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.
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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": {
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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
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Bundle.entry[9].resource[0].id[0]urn:medication-115643534
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Bundle.entry[9].resource[0].code[0].coding[0].display[0]Diazepam
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Bundle.entry[10].resource[0].id[0]urn:medication-statement-0931203120
Bundle.entry[10].resource[0].status[0]active
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Bundle.entry[10].resource[0].category[0].coding[0].display[0]inpatient
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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
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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
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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
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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
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Bundle.entry[12].resource[0].status[0]active
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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
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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
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Bundle.entry[14].resource[0].category[0].coding[0].code[0]inpatient
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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
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Bundle.entry[14].resource[0].dosage[0].doseAndRate[0].dose[0].code[0]ml
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Bundle.entry[16].resource[0].status[0]active
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Bundle.entry[16].resource[0].category[0].coding[0].code[0]inpatient
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Bundle.entry[16].resource[0].dosage[0].method[0].coding[0].system[0]http://snomed.info/sct
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Bundle.entry[16].resource[0].dosage[0].doseAndRate[0].dose[0].code[0]mg
Bundle
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