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MedicationStatement (MedicationStatement)
A statement that represents the a record of a prescription
for a therapeutic substance or appliance.
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[1..1] classCode (CS){ Fixed="SBADM " }
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[1..1] moodCode (CS) {CNE:RQO}
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[1..1] id (II)
An instance identifier of this statement represented
using the Identifier
Global flavour of the II
data type.
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[1..1] statusCode
(CS) {CNE:EhrMedicationState}
If the prescription record is valid (i.e. believed to be
accurate) the status is "complete".
The other possible values ("obsolete" and
"nullified") are only used if the record was subsequently
corrected or deleted due to an error.
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[1..1] availabilityTime
(TS)
The date and time of recording this prescribing action.
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[0..1] pertinentInformation
(MedicationStatement/pertinentInformation)
Relationship to the prescribed dosage.
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[1..1] typeCode
(CS){
Fixed="PERT " }
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[1..1] MedicationDosage
(MedicationDosage)
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[1..1] classCode
(CS){
Fixed="SBADM " }
Indicates that this is a substance
administration action.
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[1..1] moodCode
(CS) {CNE:RMD}
Indicates that this is a dosage recommendation..
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[1..1] text
(ED)
A textual description of the dosage
instructions.
Note
- At present there is no provision for
structured representation of dosage. This information is not
available on sending systems and is not included in current UK
electronic prescribing. However, should structured data be
required this could be supported by adding the doseQuantity
and effectiveTime to represent the quantity and frequency of
individual doses. If necessary routeCode could also be added.
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[1..1] consumable
(MedicationStatement/consumable)
Include this to identify the nature of the product.
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[1..1] typeCode
(CS){
Fixed="CSM " }
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[1..1] manufacturedProduct
(ManufacturedProduct)
Details of the medicinal product prescribed.
- May include, drugs, nutritional supplements,
devices used to administer drugs, dressing, appliances,
diagnostic reagents, etc.
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[1..1] classCode
(CS){
Fixed="MANU " }
Indicates that this is a manufactured medicinal
product.
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[1..1] manufacturedMaterial
(Material)
Information about the material or substance that forms the
medicinal product.
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[1..1] Material
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The details of a medicinal product.
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[1..1] classCode
(CS){
Fixed="MMAT " }
Indicates that this is a manufactured
material.
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[1..1] determinerCode
(CS)
{CNE:KIND}
Indicates that this represents a kind of
material.
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[1..1] code
(CE)
The code representing the nature of the
product as one of the following:
- virtual medicinal product
- virtual medicinal product pack
- actual medicinal product
- actual medicinal product pack.
If the native coding scheme for medicinal product is the
Read Codes then the appropriate code is represented using
the Coded
with Original Text flavour of the data type CE.
Otherwise the Coded
Translated flavour should be used with the medicinal
product represented in the coding system used in the
sending system with a translation to an appropriate
(possibly more generalised) Read Code.
Note
- The source of these codes should
eventually be an agreed UK medicinal product
dictionary.
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[0..1] quantity
(PQ)
The quantity of the product.
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[1..1] component (MedicationStatement/component)
One-off prescriptions always have one instance of MedicationStatement/component
containing the actual supply (Prescribe)
as detailed here.
First and only instance of
MedicationStatement/component (mandatory for Prescriptions)
Relationship to details of the prescription.
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[1..1] typeCode
(CS){
Fixed="COMP " }
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[1..1] Prescribe
(EhrSupply)
Represents an issued prescription.
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[1..1] classCode
(CS){
Fixed="SPLY " }
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[1..1] moodCode
(CS){
Fixed="RQO " }
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[1..1] id
(II)
An identifier of the prescription.
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[1..1] code
(CV) {CNE:EhrSupplyType}
A code representing the type of prescription.
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[1..1] statusCode
(CS) {CNE:EhrSupplyState}
If the prescription record is valid (i.e.
believed to be accurate) the status is "complete".
The other possible values ("obsolete" and
"nullified") are only used if the record was subsequently
corrected or deleted due an error.
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[1..1] availabilityTime
(TS)
The date and time that the prescription was
recorded.
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[1..1] quantity
(PQ)
The quantity to be supplied.
- Express simple quantities such as "100
ml" or "3 grams" using Quantity in
Standard Units.
- Express numbers of doses, tablets, capsules,
etc. where the size of the dose or item is explicit elsewhere
in the prescribing data using Quantity in
Standard Units with the unit "1" (unity).
- Express quantities that cannot be represented
adequately using standard units using Quantity in
Arbitrary Units (e.g. "3 packs each containing 21
tablets of substance A and 7 tablets of substance B".
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[0..1] pertinentInformation
(EhrSupply/pertinentInformation)
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[1..1] typeCode
(CS){
Fixed="PERT " }
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[1..1] pertinentSupplyAnnotation
(SupplyAnnotation)
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Details of the annotation.
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[1..1] classCode
(CS){
Fixed="OBS " }
Indicates that this is an Observation.
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[1..1] moodCode
(CS){
Fixed="EVN " }
Indicates that this is an actual event.
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[1..1] text
(ED)
A textual note that was sent from the
prescriber to the dispenser as part of the prescription.
Note
- This is not the place for
recording dosage instructions.
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[0..1] performer
(EhrSupply/performer)
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[1..1] typeCode
(CS){
Fixed="PRF " }
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[1..1] time
(TS)
The date and time of prescribing.
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[1..1] AgentRef
(AgentRef)
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Refers to the person (or other agent)
responsible for this prescription.
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[1..1] classCode
(CS){
Fixed="AGNT " }
Indicates that this is a reference to a
related agent.
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[1..1] id
(II)
The unique instance identifier of the
referenced role as specified in the role
directory.
- If a message contains several Folders,
the referenced role directory is in the
same Folder as the component that
refers to it.
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[0..0] inFulfillmentOf
(Prescribe/inFulfillmentOf)
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Not used for one-off prescriptions.
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