Prescription Release Response - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions
PORX_RM122002UK06
PrescriptionReleaseResponse

This message is used by the ETP Component to send the information of the individual prescription(s) to the dispenser who sent the release request (either Patient or Nominated variations), such that it/they can be dispensed to the patient(s).

As well as the original prescription information, it contains the status of the prescription and the items on it and information about the patient's prescription charge exemption status.

Reference: W5 Section 2.4.3.1

Used by:
[1..1] classCode (CS {CNE:INFO} ){ Fixed="INFO " }

A code indicating that the PrescriptionReleaseResponse focal act is for information purposes only

  • Fixed value: "INFO"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

A code to indicate this is an event.

  • Fixed value: "EVN"
[1..1] id (II)

UUID identifying this instance of a service request. This identifier is universally unique across all records. It is in the form of a UUID.

This is the unique number of the event that identifies the payload of the message.

[1..1] code (CD {CNE:SnomedCT} )

A fixed code (163501000000109) from the SnomedCT UK subset that describes this as a Prescription event.

The 'Coded with Original Text' datatype flavour should be used.

[1..1] effectiveTime (TS)

Date and time stamp for the Prescription Release Response message.

[1..*] pertinentInformation1
A link between the focal act and the Prescription(s) it pertains to.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value: "PERT" 
[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] templateId (II)

An identifier of the Act Relationship that relates clinical statements directly to the focal act.

The Identifier External datatype flavour is used to carry this information as follows:

  • The root attribute shall contain  the OID 2.16.840.1.113883.2.1.3.2.4.18.2
  • The extension shall contain the fixed template ID
    "CSAB_RM-NPfITUK10.pertinentInformation"
[1..1] pertinentPrescription (Prescription)

Indicates that the Prescription is pertinent to the focal act

This information is mandatory

[0..2] pertinentInformation2

A link between the focal act and the Details of the number of prescriptions contained within it.

Will only be used if this is a response to a Nominated Prescription Release Request

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

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] pertinentBatchInfo (BatchInfo)

A link to the details of the number of prescriptions contained within this release response message.

[1..1] inFulfillmentOf
A link between the focal act and the details of the Prescription Release Request that it is in response to
[1..1] typeCode (CS {CNE:FLFS} ){ Fixed="FLFS " }

Indicates that this is fulfilling a request.

  • Fixed value: "FLFS"
[1..1] priorDownloadRequest (DownloadRequest)

A link to the details of the Prescription Release Request that this is in response to

Prescription
This act represents the focal act of the entity known as a Prescription
Used by: PrescriptionReleaseResponse
[1..1] classCode (CS {CNE:SBADM} ){ Fixed="SBADM " }

A code to indicate introducing or applying a substance to a subject.

  • Fixed value: "SBADM"
[1..1] moodCode (CS {CNE:RQO} ){ Fixed="RQO " }

Indicates that this is a request or order for a service.

  • Fixed value: "RQO" (Request or Order)
[2..2] id (LIST<II>)

UUID identifying this instance of a service request. This identifier is universally unique across all records. It is in the form of a list.  This ID consists of:

  1. globally unique number to identify the individual prescription (DCE UUID)
  2. a check digit for UUID verification
[1..1] code (CV {CNE:SnomedCT-Adminstration} )

A code from the SnomedCT-Administration UK subset that describes Prescriptions.

[0..1] repeatNumber (IVL<INT>)

This number range represents the following information:

  • high value = the number of times the original prescription can be repeated
  • low value = this repeat prescription instance in the sequence of repeats for this item

This information is applicable for repeat prescription items only and not acute prescriptions.

[1..1] recordTarget

A link between the Prescription and the patient who is to receive the medication treatment.

[1..1] typeCode (CS {CNE:RCT} ){ Fixed="RCT " }

A code indicating that the patient's records will hold the information relating to this Prescription

  • Fixed value: "RCT"
[0..1] contextControlCode (CS {CNE:OP} ){ Fixed="OP " }

A code that specifies how this Participation contributes to the context of the current Act, and whether it may be propagated to descendent Acts whose association allows such propagation.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Default value: "OP" - Overriding and propagating

The default value of "OP" indicates that the association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships.

In this instance, a code that this person propagates through to the clinical statements as the patient unless specifically overriden for individual acts.

[1..1] patient      [CMET: COCT_MT050012UK04]

NPfIT CMET to identify a person fulfilling the specific role for a patient  receiving the medical treatment.

This information is mandatory.

The following CMET data elements are required and must be provided:

Patient.id                                        (NHS Number)
Patient.addr                                    (Address)
Person.name                                   (Name)
Person.administrative GenderCode (Gender)
Person.birthTime                            (Birth date - YYYYMMDD)
GPRegisteredWith.id                      (GP SDS identfier)

[0..1] performer

A link to the details of the patient's nominated pharmacy that they have indicated they wish the prescription to be dispensed at.

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

Indicates that this is a performer.

  • Fixed value: "PRF"
[1..1] contextControlCode (CS {CNE:OP} ){ Fixed="OP " }

A code that specifies how this Participation contributes to the context of the current Act, and whether it may be propagated to descendent Acts whose association allows such propagation.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Default value: "OP" - Overriding and propagating

The default value of "OP" indicates that the association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships.

In this instance, a code that this professional propagates through to the clinical statements as the care professional unless specifically overriden for individual acts.

[1..1] participant      [CMET: UKCT_MT120501UK02]

NPfIT CMET fulfilling the specific role of an organisation, in this instance the nominated pharmacy that at which the patient wishes the prescription to be dispensed. Full details of the organisation and role profile are available from SDS.

This information is optional and may be omitted.

The following CMET data elements are required and must be provided:

Organization.id           (Organisation SDS identifier)

[1..1] author

A participation used to provide a link from the prescription to the prescriber who authored it.

[1..1] typeCode (CS {CNE:AUT} ){ Fixed="AUT " }

Indicates that the role is the author of the request.

  • Fixed value: "AUT"
[1..1] contextControlCode (CS {CNE:OP} ){ Fixed="OP " }

A code that specifies how this Participation contributes to the context of the current Act, and whether it may be propagated to descendent Acts whose association allows such propagation.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Default value: "OP" - Overriding and propagating

The default value of "OP" indicates that the association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships.

In this instance, a code that this professional propagates through to the clinical statements as the care professional unless specifically overriden for individual acts.

[1..1] time (TS)

The date and local time that the prescriber has signed the prescription details.

If the Legal Authenticator has been identified then this time is to be substituted by legalAuthenticator.time.

[1..1] signatureText (ED)

The electronic signature of the contents to be signed as "legal and true" by the prescriber.

The following information is to be included in the digital signature:

  • Prescription
  • Prescriber
  • Patient
  • Prescribed Medication
[1..1] participant      [CMET: UKCT_MT120201UK03]

NPfIT CMET to identify a person fulfilling the specific role for a person (prescriber) that authored this prescription.

This information is mandatory.

The following CMET data elements are required and must be provided:

AgentPerson.id          (SDS role profile code)
AgentPerson.code     (Role descriptor)
AgentPerson.telecom (Telephone number
Person.id                   (SDS identifier)
Person.name              (Name)
Organization.id           (Organisation SDS identifier)
Organization.code      (Type of organisation)
Organization.name      (Name of organisation)
Organization.telecom  (Telephone number of organisation)

[0..1] legalAuthenticator
A participation used to provide a link to the person (another prescriber) who countersigns the prescription, where legally necessary, before it becomes dispensable. This is a requirement in law and the instances of it's requirement are likely to increase.
[1..1] typeCode (CS {CNE:LA} ){ Fixed="LA " }

A code to indicate legal authenticator

  • Fixed value: "LA"
[1..1] contextControlCode (CS {CNE:OP} ){ Fixed="OP " }

A code that specifies how this Participation contributes to the context of the current Act, and whether it may be propagated to descendent Acts whose association allows such propagation.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Default value: "OP" - Overriding and propagating

The default value of "OP" indicates that the association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships.

In this instance, a code that this professional propagates through to the clinical statements as the claimant unless specifically overriden for individual acts.

[1..1] time (TS)

The date and local time that the details of the perscription has been counter-signed by the legal authenticator.

[1..1] signatureText (ED)

The electronic signature of the contents to be signed as "legal and true" by the claimant.

The following information is to be included in the digital signature:

  • Prescription
  • Prescriber
  • Patient
  • Prescribed Medication
[1..1] participant (UKCT_MT120201UK03)

NPfIT CMET to identify a person fulfilling the specific role for a person (legal authenticator) that countersigns this prescription.

This information is optional and may be omitted.

The following CMET data elements are required and must be provided:

AgentPerson.id          (SDS role profile code)
Person.id                   (SDS identifier)
Person.name              (Name)
Organization.id           (Organisation SDS identifier)
Organization.name      (Name of organisation)
Organization.telecom  (Telephone number of organisation)
Organization.addr       (Address of organisation)

[1..1] responsibleParty
A participation used to provide information on the principal Healthcare professional. This participation is applicable when the treatment is authored by an individual not directly responsible for the patient (e.g. practice nurse reporting to a GP principal).
[1..1] typeCode (CS {CNE:RESP} ){ Fixed="RESP " }

Indicates that the Consultant has primary responsibility for the patient.

  •  Fixed value : "RESP"
[1..1] contextControlCode (CS {CNE:OP} ){ Fixed="OP " }

A code that specifies how this Participation contributes to the context of the current Act, and whether it may be propagated to descendent Acts whose association allows such propagation.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Default value: "OP" - Overriding and propagating

The default value of "OP" indicates that the association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships.

In this instance, a code that this professional propagates through to the clinical statements as the care professional unless specifically overriden for individual acts.

[1..1] participant (UKCT_MT120201UK03)

NPfIT CMET to identify a person fulfilling the specific role for a person who authors the prescription but does not have direct responsibility for the patient, e.g. practice nurse.

This information is mandatory.

The following CMET data elements are required and must be provided:

AgentPerson.id          (SDS role profile code)
AgentPerson.code     (Role descriptor)
AgentPerson.telecom (Telephone number
Person.id                   (SDS identifier)
Person.name              (Name)

[0..1] pertinentInformation11
An act relationship used to provide information on repeat and repeat dispensing  prescriptions, informing the dispenser of the anticipated date of the review of the prescription details by the prescriber.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value : "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] pertinentReviewDate (ReviewDate)

A link to the details of the anticipated Review Date

[1..1] pertinentInformation5

An act relationship used to qualify the type of prescription (acute, repeat prescription or repeat dispensing). Reference: NPFIT-ETP-PZ-0159-v1.2 Table 6.

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

Indicates  that this is pertinent to the Prescription

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] pertinentPrescriptionTreatmentType (PrescriptionTreatmentType)

Indicates that PrescriptionTreatmentType is pertinent to the Prescription. In this instance, a representation of whether the prescription is acute, repeat prescription or repeat dispensing prescription.

This information is mandatory.

[0..1] pertinentInformation6
An act relationship to provide a link to the POC care event that resulted in the prescription being generated.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value : "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "false".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Reference" mechanism.

The Identifier External datatype flavour is used to carry this information as follows:

  • The root attribute shall contain  the OID 2.16.840.1.113883.2.1.3.2.4.18.2
  • The extension shall contain the fixed template ID
    "CSAB_RM-NPfITUK10.sourceOf1"
[1..1] pertinentCareEventRef (CareEventRef)

Indicates that CareEventRef is pertinent to Prescription. In this instance the POC event that triggered the generation of the prescription.

[0..1] pertinentInformation7

An act relationship used to provide information on the number of days' treatment that the current prescription's medication provides for.

Applicable to repeat dispensing prescriptions only.

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

Indicates that this is pertinent information.

  • Fixed value : "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] pertinentDaysSupply (DaysSupply)

Indicates that DaysSupply is pertinent to the Prescription for repeat dispensing prescriptions.

This information is mandatory for repeat dispensing prescriptions and should be omitted otherwise

[0..1] pertinentInformation8

An act relationship to define the last date on which this patient is to be considered exempt from prescription charges.

It is calculated and populated by the ETP component.

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

Indicates that this is pertinent information.

  • Fixed value : "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] pertinentHighPermanentExemptionInfo (HighPermanentExemptionInfo)

A link to the details of the High Permanent Exemption Information

[0..1] pertinentInformation9

An act relationship to define the first date on which this patient is to be considered exempt from prescription charges.

It is calculated and populated by the ETP component.

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

Indicates that this is pertinent information.

  • Fixed value : "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] pertinentLowPermanentExemptionInfo (LowPermanentExemptionInfo)

A link to the details of the Low Permanent Exemption Information

[1..1] pertinentInformation10

An act relationship to identify the status of the prescription.

It is populated by the ETP component.

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

Indicates that this is pertinent information.

  • Fixed value : "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] pertinentPrescriptionStatus (PrescriptionStatus)

A link to the details of the Prescription Status

[1..1] pertinentInformation1
An act relationship to define the nature of the role played by the pharmacy in the act of dispensing.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value : "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] pertinentDispensingSitePreference (DispensingSitePreference)

Indicates that DispensingSitePreference is pertinent to the Prescription.

This information is mandatory.

[1..*] pertinentInformation2
An act relationship to associate the prescribed medication (line items) to the prescription.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value; "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Direct Relationship" mechanism.

The Identifier External datatype flavour is used to carry this information as follows:

  • The root attribute shall contain  the OID 2.16.840.1.113883.2.1.3.2.4.18.2
  • The extension shall contain the fixed template ID
    "CSAB_RM-NPfITUK10.sourceOf2"
[1..1] pertinentLineItem (LineItem)

Indicates that LineItem is pertinent to the Prescription. There must be at least 1 prescription line item present.

[0..1] pertinentInformation3
An act relationship that provides information about the patient's prescription charge exemption status as entered by the prescriber.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] pertinentTemporaryExemptionInfo (TemporaryExemptionInfo)

Indicates that TemporaryExemptionInfo is pertinent to the Prescription.

This information is optional and may be omitted.

[1..1] pertinentInformation4
An act relationship used to qualify the type of prescriber and a reason for the prescription. Reference: NPFIT-ETP-PZ-0159-v1.2 Table 5.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] pertinentPrescriptionType (PrescriptionType)

Indicates that the PrescriptionType is pertinent to the Prescription.

This information is a mandatory requirement

[0..1] inFulfillmentOf
An act relationship used to provide a reference point to the original prescription that authorised a repeat prescription.
[1..1] typeCode (CS {CNE:FLFS} ){ Fixed="FLFS " }

Indicates that this is fulfilling a request.

  • Fixed value: "FLFS"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "false".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

In this instance, this indicates that dispense of the medication Line Items has full meaning in its own right without reference to the original prescription that ordered the treatment.

[1..1] templateId (II)

The Identifier External datatype flavour is used to carry this information as follows:

  • The root attribute shall contain  the OID 2.16.840.1.113883.2.1.3.2.4.18.2
  • The extension shall contain the fixed template ID
    "CSAB_RM-NPfITUK10.sourceOf1"
[1..1] priorOriginalPrescriptionRef (OriginalPrescriptionRef)

Indicates that the Original Prescription Ref is required to fulfill the requirements of the repeat Prescription.

This information is mandatory for repeat prescriptions only and should be omitted otherwise.

[0..1] predecessor

An act relationship to link this prescription issue to the details of a previous issue of the same prescription.

For use in Repeat Prescriptions only

[1..1] typeCode (CS {CNE:PREV} ){ Fixed="PREV " }

Indicates that this indicates a previous occurrence.

  • Fixed value : "PREV"
[1..1] priorPreviousIssue (PreviousIssue)

A link to the details of the previous prescription issue.

BatchInfo

Details of the number of prescriptions contained within this response.

Will only be used if this is a response to a Nominated Prescription Release Request. When used there must be 2 iterations of the following group:

Used by: PrescriptionReleaseResponse
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS " }

Indicates that this act is an observation

  • Fixed value: "OBS"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CD {CNE:NominatedBatchInfo} )

Coded representation of the prescription treatment type.

The Coded with Code System datatype flavour is used to carry this information as follows:

  • The code attribute will contain a value from the list of codes in the NominatedBatchInfo vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the NominatedBatchInfo vocabulary.

There are 2 possibilites:

  1. Maximum No. of prescriptions contained
  2. No. of prescriptions actually contained
[1..1] value (INT)

This is the value of the attribute above. It is expressed as an Integer.

DownloadRequest

Details of the Prescription Release Request that this is a response to.

Used by: PrescriptionReleaseResponse
[1..1] classCode (CS {CNE:INFO} ){ Fixed="INFO " }

A code indicating that the Download Request is for information purposes only

  • Fixed value: "INFO"
[1..1] moodCode (CS {CNE:RQO} ){ Fixed="RQO " }

Indicates that this is a request or order for a service.

  • Fixed value: "RQO" (Request or Order)
[1..1] id (II)

UUID identifying this instance of a service request. This identifier is universally unique across all records. It is in the form of a UUID.

In this instance it is the globally unique identifier for either the Patient Prescription Release Request or the Nominated Prescription Release Request to which this is the response.

ReviewDate

Details of the anticipated date of the review of the prescription details by the prescriber.

Used only in repeat and repeat dispensing  prescriptions

Used by: Prescription
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS " }

Indicates that this act is an observation

  • Fixed value: "OBS"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CV {CNE:PrescriptionAnnotation} )

Indicates that this is representation of the review date

  • Fixed value: "RD"
[1..1] effectiveTime (TS)

Date/time stamp for the patient assessment and medication review.

Format: YYYYMMDD.

PrescriptionTreatmentType
Details about the type of prescription. Reference: NPFIT-ETP-PZ-0159-v1.2 Table 6.
Used by: Prescription
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS " }

Indicates that this act is an observation

  • Fixed value: "OBS"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CV {CNE:PrescriptionAnnotation} )

Indicates that this is representation of the prescription type

  • Fixed value: "PTT"
[1..1] value (CV {CWE:PrescriptionTreatmentType} )

Coded representation of the prescription treatment type.

The Coded with Code System datatype flavour is used to carry this information as follows:

  • The code attribute will contain a value from the list of codes in the PrescriptionTreatmentType vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the PrescriptionTreatmentType vocabulary
CareEventRef

Refers to the original Provision of Care Event

Used by: Prescription
[1..1] classCode (CS {CNE:ACT} ){ Fixed="ACT " }

The classCode shall take the value of the target act.

[1..1] moodCode (CS {CNE:ActMood} )

The moodCode shall take the value of the target act.

[1..1] id (II)

This is a unique reference to the original Provision of Care Event. This shall be a DCE UUID carried in the root attribute of the id element.

DaysSupply

The number of days' treatment that the medication items in this prescription are intended to be provided for. Only applicable for repeat dispensing prescriptions only.

Used by: Prescription
[1..1] classCode (CS {CNE:SPLY} ){ Fixed="SPLY " }

A code to indicate supply.

  • Fixed value: "SPLY"
[1..1] moodCode (CS {CNE:RQO} ){ Fixed="RQO " }

Indicates that this is a request or order for a service.

  • Fixed value: "RQO" (Request or Order)
[1..1] effectiveTime (IVL<TS>)

Date range specifying the earliest and latest dates for dispensing the first issue of a repeat dispensing prescription.

Format: YYYYMMDD.

[1..1] expectedUseTime (IVL<TS>)

Date range specifying the duration for which the medication is to be provided for.

Format: YYYYMMDD.

HighPermanentExemptionInfo

Details of the date from which the patient becomes exempt from prescription charges as an elder 60 years or over.
This is populated by the ETP component.

Used by: Prescription
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS " }

Indicates that this act is an observation

  • Fixed value: "OBS"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CV {CNE:PrescriptionChargeExemption} )

Indicates that this represents the last date on which this patient is exempt from prescription charges.

  • Fixed value: "0004"
[1..1] value (TS)

Date is calculated as the date when patient is aged 60 years.

LowPermanentExemptionInfo

Details of the date which represents the last day up to which the patient is exempt from prescription charges as a minor under 16 years.

This is populated by the ETP component.

Used by: Prescription
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS " }

Indicates that this act is an observation

  • Fixed value: "OBS"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CV {CNE:PrescriptionChargeExemption} )

Indicates that this represents the first date on which this patient is exempt from prescription charges.

  • Fixed value: "0002"
[1..1] value (TS)

Date is calculated as the date when patient is aged 16 years less 1 day.

PrescriptionStatus

Details of the status of the prescription

Used by: Prescription
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS " }

Indicates that this act is an observation

  • Fixed value: "OBS"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CV {CNE:PrescriptionAnnotation} )

Indicates that this represents the status of the prescription.

  • Fixed value: "PS"
[0..1] text (ST)

Textual representation of the status of the prescription.

[1..1] value (CV {CWE:PrescriptionStatus} )

Code representation of the dispensing site preference.

The Coded with Code System datatype flavour is used to carry this information as follows:

  • The code attribute will contain a value from the list of codes in the PrescriptionStatus vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the PrescriptionStatus vocabulary.
DispensingSitePreference

The nature of the role played by the Nominated Pharmacy in the act of dispensing the medication.

Used by: Prescription
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS " }

Indicates that this act is an observation

  • Fixed value: "OBS"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CV {CNE:PrescriptionAnnotation} )

Indicates that this represents a preferred pharmacy for dispensing the prescription.

  • Fixed value: "DSP"
[1..1] value (CV {CWE:DispensingSitePreference} )

Code representation of the dispensing site preference.

The Coded with Code System datatype flavour is used to carry this information as follows:

  • The code attribute will contain a value from the list of codes in the DispensingSitePreference vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the DispensingSitePreference vocabulary
LineItem
Medication line item(s) in the prescription.
Used by: Prescription
[1..1] classCode (CS {CNE:SBADM} ){ Fixed="SBADM " }

A code to indicate introducing or applying a substance to a subject.

  • Fixed value: "SBADM"
[1..1] moodCode (CS {CNE:RQO} ){ Fixed="RQO " }

Indicates that this is a request or order for a service.

  • Fixed value: "RQO" (Request or Order)
[1..1] id (II)

UUID identifying this instance of a service request. This identifier is universally unique across all records. It is in the form of a UUID.

In this instance it is the globally unique identifier for this Line Item instance

[1..1] code (CD {CNE:SnomedCT-Administration} )

A code from the SnomedCT-Administration UK subset that describes the medication treatment being ordered.

[0..1] effectiveTime (GTS)

The "dosage instructions" - details of how the person (patient) should administer medication, e.g. take one, three times a day, for five days.

[0..1] repeatNumber (IVL<INT>)

The maximum number of issues allowed on the prescription of this medication

[0..1] doseQuantity (IVL<PQ>)

The amount of medication treatment that is to be supplied to the patient. Units of measure are SNOMED ID (SCTID) from dm+d.

[0..1] rateQuantity (IVL<PQ>)

The frequency at which the medication treatment is administered over the administration time interval (for example 100 mL/h).

[1..1] product
A participation that establishes product specific data for the medication prescribed.
[1..1] typeCode (CS {CNE:PRD} ){ Fixed="PRD " }

A code to indicate that the product is produced or taken from stock

  • Fixed value: "PRD"  (produced from a service)
[1..1] contextControlCode (CS {CNE:ContextControl} )

A code that specifies how this Participation contributes to the context of the current Act, and whether it may be propagated to descendent Acts whose association allows such propagation.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Default value: "OP" - Overriding and propagating

The default value of "OP" indicates that the association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships.

In this instance, a code that this product propagates through to the clinical statements as the medication unless specifically overriden for individual acts.

[1..1] manufacturedProduct (ManufacturedProduct)

A link to the details of the prescribed medicinal product.

This information is mandatory.

[1..1] pertinentInformation5

An act relationship to identify the status of the prescription line items.

It is populated by the ETP component.

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

Indicates that this is pertinent.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] pertinentItemStatus (ItemStatus)

A link to the details of the prescription line item status.

This information is mandatory

[0..1] pertinentInformation1
An act relationship used to associate additional medication instructions to the line item.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] pertinentAdditionalInstructions (AdditionalInstructions)

Indicates that Additional Instructions are pertinent to the Line Item.

This information is optional and may be omitted.

[1..1] pertinentInformation2
An act relationship used to denote the total amount of medication to be dispensed either as a unit of measure or in terms of days usage.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] pertinentLineItemQuantity (LineItemQuantity)

Indicates that LineItemQuantity is pertinent to the Line Item.

This information is mandatory.

[0..*] pertinentInformation3
An act relationship that signifies a prescriber endorsement required for some medication items prescribed in Primary Care.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] pertinentPrescriberEndorsement (PrescriberEndorsement)

Indicates that the PrescriberEndorsement is pertinent to the prescription LineItem.

This information is optional and may be omitted.

[1..1] pertinentInformation4
An act relationship to allow the specification of dosage instructions in human readable form.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] pertinentDosageInstructions (DosageInstructions)

Indicates that the DosageInstructions are pertinent to the prescription LineItem.

This information is mandatory as coded forms of dosage instructions may not always be available and reference will be made to the human readable form.

[0..1] inFulfillmentOf
For repeat prescriptions this act relationship denotes that the prescription Line Item is fulfilling a request based on the orignal prescription Line Item.
[1..1] typeCode (CS {CNE:FLFS} ){ Fixed="FLFS " }

Indicates that this source (LineItem) is fulfilling a request for the target (OriginalItem).

  • Fixed value: "FLFS" (fulfills)
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "false".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

In this instance, this indicates that dispense of the medication Line Items has full meaning in its own right without reference to the original prescription that ordered the treatment.

[1..1] templateId (II)

The Identifier External datatype flavour is used to carry this information as follows:

  • The root attribute shall contain  the OID 2.16.840.1.113883.2.1.3.2.4.18.2
  • The extension shall contain the fixed template ID
    "CSAB_RM-NPfITUK10.sourceOf1"
[1..1] priorOriginalItemRef (OriginalItemRef)

Indicates that the OriginalItemRef is pertinent to the LineItem.

This information is optional and may be omitted.

TemporaryExemptionInfo
Details of the patient's prescription exemption charge status. Reference: NPFIT-ETP-PZ-0159-v1.2 Table 2.
Used by: Prescription
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS " }

Indicates that this act is an observation

  • Fixed value: "OBS"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CV {CNE:PrescriptionAnnotation} )

Code representation for prescription charge exemption status.

  • Fixed value: "EX"
[1..1] effectiveTime (IVL<TS>)

The date range that a temporary (non-age related) exemption from prescription charges applies for.

  • Low value = start of exemption (Format: YYYYMMDD).
  • High value = end of exemption (Format: YYYYMMDD).
[1..1] value (CV {CWE:PrescriptionChargeExemption} )

Coded representation of the prescription charge exemption status.

The Coded with Code System datatype flavour is used to carry this information as follows:

  • The code attribute will contain a value from the list of codes in the PrescriptionChargeExemption vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the PrescriptionChargeExemption vocabulary.
PrescriptionType
Details about the type of prescriber and a reason for the prescription. Reference: NPFIT-ETP-PZ-0159-v1.2 Table 5.
Used by: Prescription
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS " }

Indicates that this act is an observation

  • Fixed value: "OBS"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CV {CNE:PrescriptionAnnotation} )

Indicates that this is representation of the prescription type

  • Fixed value: "PT"
[1..1] value (CV {CWE:PrescriptionType} )

Coded representation of the prescription type.

The Coded with Code System datatype flavour is used to carry this information as follows:

  • The code attribute will contain a value from the list of codes in the PrescriptionType vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the PrescriptionType vocabulary.
OriginalPrescriptionRef
A link to the original prescription for instances of repeat prescriptions.
Used by: Prescription
[1..1] classCode (CS {CNE:SBADM} ){ Fixed="SBADM " }

A code to indicate introducing or applying a substance to a subject.

  • Fixed value: "SBADM"
[1..1] moodCode (CS {CNE:RQO} ){ Fixed="RQO " }

Indicates that this is a request or order for a service.

  • Fixed value: "RQO" (Request or Order)
[1..1] id (II)

The unique identifier of the target act being referred to.  This shall be a DCE UUID carried in the root attribute of the id element.

In this instance this is the globally unique number to identify the individual prescription

PreviousIssue

Details of the previous issue of this prescription.

To be used only for Repeat Prescriptions

Used by: Prescription
[1..1] classCode (CS {CNE:SPLY} ){ Fixed="SPLY " }

A code to indicate supply.

  • Fixed value: "SPLY"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] effectiveTime (TS)

This is the date and time stamp at which point the previously issued Prescription communication was initiated by the prescriber.

ManufacturedProduct
Details about the physical characteristics of the treatment prescribed.
Used by: LineItem
[1..1] classCode (CS {CNE:MANU} ){ Fixed="MANU " }

Indicates that this is the manufacture details

  • Fixed Value "MANU" (Manufactured)

The classCode is fixed and threrfore does not need to be carried; however if carried, it is carried as an attribute.

[1..1] manufacturedRequestedMaterial (RequestedMaterial)

A link to the physical characteristics of the material.

ItemStatus

Details of the status of the prescription line item

Used by: LineItem
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS " }

Indicates that this act is an observation

  • Fixed value: "OBS"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CV {CNE:PrescriptionAnnotation} )

Indicates that this is representation of the prescription line item status

  • Fixed value: "IS"
[0..1] text (ST)

Textual representation of the Item Status

[1..1] value (CV {CWE:ItemStatus} )

Coded representation of the Item Status.

The Coded with Code System datatype flavour is used to carry this information as follows:

  • The code attribute will contain a value from the list of codes in the ItemStatus vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the ItemStatus vocabulary.
AdditionalInstructions
Additional Instructions provided with the prescription Line Item.
Used by: LineItem
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS " }

Indicates that this act is an observation

  • Fixed value: "OBS"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CV {CNE:PrescriptionAnnotation} )

Indicates that this are additional instructions.

  • Fixed value: "AI"
[1..1] value (ST)

Textual (human readable) form of representation providing the additional medication instructions.

LineItemQuantity
Details about the total quantity of medication to be supplied for a prescription Line Item.
Used by: LineItem
[1..1] classCode (CS {CNE:SPLY} ){ Fixed="SPLY " }

A code to indicate supply.

  • Fixed value: "SPLY"
[1..1] moodCode (CS {CNE:RQO} ){ Fixed="RQO " }

Indicates that this is a request or order for a service.

  • Fixed value: "RQO" (Request or Order)
[1..1] code (CD {CNE:SnomedCT-Supply} )

A code from the SnomedCT-Supply UK subset that describes total quantity of medication to be supplied.

[1..1] quantity (PQ)

Quantity of drugs supplied for the duration of the medication treatment or a measure of the total quantity of drugs to be supplied expressed as a number of days..

PrescriberEndorsement
Details about the prescriber endorsement as required for some medication items that are prescribed in Primary Care.
Used by: LineItem
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS " }

Indicates that this act is an observation

  • Fixed value: "OBS"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CV {CNE:PrescriptionAnnotation} )

Indicates that this is representation of the prescriber endorsement

  • Fixed value: "PE"
[0..1] text (ST)

Justification for using off formulary medication items.

 This information is optional and may be omitted.

[1..1] value (CV {CWE:PrescriberEndorsement} )
DosageInstructions
The dosage and medication instructions in human readable form.
Used by: LineItem
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS " }

Indicates that this act is an observation

  • Fixed value: "OBS"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CV {CNE:PrescriptionAnnotation} )

Indicates that this is representation of the dosage instructions.

  • Fixed value: "DI"
[1..1] value (ST)

Human readable representation of the dosage instructions (for example: take one, three times a day, for five days).

Textual dosage instructions must be carried in this attribute and used as the only mechanism for conveying a human readable form in a message in P1R2. The receiving system must only use this attribute to render dosage instructions to the pharmacist and for dispensing label printing.

OriginalItemRef
Provides a reference to the original prescription line item.
Used by: LineItem
[1..1] classCode (CS {CNE:SBADM} ){ Fixed="SBADM " }

A code to indicate introducing or applying a substance to a subject.

  • Fixed value: "SBADM"
[1..1] moodCode (CS {CNE:RQO} ){ Fixed="RQO " }

Indicates that this is a request or order for a service.

  • Fixed value: "RQO" (Request or Order)
[1..1] id (II)

The unique identifier of the target act being referred to.  This shall be a DCE UUID carried in the root attribute of the id element.

In this instance, this is a link to the original prescription line item.

RequestedMaterial
Description of the physical characteristics of the medication material.
Used by: ManufacturedProduct
[1..1] classCode (CS {CNE:MMAT} ){ Fixed="MMAT " }

Indicates that this is a single identifiable manufactured material entity.

  • Fixed value "MMAT"

The classCode is carried as an attribute of the RequestedMaterial element.

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

Indicates the entity is a single identifiable kind of medication.

  • Fixed value: "KIND"
[1..1] code (CE {CNE:ManufacturedMaterialSnCT} )

A code from the Snomed ManufacturedMaterialSnCT UK subset that describes a manufactured material (e.g. a pharmaceutical product or personal medical device).

This information comprises of

  • ID = SNOMED ID (SCTID) from the NHS dm+d
  • TEXT = human readable representation of the medication treatment