Dispense Claim Information - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions
PORX_RM142001UK06
DispenseClaim

This message is used by the dispensing system to notify the ETP Component of details of information for a reimbursement claim made for a previously completed dispense event, such that the ETP Component can forward all the necessary information for a claim for reimbursement to be made to the appropriate payment authority.

Reference: W5 Section 4.4.5.1

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

A code indicating that the DispenseClaim 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 (163541000000107) from the SnomedCT UK subset that describes this as a Dispensed Medication event.

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

[1..1] effectiveTime (TS)

Date and time stamp for the Dispense Claim message.

[1..1] primaryInformationRecipient

This participation provides a link to the (payor) organisation to whom the reimbursement claim for the dispense will be presented.

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

A code indicating that the receiving organisation is the primary recipient

  • Fixed value: "PRCP"
[1..1] participant      [CMET: UKCT_MT120401UK02]

NPfIT CMET fulfilling the specific role of an organisation, in this instance the payor organisation (which may be the PPA) to whom the claim is presented. Full details of the organisation and role profile are available from SDS.

This information is mandatory.

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

Organization.id           (Organisation SDS identifier)
Organization.name      (Name of organisation)

[0..1] receiver
Information about the individual collecting the prescription, if he/she is not the actual patient
[1..1] typeCode (CS {CNE:RCV} ){ Fixed="RCV " }

A code to indicate the person who receives the prescription

  • Fixed value: "RCV"
[1..1] participant      [CMET: UKCT_MT120201UK03]

NPfIT CMET to identify a person fulfilling the specific role for a person (receiver) who collects the prescription on behalf of the patient.

This information is optional and can be omitted unless someone other than the patient collects the prescription.

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

Person.name              (Name)

[1..1] pertinentInformation
An act relationship that associates the DispenseNotificationWithClaim focal act with SupplyHeader - the primary act of the PSIS clinical message.
[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] pertinentSupplyHeader (SupplyHeader)

Indicates that Supplyheader is pertinent to the focal act.

This information is mandatory

[0..1] coverage
An act relationship that provides information about the patient's prescription charge exemption status.
[1..1] typeCode (CS {CNE:COVBY} ){ Fixed="COVBY " }

Indicates that the DispenseClaim (source act) is covered by or under the authority of ChargeExempt (target act).

  • Fixed value : "COVBY" (covered by)
[1..1] coveringChargeExempt (ChargeExempt)

The ChargeExempt is pertinent to the DispenseClaim. In this instance, this indicates that the patient for this Dispense Claim may be exempt from paying prescription charges.

This information is optional and may be ommitted.

[1..1] sequelTo
An act relationship indicating that Dispense Claim is a sequel to the Prescription Release Event.
[1..1] typeCode (CS {CNE:SEQL} ){ Fixed="SEQL " }

Indicates that this is a sequel to a previous event.

  • Fixed value : "SEQL
[1..1] priorPrescriptionReleaseEventRef (PrescriptionReleaseEventRef)

A link to the details of the Prescription Release Event that this claim is a sequel to.

This information is mandatory

SupplyHeader

A container for the collection of clinical statements that constitute Dispense Claim information.

Used by: DispenseClaim
[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:EVN} ){ Fixed="EVN " }

A code to indicate this is an event.

  • Fixed value: "EVN"
[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 item dispense event.

Note: Use the last one in the series if there has been more than one dispense event for each item.

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

A code from the SnomedCT-Administration UK subset.

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

The cardinal number of this repeat dispensing instance in the sequence of repeats for this item.

This information is optional except for repeat dispensing items when it must be specified.

[1..1] legalAuthenticator
Details about the person making the Dispense Claim.
[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 reimbursement claim is made.

[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 Charge Information
  • ReimbursementOrganisation Information
  • Dispensed Medication Claim Information
[1..1] participant (UKCT_MT120201UK03)

NPfIT CMET to identify a person fulfilling the specific role for a person (legal authenticator) that making the Dispense Reimbursement Claim. This can be the same person as the dispenser but could be a manager.

This information is mandatory.

The following CMET data elements are required and must be provided for 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)

[0..1] pertinentInformation2

A participation that provides information progress of the dispense status of a prescription and reasons clarifying why a treatment could not be dispensed.

[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 "false".

[1..1] pertinentNonDispensingReason (NonDispensingReason)

A link to the details of the NonDispensingReason

[1..1] pertinentInformation3
Details of the status of the Prescription as a function of the dispense progress of the individual medication items.
[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 "false".

[1..1] pertinentPrescriptionStatus (PrescriptionStatus)

Indicates that PrescriptionStatus is perinent to the SupplyHeader. Provides information on the dispense progress - PrescriptionStatus actually represents the dispense status of SupplyHeader in a partial dispense scenario.

This information is mandatory.

[1..*] pertinentInformation1
An act relationship that provides information about the actual supplied Line Item (medication).
[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 "false".

[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] pertinentSuppliedLineItem (SuppliedLineItem)

Indicates that the SuppliedLineItem is pertinent to the SupplyHeader. Provides information on the actual medication items supplied.

This information is mandatory.

[1..1] inFulfillmentOf
An act relationship to denote that this medication dispense is satisfying the requirements from the original prescription.
[1..1] typeCode (CS {CNE:FLFS} ){ Fixed="FLFS " }

Indicates that this source (OriginalPrescriptionRef) is fulfilling a request for the target (SupplyHeader).

  • 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)

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] priorOriginalPrescriptionRef (OriginalPrescriptionRef)

Indicates that OriginalPrescriptionRef provides a link to the original prescription with the required treatment, the dispense for which is met by SupplyHeader.

This information is mandatory.

[0..1] predecessor
This act relationship states the medication notification in this message appends to (and does not replace) the information relating to a  previous partial dispense.
[1..1] typeCode (CS {CNE:SUCC} ){ Fixed="SUCC " }

Indicates that this is medication dispense succeeds (appends to) any previous partial dispense

  • Fixed value : "SUCC"
[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 Item can be reviewed independently of any previous dispenses for this medication Line Item.

[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] priorSupplyHeaderRef (SupplyHeaderRef)

Indicates that any previous partial dispense (SupplyHeaderRef) is appended to by the current dispense (SupplyHeader).

This information is optional and may be omitted for first dispense. It is applicable when a line item has been partially dispensed previously and this notitifcation relates to further provision of the medication.

ChargeExempt
An act used to provide information about Prescription Charge Exemption (or otherwise) for the patient of the prescription. Reference: NPFIT-ETP-PZ-0159-v1.2 Table 2.
Used by: DispenseClaim
[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 the Charge Exemption

  • Fixed value: "EX"
[1..1] negationInd (BL)

A boolean indicator to denote if the patient is exempt from prescription charges.

  • Value: "True" - patient must pay charges
[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.
[0..1] authorization

An act relationship to qualify Prescription Charge Exemption for the patient through the visual inspection of documentary evidence provided by the patient to the Dispenser.

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

Indicates that the target act (EvidenceSeen) authroises the source act (ChargeExempt).

  • Fixed value : "AUTH"
[1..1] authorizingEvidenceSeen (EvidenceSeen)

Indicates that EvidenceSeen authorises ChargeExempt.

This information is optional and may be omitted.

PrescriptionReleaseEventRef
Details about the Patient Prescription Release Response or the Nominated Prescription Release Response that authorised the Dispense event for which this is the claim.
Used by: DispenseClaim
[1..1] classCode (CS {CNE:INFO} ){ Fixed="INFO " }

A code indicating that the Patient Prescription Release Response or the Nominated Prescription Release Response 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)

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 unique number to identify either the Patient Prescription Release Response or the Nominated Prescription Release Response that authorised the Dispense event.

NonDispensingReason
Information underlying the reasons why a medication requirement on a prescription has not been dispensed. Reference: NPFIT-ETP-PZ-0159-v1.2 Table 18.
Used by: SupplyHeader, SuppliedLineItem
[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: "NDR"
[1..1] value (CV {CWE:NotDispensedReason} )

Coded information specifying why a medication has not been dispensed.

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 NotDispensedReason vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the NotDispensedReason vocabulary
PrescriptionStatus
Details of the  status of the overall prescription as a function of the respective Medication item statuses. Reference: NPFIT-ETP-PZ-0159-v1.2 Table 20.
Used by: SupplyHeader
[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 status.

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

Textual (human readable) representation of the prescription status, e.g. "Dispensed".

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

Coded information classfying the status of the overall prescription as a function of the medication dispensed.

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.
SuppliedLineItem
Details about the medication Line Items dispensed to satisfy the requirements for the treatment specified in the Prescription Line Item.
Used by: SupplyHeader
[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:PRMS} ){ Fixed="PRMS " }

Indicates that this is a promise for a service.

  • Fixed value: "PRMS" (intent to perform a service based on a committment)
[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, this is the globally unique identifier for each Medication Line Item in the Dispense event.

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

A code from the SnomedCT-Administration UK subset that describes the medication to be supplied.

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

This number range represents the following information:

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

This information is applicable for repeat dispensing prescription items only.

[0..1] pertinentInformation1
This act relationship enables tracking of partial dispenses through the monitor of total medication dispensed to-date.
[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 context the negationInd 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 "false".

[1..1] pertinentRunningTotal (RunningTotal)

Indicates that RunningTotal is pertinent to SuppliedLineItem.

This information is mandatory.

[0..1] pertinentInformation2

An act relationship to provides reasons why a medication Line Item could not be dispensed.

This is mandatory if the prescription status is 'Not Dispensed'

[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 context the negationInd 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".

In this instance, this indicates that dispense of the medication Line Items cannot be considered independently of any reasons why a dispense could not be performed.

[1..1] pertinentNonDispensingReason (NonDispensingReason)

A link to the details of the NonDispensingReason

[0..*] pertinentInformation3

An act relationship used to link the supplied line item to the supply event details

[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 context the negationInd 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 "false".

In this instance, this indicates that dispense of the medication Line Items must consider the status of the Prescription Line Item as a pre-requisite.

[1..1] pertinentSupplyEvent (SuppliedLineItemQuantity)

Indicates that SupplyInstructions are pertinent to SuppliedLineItemQuantity.

This information is mandatory

[1..1] pertinentInformation4

An act relationship that considers the status of the original prescription Line Item prior to the dispense of the medication.

[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 context the contextConductionInd 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 "false".

[1..1] pertinentItemStatus (ItemStatus)

Indicates that the ItemStatus is pertinent to SuppliedLineItem.

This information is mandatory

[1..1] inFulfillmentOf
An act relationship to determine that this medication Line Item Dispense event satisifies the treatment ordered in the original prescription Line Item which is identified by the Original Line Item ID. Details on the original treatment ordered are determined through an act ref that points to the data on PSIS.
[1..1] typeCode (CS {CNE:FLFS} ){ Fixed="FLFS " }

Indicates that this source (SupplyHeader) is fulfilling a request for the target (OriginalPrescriptionRef).

  • 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 context the contextConductionInd 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 LineItem  that ordered the treatment.

[1..1] priorOriginalItemRef (OriginalItemRef)

Indicates that OriginalItemRef is considered prior to the SupplieLineItem during the medication dispense to satisfy the treatment ordered.

This information is mandatory.

[0..1] predecessor
An act relationship to associate the current Dispense event with previous Dispense events for this medication Line Item. This relationship is enforced via an act relationship that points to the previous dispense data.
[1..1] typeCode (CS {CNE:SUCC} ){ Fixed="SUCC " }

Indicates that this is medication dispense succeeds (appends to) any previous partial dispense for this medication Line Item.

  • Fixed value : "SUCC"
[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 Item can be reviewed independently of any previous dispenses for this medication Line Item.

[1..1] priorSuppliedLineItemRef (SuppliedLineItemRef)

Indicates that SuppliedLineItemRef is a consderation prior to the SuppliedLineItem.

OriginalPrescriptionRef
A link to the original prescription for instances of repeat prescriptions.
Used by: SupplyHeader
[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

SupplyHeaderRef
A link to one or more previous Dispense events in the case of partial dispenses.
Used by: SupplyHeader
[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:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[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 a previous Dispense event.

EvidenceSeen
Confirmation from the dispenser as to whether documentary evidence has been visually examined to qualify a patient's exemption from prescription charges.
Used by: ChargeExempt
[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 whether supporting documentary evidence has been visually inspected in respect of a patient's exemption from prescription charges.

  • Fixed value: "ES"
[1..1] negationInd (BL)

Indicates whether or not the patient has shown the dispenser evidence of their exemption from prescription charges.

  • value: true => evidence has not been seen

Not required if patient does not claim exemption.

RunningTotal
The amount of medication treatment that has been supplied to the patient to-date.
Used by: SuppliedLineItem
[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 represents a cumulative record of the quantity of medication dispensed to-date.

  • Fixed value: "RT"
[1..1] value (PQ)

A quantification of the total amount of medication treatment dispensed for this SuppliedLineItem, to the patient, so far.

Units of measure follow SNOMED ID (SCTID) from dm+d, e.g. capsules.

Only applicable to partial dispenses, including the final dispense of a partial dispense process.

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

A code to indicate supply.

  • Fixed value: "SPLY"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }
[1..1] id (II)
[1..1] code (CD {CNE:SnomedCT-Supply} )

A code from the SnomedCT-Supply UK subset that describes the prescribed quantity of medication to be supplied. Refer to vocabulary SupplyActSnCT.

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

A code to indicate that this is a supplied product.

  • Fixed value: "PRD"
[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 propogates through to the clinical statements as the medication unless specifically overriden for individual acts.

[1..1] suppliedManufacturedProduct (SuppliedManufacturedProduct)

NPfIT CMET to identify a person fulfilling the specific role for a person (dispenser) that requested this prescription release event.

This information is mandatory.

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

AgentPerson.id          (SDS role profile code)
AgentPerson.telecom (Telephone number)
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] pertinentInformation1
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value 
[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 "false".

[1..1] pertinentChargePayment (ChargePayment)

Indicates that ChargePayment is pertinent to SuppliedLineItemQuanitity.

This information is mandatory

[1..*] pertinentInformation2
[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] pertinentDispensingEndorsement (DispensingEndorsement)

Indicates that DispensingEndorsement is pertinent to SuppliedLineItemQuantity.

This information is mandatory.

ItemStatus
Describes the status of the prescription Line Item as a result of the dispense event. Reference: NPFIT-ETP-PZ-0159-v1.2 Table 15.
Used by: SuppliedLineItem
[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"
[1..1] value (CV {CWE:ItemStatus} )

Coded representation of the prescription Line 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.
OriginalItemRef
A link to the medication Line Item on the original prescription.
Used by: SuppliedLineItem
[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 unique medication item ID from the original prescription.

SuppliedLineItemRef
When a prescription is being fulfilled through partial dispense acts, this act ref provides a link to the previous Dispense Notification message.
Used by: SuppliedLineItem
[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:PRMS} ){ Fixed="PRMS " }

Indicates that this is a promise for a service.

  • Fixed value: "PRMS" (intent to perform a service based on a committment)
[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 previous Dispense Notification message.

SuppliedManufacturedProduct
Details of the physical characteristics of the actually dispensed medication treatment.
Used by: SuppliedLineItemQuantity
[1..1] classCode (CS {CNE:MANU} ){ Fixed="MANU " }

Indicates that this is a manufactured material.

  • Fixed value "MANU"
[1..1] manufacturedSuppliedMaterial (SuppliedMaterial)

A link to the entity that describes the physical characteristics of the supplied medication.

ChargePayment
Details on whether a prescription charge was paid for the medication treatment. Reference: NPFIT-ETP-PZ-0159-v1.2 Table 14.
Used by: SuppliedLineItemQuantity
[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 represents dispense charge payment.

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

Boolean values to indicate the status of the Charge Payment:

  • value: "true" => there has been a charge payment
  • value: "false" => there has not been a charge payment
DispensingEndorsement

Details about the endorsement(s) to support the claim for this medication item. Reference: NPFIT-ETP-PZ-0159-v1.2 Table 4.

Used by: SuppliedLineItemQuantity
[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 represents a dispensing endorsement.

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

Textual (human readable) representation required in support of the reimbursement claim for the medication item.

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

Coded representation of the dispensing endorsement.

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 DispensingEndorsement vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the DispensingEndorsement vocabulary.
SuppliedMaterial
Details of the physical characteristics of the dispensed medication.
Used by: SuppliedManufacturedProduct
[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 SuppliedManufacturedProduct element

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

Indicates that this is an instance of material entity.

  • Fixed value "INSTANCE"

The determinerCode is carried as an attribute of the SuppliedMaterial element.

[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