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.

Hospital Transfer / Cedeep Laya

Patient Journey: Cedeep Laya

  1. Cedeep is asthmatic and admitted as an inpatient within the Camberwick Green hospital for oral surgery. Current medication is returned from the regional shared medication record as a Bundle including MedicationStatement resources [Example 1].

Patient admitted on;

  • Ventolin 100micrograms/dose Evohaler (GlaxoSmithKline UK Ltd) two doses - twice daily
  • Becotide 100 inhaler (GlaxoSmithKline UK Ltd) one dose - twice daily
  • Paracetamol 500mg tablets two to be taken when required - up to four times daily
  1. Pre-surgery medication;
  • Diazepam - 5mg - once - orally
  • Amoxicillin - 3gram - orally - 1 hour before the procedure - give once
  • Chlorhexidine gluconate 0.2% mouthwash 10ml - to be used as a mouthwash - four times daily.
  1. Cedeep experiences breathing difficulties. Suspected pulmonary embolism and Enoxaparin (low molecular weight heparin) is started with a dose of 60mg (6,000iu) 12 hourly subcutaneously.

  2. Cedeep is transfered to Trumpton hospital for scan to confirm pulmonary embolism. The Camberwick Green hospital sends the current medication data to the Trumpton hospital as a Bundle including MedicationStatement resources [Example 2].


Example #1: Bundle - Medication on Admission

Note: This example below is a draft and requires clinical verification.
Command 'xml' could not render: File was not found for cedeep-laya-example-1
Command 'json' could not render: File was not found for cedeep-laya-example-1
Command 'table' could not render: File was not found for cedeep-laya-example-1
Command 'tree' could not render: File was not found for cedeep-laya-example-1

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"
                                }
                            }
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:medication-554312",
            "resource": {
                "resourceType": "Medication",
                "id": "urn:medication-554312",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "3178611000001100",
                            "display": "Becotide 100 inhaler (GlaxoSmithKline UK Ltd)"
                        }
                    ]
                }
            }
        },
        {
            "fullUrl": "urn:medication-statement-34544333",
            "resource": {
                "resourceType": "MedicationStatement",
                "id": "urn:medication-statement-34544333",
                "status": "active",
                "category": {
                    "coding":  [
                        {
                            "system": "http://hl7.org/fhir/medication-request-category",
                            "code": "community",
                            "display": "community"
                        }
                    ]
                },
                "medicationReference": {
                    "reference": "urn:medication-554312",
                    "display": "Becotide 100 inhaler (GlaxoSmithKline UK Ltd)"
                },
                "subject": {
                    "reference": "urn:patient-00123943",
                    "display": "Miss Cedeep Laya"
                },
                "dateAsserted": "2020-01-07T10:12:25Z",
                "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": 1,
                                    "unit": "dose",
                                    "system": "http://snomed.info/sct",
                                    "code": "3317411000001100"
                                }
                            }
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:medication-9908182",
            "resource": {
                "resourceType": "Medication",
                "id": "urn:medication-9908182",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "322236009",
                            "display": "Paracetamol 500mg tablets"
                        }
                    ]
                }
            }
        },
        {
            "fullUrl": "urn:medication-statement-12354564",
            "resource": {
                "resourceType": "MedicationStatement",
                "id": "urn:medication-statement-12354564",
                "status": "active",
                "category": {
                    "coding":  [
                        {
                            "system": "http://hl7.org/fhir/medication-request-category",
                            "code": "community",
                            "display": "community"
                        }
                    ]
                },
                "medicationReference": {
                    "reference": "urn:medication-9908182",
                    "display": "Paracetamol 500mg tablets"
                },
                "subject": {
                    "reference": "urn:patient-00123943",
                    "display": "Miss Cedeep Laya"
                },
                "dateAsserted": "2021-05-07T13:00:25Z",
                "informationSource": {
                    "reference": "urn:staff-0002",
                    "display": "Dr Maikeu Better"
                },
                "dosage":  [
                    {
                        "timing": {
                            "repeat": {
                                "frequencyMax": 4,
                                "period": 1,
                                "periodUnit": "d"
                            }
                        },
                        "asNeededBoolean": true,
                        "route": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "26643006",
                                    "display": "oral"
                                }
                            ]
                        },
                        "doseAndRate":  [
                            {
                                "doseQuantity": {
                                    "value": 2,
                                    "unit": "tablet",
                                    "system": "http://snomed.info/sct",
                                    "code": "428673006"
                                }
                            }
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:medication-115643534",
            "resource": {
                "resourceType": "Medication",
                "id": "urn:medication-115643534",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "48546005",
                            "display": "Diazepam"
                        }
                    ]
                }
            }
        },
        {
            "fullUrl": "urn:medication-statement-0931203120",
            "resource": {
                "resourceType": "MedicationStatement",
                "id": "urn:medication-statement-0931203120",
                "status": "active",
                "category": {
                    "coding":  [
                        {
                            "system": "http://hl7.org/fhir/medication-request-category",
                            "code": "inpatient",
                            "display": "inpatient"
                        }
                    ]
                },
                "medicationReference": {
                    "reference": "urn:medication-115643534",
                    "display": "Diazepam"
                },
                "subject": {
                    "reference": "urn:patient-00123943",
                    "display": "Miss Cedeep Laya"
                },
                "dateAsserted": "2021-05-07T13:00:25Z",
                "informationSource": {
                    "reference": "urn:staff-0002",
                    "display": "Dr Maikeu Better"
                },
                "dosage":  [
                    {
                        "timing": {
                            "repeat": {
                                "count": 1
                            }
                        },
                        "route": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "26643006",
                                    "display": "oral"
                                }
                            ]
                        },
                        "doseAndRate":  [
                            {
                                "doseQuantity": {
                                    "value": 5,
                                    "unit": "milligram",
                                    "system": "http://unitsofmeasure.org",
                                    "code": "mg"
                                }
                            }
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:medication-442343243",
            "resource": {
                "resourceType": "Medication",
                "id": "urn:medication-442343243",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "27658006",
                            "display": "Amoxicillin"
                        }
                    ]
                }
            }
        },
        {
            "fullUrl": "urn:medication-statement-3464323423",
            "resource": {
                "resourceType": "MedicationStatement",
                "id": "urn:medication-statement-3464323423",
                "status": "active",
                "category": {
                    "coding":  [
                        {
                            "system": "http://hl7.org/fhir/medication-request-category",
                            "code": "inpatient",
                            "display": "inpatient"
                        }
                    ]
                },
                "medicationReference": {
                    "reference": "urn:medication-442343243",
                    "display": "Amoxicillin"
                },
                "subject": {
                    "reference": "urn:patient-00123943",
                    "display": "Miss Cedeep Laya"
                },
                "dateAsserted": "2021-05-07T13:00:25Z",
                "informationSource": {
                    "reference": "urn:staff-0002",
                    "display": "Dr Maikeu Better"
                },
                "dosage":  [
                    {
                        "additionalInstruction":  [
                            {
                                "text": "1 hour before the procedure"
                            }
                        ],
                        "timing": {
                            "repeat": {
                                "count": 1
                            }
                        },
                        "route": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "26643006",
                                    "display": "oral"
                                }
                            ]
                        },
                        "doseAndRate":  [
                            {
                                "doseQuantity": {
                                    "value": 3,
                                    "unit": "gram",
                                    "system": "http://unitsofmeasure.org",
                                    "code": "g"
                                }
                            }
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:medication-3342366",
            "resource": {
                "resourceType": "Medication",
                "id": "urn:medication-3342366",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "39112311000001102",
                            "display": "Chlorhexidine gluconate 0.2% mouthwash"
                        }
                    ]
                }
            }
        },
        {
            "fullUrl": "urn:medication-statement-7674545645",
            "resource": {
                "resourceType": "MedicationStatement",
                "id": "urn:medication-statement-7674545645",
                "status": "active",
                "category": {
                    "coding":  [
                        {
                            "system": "http://hl7.org/fhir/medication-request-category",
                            "code": "inpatient",
                            "display": "inpatient"
                        }
                    ]
                },
                "medicationReference": {
                    "reference": "urn:medication-3342366",
                    "display": "Chlorhexidine gluconate 0.2% mouthwash"
                },
                "subject": {
                    "reference": "urn:patient-00123943",
                    "display": "Miss Cedeep Laya"
                },
                "dateAsserted": "2021-05-07T13:00:25Z",
                "informationSource": {
                    "reference": "urn:staff-0002",
                    "display": "Dr Maikeu Better"
                },
                "dosage":  [
                    {
                        "additionalInstruction":  [
                            {
                                "text": "to be used as a mouthwash"
                            }
                        ],
                        "timing": {
                            "repeat": {
                                "frequency": 4,
                                "period": 1,
                                "periodUnit": "d"
                            }
                        },
                        "route": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "26643006",
                                    "display": "oral"
                                }
                            ]
                        },
                        "doseAndRate":  [
                            {
                                "doseQuantity": {
                                    "value": 10,
                                    "unit": "millilitre",
                                    "system": "http://unitsofmeasure.org",
                                    "code": "ml"
                                }
                            }
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:medication-85635324",
            "resource": {
                "resourceType": "Medication",
                "id": "urn:medication-85635324",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "108984007",
                            "display": "Enoxaparin"
                        }
                    ]
                }
            }
        },
        {
            "fullUrl": "urn:medication-statement-234545645",
            "resource": {
                "resourceType": "MedicationStatement",
                "id": "urn:medication-statement-234545645",
                "status": "active",
                "category": {
                    "coding":  [
                        {
                            "system": "http://hl7.org/fhir/medication-request-category",
                            "code": "inpatient",
                            "display": "inpatient"
                        }
                    ]
                },
                "medicationReference": {
                    "reference": "urn:medication-85635324",
                    "display": "Enoxaparin"
                },
                "subject": {
                    "reference": "urn:patient-00123943",
                    "display": "Miss Cedeep Laya"
                },
                "dateAsserted": "2021-05-07T13:00:25Z",
                "informationSource": {
                    "reference": "urn:staff-0002",
                    "display": "Dr Maikeu Better"
                },
                "dosage":  [
                    {
                        "timing": {
                            "repeat": {
                                "frequency": 12,
                                "period": 1,
                                "periodUnit": "h"
                            }
                        },
                        "route": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "34206005",
                                    "display": "subcutaneous route"
                                }
                            ]
                        },
                        "method": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "422145002",
                                    "display": "inject"
                                }
                            ]
                        },
                        "doseAndRate":  [
                            {
                                "doseQuantity": {
                                    "value": 60,
                                    "unit": "milligram",
                                    "system": "http://unitsofmeasure.org",
                                    "code": "mg"
                                }
                            }
                        ]
                    }
                ]
            }
        }
    ]
}
Bundle.id[0]52e9c212-403a-40d5-a29c-bf8bda88a812
Bundle.identifier[0].system[0]urn:[organisation_name]:[system_name]
Bundle.identifier[0].value[0]urn:1089540d-7bd6-42cc-bfc1-e35b70b29d47
Bundle.type[0]message
Bundle.timestamp[0]2021-05-16T09:12:53+00:00
Bundle.entry[0].fullUrl[0]urn:message-header-32423423
Bundle.entry[0].resource[0].id[0]urn:message-header-32423423
Bundle.entry[0].resource[0].event[0].system[0]http://hl7.org/fhir/message-events
Bundle.entry[0].resource[0].event[0].code[0]current-medication
Bundle.entry[0].resource[0].event[0].display[0]Current Medication
Bundle.entry[0].resource[0].source[0].name[0]ACME Clinical Systems
Bundle.entry[0].resource[0].source[0].software[0]ACME ePMA
Bundle.entry[0].resource[0].source[0].version[0]3.5.68
Bundle.entry[0].resource[0].source[0].endpoint[0]urn:nhs-uk:addressing:ods:T48NT
Bundle.entry[0].resource[0].focus[0].reference[0]urn:medication-statement-12323434534
Bundle.entry[0].resource[0].focus[1].reference[0]urn:medication-statement-34544333
Bundle.entry[0].resource[0].focus[2].reference[0]urn:medication-statement-12354564
Bundle.entry[0].resource[0].focus[3].reference[0]urn:medication-statement-0931203120
Bundle.entry[0].resource[0].focus[4].reference[0]urn:medication-statement-3464323423
Bundle.entry[0].resource[0].focus[5].reference[0]urn:medication-statement-7674545645
Bundle.entry[0].resource[0].focus[6].reference[0]urn:medication-statement-234545645
Bundle.entry[1].fullUrl[0]urn:patient-00123943
Bundle.entry[1].resource[0].id[0]urn:patient-00123943
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]00123943
Bundle.entry[1].resource[0].name[0].use[0]official
Bundle.entry[1].resource[0].name[0].text[0]Miss Cedeep Laya
Bundle.entry[1].resource[0].name[0].family[0]Laya
Bundle.entry[1].resource[0].name[0].given[0]Cedeep
Bundle.entry[1].resource[0].name[0].prefix[0]Miss
Bundle.entry[1].resource[0].gender[0]female
Bundle.entry[1].resource[0].birthDate[0]1979-04-13
Bundle.entry[2].fullUrl[0]urn:staff-0002
Bundle.entry[2].resource[0].id[0]urn:staff-0002
Bundle.entry[2].resource[0].name[0].text[0]Dr Maikeu Better
Bundle.entry[2].resource[0].name[0].family[0]Better
Bundle.entry[2].resource[0].name[0].given[0]Maikeu
Bundle.entry[2].resource[0].name[0].prefix[0]Dr
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].system[0]https://fhir.hl7.org.uk/Id/gmc-number
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].code[0]2145879
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].display[0]General Medical Council
Bundle.entry[3].fullUrl[0]urn:medication-345345345
Bundle.entry[3].resource[0].id[0]urn:medication-345345345
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]222311000001102
Bundle.entry[3].resource[0].code[0].coding[0].display[0]Ventolin 100micrograms/dose Evohaler (GlaxoSmithKline UK Ltd)
Bundle.entry[4].fullUrl[0]urn:medication-statement-12323434534
Bundle.entry[4].resource[0].id[0]urn:medication-statement-12323434534
Bundle.entry[4].resource[0].status[0]active
Bundle.entry[4].resource[0].category[0].coding[0].system[0]http://hl7.org/fhir/medication-request-category
Bundle.entry[4].resource[0].category[0].coding[0].code[0]community
Bundle.entry[4].resource[0].category[0].coding[0].display[0]community
Bundle.entry[4].resource[0].medication[0].reference[0]urn:medication-345345345
Bundle.entry[4].resource[0].medication[0].display[0]Ventolin 100micrograms/dose Evohaler (GlaxoSmithKline UK Ltd)
Bundle.entry[4].resource[0].subject[0].reference[0]urn:patient-00123943
Bundle.entry[4].resource[0].subject[0].display[0]Miss Cedeep Laya
Bundle.entry[4].resource[0].dateAsserted[0]2019-12-13T15:00:25Z
Bundle.entry[4].resource[0].informationSource[0].reference[0]urn:staff-0002
Bundle.entry[4].resource[0].informationSource[0].display[0]Dr Maikeu Better
Bundle.entry[4].resource[0].dosage[0].timing[0].repeat[0].frequency[0]2
Bundle.entry[4].resource[0].dosage[0].timing[0].repeat[0].period[0]1
Bundle.entry[4].resource[0].dosage[0].timing[0].repeat[0].periodUnit[0]d
Bundle.entry[4].resource[0].dosage[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[4].resource[0].dosage[0].route[0].coding[0].code[0]26643006
Bundle.entry[4].resource[0].dosage[0].route[0].coding[0].display[0]oral
Bundle.entry[4].resource[0].dosage[0].doseAndRate[0].dose[0].value[0]2
Bundle.entry[4].resource[0].dosage[0].doseAndRate[0].dose[0].unit[0]dose
Bundle.entry[4].resource[0].dosage[0].doseAndRate[0].dose[0].system[0]http://snomed.info/sct
Bundle.entry[4].resource[0].dosage[0].doseAndRate[0].dose[0].code[0]3317411000001100
Bundle.entry[5].fullUrl[0]urn:medication-554312
Bundle.entry[5].resource[0].id[0]urn:medication-554312
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]3178611000001100
Bundle.entry[5].resource[0].code[0].coding[0].display[0]Becotide 100 inhaler (GlaxoSmithKline UK Ltd)
Bundle.entry[6].fullUrl[0]urn:medication-statement-34544333
Bundle.entry[6].resource[0].id[0]urn:medication-statement-34544333
Bundle.entry[6].resource[0].status[0]active
Bundle.entry[6].resource[0].category[0].coding[0].system[0]http://hl7.org/fhir/medication-request-category
Bundle.entry[6].resource[0].category[0].coding[0].code[0]community
Bundle.entry[6].resource[0].category[0].coding[0].display[0]community
Bundle.entry[6].resource[0].medication[0].reference[0]urn:medication-554312
Bundle.entry[6].resource[0].medication[0].display[0]Becotide 100 inhaler (GlaxoSmithKline UK Ltd)
Bundle.entry[6].resource[0].subject[0].reference[0]urn:patient-00123943
Bundle.entry[6].resource[0].subject[0].display[0]Miss Cedeep Laya
Bundle.entry[6].resource[0].dateAsserted[0]2020-01-07T10:12:25Z
Bundle.entry[6].resource[0].informationSource[0].reference[0]urn:staff-0002
Bundle.entry[6].resource[0].informationSource[0].display[0]Dr Maikeu Better
Bundle.entry[6].resource[0].dosage[0].timing[0].repeat[0].frequency[0]2
Bundle.entry[6].resource[0].dosage[0].timing[0].repeat[0].period[0]1
Bundle.entry[6].resource[0].dosage[0].timing[0].repeat[0].periodUnit[0]d
Bundle.entry[6].resource[0].dosage[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[6].resource[0].dosage[0].route[0].coding[0].code[0]26643006
Bundle.entry[6].resource[0].dosage[0].route[0].coding[0].display[0]oral
Bundle.entry[6].resource[0].dosage[0].doseAndRate[0].dose[0].value[0]1
Bundle.entry[6].resource[0].dosage[0].doseAndRate[0].dose[0].unit[0]dose
Bundle.entry[6].resource[0].dosage[0].doseAndRate[0].dose[0].system[0]http://snomed.info/sct
Bundle.entry[6].resource[0].dosage[0].doseAndRate[0].dose[0].code[0]3317411000001100
Bundle.entry[7].fullUrl[0]urn:medication-9908182
Bundle.entry[7].resource[0].id[0]urn:medication-9908182
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]322236009
Bundle.entry[7].resource[0].code[0].coding[0].display[0]Paracetamol 500mg tablets
Bundle.entry[8].fullUrl[0]urn:medication-statement-12354564
Bundle.entry[8].resource[0].id[0]urn:medication-statement-12354564
Bundle.entry[8].resource[0].status[0]active
Bundle.entry[8].resource[0].category[0].coding[0].system[0]http://hl7.org/fhir/medication-request-category
Bundle.entry[8].resource[0].category[0].coding[0].code[0]community
Bundle.entry[8].resource[0].category[0].coding[0].display[0]community
Bundle.entry[8].resource[0].medication[0].reference[0]urn:medication-9908182
Bundle.entry[8].resource[0].medication[0].display[0]Paracetamol 500mg tablets
Bundle.entry[8].resource[0].subject[0].reference[0]urn:patient-00123943
Bundle.entry[8].resource[0].subject[0].display[0]Miss Cedeep Laya
Bundle.entry[8].resource[0].dateAsserted[0]2021-05-07T13:00:25Z
Bundle.entry[8].resource[0].informationSource[0].reference[0]urn:staff-0002
Bundle.entry[8].resource[0].informationSource[0].display[0]Dr Maikeu Better
Bundle.entry[8].resource[0].dosage[0].timing[0].repeat[0].frequencyMax[0]4
Bundle.entry[8].resource[0].dosage[0].timing[0].repeat[0].period[0]1
Bundle.entry[8].resource[0].dosage[0].timing[0].repeat[0].periodUnit[0]d
Bundle.entry[8].resource[0].dosage[0].asNeeded[0]True
Bundle.entry[8].resource[0].dosage[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[8].resource[0].dosage[0].route[0].coding[0].code[0]26643006
Bundle.entry[8].resource[0].dosage[0].route[0].coding[0].display[0]oral
Bundle.entry[8].resource[0].dosage[0].doseAndRate[0].dose[0].value[0]2
Bundle.entry[8].resource[0].dosage[0].doseAndRate[0].dose[0].unit[0]tablet
Bundle.entry[8].resource[0].dosage[0].doseAndRate[0].dose[0].system[0]http://snomed.info/sct
Bundle.entry[8].resource[0].dosage[0].doseAndRate[0].dose[0].code[0]428673006
Bundle.entry[9].fullUrl[0]urn:medication-115643534
Bundle.entry[9].resource[0].id[0]urn:medication-115643534
Bundle.entry[9].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[9].resource[0].code[0].coding[0].code[0]48546005
Bundle.entry[9].resource[0].code[0].coding[0].display[0]Diazepam
Bundle.entry[10].fullUrl[0]urn:medication-statement-0931203120
Bundle.entry[10].resource[0].id[0]urn:medication-statement-0931203120
Bundle.entry[10].resource[0].status[0]active
Bundle.entry[10].resource[0].category[0].coding[0].system[0]http://hl7.org/fhir/medication-request-category
Bundle.entry[10].resource[0].category[0].coding[0].code[0]inpatient
Bundle.entry[10].resource[0].category[0].coding[0].display[0]inpatient
Bundle.entry[10].resource[0].medication[0].reference[0]urn:medication-115643534
Bundle.entry[10].resource[0].medication[0].display[0]Diazepam
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
back to top