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.

Element: sequence

Multi-sequence dosage instructions.

A multi-sequence would be required where a dosage instruction changes over a given time schedule, where a dosage instruction includes optional follow-up doses or where a concurrent dosage instruction is required for the same medication at a different dose.

Examples below include Prednisolone to treat Bell’s palsy where a dose starts at 60 mg per day for a period of time then reduces by 10 mg per day. This would be described as a sequential dosage instruction. A concurrent dosage example is provided to describe a different dose in the morning to that at midday.

Sequential Instructions

Where the value of sequence is an incremental integer it defines a sequential instruction.

Example use of the FHIR R4 Dosage using multiple sequential sequences

<MedicationRequest xmlns="http://hl7.org/fhir">
<id value="43955772-3136-49be-829e-ac04b56894d5" />
<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="inpatient" />
<display value="inpatient" />
</coding>
</category>
<priority value="routine" />
<medicationCodeableConcept>
<coding>
<system value="https://dmd.nhs.uk" />
<code value="52388000" />
<display value="Prednisolone" />
</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-1112" />
<display value="Dr Maikeu Well" />
</requester>
<recorder>
<reference value="urn:staff-1112" />
<display value="Dr Maikeu Well" />
</recorder>
<dosageInstruction>
<sequence value="1" />
<text value="60 milligram - once a day - for 4 days" />
<timing>
<repeat>
<boundsDuration>
<value value="4" />
<unit value="day" />
<system value="http://unitsofmeasure.org" />
<code value="d" />
</boundsDuration>
<frequency value="1" />
<period value="1" />
<periodUnit value="d" />
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="60" />
<unit value="milligram" />
<system value="http://unitsofmeasure.org" />
<code value="mg" />
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dosageInstruction>
<sequence value="2" />
<text value="50 milligram - once a day - for 1 day" />
<timing>
<repeat>
<boundsDuration>
<value value="1" />
<unit value="day" />
<system value="http://unitsofmeasure.org" />
<code value="d" />
</boundsDuration>
<frequency value="1" />
<period value="1" />
<periodUnit value="d" />
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="50" />
<unit value="milligram" />
<system value="http://unitsofmeasure.org" />
<code value="mg" />
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dosageInstruction>
<sequence value="3" />
<text value="40 milligram - once a day - for 1 day" />
<timing>
<repeat>
<boundsDuration>
<value value="1" />
<unit value="day" />
<system value="http://unitsofmeasure.org" />
<code value="d" />
</boundsDuration>
<frequency value="1" />
<period value="1" />
<periodUnit value="d" />
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="40" />
<unit value="milligram" />
<system value="http://unitsofmeasure.org" />
<code value="mg" />
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dosageInstruction>
<sequence value="4" />
<text value="30 milligram - once a day - for 1 day" />
<timing>
<repeat>
<boundsDuration>
<value value="1" />
<unit value="day" />
<system value="http://unitsofmeasure.org" />
<code value="d" />
</boundsDuration>
<frequency value="1" />
<period value="1" />
<periodUnit value="d" />
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="30" />
<unit value="milligram" />
<system value="http://unitsofmeasure.org" />
<code value="mg" />
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dosageInstruction>
<sequence value="5" />
<text value="20 milligram - once a day - for 1 day" />
<timing>
<repeat>
<boundsDuration>
<value value="1" />
<unit value="day" />
<system value="http://unitsofmeasure.org" />
<code value="d" />
</boundsDuration>
<frequency value="1" />
<period value="1" />
<periodUnit value="d" />
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="20" />
<unit value="milligram" />
<system value="http://unitsofmeasure.org" />
<code value="mg" />
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dosageInstruction>
<sequence value="6" />
<text value="10 milligram - once a day - for 1 day - Then stop" />
<additionalInstruction>
<coding>
<system value="http://snomed.info/sct" />
<code value="422327006" />
<display value="Then stop" />
</coding>
</additionalInstruction>
<timing>
<repeat>
<boundsDuration>
<value value="1" />
<unit value="day" />
<system value="http://unitsofmeasure.org" />
<code value="d" />
</boundsDuration>
<frequency value="1" />
<period value="1" />
<periodUnit value="d" />
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="10" />
<unit value="milligram" />
<system value="http://unitsofmeasure.org" />
<code value="mg" />
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<substitution>
<allowedBoolean value="false" />
</substitution>
</MedicationRequest>
{
"resourceType": "MedicationRequest",
"id": "43955772-3136-49be-829e-ac04b56894d5",
"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": "inpatient",
"display": "inpatient"
}
]
}
],
"priority": "routine",
"medicationCodeableConcept": {
"coding": [
{
"system": "https://dmd.nhs.uk",
"code": "52388000",
"display": "Prednisolone"
}
]
},
"subject": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9999999999"
}
},
"authoredOn": "2020-05-15T15:00:00Z",
"requester": {
"reference": "urn:staff-1112",
"display": "Dr Maikeu Well"
},
"recorder": {
"reference": "urn:staff-1112",
"display": "Dr Maikeu Well"
},
"dosageInstruction": [
{
"sequence": 1,
"text": "60 milligram - once a day - for 4 days",
"timing": {
"repeat": {
"boundsDuration": {
"value": 4,
"unit": "day",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"doseAndRate": [
{
"doseQuantity": {
"value": 60,
"unit": "milligram",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
]
},
{
"sequence": 2,
"text": "50 milligram - once a day - for 1 day",
"timing": {
"repeat": {
"boundsDuration": {
"value": 1,
"unit": "day",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"doseAndRate": [
{
"doseQuantity": {
"value": 50,
"unit": "milligram",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
]
},
{
"sequence": 3,
"text": "40 milligram - once a day - for 1 day",
"timing": {
"repeat": {
"boundsDuration": {
"value": 1,
"unit": "day",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"doseAndRate": [
{
"doseQuantity": {
"value": 40,
"unit": "milligram",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
]
},
{
"sequence": 4,
"text": "30 milligram - once a day - for 1 day",
"timing": {
"repeat": {
"boundsDuration": {
"value": 1,
"unit": "day",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"doseAndRate": [
{
"doseQuantity": {
"value": 30,
"unit": "milligram",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
]
},
{
"sequence": 5,
"text": "20 milligram - once a day - for 1 day",
"timing": {
"repeat": {
"boundsDuration": {
"value": 1,
"unit": "day",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"doseAndRate": [
{
"doseQuantity": {
"value": 20,
"unit": "milligram",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
]
},
{
"sequence": 6,
"text": "10 milligram - once a day - for 1 day - Then stop",
"additionalInstruction": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "422327006",
"display": "Then stop"
}
]
}
],
"timing": {
"repeat": {
"boundsDuration": {
"value": 1,
"unit": "day",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"doseAndRate": [
{
"doseQuantity": {
"value": 10,
"unit": "milligram",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
]
}
],
"substitution": {
"allowedBoolean": false
}
}
MedicationRequest.id[0]43955772-3136-49be-829e-ac04b56894d5
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]inpatient
MedicationRequest.category[0].coding[0].display[0]inpatient
MedicationRequest.priority[0]routine
MedicationRequest.medication[0].coding[0].system[0]https://dmd.nhs.uk
MedicationRequest.medication[0].coding[0].code[0]52388000
MedicationRequest.medication[0].coding[0].display[0]Prednisolone
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-1112
MedicationRequest.requester[0].display[0]Dr Maikeu Well
MedicationRequest.recorder[0].reference[0]urn:staff-1112
MedicationRequest.recorder[0].display[0]Dr Maikeu Well
MedicationRequest.dosageInstruction[0].sequence[0]1
MedicationRequest.dosageInstruction[0].text[0]60 milligram - once a day - for 4 days
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].bounds[0].value[0]4
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].bounds[0].unit[0]day
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].bounds[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].bounds[0].code[0]d
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].frequency[0]1
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].period[0]1
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].periodUnit[0]d
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].value[0]60
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].unit[0]milligram
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].code[0]mg
MedicationRequest.dosageInstruction[1].sequence[0]2
MedicationRequest.dosageInstruction[1].text[0]50 milligram - once a day - for 1 day
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].bounds[0].value[0]1
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].bounds[0].unit[0]day
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].bounds[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].bounds[0].code[0]d
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].frequency[0]1
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].period[0]1
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].periodUnit[0]d
MedicationRequest.dosageInstruction[1].doseAndRate[0].dose[0].value[0]50
MedicationRequest.dosageInstruction[1].doseAndRate[0].dose[0].unit[0]milligram
MedicationRequest.dosageInstruction[1].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[1].doseAndRate[0].dose[0].code[0]mg
MedicationRequest.dosageInstruction[2].sequence[0]3
MedicationRequest.dosageInstruction[2].text[0]40 milligram - once a day - for 1 day
MedicationRequest.dosageInstruction[2].timing[0].repeat[0].bounds[0].value[0]1
MedicationRequest.dosageInstruction[2].timing[0].repeat[0].bounds[0].unit[0]day
MedicationRequest.dosageInstruction[2].timing[0].repeat[0].bounds[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[2].timing[0].repeat[0].bounds[0].code[0]d
MedicationRequest.dosageInstruction[2].timing[0].repeat[0].frequency[0]1
MedicationRequest.dosageInstruction[2].timing[0].repeat[0].period[0]1
MedicationRequest.dosageInstruction[2].timing[0].repeat[0].periodUnit[0]d
MedicationRequest.dosageInstruction[2].doseAndRate[0].dose[0].value[0]40
MedicationRequest.dosageInstruction[2].doseAndRate[0].dose[0].unit[0]milligram
MedicationRequest.dosageInstruction[2].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[2].doseAndRate[0].dose[0].code[0]mg
MedicationRequest.dosageInstruction[3].sequence[0]4
MedicationRequest.dosageInstruction[3].text[0]30 milligram - once a day - for 1 day
MedicationRequest.dosageInstruction[3].timing[0].repeat[0].bounds[0].value[0]1
MedicationRequest.dosageInstruction[3].timing[0].repeat[0].bounds[0].unit[0]day
MedicationRequest.dosageInstruction[3].timing[0].repeat[0].bounds[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[3].timing[0].repeat[0].bounds[0].code[0]d
MedicationRequest.dosageInstruction[3].timing[0].repeat[0].frequency[0]1
MedicationRequest.dosageInstruction[3].timing[0].repeat[0].period[0]1
MedicationRequest.dosageInstruction[3].timing[0].repeat[0].periodUnit[0]d
MedicationRequest.dosageInstruction[3].doseAndRate[0].dose[0].value[0]30
MedicationRequest.dosageInstruction[3].doseAndRate[0].dose[0].unit[0]milligram
MedicationRequest.dosageInstruction[3].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[3].doseAndRate[0].dose[0].code[0]mg
MedicationRequest.dosageInstruction[4].sequence[0]5
MedicationRequest.dosageInstruction[4].text[0]20 milligram - once a day - for 1 day
MedicationRequest.dosageInstruction[4].timing[0].repeat[0].bounds[0].value[0]1
MedicationRequest.dosageInstruction[4].timing[0].repeat[0].bounds[0].unit[0]day
MedicationRequest.dosageInstruction[4].timing[0].repeat[0].bounds[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[4].timing[0].repeat[0].bounds[0].code[0]d
MedicationRequest.dosageInstruction[4].timing[0].repeat[0].frequency[0]1
MedicationRequest.dosageInstruction[4].timing[0].repeat[0].period[0]1
MedicationRequest.dosageInstruction[4].timing[0].repeat[0].periodUnit[0]d
MedicationRequest.dosageInstruction[4].doseAndRate[0].dose[0].value[0]20
MedicationRequest.dosageInstruction[4].doseAndRate[0].dose[0].unit[0]milligram
MedicationRequest.dosageInstruction[4].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[4].doseAndRate[0].dose[0].code[0]mg
MedicationRequest.dosageInstruction[5].sequence[0]6
MedicationRequest.dosageInstruction[5].text[0]10 milligram - once a day - for 1 day - Then stop
MedicationRequest.dosageInstruction[5].additionalInstruction[0].coding[0].system[0]http://snomed.info/sct
MedicationRequest.dosageInstruction[5].additionalInstruction[0].coding[0].code[0]422327006
MedicationRequest.dosageInstruction[5].additionalInstruction[0].coding[0].display[0]Then stop
MedicationRequest.dosageInstruction[5].timing[0].repeat[0].bounds[0].value[0]1
MedicationRequest.dosageInstruction[5].timing[0].repeat[0].bounds[0].unit[0]day
MedicationRequest.dosageInstruction[5].timing[0].repeat[0].bounds[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[5].timing[0].repeat[0].bounds[0].code[0]d
MedicationRequest.dosageInstruction[5].timing[0].repeat[0].frequency[0]1
MedicationRequest.dosageInstruction[5].timing[0].repeat[0].period[0]1
MedicationRequest.dosageInstruction[5].timing[0].repeat[0].periodUnit[0]d
MedicationRequest.dosageInstruction[5].doseAndRate[0].dose[0].value[0]10
MedicationRequest.dosageInstruction[5].doseAndRate[0].dose[0].unit[0]milligram
MedicationRequest.dosageInstruction[5].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[5].doseAndRate[0].dose[0].code[0]mg
MedicationRequest.substitution[0].allowed[0]False
MedicationRequest

Concurrent Instructions

Where the same integer value of sequence is defines it means a concurrent instruction.

<MedicationRequest xmlns="http://hl7.org/fhir">
<id value="79159c4f-13c4-457a-8962-67fa22432c15" />
<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="inpatient" />
<display value="inpatient" />
</coding>
</category>
<priority value="routine" />
<medicationCodeableConcept>
<coding>
<system value="https://dmd.nhs.uk" />
<code value="317972000" />
<display value="Furosemide 40mg tablets" />
</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-1112" />
<display value="Dr Maikeu Well" />
</requester>
<recorder>
<reference value="urn:staff-1112" />
<display value="Dr Maikeu Well" />
</recorder>
<dosageInstruction>
<sequence value="1" />
<text value="2 tablet - daily - at 08:00 - for 1 week" />
<timing>
<repeat>
<boundsDuration>
<value value="1" />
<unit value="week" />
<system value="http://unitsofmeasure.org" />
<code value="wk" />
</boundsDuration>
<period value="1" />
<periodUnit value="d" />
<timeOfDay value="08:00:00" />
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="2" />
<unit value="tablet" />
<system value="http://snomed.info/sct" />
<code value="428673006" />
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dosageInstruction>
<sequence value="1" />
<text value="1 tablet - daily - at 12:00 - for 1 week" />
<timing>
<repeat>
<boundsDuration>
<value value="1" />
<unit value="week" />
<system value="http://unitsofmeasure.org" />
<code value="wk" />
</boundsDuration>
<period value="1" />
<periodUnit value="d" />
<timeOfDay value="12:00:00" />
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="1" />
<unit value="tablet" />
<system value="http://snomed.info/sct" />
<code value="428673006" />
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<substitution>
<allowedBoolean value="false" />
</substitution>
</MedicationRequest>
{
"resourceType": "MedicationRequest",
"id": "79159c4f-13c4-457a-8962-67fa22432c15",
"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": "inpatient",
"display": "inpatient"
}
]
}
],
"priority": "routine",
"medicationCodeableConcept": {
"coding": [
{
"system": "https://dmd.nhs.uk",
"code": "317972000",
"display": "Furosemide 40mg tablets"
}
]
},
"subject": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9999999999"
}
},
"authoredOn": "2020-05-15T15:00:00Z",
"requester": {
"reference": "urn:staff-1112",
"display": "Dr Maikeu Well"
},
"recorder": {
"reference": "urn:staff-1112",
"display": "Dr Maikeu Well"
},
"dosageInstruction": [
{
"sequence": 1,
"text": "2 tablet - daily - at 08:00 - for 1 week",
"timing": {
"repeat": {
"boundsDuration": {
"value": 1,
"unit": "week",
"system": "http://unitsofmeasure.org",
"code": "wk"
},
"period": 1,
"periodUnit": "d",
"timeOfDay": [
"08:00:00"
]
}
},
"doseAndRate": [
{
"doseQuantity": {
"value": 2,
"unit": "tablet",
"system": "http://snomed.info/sct",
"code": "428673006"
}
}
]
},
{
"sequence": 1,
"text": "1 tablet - daily - at 12:00 - for 1 week",
"timing": {
"repeat": {
"boundsDuration": {
"value": 1,
"unit": "week",
"system": "http://unitsofmeasure.org",
"code": "wk"
},
"period": 1,
"periodUnit": "d",
"timeOfDay": [
"12:00:00"
]
}
},
"doseAndRate": [
{
"doseQuantity": {
"value": 1,
"unit": "tablet",
"system": "http://snomed.info/sct",
"code": "428673006"
}
}
]
}
],
"substitution": {
"allowedBoolean": false
}
}
MedicationRequest.id[0]79159c4f-13c4-457a-8962-67fa22432c15
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]inpatient
MedicationRequest.category[0].coding[0].display[0]inpatient
MedicationRequest.priority[0]routine
MedicationRequest.medication[0].coding[0].system[0]https://dmd.nhs.uk
MedicationRequest.medication[0].coding[0].code[0]317972000
MedicationRequest.medication[0].coding[0].display[0]Furosemide 40mg tablets
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-1112
MedicationRequest.requester[0].display[0]Dr Maikeu Well
MedicationRequest.recorder[0].reference[0]urn:staff-1112
MedicationRequest.recorder[0].display[0]Dr Maikeu Well
MedicationRequest.dosageInstruction[0].sequence[0]1
MedicationRequest.dosageInstruction[0].text[0]2 tablet - daily - at 08:00 - for 1 week
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].bounds[0].value[0]1
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].bounds[0].unit[0]week
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].bounds[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].bounds[0].code[0]wk
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].period[0]1
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].periodUnit[0]d
MedicationRequest.dosageInstruction[0].timing[0].repeat[0].timeOfDay[0]08:00:00
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].value[0]2
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].unit[0]tablet
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].system[0]http://snomed.info/sct
MedicationRequest.dosageInstruction[0].doseAndRate[0].dose[0].code[0]428673006
MedicationRequest.dosageInstruction[1].sequence[0]1
MedicationRequest.dosageInstruction[1].text[0]1 tablet - daily - at 12:00 - for 1 week
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].bounds[0].value[0]1
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].bounds[0].unit[0]week
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].bounds[0].system[0]http://unitsofmeasure.org
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].bounds[0].code[0]wk
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].period[0]1
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].periodUnit[0]d
MedicationRequest.dosageInstruction[1].timing[0].repeat[0].timeOfDay[0]12:00:00
MedicationRequest.dosageInstruction[1].doseAndRate[0].dose[0].value[0]1
MedicationRequest.dosageInstruction[1].doseAndRate[0].dose[0].unit[0]tablet
MedicationRequest.dosageInstruction[1].doseAndRate[0].dose[0].system[0]http://snomed.info/sct
MedicationRequest.dosageInstruction[1].doseAndRate[0].dose[0].code[0]428673006
MedicationRequest.substitution[0].allowed[0]False
MedicationRequest
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