Inpatient On Leave / Toby Lerone
Patient Journey: Toby Lerone
- Current inpatient Toby is going home for the weekend leave and is prescribed 3 days supply of Citalopram 20mg tablets one to be taken in the morning as a
MedicationRequest
[Example 1]. - Pharmacy dispenses this medication as a
MedicationDispense
[Example 2].
Example 1: MedicationRequest
Note: Example validated against UKCore, dm+d and SNOMED-CT on 23 May 2025.
Actors
Provider System = Ward EPMA system
Consumer System = Hospital pharmacy system
Example
<MessageHeader>
</eventCoding>
</source>
</focus>
</MessageHeader>
</resource>
</entry>
<Patient>
</identifier>
</name>
</Patient>
</resource>
</entry>
<Practitioner>
</name>
</coding>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<Medication>
</coding>
</code>
</Medication>
</resource>
</entry>
<MedicationRequest>
</coding>
</category>
</medicationReference>
</subject>
</requester>
</recorder>
</repeat>
</timing>
</coding>
</route>
</dosageInstruction>
</quantity>
</dispenseRequest>
</substitution>
</MedicationRequest>
</resource>
</entry>
</Bundle>
{
{
},
},
]
}
},
{
],
{
"Toby"
],
"Mr"
]
}
],
}
},
{
],
{
{
}
]
}
}
]
}
},
{
]
}
}
},
{
{
{
}
]
}
],
},
},
},
},
{
},
}
}
],
},
}
}
}
]
}
Bundle.id[0] | c19fac1e-7fb8-4acb-87a8-9cf05cf90ec9 |
Bundle.type[0] | message |
Bundle.timestamp[0] | 2021-05-07T16:15:32+00:00 |
Bundle.entry[0].fullUrl[0] | urn:message-header-167434 |
Bundle.entry[0].resource[0].id[0] | urn:message-header-167434 |
Bundle.entry[0].resource[0].event[0].system[0] | https://fhir.hl7.org.uk//CodeSystem/message-event |
Bundle.entry[0].resource[0].event[0].code[0] | prescription-order |
Bundle.entry[0].resource[0].event[0].display[0] | Prescription Order |
Bundle.entry[0].resource[0].source[0].name[0] | ACME Clinical Systems |
Bundle.entry[0].resource[0].source[0].software[0] | ACME ePMA |
Bundle.entry[0].resource[0].source[0].version[0] | 3.5.68 |
Bundle.entry[0].resource[0].source[0].endpoint[0] | urn:nhs-uk:addressing:ods:T48NT |
Bundle.entry[0].resource[0].focus[0].reference[0] | urn:med-req-12312312 |
Bundle.entry[1].fullUrl[0] | urn:patient-4738562854 |
Bundle.entry[1].resource[0].id[0] | urn:patient-4738562854 |
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] | 4738562854 |
Bundle.entry[1].resource[0].name[0].use[0] | official |
Bundle.entry[1].resource[0].name[0].text[0] | Mr Toby Lerone |
Bundle.entry[1].resource[0].name[0].family[0] | Lerone |
Bundle.entry[1].resource[0].name[0].given[0] | Toby |
Bundle.entry[1].resource[0].name[0].prefix[0] | Mr |
Bundle.entry[1].resource[0].gender[0] | male |
Bundle.entry[1].resource[0].birthDate[0] | 1973-02-20 |
Bundle.entry[2].fullUrl[0] | urn:staff-0001 |
Bundle.entry[2].resource[0].id[0] | urn:staff-0001 |
Bundle.entry[2].resource[0].name[0].text[0] | Dr S Quirrel |
Bundle.entry[2].resource[0].name[0].family[0] | Quirrel |
Bundle.entry[2].resource[0].name[0].given[0] | S |
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-27658006 |
Bundle.entry[3].resource[0].id[0] | urn:medication-27658006 |
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] | 321987003 |
Bundle.entry[3].resource[0].code[0].coding[0].display[0] | Citalopram 20mg tablets |
Bundle.entry[4].fullUrl[0] | urn:med-req-12312312 |
Bundle.entry[4].resource[0].id[0] | urn:med-req-12312312 |
Bundle.entry[4].resource[0].status[0] | active |
Bundle.entry[4].resource[0].intent[0] | order |
Bundle.entry[4].resource[0].category[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/medicationrequest-category |
Bundle.entry[4].resource[0].category[0].coding[0].code[0] | leave |
Bundle.entry[4].resource[0].category[0].coding[0].display[0] | leave |
Bundle.entry[4].resource[0].priority[0] | routine |
Bundle.entry[4].resource[0].medication[0].reference[0] | urn:medication-27658006 |
Bundle.entry[4].resource[0].subject[0].reference[0] | urn:patient-4738562854 |
Bundle.entry[4].resource[0].subject[0].display[0] | Mr Toby Lerone |
Bundle.entry[4].resource[0].authoredOn[0] | 2021-05-07T16:15:32+00:00 |
Bundle.entry[4].resource[0].requester[0].reference[0] | urn:staff-0001 |
Bundle.entry[4].resource[0].requester[0].display[0] | Dr S Quirrel |
Bundle.entry[4].resource[0].recorder[0].reference[0] | urn:staff-0001 |
Bundle.entry[4].resource[0].recorder[0].display[0] | Dr S Quirrel |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0] | 1 |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0] | 1 |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0] | d |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].when[0] | MORN |
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].code[0] | 26643006 |
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].display[0] | Oral |
Bundle.entry[4].resource[0].dispenseRequest[0].quantity[0].value[0] | 3 |
Bundle.entry[4].resource[0].dispenseRequest[0].quantity[0].unit[0] | day |
Bundle.entry[4].resource[0].dispenseRequest[0].quantity[0].system[0] | http://unitsofmeasure.org |
Bundle.entry[4].resource[0].dispenseRequest[0].quantity[0].code[0] | d |
Bundle.entry[4].resource[0].substitution[0].allowed[0] | False |
Bundle |
id : c19fac1e-7fb8-4acb-87a8-9cf05cf90ec9 |
type : message |
timestamp : 2021-05-07T16:15:32+00:00 |
entry |
fullUrl : urn:message-header-167434 |
resource |
id : urn:message-header-167434 |
event |
system : https://fhir.hl7.org.uk//CodeSystem/message-event |
code : prescription-order |
display : Prescription Order |
source |
name : ACME Clinical Systems |
software : ACME ePMA |
version : 3.5.68 |
endpoint : urn:nhs-uk:addressing:ods:T48NT |
focus |
reference : urn:med-req-12312312 |
entry |
fullUrl : urn:patient-4738562854 |
resource |
id : urn:patient-4738562854 |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 4738562854 |
name |
use : official |
text : Mr Toby Lerone |
family : Lerone |
given : Toby |
prefix : Mr |
gender : male |
birthDate : 1973-02-20 |
entry |
fullUrl : urn:staff-0001 |
resource |
id : urn:staff-0001 |
name |
text : Dr S Quirrel |
family : Quirrel |
given : S |
prefix : Dr |
qualification |
code |
coding |
system : https://fhir.hl7.org.uk/Id/gmc-number |
code : 2145879 |
display : General Medical Council |
entry |
fullUrl : urn:medication-27658006 |
resource |
id : urn:medication-27658006 |
code |
coding |
system : http://snomed.info/sct |
code : 321987003 |
display : Citalopram 20mg tablets |
entry |
fullUrl : urn:med-req-12312312 |
resource |
id : urn:med-req-12312312 |
status : active |
intent : order |
category |
coding |
system : http://terminology.hl7.org/CodeSystem/medicationrequest-category |
code : leave |
display : leave |
priority : routine |
medication |
reference : urn:medication-27658006 |
subject |
reference : urn:patient-4738562854 |
display : Mr Toby Lerone |
authoredOn : 2021-05-07T16:15:32+00:00 |
requester |
reference : urn:staff-0001 |
display : Dr S Quirrel |
recorder |
reference : urn:staff-0001 |
display : Dr S Quirrel |
dosageInstruction |
timing |
repeat |
frequency : 1 |
period : 1 |
periodUnit : d |
when : MORN |
route |
coding |
system : http://snomed.info/sct |
code : 26643006 |
display : Oral |
dispenseRequest |
quantity |
value : 3 |
unit : day |
system : http://unitsofmeasure.org |
code : d |
substitution |
allowed : False |
Example 2: MedicationDispense
Note: Example validated against UKCore, dm+d and SNOMED-CT on 23 May 2025.
Actors
Provider System = Hospital pharmacy system
Consumer System = Ward EPMA system
Example
<MessageHeader>
</eventCoding>
</source>
</focus>
</MessageHeader>
</resource>
</entry>
<Patient>
</identifier>
</name>
</Patient>
</resource>
</entry>
<Practitioner>
</name>
</coding>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<Medication>
</coding>
</code>
</Medication>
</resource>
</entry>
<MedicationDispense>
</identifier>
</medicationReference>
</subject>
</performer>
</authorizingPrescription>
</quantity>
</daysSupply>
</timing>
</coding>
</route>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationDispense>
</resource>
</entry>
</Bundle>
{
{
},
},
]
}
},
{
],
{
"Toby"
],
"Mr"
]
}
],
}
},
{
],
{
{
}
]
}
}
]
}
},
{
{
}
]
}
}
},
{
{
}
],
},
},
],
],
},
},
{
},
},
{
}
}
]
}
]
}
}
]
}
Bundle.id[0] | 746f7585-4fa0-42d9-b8d8-14c71217e112 |
Bundle.type[0] | message |
Bundle.timestamp[0] | 2021-05-07T16:15:32+00:00 |
Bundle.entry[0].fullUrl[0] | urn:message-header-167434 |
Bundle.entry[0].resource[0].id[0] | urn:message-header-167434 |
Bundle.entry[0].resource[0].event[0].system[0] | http://hl7.org/fhir/message-events |
Bundle.entry[0].resource[0].event[0].code[0] | dispense-notification |
Bundle.entry[0].resource[0].event[0].display[0] | Dispense Notification |
Bundle.entry[0].resource[0].source[0].name[0] | ACME Clinical Systems |
Bundle.entry[0].resource[0].source[0].software[0] | ACME Pharmacy |
Bundle.entry[0].resource[0].source[0].version[0] | 4.1.15 |
Bundle.entry[0].resource[0].source[0].endpoint[0] | urn:nhs-uk:addressing:ods:T48NT |
Bundle.entry[0].resource[0].focus[0].reference[0] | urn:med-disp-3949490 |
Bundle.entry[1].fullUrl[0] | urn:patient-4738562854 |
Bundle.entry[1].resource[0].id[0] | urn:patient-4738562854 |
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] | 4738562854 |
Bundle.entry[1].resource[0].name[0].use[0] | official |
Bundle.entry[1].resource[0].name[0].text[0] | Mr Toby Lerone |
Bundle.entry[1].resource[0].name[0].family[0] | Lerone |
Bundle.entry[1].resource[0].name[0].given[0] | Toby |
Bundle.entry[1].resource[0].name[0].prefix[0] | Mr |
Bundle.entry[1].resource[0].gender[0] | male |
Bundle.entry[1].resource[0].birthDate[0] | 1973-02-20 |
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 Allo Kate |
Bundle.entry[2].resource[0].name[0].family[0] | Kate |
Bundle.entry[2].resource[0].name[0].given[0] | Allo |
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/gpc-number |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].code[0] | 123543 |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].display[0] | General Pharmaceutical Council |
Bundle.entry[3].fullUrl[0] | urn:medication-847211000001102 |
Bundle.entry[3].resource[0].id[0] | urn:medication-847211000001102 |
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] | 847211000001102 |
Bundle.entry[3].resource[0].code[0].coding[0].display[0] | Cipramil 20mg tablets (Lundbeck Ltd) |
Bundle.entry[4].fullUrl[0] | urn:med-disp-3949490 |
Bundle.entry[4].resource[0].id[0] | urn:med-disp-3949490 |
Bundle.entry[4].resource[0].identifier[0].system[0] | urn:[organisation_name]:[system_name] |
Bundle.entry[4].resource[0].identifier[0].value[0] | urn:d27292c7-1cbe-47c5-8c56-370b97c17d17 |
Bundle.entry[4].resource[0].status[0] | in-progress |
Bundle.entry[4].resource[0].medication[0].reference[0] | urn:medication-847211000001102 |
Bundle.entry[4].resource[0].medication[0].display[0] | Cipramil 20mg tablets (Lundbeck Ltd) |
Bundle.entry[4].resource[0].subject[0].reference[0] | urn:patient-4738562854 |
Bundle.entry[4].resource[0].subject[0].display[0] | Mr Toby Lerone |
Bundle.entry[4].resource[0].performer[0].actor[0].reference[0] | urn:staff-0002 |
Bundle.entry[4].resource[0].performer[0].actor[0].display[0] | Dr Allo Kate |
Bundle.entry[4].resource[0].authorizingPrescription[0].reference[0] | urn:med-req-12312312 |
Bundle.entry[4].resource[0].quantity[0].value[0] | 3 |
Bundle.entry[4].resource[0].quantity[0].unit[0] | tablet |
Bundle.entry[4].resource[0].quantity[0].system[0] | http://snomed.info/sct |
Bundle.entry[4].resource[0].quantity[0].code[0] | 428673006 |
Bundle.entry[4].resource[0].daysSupply[0].value[0] | 3 |
Bundle.entry[4].resource[0].daysSupply[0].unit[0] | Day |
Bundle.entry[4].resource[0].daysSupply[0].system[0] | http://unitsofmeasure.org |
Bundle.entry[4].resource[0].daysSupply[0].code[0] | d |
Bundle.entry[4].resource[0].whenPrepared[0] | 2021-05-07T16:15:32+00:00 |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0] | 1 |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0] | 1 |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0] | d |
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].code[0] | 26643006 |
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].display[0] | Oral |
Bundle.entry[4].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].value[0] | 1 |
Bundle.entry[4].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].unit[0] | tablet |
Bundle.entry[4].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].system[0] | http://snomed.info/sct |
Bundle.entry[4].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].code[0] | 428641000 |
Bundle |
id : 746f7585-4fa0-42d9-b8d8-14c71217e112 |
type : message |
timestamp : 2021-05-07T16:15:32+00:00 |
entry |
fullUrl : urn:message-header-167434 |
resource |
id : urn:message-header-167434 |
event |
system : http://hl7.org/fhir/message-events |
code : dispense-notification |
display : Dispense Notification |
source |
name : ACME Clinical Systems |
software : ACME Pharmacy |
version : 4.1.15 |
endpoint : urn:nhs-uk:addressing:ods:T48NT |
focus |
reference : urn:med-disp-3949490 |
entry |
fullUrl : urn:patient-4738562854 |
resource |
id : urn:patient-4738562854 |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 4738562854 |
name |
use : official |
text : Mr Toby Lerone |
family : Lerone |
given : Toby |
prefix : Mr |
gender : male |
birthDate : 1973-02-20 |
entry |
fullUrl : urn:staff-0002 |
resource |
id : urn:staff-0002 |
name |
text : Dr Allo Kate |
family : Kate |
given : Allo |
prefix : Dr |
qualification |
code |
coding |
system : https://fhir.hl7.org.uk/Id/gpc-number |
code : 123543 |
display : General Pharmaceutical Council |
entry |
fullUrl : urn:medication-847211000001102 |
resource |
id : urn:medication-847211000001102 |
code |
coding |
system : http://snomed.info/sct |
code : 847211000001102 |
display : Cipramil 20mg tablets (Lundbeck Ltd) |
entry |
fullUrl : urn:med-disp-3949490 |
resource |
id : urn:med-disp-3949490 |
identifier |
system : urn:[organisation_name]:[system_name] |
value : urn:d27292c7-1cbe-47c5-8c56-370b97c17d17 |
status : in-progress |
medication |
reference : urn:medication-847211000001102 |
display : Cipramil 20mg tablets (Lundbeck Ltd) |
subject |
reference : urn:patient-4738562854 |
display : Mr Toby Lerone |
performer |
actor |
reference : urn:staff-0002 |
display : Dr Allo Kate |
authorizingPrescription |
reference : urn:med-req-12312312 |
quantity |
value : 3 |
unit : tablet |
system : http://snomed.info/sct |
code : 428673006 |
daysSupply |
value : 3 |
unit : Day |
system : http://unitsofmeasure.org |
code : d |
whenPrepared : 2021-05-07T16:15:32+00:00 |
dosageInstruction |
timing |
repeat |
frequency : 1 |
period : 1 |
periodUnit : d |
route |
coding |
system : http://snomed.info/sct |
code : 26643006 |
display : Oral |
doseAndRate |
dose |
value : 1 |
unit : tablet |
system : http://snomed.info/sct |
code : 428641000 |