Outpatient / Scott Chegg
Patient Journey: Scott Chegg
- Scott is prescribed a Goserelin 3.6mg implant by Dr Justin Thyme to be administered by IM injection in the Outpatients department on 1st May 2020. The medication request is written and sent to pharmacy by ward nurse Levy Tate based on Dr Thyme's instructions 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 = Outpatient EPMA system
Consumer System = Hospital pharmacy system
Example
</identifier>
<MessageHeader>
</eventCoding>
</source>
</focus>
</MessageHeader>
</resource>
</entry>
<Patient>
</identifier>
</name>
</Patient>
</resource>
</entry>
<Practitioner>
</name>
</coding>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<Practitioner>
</name>
</coding>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<Medication>
</coding>
</code>
</Medication>
</resource>
</entry>
<MedicationRequest>
</identifier>
</coding>
</category>
</medicationReference>
</subject>
</requester>
</recorder>
</timing>
</coding>
</site>
</coding>
</route>
</coding>
</method>
</dosageInstruction>
</substitution>
</MedicationRequest>
</resource>
</entry>
</Bundle>
{
},
{
},
},
]
}
},
{
],
{
"Scott"
],
"Mr"
]
}
],
}
},
{
],
{
{
}
]
}
}
]
}
},
{
],
{
{
}
]
}
}
]
}
},
{
{
}
]
}
}
},
{
{
}
],
{
{
}
]
}
],
},
},
},
},
{
},
{
}
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]
}
Bundle.id[0] | d3f6aa00-24a3-45fe-87fd-877820f5f0e8 |
Bundle.identifier[0].system[0] | urn:[organisation_name]:[system_name] |
Bundle.identifier[0].value[0] | urn:39920ce3-e585-4ef2-921b-9128fcfd307f |
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-342355475687898 |
Bundle.entry[1].fullUrl[0] | urn:patient-3204221854 |
Bundle.entry[1].resource[0].id[0] | urn:patient-3204221854 |
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] | 3204221854 |
Bundle.entry[1].resource[0].name[0].use[0] | official |
Bundle.entry[1].resource[0].name[0].text[0] | Mr Scott Chegg |
Bundle.entry[1].resource[0].name[0].family[0] | Chegg |
Bundle.entry[1].resource[0].name[0].given[0] | Scott |
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] | 1960-04-02 |
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 Justin Thyme |
Bundle.entry[2].resource[0].name[0].family[0] | Thyme |
Bundle.entry[2].resource[0].name[0].given[0] | Justin |
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] | 1234567 |
Bundle.entry[2].resource[0].qualification[0].code[0].coding[0].display[0] | General Medical Council |
Bundle.entry[3].fullUrl[0] | urn:staff-0003 |
Bundle.entry[3].resource[0].id[0] | urn:staff-0003 |
Bundle.entry[3].resource[0].name[0].text[0] | Levy Tate |
Bundle.entry[3].resource[0].name[0].family[0] | Tate |
Bundle.entry[3].resource[0].name[0].given[0] | Levy |
Bundle.entry[3].resource[0].qualification[0].code[0].coding[0].system[0] | https://fhir.hl7.org.uk/Id/nmc-number |
Bundle.entry[3].resource[0].qualification[0].code[0].coding[0].code[0] | 71A2998E |
Bundle.entry[3].resource[0].qualification[0].code[0].coding[0].display[0] | Nurse Midwifery Council |
Bundle.entry[4].fullUrl[0] | urn:medication-327337009 |
Bundle.entry[4].resource[0].id[0] | urn:medication-327337009 |
Bundle.entry[4].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[4].resource[0].code[0].coding[0].code[0] | 42036711000001108 |
Bundle.entry[4].resource[0].code[0].coding[0].display[0] | Goserelin 3.6mg implant pre-filled syringes |
Bundle.entry[5].fullUrl[0] | urn:med-req-342355475687898 |
Bundle.entry[5].resource[0].id[0] | urn:med-req-342355475687898 |
Bundle.entry[5].resource[0].identifier[0].system[0] | urn:[organisation_name]:[system_name] |
Bundle.entry[5].resource[0].identifier[0].value[0] | urn:39920ce3-e585-4ef2-921b-9128fcfd307f |
Bundle.entry[5].resource[0].status[0] | active |
Bundle.entry[5].resource[0].intent[0] | order |
Bundle.entry[5].resource[0].category[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/medicationrequest-category |
Bundle.entry[5].resource[0].category[0].coding[0].code[0] | inpatient |
Bundle.entry[5].resource[0].category[0].coding[0].display[0] | inpatient |
Bundle.entry[5].resource[0].priority[0] | routine |
Bundle.entry[5].resource[0].medication[0].reference[0] | urn:medication-327337009 |
Bundle.entry[5].resource[0].subject[0].reference[0] | urn:patient-3204221854 |
Bundle.entry[5].resource[0].subject[0].display[0] | Mr Scott Chegg |
Bundle.entry[5].resource[0].authoredOn[0] | 2021-05-07T16:15:32+00:00 |
Bundle.entry[5].resource[0].requester[0].reference[0] | urn:staff-0001 |
Bundle.entry[5].resource[0].requester[0].display[0] | Dr Justin Thyme |
Bundle.entry[5].resource[0].recorder[0].reference[0] | urn:staff-0003 |
Bundle.entry[5].resource[0].recorder[0].display[0] | Levy Tate |
Bundle.entry[5].resource[0].dosageInstruction[0].timing[0].event[0] | 2020-05-01 |
Bundle.entry[5].resource[0].dosageInstruction[0].timing[0].repeat[0].count[0] | 1 |
Bundle.entry[5].resource[0].dosageInstruction[0].site[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[5].resource[0].dosageInstruction[0].site[0].coding[0].code[0] | 59380008 |
Bundle.entry[5].resource[0].dosageInstruction[0].site[0].coding[0].display[0] | Anterior abdominal wall structure |
Bundle.entry[5].resource[0].dosageInstruction[0].route[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[5].resource[0].dosageInstruction[0].route[0].coding[0].code[0] | 78421000 |
Bundle.entry[5].resource[0].dosageInstruction[0].route[0].coding[0].display[0] | Intramuscular route |
Bundle.entry[5].resource[0].dosageInstruction[0].method[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[5].resource[0].dosageInstruction[0].method[0].coding[0].code[0] | 422145002 |
Bundle.entry[5].resource[0].dosageInstruction[0].method[0].coding[0].display[0] | Inject |
Bundle.entry[5].resource[0].substitution[0].allowed[0] | False |
Bundle |
id : d3f6aa00-24a3-45fe-87fd-877820f5f0e8 |
identifier |
system : urn:[organisation_name]:[system_name] |
value : urn:39920ce3-e585-4ef2-921b-9128fcfd307f |
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-342355475687898 |
entry |
fullUrl : urn:patient-3204221854 |
resource |
id : urn:patient-3204221854 |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 3204221854 |
name |
use : official |
text : Mr Scott Chegg |
family : Chegg |
given : Scott |
prefix : Mr |
gender : male |
birthDate : 1960-04-02 |
entry |
fullUrl : urn:staff-0001 |
resource |
id : urn:staff-0001 |
name |
text : Dr Justin Thyme |
family : Thyme |
given : Justin |
prefix : Dr |
qualification |
code |
coding |
system : https://fhir.hl7.org.uk/Id/gmc-number |
code : 1234567 |
display : General Medical Council |
entry |
fullUrl : urn:staff-0003 |
resource |
id : urn:staff-0003 |
name |
text : Levy Tate |
family : Tate |
given : Levy |
qualification |
code |
coding |
system : https://fhir.hl7.org.uk/Id/nmc-number |
code : 71A2998E |
display : Nurse Midwifery Council |
entry |
fullUrl : urn:medication-327337009 |
resource |
id : urn:medication-327337009 |
code |
coding |
system : http://snomed.info/sct |
code : 42036711000001108 |
display : Goserelin 3.6mg implant pre-filled syringes |
entry |
fullUrl : urn:med-req-342355475687898 |
resource |
id : urn:med-req-342355475687898 |
identifier |
system : urn:[organisation_name]:[system_name] |
value : urn:39920ce3-e585-4ef2-921b-9128fcfd307f |
status : active |
intent : order |
category |
coding |
system : http://terminology.hl7.org/CodeSystem/medicationrequest-category |
code : inpatient |
display : inpatient |
priority : routine |
medication |
reference : urn:medication-327337009 |
subject |
reference : urn:patient-3204221854 |
display : Mr Scott Chegg |
authoredOn : 2021-05-07T16:15:32+00:00 |
requester |
reference : urn:staff-0001 |
display : Dr Justin Thyme |
recorder |
reference : urn:staff-0003 |
display : Levy Tate |
dosageInstruction |
timing |
event : 2020-05-01 |
repeat |
count : 1 |
site |
coding |
system : http://snomed.info/sct |
code : 59380008 |
display : Anterior abdominal wall structure |
route |
coding |
system : http://snomed.info/sct |
code : 78421000 |
display : Intramuscular route |
method |
coding |
system : http://snomed.info/sct |
code : 422145002 |
display : Inject |
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 = Outpatient 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>
</coding>
</category>
</medicationReference>
</subject>
</performer>
</authorizingPrescription>
</quantity>
</timing>
</coding>
</site>
</coding>
</route>
</coding>
</method>
</dosageInstruction>
</MedicationDispense>
</resource>
</entry>
</Bundle>
{
{
},
},
]
}
},
{
],
{
"Scott"
],
"Mr"
]
}
],
}
},
{
],
{
{
}
]
}
}
]
}
},
{
{
}
]
}
}
},
{
{
}
],
{
}
]
},
},
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{
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{
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}
Bundle.id[0] | f3374004-b796-4d0d-949d-3574b0103ec9 |
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] | individual-requirements-1 |
Bundle.entry[0].resource[0].event[0].display[0] | Individual Requirements |
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-disp-56756345423 |
Bundle.entry[1].fullUrl[0] | urn:patient-3204221854 |
Bundle.entry[1].resource[0].id[0] | urn:patient-3204221854 |
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] | 3204221854 |
Bundle.entry[1].resource[0].name[0].use[0] | official |
Bundle.entry[1].resource[0].name[0].text[0] | Mr Scott Chegg |
Bundle.entry[1].resource[0].name[0].family[0] | Chegg |
Bundle.entry[1].resource[0].name[0].given[0] | Scott |
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] | 1960-04-02 |
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-824211000001107 |
Bundle.entry[3].resource[0].id[0] | urn:medication-824211000001107 |
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] | 824211000001107 |
Bundle.entry[3].resource[0].code[0].coding[0].display[0] | Zoladex 3.6mg implant SafeSystem pre-filled syringes (AstraZeneca UK Ltd) |
Bundle.entry[4].fullUrl[0] | urn:medication-disp-56756345423 |
Bundle.entry[4].resource[0].id[0] | urn:medication-disp-56756345423 |
Bundle.entry[4].resource[0].identifier[0].system[0] | https://fhir.nhs.uk/Id/nhs-number |
Bundle.entry[4].resource[0].identifier[0].value[0] | urn:2aa74d82-ae47-4783-8b7a-ff594bc2929f |
Bundle.entry[4].resource[0].status[0] | in-progress |
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] | outpatient |
Bundle.entry[4].resource[0].category[0].coding[0].display[0] | outpatient |
Bundle.entry[4].resource[0].medication[0].reference[0] | urn:medication-824211000001107 |
Bundle.entry[4].resource[0].medication[0].display[0] | Zoladex 3.6mg implant SafeSystem pre-filled syringes (AstraZeneca UK Ltd) |
Bundle.entry[4].resource[0].subject[0].reference[0] | urn:patient-3204221854 |
Bundle.entry[4].resource[0].subject[0].display[0] | Mr Scott Chegg |
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-342355475687898 |
Bundle.entry[4].resource[0].quantity[0].value[0] | 1 |
Bundle.entry[4].resource[0].quantity[0].unit[0] | pre-filled disposable injection |
Bundle.entry[4].resource[0].quantity[0].system[0] | http://snomed.info/sct |
Bundle.entry[4].resource[0].quantity[0].code[0] | 3318611000001103 |
Bundle.entry[4].resource[0].whenPrepared[0] | 2021-05-07T16:15:32+00:00 |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].event[0] | 2020-05-01 |
Bundle.entry[4].resource[0].dosageInstruction[0].timing[0].repeat[0].count[0] | 1 |
Bundle.entry[4].resource[0].dosageInstruction[0].site[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[4].resource[0].dosageInstruction[0].site[0].coding[0].code[0] | 59380008 |
Bundle.entry[4].resource[0].dosageInstruction[0].site[0].coding[0].display[0] | Anterior abdominal wall structure |
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] | 78421000 |
Bundle.entry[4].resource[0].dosageInstruction[0].route[0].coding[0].display[0] | Intramuscular route |
Bundle.entry[4].resource[0].dosageInstruction[0].method[0].coding[0].system[0] | http://snomed.info/sct |
Bundle.entry[4].resource[0].dosageInstruction[0].method[0].coding[0].code[0] | 422145002 |
Bundle.entry[4].resource[0].dosageInstruction[0].method[0].coding[0].display[0] | Inject |
Bundle |
id : f3374004-b796-4d0d-949d-3574b0103ec9 |
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 : individual-requirements-1 |
display : Individual Requirements |
source |
endpoint : urn:nhs-uk:addressing:ods:T48NT |
focus |
reference : urn:medication-disp-56756345423 |
entry |
fullUrl : urn:patient-3204221854 |
resource |
id : urn:patient-3204221854 |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 3204221854 |
name |
use : official |
text : Mr Scott Chegg |
family : Chegg |
given : Scott |
prefix : Mr |
gender : male |
birthDate : 1960-04-02 |
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-824211000001107 |
resource |
id : urn:medication-824211000001107 |
code |
coding |
system : http://snomed.info/sct |
code : 824211000001107 |
display : Zoladex 3.6mg implant SafeSystem pre-filled syringes (AstraZeneca UK Ltd) |
entry |
fullUrl : urn:medication-disp-56756345423 |
resource |
id : urn:medication-disp-56756345423 |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : urn:2aa74d82-ae47-4783-8b7a-ff594bc2929f |
status : in-progress |
category |
coding |
system : http://hl7.org/fhir/medication-request-category |
code : outpatient |
display : outpatient |
medication |
reference : urn:medication-824211000001107 |
display : Zoladex 3.6mg implant SafeSystem pre-filled syringes (AstraZeneca UK Ltd) |
subject |
reference : urn:patient-3204221854 |
display : Mr Scott Chegg |
performer |
actor |
reference : urn:staff-0002 |
display : Dr Allo Kate |
authorizingPrescription |
reference : urn:med-req-342355475687898 |
quantity |
value : 1 |
unit : pre-filled disposable injection |
system : http://snomed.info/sct |
code : 3318611000001103 |
whenPrepared : 2021-05-07T16:15:32+00:00 |
dosageInstruction |
timing |
event : 2020-05-01 |
repeat |
count : 1 |
site |
coding |
system : http://snomed.info/sct |
code : 59380008 |
display : Anterior abdominal wall structure |
route |
coding |
system : http://snomed.info/sct |
code : 78421000 |
display : Intramuscular route |
method |
coding |
system : http://snomed.info/sct |
code : 422145002 |
display : Inject |