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 4: Discharge MedicationRequest

Note: This example below is a draft and requires clinical verification.

Discharge TTO medication requests for Paracetamol , Ibuprofen and Pregabalin.

Actors

Provider System = Ward EMPA system

Consumer System = Hospital pharamcy system

Example

<Bundle xmlns="http://hl7.org/fhir">
<id value="acd1d58c-4abd-415b-a5a3-88f5dac71ec0" />
<type value="message" />
<timestamp value="2021-05-07T16:15:32Z" />
<!-- Message Header -->
<entry>
<fullUrl value="urn:message-header-9920192" />
<resource>
<MessageHeader>
<id value="urn:message-header-9920192" />
<eventCoding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/EventType-1" />
<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-76462" />
</focus>
<focus>
<reference value="urn:med-req-987765745" />
</focus>
<focus>
<reference value="urn:med-req-11adfw53446" />
</focus>
</MessageHeader>
</resource>
</entry>
<!-- // Patient associated with the encounter -->
<entry>
<fullUrl value="urn:patient-01912" />
<resource>
<Patient>
<id value="urn:patient-01912" />
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="4857773456" />
</identifier>
<name>
<use value="official" />
<text value="Mr Chris Packet" />
<family value="Packet" />
<given value="Chris" />
<prefix value="Mr" />
</name>
<gender value="male" />
<birthDate value="1995-11-12" />
</Patient>
</resource>
</entry>
<!-- // Prescribing clinician associated with the encounter. -->
<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>
<!-- // Medication #1: Paracetamol -->
<entry>
<fullUrl value="urn:medication-90332006" />
<resource>
<Medication>
<id value="urn:medication-90332006" />
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="90332006" />
<display value="Paracetamol" />
</coding>
</code>
</Medication>
</resource>
</entry>
<!-- // Medication Request #1: Paracetamol 1g four times a day -->
<entry>
<fullUrl value="urn:med-req-76462" />
<resource>
<MedicationRequest>
<id value="urn:med-req-76462" />
<identifier>
<value value="35873655-0d53-469a-9428-04df65f5cbb4" />
</identifier>
<status value="active" />
<intent value="order" />
<category>
<coding>
<system value="http://hl7.org/fhir/medication-request-category" />
<code value="inpatient" />
<display value="inpatient" />
</coding>
</category>
<priority value="routine" />
<medicationReference>
<reference value="urn:medication-90332006" />
<display value="Paracetamol" />
</medicationReference>
<subject>
<reference value="urn:patient-01912" />
<display value="Mr Chris Packet" />
</subject>
<authoredOn value="2021-05-14T11:34:12+01:00" />
<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="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="1" />
<unit value="gram" />
<system value="http://unitsofmeasure.org" />
<code value="g" />
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<substitution>
<allowedBoolean value="false" />
</substitution>
</MedicationRequest>
</resource>
</entry>
<!-- // Medication #2: Ibuprofen 800mg modified-release tablets -->
<entry>
<fullUrl value="urn:medication-39110311000001101" />
<resource>
<Medication>
<id value="urn:medication-39110311000001101" />
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="39110311000001101" />
<display value="Ibuprofen 800mg modified-release tablets" />
</coding>
</code>
</Medication>
</resource>
</entry>
<!-- // Medication Request #2: Ibuprofen 800mg modified-release tablets -->
<entry>
<fullUrl value="urn:med-req-987765745" />
<resource>
<MedicationRequest>
<id value="urn:med-req-987765745" />
<identifier>
<value value="63a40946-c387-4810-9458-c573f873d7b4" />
</identifier>
<status value="active" />
<intent value="order" />
<category>
<coding>
<system value="http://hl7.org/fhir/medication-request-category" />
<code value="inpatient" />
<display value="inpatient" />
</coding>
</category>
<priority value="routine" />
<medicationReference>
<reference value="urn:medication-39110311000001101" />
<display value="Ibuprofen 800mg modified-release tablets" />
</medicationReference>
<subject>
<reference value="urn:patient-01912" />
<display value="Mr Chris Packet" />
</subject>
<authoredOn value="2021-05-14T11:34:12Z" />
<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="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="800" />
<unit value="milligram" />
<system value="http://unitsofmeasure.org" />
<code value="mg" />
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<substitution>
<allowedBoolean value="false" />
</substitution>
</MedicationRequest>
</resource>
</entry>
<!-- // Medication #3: Pregabalin -->
<entry>
<fullUrl value="urn:medication-234567321" />
<resource>
<Medication>
<id value="urn:medication-234567321" />
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="415160008" />
<display value="Pregabalin" />
</coding>
</code>
</Medication>
</resource>
</entry>
<!-- // Medication Request #3: Pregabalin -->
<entry>
<fullUrl value="urn:med-req-11adfw53446" />
<resource>
<MedicationRequest>
<id value="urn:med-req-11adfw53446" />
<identifier>
<value value="63a40946-c387-4810-9458-c573f873d7b4" />
</identifier>
<status value="active" />
<intent value="order" />
<category>
<coding>
<system value="http://hl7.org/fhir/medication-request-category" />
<code value="inpatient" />
<display value="inpatient" />
</coding>
</category>
<priority value="routine" />
<medicationReference>
<reference value="urn:medication-234567321" />
<display value="Pregabalin" />
</medicationReference>
<subject>
<reference value="urn:patient-01912" />
<display value="Mr Chris Packet" />
</subject>
<authoredOn value="2021-05-14T11:34:12Z" />
<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="75" />
<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": "acd1d58c-4abd-415b-a5a3-88f5dac71ec0",
"type": "message",
"timestamp": "2021-05-07T16:15:32Z",
"entry": [
{
"fullUrl": "urn:message-header-9920192",
"resource": {
"resourceType": "MessageHeader",
"id": "urn:message-header-9920192",
"eventCoding": {
"system": "https://fhir.nhs.uk/STU3/CodeSystem/EventType-1",
"code": "prescription-order",
"display": "Prescription Order"
},
"source": {
"name": "ACME Clinical Systems",
"software": "ACME ePMA",
"version": "3.5.68",
"endpoint": "urn:nhs-uk:addressing:ods:T48NT"
},
"focus": [
{
"reference": "urn:med-req-76462"
},
{
"reference": "urn:med-req-987765745"
},
{
"reference": "urn:med-req-11adfw53446"
}
]
}
},
{
"fullUrl": "urn:patient-01912",
"resource": {
"resourceType": "Patient",
"id": "urn:patient-01912",
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "4857773456"
}
],
"name": [
{
"use": "official",
"text": "Mr Chris Packet",
"family": "Packet",
"given": [
"Chris"
],
"prefix": [
"Mr"
]
}
],
"gender": "male",
"birthDate": "1995-11-12"
}
},
{
"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-90332006",
"resource": {
"resourceType": "Medication",
"id": "urn:medication-90332006",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "90332006",
"display": "Paracetamol"
}
]
}
}
},
{
"fullUrl": "urn:med-req-76462",
"resource": {
"resourceType": "MedicationRequest",
"id": "urn:med-req-76462",
"identifier": [
{
"value": "35873655-0d53-469a-9428-04df65f5cbb4"
}
],
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/medication-request-category",
"code": "inpatient",
"display": "inpatient"
}
]
}
],
"priority": "routine",
"medicationReference": {
"reference": "urn:medication-90332006",
"display": "Paracetamol"
},
"subject": {
"reference": "urn:patient-01912",
"display": "Mr Chris Packet"
},
"authoredOn": "2021-05-14T11:34:12+01:00",
"requester": {
"reference": "urn:staff-1112",
"display": "Dr Maikeu Well"
},
"recorder": {
"reference": "urn:staff-1112",
"display": "Dr Maikeu Well"
},
"dosageInstruction": [
{
"timing": {
"repeat": {
"frequency": 4,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "oral"
}
]
},
"doseAndRate": [
{
"doseQuantity": {
"value": 1,
"unit": "gram",
"system": "http://unitsofmeasure.org",
"code": "g"
}
}
]
}
],
"substitution": {
"allowedBoolean": false
}
}
},
{
"fullUrl": "urn:medication-39110311000001101",
"resource": {
"resourceType": "Medication",
"id": "urn:medication-39110311000001101",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "39110311000001101",
"display": "Ibuprofen 800mg modified-release tablets"
}
]
}
}
},
{
"fullUrl": "urn:med-req-987765745",
"resource": {
"resourceType": "MedicationRequest",
"id": "urn:med-req-987765745",
"identifier": [
{
"value": "63a40946-c387-4810-9458-c573f873d7b4"
}
],
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/medication-request-category",
"code": "inpatient",
"display": "inpatient"
}
]
}
],
"priority": "routine",
"medicationReference": {
"reference": "urn:medication-39110311000001101",
"display": "Ibuprofen 800mg modified-release tablets"
},
"subject": {
"reference": "urn:patient-01912",
"display": "Mr Chris Packet"
},
"authoredOn": "2021-05-14T11:34:12Z",
"requester": {
"reference": "urn:staff-1112",
"display": "Dr Maikeu Well"
},
"recorder": {
"reference": "urn:staff-1112",
"display": "Dr Maikeu Well"
},
"dosageInstruction": [
{
"timing": {
"repeat": {
"frequency": 2,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "oral"
}
]
},
"doseAndRate": [
{
"doseQuantity": {
"value": 800,
"unit": "milligram",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
]
}
],
"substitution": {
"allowedBoolean": false
}
}
},
{
"fullUrl": "urn:medication-234567321",
"resource": {
"resourceType": "Medication",
"id": "urn:medication-234567321",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "415160008",
"display": "Pregabalin"
}
]
}
}
},
{
"fullUrl": "urn:med-req-11adfw53446",
"resource": {
"resourceType": "MedicationRequest",
"id": "urn:med-req-11adfw53446",
"identifier": [
{
"value": "63a40946-c387-4810-9458-c573f873d7b4"
}
],
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/medication-request-category",
"code": "inpatient",
"display": "inpatient"
}
]
}
],
"priority": "routine",
"medicationReference": {
"reference": "urn:medication-234567321",
"display": "Pregabalin"
},
"subject": {
"reference": "urn:patient-01912",
"display": "Mr Chris Packet"
},
"authoredOn": "2021-05-14T11:34:12Z",
"requester": {
"reference": "urn:staff-1112",
"display": "Dr Maikeu Well"
},
"recorder": {
"reference": "urn:staff-1112",
"display": "Dr Maikeu Well"
},
"dosageInstruction": [
{
"timing": {
"repeat": {
"frequency": 3,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "oral"
}
]
},
"doseAndRate": [
{
"doseQuantity": {
"value": 75,
"unit": "milligram",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
]
}
],
"substitution": {
"allowedBoolean": false
}
}
}
]
}
Bundle.id[0]acd1d58c-4abd-415b-a5a3-88f5dac71ec0
Bundle.type[0]message
Bundle.timestamp[0]2021-05-07T16:15:32+00:00
Bundle.entry[0].fullUrl[0]urn:message-header-9920192
Bundle.entry[0].resource[0].id[0]urn:message-header-9920192
Bundle.entry[0].resource[0].event[0].system[0]https://fhir.nhs.uk/STU3/CodeSystem/EventType-1
Bundle.entry[0].resource[0].event[0].code[0]prescription-order
Bundle.entry[0].resource[0].event[0].display[0]Prescription Order
Bundle.entry[0].resource[0].source[0].name[0]ACME Clinical Systems
Bundle.entry[0].resource[0].source[0].software[0]ACME ePMA
Bundle.entry[0].resource[0].source[0].version[0]3.5.68
Bundle.entry[0].resource[0].source[0].endpoint[0]urn:nhs-uk:addressing:ods:T48NT
Bundle.entry[0].resource[0].focus[0].reference[0]urn:med-req-76462
Bundle.entry[0].resource[0].focus[1].reference[0]urn:med-req-987765745
Bundle.entry[0].resource[0].focus[2].reference[0]urn:med-req-11adfw53446
Bundle.entry[1].fullUrl[0]urn:patient-01912
Bundle.entry[1].resource[0].id[0]urn:patient-01912
Bundle.entry[1].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/nhs-number
Bundle.entry[1].resource[0].identifier[0].value[0]4857773456
Bundle.entry[1].resource[0].name[0].use[0]official
Bundle.entry[1].resource[0].name[0].text[0]Mr Chris Packet
Bundle.entry[1].resource[0].name[0].family[0]Packet
Bundle.entry[1].resource[0].name[0].given[0]Chris
Bundle.entry[1].resource[0].name[0].prefix[0]Mr
Bundle.entry[1].resource[0].gender[0]male
Bundle.entry[1].resource[0].birthDate[0]1995-11-12
Bundle.entry[2].fullUrl[0]urn:staff-1112
Bundle.entry[2].resource[0].id[0]urn:staff-1112
Bundle.entry[2].resource[0].name[0].text[0]Dr Maikeu Well
Bundle.entry[2].resource[0].name[0].family[0]Well
Bundle.entry[2].resource[0].name[0].given[0]Maikeu
Bundle.entry[2].resource[0].name[0].prefix[0]Dr
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].system[0]https://fhir.hl7.org.uk/Id/gmc-number
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].code[0]2145879
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].display[0]General Medical Council
Bundle.entry[3].fullUrl[0]urn:medication-90332006
Bundle.entry[3].resource[0].id[0]urn:medication-90332006
Bundle.entry[3].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].code[0].coding[0].code[0]90332006
Bundle.entry[3].resource[0].code[0].coding[0].display[0]Paracetamol
Bundle.entry[4].fullUrl[0]urn:med-req-76462
Bundle.entry[4].resource[0].id[0]urn:med-req-76462
Bundle.entry[4].resource[0].identifier[0].value[0]35873655-0d53-469a-9428-04df65f5cbb4
Bundle.entry[4].resource[0].status[0]active
Bundle.entry[4].resource[0].intent[0]order
Bundle.entry[4].resource[0].category[0].coding[0].system[0]http://hl7.org/fhir/medication-request-category
Bundle.entry[4].resource[0].category[0].coding[0].code[0]inpatient
Bundle.entry[4].resource[0].category[0].coding[0].display[0]inpatient
Bundle.entry[4].resource[0].priority[0]routine
Bundle.entry[4].resource[0].medication[0].reference[0]urn:medication-90332006
Bundle.entry[4].resource[0].medication[0].display[0]Paracetamol
Bundle.entry[4].resource[0].subject[0].reference[0]urn:patient-01912
Bundle.entry[4].resource[0].subject[0].display[0]Mr Chris Packet
Bundle.entry[4].resource[0].authoredOn[0]2021-05-14T11:34:12+01:00
Bundle.entry[4].resource[0].requester[0].reference[0]urn:staff-1112
Bundle.entry[4].resource[0].requester[0].display[0]Dr Maikeu Well
Bundle.entry[4].resource[0].recorder[0].reference[0]urn:staff-1112
Bundle.entry[4].resource[0].recorder[0].display[0]Dr Maikeu Well
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0]4
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0]1
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0]d
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].code[0]26643006
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].display[0]oral
Bundle.entry[4].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].value[0]1
Bundle.entry[4].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].unit[0]gram
Bundle.entry[4].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
Bundle.entry[4].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].code[0]g
Bundle.entry[4].resource[0].substitution[0].allowed[0]False
Bundle.entry[5].fullUrl[0]urn:medication-39110311000001101
Bundle.entry[5].resource[0].id[0]urn:medication-39110311000001101
Bundle.entry[5].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[5].resource[0].code[0].coding[0].code[0]39110311000001101
Bundle.entry[5].resource[0].code[0].coding[0].display[0]Ibuprofen 800mg modified-release tablets
Bundle.entry[6].fullUrl[0]urn:med-req-987765745
Bundle.entry[6].resource[0].id[0]urn:med-req-987765745
Bundle.entry[6].resource[0].identifier[0].value[0]63a40946-c387-4810-9458-c573f873d7b4
Bundle.entry[6].resource[0].status[0]active
Bundle.entry[6].resource[0].intent[0]order
Bundle.entry[6].resource[0].category[0].coding[0].system[0]http://hl7.org/fhir/medication-request-category
Bundle.entry[6].resource[0].category[0].coding[0].code[0]inpatient
Bundle.entry[6].resource[0].category[0].coding[0].display[0]inpatient
Bundle.entry[6].resource[0].priority[0]routine
Bundle.entry[6].resource[0].medication[0].reference[0]urn:medication-39110311000001101
Bundle.entry[6].resource[0].medication[0].display[0]Ibuprofen 800mg modified-release tablets
Bundle.entry[6].resource[0].subject[0].reference[0]urn:patient-01912
Bundle.entry[6].resource[0].subject[0].display[0]Mr Chris Packet
Bundle.entry[6].resource[0].authoredOn[0]2021-05-14T11:34:12Z
Bundle.entry[6].resource[0].requester[0].reference[0]urn:staff-1112
Bundle.entry[6].resource[0].requester[0].display[0]Dr Maikeu Well
Bundle.entry[6].resource[0].recorder[0].reference[0]urn:staff-1112
Bundle.entry[6].resource[0].recorder[0].display[0]Dr Maikeu Well
Bundle.entry[6].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0]2
Bundle.entry[6].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0]1
Bundle.entry[6].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0]d
Bundle.entry[6].resource[0].dosageInstruction[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[6].resource[0].dosageInstruction[0].route[0].coding[0].code[0]26643006
Bundle.entry[6].resource[0].dosageInstruction[0].route[0].coding[0].display[0]oral
Bundle.entry[6].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].value[0]800
Bundle.entry[6].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].unit[0]milligram
Bundle.entry[6].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
Bundle.entry[6].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].code[0]mg
Bundle.entry[6].resource[0].substitution[0].allowed[0]False
Bundle.entry[7].fullUrl[0]urn:medication-234567321
Bundle.entry[7].resource[0].id[0]urn:medication-234567321
Bundle.entry[7].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[7].resource[0].code[0].coding[0].code[0]415160008
Bundle.entry[7].resource[0].code[0].coding[0].display[0]Pregabalin
Bundle.entry[8].fullUrl[0]urn:med-req-11adfw53446
Bundle.entry[8].resource[0].id[0]urn:med-req-11adfw53446
Bundle.entry[8].resource[0].identifier[0].value[0]63a40946-c387-4810-9458-c573f873d7b4
Bundle.entry[8].resource[0].status[0]active
Bundle.entry[8].resource[0].intent[0]order
Bundle.entry[8].resource[0].category[0].coding[0].system[0]http://hl7.org/fhir/medication-request-category
Bundle.entry[8].resource[0].category[0].coding[0].code[0]inpatient
Bundle.entry[8].resource[0].category[0].coding[0].display[0]inpatient
Bundle.entry[8].resource[0].priority[0]routine
Bundle.entry[8].resource[0].medication[0].reference[0]urn:medication-234567321
Bundle.entry[8].resource[0].medication[0].display[0]Pregabalin
Bundle.entry[8].resource[0].subject[0].reference[0]urn:patient-01912
Bundle.entry[8].resource[0].subject[0].display[0]Mr Chris Packet
Bundle.entry[8].resource[0].authoredOn[0]2021-05-14T11:34:12Z
Bundle.entry[8].resource[0].requester[0].reference[0]urn:staff-1112
Bundle.entry[8].resource[0].requester[0].display[0]Dr Maikeu Well
Bundle.entry[8].resource[0].recorder[0].reference[0]urn:staff-1112
Bundle.entry[8].resource[0].recorder[0].display[0]Dr Maikeu Well
Bundle.entry[8].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0]3
Bundle.entry[8].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0]1
Bundle.entry[8].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0]d
Bundle.entry[8].resource[0].dosageInstruction[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[8].resource[0].dosageInstruction[0].route[0].coding[0].code[0]26643006
Bundle.entry[8].resource[0].dosageInstruction[0].route[0].coding[0].display[0]oral
Bundle.entry[8].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].value[0]75
Bundle.entry[8].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].unit[0]milligram
Bundle.entry[8].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
Bundle.entry[8].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].code[0]mg
Bundle.entry[8].resource[0].substitution[0].allowed[0]False
Bundle
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