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.

Permitabs tablets

Product-based AMP prescription with text-based patient instruction for the preparation.

Complex because contains a detailed preparation instruction which has to be conveyed as free-text within patientInstruction.

<MedicationRequest xmlns="http://hl7.org/fhir">
<id value="1f4959a1-4a33-4b0e-bfad-f2ea1fccb2fa" />
<meta>
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest" />
</meta>
<status value="active" />
<intent value="order" />
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category" />
<code value="outpatient" />
<display value="outpatient" />
</coding>
</category>
<medicationCodeableConcept>
<coding>
<system value="https://dmd.nhs.uk" />
<code value="4256811000001101" />
<display value="Permitabs 400mg tablets for cutaneous solution (Alliance Pharmaceuticals Ltd)" />
</coding>
</medicationCodeableConcept>
<subject>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9999999999" />
</identifier>
</subject>
<authoredOn value="2020-05-15T15:00:00Z" />
<requester>
<reference value="urn:staff-3030" />
<display value="Dr Callum Lund" />
</requester>
<recorder>
<reference value="urn:staff-3030" />
<display value="Dr Callum Lund" />
</recorder>
<dosageInstruction>
<text value="Topical - Add one tablet to 500ml of warm water and dissolve. Make the resulting solution up to 8 litres and use to soak feet. Do not ingest." />
<patientInstruction value="Add one tablet to 500ml of warm water and dissolve. Make the resulting solution up to 8 litres and use to soak feet. Do not ingest." />
<route>
<coding>
<system value="http://snomed.info/sct" />
<code value="6064005" />
<display value="Topical" />
</coding>
</route>
</dosageInstruction>
<substitution>
<allowedBoolean value="false" />
</substitution>
</MedicationRequest>
{
"resourceType": "MedicationRequest",
"id": "1f4959a1-4a33-4b0e-bfad-f2ea1fccb2fa",
"meta": {
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest"
]
},
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "outpatient",
"display": "outpatient"
}
]
}
],
"medicationCodeableConcept": {
"coding": [
{
"system": "https://dmd.nhs.uk",
"code": "4256811000001101",
"display": "Permitabs 400mg tablets for cutaneous solution (Alliance Pharmaceuticals Ltd)"
}
]
},
"subject": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9999999999"
}
},
"authoredOn": "2020-05-15T15:00:00Z",
"requester": {
"reference": "urn:staff-3030",
"display": "Dr Callum Lund"
},
"recorder": {
"reference": "urn:staff-3030",
"display": "Dr Callum Lund"
},
"dosageInstruction": [
{
"text": "Topical - Add one tablet to 500ml of warm water and dissolve. Make the resulting solution up to 8 litres and use to soak feet. Do not ingest.",
"patientInstruction": "Add one tablet to 500ml of warm water and dissolve. Make the resulting solution up to 8 litres and use to soak feet. Do not ingest.",
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "6064005",
"display": "Topical"
}
]
}
}
],
"substitution": {
"allowedBoolean": false
}
}
MedicationRequest.id[0]1f4959a1-4a33-4b0e-bfad-f2ea1fccb2fa
MedicationRequest.meta[0].profile[0]https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest
MedicationRequest.status[0]active
MedicationRequest.intent[0]order
MedicationRequest.category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/medicationrequest-category
MedicationRequest.category[0].coding[0].code[0]outpatient
MedicationRequest.category[0].coding[0].display[0]outpatient
MedicationRequest.medication[0].coding[0].system[0]https://dmd.nhs.uk
MedicationRequest.medication[0].coding[0].code[0]4256811000001101
MedicationRequest.medication[0].coding[0].display[0]Permitabs 400mg tablets for cutaneous solution (Alliance Pharmaceuticals Ltd)
MedicationRequest.subject[0].identifier[0].system[0]https://fhir.nhs.uk/Id/nhs-number
MedicationRequest.subject[0].identifier[0].value[0]9999999999
MedicationRequest.authoredOn[0]2020-05-15T15:00:00Z
MedicationRequest.requester[0].reference[0]urn:staff-3030
MedicationRequest.requester[0].display[0]Dr Callum Lund
MedicationRequest.recorder[0].reference[0]urn:staff-3030
MedicationRequest.recorder[0].display[0]Dr Callum Lund
MedicationRequest.dosageInstruction[0].text[0]Topical - Add one tablet to 500ml of warm water and dissolve. Make the resulting solution up to 8 litres and use to soak feet. Do not ingest.
MedicationRequest.dosageInstruction[0].patientInstruction[0]Add one tablet to 500ml of warm water and dissolve. Make the resulting solution up to 8 litres and use to soak feet. Do not ingest.
MedicationRequest.dosageInstruction[0].route[0].coding[0].system[0]http://snomed.info/sct
MedicationRequest.dosageInstruction[0].route[0].coding[0].code[0]6064005
MedicationRequest.dosageInstruction[0].route[0].coding[0].display[0]Topical
MedicationRequest.substitution[0].allowed[0]False
MedicationRequest

Example on-screen presentation:

Permitabs 400mg tablets for cutaneous solution (Alliance Pharmaceuticals Ltd)
Add one tablet to 500ml of warm water and dissolve. Make the resulting solution up to 8 litres and use to soak feet. Do not ingest.
back to top