P3.1. Supply

Dispense (Dispense)

A record of the actual supply of a medicinal product.

For example

• Personal administration
• Dispensing

These actions are distinguished by the moodCode of the MedicationDosage class of the related MedicationStatement class. The supply act is no different the distinction is whether the dosage was actually administered ("EVN") or recommended when dispensing ("RMD").

[1..1] classCode (CS){ Fixed="SPLY" }

[1..1] moodCode (CS){ Fixed="EVN" }

[1..1] id (II)

An identifier of the prescription.

[1..1] code (CV) {CNE:EhrSupplyType}

A code representing the type of prescription.

[1..1] statusCode (CS) {CNE:EhrSupplyState}

If the supply 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.

[1..1] availabilityTime (TS)

The date and time that the supply action was recorded.

[1..1] quantity (PQ)

The quantity 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".

[0..1] pertinentInformation (EhrSupply/pertinentInformation)

[1..1] typeCode (CS){ Fixed="PERT " }

[1..1] pertinentSupplyAnnotation (SupplyAnnotation)

Details of the annotation.

[1..1] classCode (CS){ Fixed="OBS " }

Indicates that this is an Observation.

[1..1] moodCode (CS){ Fixed="EVN " }

Indicates that this is an actual event.

[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.

[0..1] performer (EhrSupply/performer)

Include this only if the prescriber is not the the EhrComposition/author of the containing EhrComposition.

[1..1] typeCode (CS){ Fixed="PRF " }

[1..1] AgentRef (AgentRef)

Refers to the person (or other agent) responsible for this prescription.

[1..1] classCode (CS){ Fixed="AGNT " }

Indicates that this is a reference to a related agent.

[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.

[0..1] consumable (EhrSupply/consumable)

Include this only where necessary to provide more detailed information about the prescribed product.

[1..1] typeCode (CS){ Fixed="CSM " }

[1..1] manufacturedProduct (ManufacturedProduct)

Details of the medicinal product supplied.

• May include, drugs, nutritional supplements, devices used to administer drugs, dressing, appliances, diagnostic reagents, etc.

[1..1] classCode (CS){ Fixed="MANU " }

 Indicates that this is a manufactured product.

[1..1] manufacturedMaterial (Material)

Information about the material or substance that forms the medicinal product.

[1..1] Material

The details of a medicinal product.

[1..1] classCode (CS){ Fixed="MMAT " }

Indicates that this is an manufactured material.

[1..1] determinerCode (CS){CNE:KIND}

Indicates that this represents a specific instance of a material.

[1..1] code (CE)

The code representing the nature of the product as one of the following:

• 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 CE data type. 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.

[0..1] quantity (PQ)

The quantity of the product.

• Express simple quantities such as "100 ml" or "3 grams" using Quantity in Standard Units.
• Express numbers of tablets, capsules, etc. where the item is explicit elsewhere 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.

[0..1] inFulfillmentOf (Dispense/inFulfillmentOf)

Include if this fulfils a prescription issue.

Refers to  the prescription fulfilled by this supply actions.

[1..1] typeCode (CS){ Fixed="FLFS" }

[1..1] MedicationRef (MedicationRef) 

A reference to a previously recorded MedicationStatement statement associated with the prescription fulfilled by this supply.

[1..1] classCode (CS){ Fixed="AGNT" }

Indicates that the referenced class is based on the Substance Administration class.

[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.

[1..1] id (II)

Refers to the id of the referenced medication statement.