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Packageuk.nhsdigital.medicines.r4.test
Resource TypeBundle
Idhomecare-example-update.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "homecare-update",
  "meta": {
    "lastUpdated": "2020-11-02T11:13:30+00:00"
  },
  "identifier": {
    "system": "https://tools.ietf.org/html/rfc4122",
    "value": "ea50b4a2-0110-4aaa-a3f5-65707e713ae9"
  },
  "type": "message",
  "timestamp": "2020-11-02T11:14:30+00:00",
  "entry": [
    {
      "fullUrl": "urn:uuid:4f51f97f-a4b8-4756-bac9-b9bc7af8dc23",
      "resource": {
        "resourceType": "MessageHeader",
        "extension": [
          {
            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-replacementOf",
            "valueIdentifier": {
              "system": "https://tools.ietf.org/html/rfc4122",
              "value": "ad945a29-85f8-439a-b590-6789719adc16"
            }
          }
        ],
        "eventCoding": {
          "system": "https://fhir.nhs.uk/CodeSystem/message-event",
          "code": "prescription-order-update",
          "display": "Prescription Order Update"
        },
        "source": {
          "name": "DJM",
          "endpoint": "https://directory.spineservices.nhs.uk/STU3/Organization/RBA"
        },
        "reason": {
          "coding": [
            {
              "system": "https://fhir.nhs.uk/CodeSystem/message-reason-prescription",
              "code": "cancel",
              "display": "Cancel"
            }
          ]
        },
        "focus": [
          {
            "reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2"
          },
          {
            "reference": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6",
      "resource": {
        "resourceType": "MedicationRequest",
        "meta": {
          "versionId": "2",
          "lastUpdated": "2020-07-13T12:30:00+00:00"
        },
        "extension": [
          {
            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner",
            "valueReference": {
              "reference": "urn:uuid:a5acefc1-f8ca-4989-a5ac-34ae36741466"
            }
          },
          {
            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType",
            "valueCoding": {
              "system": "https://fhir.nhs.uk/CodeSystem/prescription-type",
              "code": "1201",
              "display": "Outpatient Homecare Prescriber - Medical Prescriber"
            }
          },
          {
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation",
            "extension": [
              {
                "url": "numberOfPrescriptionsIssued",
                "valueUnsignedInt": 1
              },
              {
                "url": "authorisationExpiryDate",
                "valueDateTime": "2020-08-07"
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
            "value": "a54219b8-f741-4c47-b662-e4f8dfa49ab6"
          }
        ],
        "status": "cancelled",
        "statusReason": {
          "coding": [
            {
              "system": "https://fhir.nhs.uk/CodeSystem/medicationrequest-status-reason",
              "code": "0001",
              "display": "Prescribing Error"
            }
          ]
        },
        "intent": "original-order",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                "code": "outpatient",
                "display": "Outpatient"
              }
            ]
          }
        ],
        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "15517911000001104",
              "display": "Methotrexate 10mg/0.2ml solution for injection pre-filled syringes"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2"
        },
        "authoredOn": "2020-07-13T12:00:00+00:00",
        "requester": {
          "reference": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666"
        },
        "basedOn": [
          {
            "reference": "https://elmpt-hospitals.nhs.uk/MedicationRequest/654321"
          }
        ],
        "groupIdentifier": {
          "extension": [
            {
              "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId",
              "valueIdentifier": {
                "system": "https://fhir.nhs.uk/Id/prescription",
                "value": "ad945a29-85f8-439a-b590-6789719adc16"
              }
            }
          ],
          "system": "https://fhir.nhs.uk/Id/prescription-order-number",
          "value": "DC2C66-A1B2C3-23407B"
        },
        "courseOfTherapyType": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
              "code": "continuous",
              "display": "Continuous long term therapy"
            }
          ]
        },
        "dosageInstruction": [
          {
            "text": "10 milligram, Inject, Subcutaneous route, once weekly",
            "additionalInstruction": [
              {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "421769005",
                    "display": "Follow directions"
                  }
                ]
              }
            ],
            "patientInstruction": "As directed",
            "timing": {
              "repeat": {
                "boundsDuration": {
                  "value": 10,
                  "unit": "day",
                  "system": "http://unitsofmeasure.org",
                  "code": "d"
                },
                "frequency": 5,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "34206005",
                  "display": "Subcutaneous route"
                }
              ]
            },
            "method": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "422145002",
                  "display": "Inject"
                }
              ]
            },
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 10,
                  "unit": "milligram",
                  "system": "http://unitsofmeasure.org",
                  "code": "mg"
                }
              }
            ]
          }
        ],
        "dispenseRequest": {
          "extension": [
            {
              "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType",
              "valueCoding": {
                "system": "https://fhir.nhs.uk/CodeSystem/dispensing-site-preference",
                "code": "P2"
              }
            }
          ],
          "validityPeriod": {
            "start": "2020-07-13T12:00:00+00:00",
            "end": "2020-08-07T12:00:00+00:00"
          },
          "numberOfRepeatsAllowed": 0,
          "quantity": {
            "value": 1,
            "unit": "Injection",
            "system": "http://snomed.info/sct",
            "code": "3092611000001103"
          },
          "expectedSupplyDuration": {
            "value": 7,
            "unit": "day",
            "system": "http://unitsofmeasure.org",
            "code": "d"
          },
          "performer": {
            "identifier": {
              "system": "https://fhir.nhs.uk/Id/ods-organization-code",
              "value": "VNE51"
            }
          }
        },
        "substitution": {
          "allowedBoolean": false
        }
      }
    },
    {
      "fullUrl": "urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2",
      "resource": {
        "resourceType": "Patient",
        "identifier": [
          {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9453740519"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "CORY",
            "given": [
              "ETTA"
            ],
            "prefix": [
              "MISS"
            ]
          }
        ],
        "gender": "female",
        "birthDate": "1999-01-04",
        "address": [
          {
            "use": "home",
            "line": [
              "123 Dale Avenue",
              "Long Eaton",
              "Nottingham"
            ],
            "postalCode": "NG10 1NP"
          }
        ],
        "generalPractitioner": [
          {
            "identifier": {
              "system": "https://fhir.nhs.uk/Id/ods-organization-code",
              "value": "B81001"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666",
      "resource": {
        "resourceType": "PractitionerRole",
        "identifier": [
          {
            "system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
            "value": "100102238986"
          },
          {
            "system": "https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code",
            "value": "G7345213"
          }
        ],
        "practitioner": {
          "identifier": {
            "system": "https://fhir.hl7.org.uk/Id/gmc-number",
            "value": "C1234567"
          },
          "display": "DR RAZIA ALI"
        },
        "organization": {
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "RBA"
          },
          "display": "TAUNTON AND SOMERSET NHS FOUNDATION TRUST"
        },
        "specialty": [
          {
            "coding": [
              {
                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
                "code": "370",
                "display": "MEDICAL ONCOLOGY"
              }
            ]
          }
        ],
        "code": [
          {
            "coding": [
              {
                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName",
                "code": "R8000"
              }
            ]
          }
        ],
        "location": [
          {
            "identifier": {
              "system": "https://fhir.nhs.uk/Id/ods-organization-code",
              "value": "RBA11"
            },
            "display": "MUSGROVE PARK HOSPITAL"
          }
        ],
        "healthcareService": [
          {
            "identifier": {
              "use": "official",
              "system": "https://fhir.nhs.uk/Id/ods-organization-code",
              "value": "A99968"
            },
            "display": "SOMERSET BOWEL CANCER SCREENING CENTRE"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "01234567890",
            "use": "work"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:a5acefc1-f8ca-4989-a5ac-34ae36741466",
      "resource": {
        "resourceType": "PractitionerRole",
        "identifier": [
          {
            "system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
            "value": "100123456789"
          },
          {
            "system": "https://fhir.hl7.org.uk/Id/nhsbsa-spurious-code",
            "value": "G6132345"
          }
        ],
        "practitioner": {
          "identifier": {
            "system": "https://fhir.hl7.org.uk/Id/gmc-number",
            "value": "C9999999"
          },
          "display": "DR SAZ RAZ"
        },
        "organization": {
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "RBA"
          },
          "display": "TAUNTON AND SOMERSET NHS FOUNDATION TRUST"
        },
        "specialty": [
          {
            "coding": [
              {
                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
                "code": "100",
                "display": "GENERAL MEDICINE"
              }
            ]
          }
        ],
        "code": [
          {
            "coding": [
              {
                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName",
                "code": "R8000"
              }
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "01234567890",
            "use": "work"
          }
        ]
      }
    }
  ]
}