Dispense Notification With Claim Info - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions
PORX_RM142004UK06
DispenseNotificationWithClaim

This message is used by the dispensing system to notify the ETP Component of details of a dispensing event, so that the patient's clinical record can be updated, and to send information for a reimbursement claim for that completed prescription dispensing event, such that the ETP Component an forward a claim for reimbursement to the appropriate payment authority. 

Reference: W5-2.4.4.1

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

A code indicating that the DispensingNotificationWithClaim 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.

In this instance, this is a globally unique number (GUID) to identify the Dispense Notification With Claim Informaton Message.

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

A code from the SnomedCT UK subset that describes this message as dispensing event.

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

[1..1] effectiveTime (TS)

Date and time stamp for the Dispense Notification With Claim Information message.

[1..1] recordTarget

A link between the DispenseNotificationWithClaim focal act and the patient who receives 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"
[1..1] patient (Patient)

A link to identify a person fulfilling the specific role for a patient  receiving the medical treatment.

[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] pertinentInformation1
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)

The SupplyHeader is pertinent to the DispenseNotificationWithClaimInfo.

This information is mandatory.

[1..1] pertinentInformation2

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

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

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] templateId (II)

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"
[1..1] pertinentCareRecordElementCategory (CareRecordElementCategory)

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

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 DispenseNotificationWithClaim (source act) is covered by or under the authority of ChargeExempt (target act).

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

The ChargeExempt applies to the DispenseNotificationWithClaim. In this instance, this indicates that the patient for this Dispense Notification may be exempt from paying prescription charges.

This information is optional and may be ommitted.

[1..1] sequelTo
An act relationship indicating that Dispense Notification With Claim sequentially follows the Prescription Release Event.
[1..1] typeCode (CS {CNE:SEQL} ){ Fixed="SEQL " }

Indicates that DispenseClaimWithNotication (source act) follows PrescriptionReleaseEvent (target act).

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

A reference to the PrescriptionReleaseEvent must precede the DispenseNotificationWithClaim. The Dispense Notification cannot take place until a Prescription Release event has happened.

This information is mandatory.

Patient

Details about the patient.

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

Indicates that the role is that of a patient.

  • Fixed value: "PAT"
[1..1] id (II)

The NHS number that identifies the patient.

  • The root element identifies the  NHS patient numbering scheme represented by OID 2.16.840.1.113883.2.1.4.1
  • The extension contains the 10 digit NHS number.
SupplyHeader

A container for the collection of clinical statements that constitute Dispense Notification With Claim information to be available on PSIS.

Used by: DispenseNotificationWithClaim
[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 that describes a prescription Dispense.

[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] author

A participation used to provide a link from an act to a role in this case used to convey that the role(participant) is the author for the act.

[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 medication is issued by the dispenser.

[1..1] signatureText (ED)

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

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

  • Dispenser Information
  • Dispenser Organisation Information
  • Patient Information
  • Protocol Information
[1..1] participant (UKCT_MT120201UK03)

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

This information is mandatory.

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

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] legalAuthenticator
Details about the person making the Dispense Reimbursement 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)

The NonDispensingReason is pertient to the SupplyHeader. Provides supporting information when the prescription is "partially dispensed".

This information is mandatory when the prescription is in status "partially dispensed", otherwise optional and should be omitted.

[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. There may be more than 1.

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.

CareRecordElementCategory

An act used to categorise clinical statements within the message into care record element categories. The CareRecordElementCategory act can reference multiple ActRef acts to 'group' multiple clinical statements under a single category.

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

Indicates that this act is a category act.

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

A code to indicate this is an event.

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

Coding system used to categorise the clinical statement messages:

In this instances, all clinical statements for this message will be categorised under CREType Medication.

[1..*] component

An act relationship used to convey that the ActRef act forms a component of the acts within the CareRecordElementCategory.

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

Indicates that this act relationship is a component act relationship.

  • Fixed value : "COMP"

The typeCode is carried as an attribute of component.

[1..1] actRef (ActRef)

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

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: DispenseNotificationWithClaim
[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] 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 information specifying 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.

Supporting textual (human readable) information as to the reason why this patient is exempt from paying prescription charges.

[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.
Used by: DispenseNotificationWithClaim
[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 globally unique number (GUID) 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 reason for not dispensing.

  • 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. This is post-cordinated with SnomedCT-RouteOfAdministraton and SnomedCT-AdministrationSite.

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 RouteOfAdministrationSnCT vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the RouteOfAdministrationSnCT vocabulary.
  • The code attribute will contain a value from the list of codes in the AdministrationSiteSnCT vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the AdministrationSiteSnCT vocabulary.
[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>)

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.

[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] consumable

Provides information against the original prescription Line Item against which this medication is being dispensed. In this instance, the original prescription Line Item is not automatically cross-referenced to reduce overhead on PSIS, so the data may be derived from alternative sources which may include visual inspection of the prescription by the dispenser.

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

Indicates that this is a consumable.

  • Fixed value: "CSM"
[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] requestedManufacturedProduct (RequestedManufacturedProduct)

Indicates that RequestedManufacturedProduct is consumed by the SuppliedLineItem.

This information is mandatory.

[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".

In this instance, this indicates that dispense of the medication Line Items must consider total medication dispensed so far, as a pre-requisite.

[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.

[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 "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 "false".

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)

Indicates that NonDispensingReason is pertinent to SuppliedLineItem.

This information is optional and may be omitted.

[1..1] pertinentInformation3

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 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] pertinentItemStatus (ItemStatus)

Indicates that ItemStatus is pertinent to SuppliedLineItem.

This information is mandatory.

[0..*] pertinentInformation4
An act relationship to provide information on the actual quantity of medication dispensed in this Dispense event.
[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".

In this instance, this indicates that dispense of the medication Line Items cannot be considered independently of the actual quantity dispensed.

[1..1] pertinentSuppliedLineItemQuantity (SuppliedLineItemQuantity)

Indicates that SuppliedLineItemQuantity is pertinent to SuppliedLineItem.

This information is mandatory.

[1..1] pertinentInformation5
An act relationship that relates to the quantity of the medication treatment ordered in the original prescription Line Item. This information might not necessarily be derived from PSIS.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates  that this is pertinent to the medication component.

  • 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 cannot be considered independently of the quantity of the medication treatment ordered in the prescription Line Item.

[1..1] pertinentSupplyRequest (SupplyRequest)

Indicates that SupplyRequest in 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 prescription 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] 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] 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] 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] 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 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 a previous Dispense event.

ActRef

Refers to a component using a unique identifier.

Used by: CareRecordElementCategory
[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)

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 one of the clinical acts in this message.

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.

RequestedManufacturedProduct
Details of the treatment ordered on the prescription Line Item. May not be queried from PSIS but sourced from elsewhere.
Used by: SuppliedLineItem
[1..1] classCode (CS {CNE:MANU} ){ Fixed="MANU " }

Indicates that this act is a manufactured product

  • Fixed value: "MANU"
[1..1] manufacturedRequestedMaterial (RequestedMaterial)

A link to an entity providing more information on the physical characteristics of the treatment ordered.

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.

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 represents the dispensing status of the prescription Line Item.

  • 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 PrescriptionStatus vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the PrescriptionStatus vocabulary.

The value part of the information contains a textual (human readable) description of the dispensing status of the prescription Line Item as a result of this Dispense event, e.g. item fully dispensed.

SuppliedLineItemQuantity
Details of the actual medication treatment dispensed in this Dispense event for this Line Item.
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 " }

Indicates that this is an event

  • Fixed value: "EVN"
[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] quantity (PQ)

A quantification of the actual amount of medication treatment dispensed for this SuppliedLineItem.

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

[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 a product (medicine) taken from stock

  • 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 propagates through to the clinical statements as the medication unless specifically overriden for individual acts.

[1..1] suppliedManufacturedProduct (SuppliedManufacturedProduct)

A link to the entity that describes the physical characteristics of the suppliedManufacturedProduct.

[1..1] pertinentInformation4
An act relationship that identifies whether a prescription charge was paid for the medication 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 "false".

[1..1] pertinentChargePayment (ChargePayment)

Indicates that ChargePayment is pertinent to SuppliedLineItemQuanitity.

This information is mandatory.

[1..*] pertinentInformation3
An act relationship for dispensing endorsements required in support of the reimbursement claim for a medication 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 "false".

[1..1] pertinentDispensingEndorsement (DispensingEndorsement)

Indicates that DispensingEndorsement is pertinent to SuppliedLineItemQuantity.

This information is mandatory.

[0..1] pertinentInformation2
An act relationship designed to accomodate additional instructions to support the dispensed medication and supplement the standard prescribed/supply instructions.
[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] pertinentAdditionalInstructions (AdditionalInstructions)

Indicates that AdditionalInstructions are pertinent to SuppliedLineItemQuantity.

This information is optional and may be omitted.

[1..*] pertinentInformation1
An act relationship to enable the provision of supply instructions for the dispensed medication as there may be instances when these may differ slightly with the prescribed instructions due to drug specifications. In most cases these set of instructions should be identical.
[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] pertinentSupplyInstructions (SupplyInstructions)

Indicates that SupplyInstructions are pertinent to SuppliedLineItemQuantity.

This information is mandatory.

SupplyRequest
Details of the initial treatment prescribed on the prescription Line Item.
Used by: SuppliedLineItem
[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 the prescribed quantity of medication to be supplied. Refer to vocabulary SupplyActSnCT.

[1..1] quantity (PQ)

A quantification of the actual amount of medication treatment prescribed for this SuppliedLineItem.

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

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.

RequestedMaterial
Details of the physical characteristics of the prescribed medication treatment.
Used by: RequestedManufacturedProduct
[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 dm+d
  • TEXT = human readable representation of the medication treatment
SuppliedManufacturedProduct
Details of the physical characteristics of the dispensed medication.
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.
AdditionalInstructions
Supplementary instructions provided in addition to the prescriber/dispenser instructions for the medication.
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 are additional instructions.

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

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

SupplyInstructions
Medication administration instructions as supplied by the dispenser, and printed on the supplied items. Normally, these should be the same as the prescriber instructions except when the supplied medication varies from the prescribed medication requiring more drug specification information.
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 these are instructions supplied by the dispenser.

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

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

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 dm+D
  • TEXT = human readable representation of the medication treatment