The following table describes the use of medication statements and related
classes to convey information about a specific decision to discontinue a
medication that was previously authorised for repeat prescribing. Use of this
construct is not necessary where the act of discontinuation is not explicitly
recorded in the sending system.
Whether or not the discontinuation is recorded explicitly the statusCode of
any expired or cancelled authorisation should be "complete"
indicating an old authorisation that is no longer active.
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MedicationStatement
A statement that represents an explicit decision to
discontinue an authorised repeat prescription.
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[1..1] classCode (CS){ Fixed="SBADM " }
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[1..1] moodCode (CS) {CNE:EVN}
Indicates that this is an actual act of discontinuation.
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[1..1] id (II)
An instance identifier of this statement represented as
using the Identifier
Global flavour of the II
data type.
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[1..1] statusCode
(CS) {CNE:EhrMedicationState}
Indicates whether the medication is active (applies
to a current authorisation record) complete (applies to a now expired
authorisation), obsolete (replaced) or nullified (deleted).
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[1..1] availabilityTime
(TS)
The date and time of recording the discontinuation.
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[0..0] pertinentInformation
(MedicationStatement/pertinentInformation)
Dosage is not applicable to a discontinuation.
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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
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 an 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..*] participant
(EhrStatement/participant)
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[1..1] typeCode
(CS) {CNE:PRF}
Indicates that the related agent performed the act
of discontinuation.
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[1..1] time (TS)
The date and time of discontinuation.
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[1..1] AgentRef
(AgentRef)
A reference to the person responsible for
discontinuation..
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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..3] component (MedicationStatement/component)
Relationship to details of the product to be
supplied or actually supplied and/or administered.
- Includes details of repeat prescription
authorisations.
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[1..1] typeCode
(CS){
Fixed="COMP " }
Indicates that this is the supply details for a
related to a medication statement (substance administration).
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[1..1] Discontinue (EhrSupply)
Represents a record of a discontinuation or a
previously authorised or 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 discontinuation.
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[1..1] code
(CD) {CWE:EhrDiscontinueReason}
A code representing the reason for
discontinuation. 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 CD. 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.
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[1..1] statusCode
(CS) {CNE:EhrSupplyState}
If the discontinuation 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 discontinuation was
recorded.
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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] AgentRef
(AgentRef)
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Refers to the person (or other agent)
responsible for this discontinuation..
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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] consumable (EhrSupply/consumable)
This should not be used in association
with a discontinuation action.
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[0..1] reversalOf (Discontinue/reversalOf)
Refers to a previous medication statement
that contains the authorisation, discontinued by this
statement.
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[1..1] typeCode
(CS){
Fixed="REV " }
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[1..1] MedicationRef (MedicationRef)
A reference to a previously recorded
MedicationStatement statement that contains the
authorisation, discontinued by this statement.
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[1..1] classCode
(CS){
Fixed="SBADM " }
Indicates that the referenced class is
based on the Substance Administration class.
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[1..1] moodCode
(CS){CNE:x_MedicationMood}
Indicates whether this is an intention
(INT), recommendation (RMD), order (ORD) or an actual event
(EVN). The value used here should be the same as the
moodCode of the MedicationStatement being referenced.
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[1..1] id
(II)
Refers to the id of the referenced
medication statement.
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