0].code[0].coding[0].code[0]39112311000001102
Bundle.entry[13].resource[0].code[0].coding[0].display[0]Chlorhexidine gluconate 0.2% mouthwash
Bundle.entry[14].fullUrl[0]urn:medication-statement-7674545645
Bundle.entry[14].resource[0].id[0]urn:medication-statement-7674545645
Bundle.entry[14].resource[0].status[0]active
Bundle.entry[14].resource[0].category[0].coding[0].system[0]http://hl7.org/fhir/medication-request-category
Bundle.entry[14].resource[0].category[0].coding[0].code[0]inpatient
Bundle.entry[14].resource[0].category[0].coding[0].display[0]inpatient
Bundle.entry[14].resource[0].medication[0].reference[0]urn:medication-3342366
Bundle.entry[14].resource[0].medication[0].display[0]Chlorhexidine gluconate 0.2% mouthwash
Bundle.entry[14].resource[0].subject[0].reference[0]urn:patient-00123943
Bundle.entry[14].resource[0].subject[0].display[0]Miss Cedeep Laya
Bundle.entry[14].resource[0].dateAsserted[0]2021-05-07T13:00:25Z
Bundle.entry[14].resource[0].informationSource[0].reference[0]urn:staff-0002
Bundle.entry[14].resource[0].informationSource[0].display[0]Dr Maikeu Better
Bundle.entry[14].resource[0].dosage[0].additionalInstruction[0].text[0]to be used as a mouthwash
Bundle.entry[14].resource[0].dosage[0].timing[0].repeat[0].frequency[0]4
Bundle.entry[14].resource[0].dosage[0].timing[0].repeat[0].period[0]1
Bundle.entry[14].resource[0].dosage[0].timing[0].repeat[0].periodUnit[0]d
Bundle.entry[14].resource[0].dosage[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[14].resource[0].dosage[0].route[0].coding[0].code[0]26643006
Bundle.entry[14].resource[0].dosage[0].route[0].coding[0].display[0]oral
Bundle.entry[14].resource[0].dosage[0].doseAndRate[0].dose[0].value[0]10
Bundle.entry[14].resource[0].dosage[0].doseAndRate[0].dose[0].unit[0]millilitre
Bundle.entry[14].resource[0].dosage[0].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
Bundle.entry[14].resource[0].dosage[0].doseAndRate[0].dose[0].code[0]ml
Bundle.entry[15].fullUrl[0]urn:medication-85635324
Bundle.entry[15].resource[0].id[0]urn:medication-85635324
Bundle.entry[15].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[15].resource[0].code[0].coding[0].code[0]108984007
Bundle.entry[15].resource[0].code[0].coding[0].display[0]Enoxaparin
Bundle.entry[16].fullUrl[0]urn:medication-statement-234545645
Bundle.entry[16].resource[0].id[0]urn:medication-statement-234545645
Bundle.entry[16].resource[0].status[0]active
Bundle.entry[16].resource[0].category[0].coding[0].system[0]http://hl7.org/fhir/medication-request-category
Bundle.entry[16].resource[0].category[0].coding[0].code[0]inpatient
Bundle.entry[16].resource[0].category[0].coding[0].display[0]inpatient
Bundle.entry[16].resource[0].medication[0].reference[0]urn:medication-85635324
Bundle.entry[16].resource[0].medication[0].display[0]Enoxaparin
Bundle.entry[16].resource[0].subject[0].reference[0]urn:patient-00123943
Bundle.entry[16].resource[0].subject[0].display[0]Miss Cedeep Laya
Bundle.entry[16].resource[0].dateAsserted[0]2021-05-07T13:00:25Z
Bundle.entry[16].resource[0].informationSource[0].reference[0]urn:staff-0002
Bundle.entry[16].resource[0].informationSource[0].display[0]Dr Maikeu Better
Bundle.entry[16].resource[0].dosage[0].timing[0].repeat[0].frequency[0]12
Bundle.entry[16].resource[0].dosage[0].timing[0].repeat[0].period[0]1
Bundle.entry[16].resource[0].dosage[0].timing[0].repeat[0].periodUnit[0]h
Bundle.entry[16].resource[0].dosage[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[16].resource[0].dosage[0].route[0].coding[0].code[0]34206005
Bundle.entry[16].resource[0].dosage[0].route[0].coding[0].display[0]subcutaneous route
Bundle.entry[16].resource[0].dosage[0].method[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[16].resource[0].dosage[0].method[0].coding[0].code[0]422145002
Bundle.entry[16].resource[0].dosage[0].method[0].coding[0].display[0]inject
Bundle.entry[16].resource[0].dosage[0].doseAndRate[0].dose[0].value[0]60
Bundle.entry[16].resource[0].dosage[0].doseAndRate[0].dose[0].unit[0]milligram
Bundle.entry[16].resource[0].dosage[0].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
Bundle.entry[16].resource[0].dosage[0].doseAndRate[0].dose[0].code[0]mg
Bundle
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