Parent Prescription - tabular view

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

• Fixed value: "RCT"

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)

Indicates that this is pertinent information.

• Fixed value : "PERT"

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".

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

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

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".

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"

The Prescription administration data are pertinent to the ParentPrescription.

This information is mandatory.

Indicates that this is pertinent information.

• Fixed value: "PERT"

An identifier of the Act Relationship that categorises clinical data by the Care Record Element classification used by PSIS.

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.pertinentInformation1"

The CareRecordElementCategory is pertinent to the ParentPrescription and is used to categorise the clinical statement acts according to CRE types.

This information is mandatory.

Indicates that this is a performer.

• Fixed value: "PRF"

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 CancellationResponse as the individual who downloaded the prescription unless specifically overriden for individual acts.

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:

OrganizationSDS.id (Organisation SDS identifier)

Indicates that the role is the author of the request.

• Fixed value: "AUT"

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.

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.

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

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 in PlayingEntityChoice:

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)

A code to indicate legal authenticator

• Fixed value: "LA"

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.

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

The electronic signature of the contents to be signed as "legal and true" by the legal authenticator (counter signatory).

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

• Prescription
• Prescriber
• Patient
• Prescribed Medication

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 in PlayingEntityChoice:

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)

Indicates that the Consultant has primary responsibility for the patient.

•  Fixed value : "RESP"

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.

NPfIT CMET to identify a person fulfilling the specific role for a person who doesn't necessarily author the prescription but has direct responsibility for the patient.

This information is mandatory.

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

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

Indicates that this is pertinent information.

• Fixed value : "PERT"

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".

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

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

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".

Indicates that ReviewDate is pertinent to the Prescription.

This information is optional and may be omitted

Indicates that this is pertinent information.

• Fixed value: "PERT"

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".

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

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

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".

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.

Indicates that this is pertinent information.

• Fixed value : "PERT"

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".

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

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

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".

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"

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

Indicates that this is pertinent information.

• Fixed value : "PERT"

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".

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

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

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".

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

Indicates that this is pertinent information.

• Fixed value : "PERT"

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".

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

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

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".

Indicates that DispensingSitePreference is pertinent to the Prescription.

This information is mandatory.

Indicates that this is pertinent information.

• Fixed value: "PERT"

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".

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

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

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".

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"

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

Indicates that this is pertinent information.

• Fixed value: "PERT"

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".

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

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

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".

Indicates that TemporaryExemptionInfo is pertinent to the Prescription.

This information is optional and may be omitted.

Indicates that this is pertinent information.

• Fixed value: "PERT"

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".

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

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

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".

Indicates that the PrescriptionType is pertinent to the Prescription.

This information is a mandatory requirement.

Indicates that this source (Prescription) is fulfilling a request for the target (Original PrescriptionRef).

• Fixed value: "FLFS" (fulfills)

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".

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

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

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.

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"

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.

Indicates that this act relationship is a component act relationship.

• Fixed value : "COMP"

The typeCode is carried as an attribute of component.

A link to information about an act (clinical statement defined elsewhere within this message) that is a component of this care record element category.

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

• Fixed value: "PRD"  (produced from a service)

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.

A link to the product data.

This information is mandatory.

Indicates that this is pertinent information.

• Fixed value: "PERT"

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".

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

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

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".

Indicates that Additional Instructions are pertinent to the Line Item.

This information is optional and may be omitted.

Indicates that this is pertinent information.

• Fixed value: "PERT"

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".

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

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

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".

Indicates that LineItemQuantity is pertinent to the Line Item.

This information is mandatory.

Indicates that this is pertinent information.

• Fixed value: "PERT"

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".

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

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

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".

Indicates that the PrescriberEndorsement is pertinent to the prescription LineItem.

This information is optional and may be omitted.

Indicates that this is pertinent information.

• Fixed value: "PERT"

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".

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

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

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".

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.

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

• Fixed value: "FLFS" (fulfills)

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".

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

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

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.

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"

Indicates that the OriginalItemRef is pertinent to the LineItem.

This information is optional and may be omitted.