Parent Prescription - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions
PORX_RM132004UK31
ParentPrescription

This is the parent prescription.

Each item on a prescription has an administration part and a supply part.  In each case some of the information is common to each item while other information is different.  This act represents the common parts of the administration part of each item on a prescription.

Reference: W5-2.4.1.3

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

A code indicating that the ParentPrescription 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)

The globally unique identifier for this instance of a Parent Prescription. 

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

  • the root attribute will contain a UUID
[1..1] code (CD {CNE:EventTypeSnCT} )

A fixed code from the EventTypeSnCT UK subset that describes this as a Prescription event.

The Coded Plain datatype flavour is used to carry this information as follows:

  • the code attribute will contain the fixed value "163501000000109", from the list of codes in the EventTypeSnCT vocabulary;
  • the codeSystem attribute will contain the OID value referenced in the EventTypeSnCT vocabulary,
  • the displayName attribute will contain the textual (human readable) description associated with the code.  
[1..1] effectiveTime (TS)

This is the date and time stamp at which point the Prescription communication was initiated by the prescriber. This is not the message timestamp, which is provided in the wrapper.

The date-timestamp must be given with the following precision:

  • YYYYMMDDHHMMSS
[1..1] typeId (II)

An identifier used to indicate the message type and version.

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

  • the root attribute shall contain the value of the Type Identifiers OID = 2.16.840.1.113883.2.1.3.2.4.18.7
  • the extension attribute shall contain the fixed value of the message artifact id, "PORX_MT132004UK31".
[1..1] recordTarget

A link between the ParentPrescription 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      [CMET: COCT_MT050012UK05]

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

This information is mandatory.

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

Patient
id NHS Number
addr Address
Person
name Name
administrativeGenderCode Gender
birthTime Birth date, which must be given with the following precision:
  • YYYYMMDD
ProviderPatient
subjectOf
PatientCareProvision
code Fixed value "1" from the list of codes in the PatientCareProvisionType vocabulary
responsibleParty
HealthCareProvider
id SDS User's Unique Identifier

If the optional data element Person.deceasedTime is provided, it must be given with the following precision:

  • YYYYMMDD
[1..1] pertinentInformation1
A link between the ParentPrescription details of the message and the Prescription administration information.
[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 value of the Template Identifiers OID = 2.16.840.1.113883.2.1.3.2.4.18.2
  • the extension attribute shall contain the fixed template ID "CSAB_RM-NPfITUK10.pertinentInformation"
[1..1] pertinentPrescription (Prescription)

The Prescription administration data are pertinent to the ParentPrescription.

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 value of the Template Identifiers OID = 2.16.840.1.113883.2.1.3.2.4.18.2
  • the extension attribute shall contain the fixed template ID "CSAB_RM-NPfITUK10.pertinentInformation1"
[1..1] pertinentCareRecordElementCategory (CareRecordElementCategory)

The Care Record Element Category pertinent to the Parent Prescription and is used to categorise the clinical statement acts according to CRE types.

This information is mandatory.

Prescription

This act represents the distinct parts of the administration part for a single item on a Prescription.

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

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

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

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

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

A list of prescription identifiers that are universally unique across all records.  The identifiers, in order of their occurence, consist of:

  1. the globally unique number (DCE UUID) that identifies the Prescription clinical event.  

    2. The Identifier Global datatype flavour is used to carry this information as follows:

    • the root attribute shall contain the value of the DCE UUID
  2. the Short Form Prescription Identifier.

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

    • the root attribute shall contain the value of the Short Form Prescription Identifier OID = 2.16.840.1.113883.2.1.3.2.4.18.8
    • the extension attribute shall contain the 18 character Short Form Prescription Identifier as described in the ETP Prescribing Systems Compliance Specification document (ref: NPFIT-ETP-EDB-0025.09).
[1..1] code (CD {CNE:SubstanceAdministrationSnCT} )

A code from the SubstanceAdministrationSnCT subset that describes Prescriptions.

[1..1] effectiveTime (GTS)

Mandatory attribute required to maintain compliance with the CSMP.

The attribute shall contain the nullFlavor "NA" as follows:

<effectiveTime nullFlavor="NA"/>

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

This interval is used to represent the number of authorised instances of a repeat dispensing prescription only.

The Interval of Integers datatype flavour is used to carry this information as follows:

  • the low.value attribute shall contain the value "1";
  • the high.value attribute shall contain the number of times the prescription is authorised to be dispensed.
[0..1] performer

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

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

Indicates that this is a performer.

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

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

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

  • Default value: "OP" - Overriding and propagating

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

[1..1] agent      [CMET: UKCT_MT120501UK02]

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

This information is optional and may be omitted.

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

AgentOrgSDS
OrganizationSDS
id Organisation SDS identifier

[1..1] author

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

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

Indicates that the role is the author of the request.

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

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

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

  • Default value: "OP" - Overriding and propagating

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

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

[1..1] time (TS)

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

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

The date-timestamp must be given with the following precision:

  • YYYYMMDDHHMMSS
[1..1] signatureText (ED)

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

Electronic signature requirements are specified in the ETP Message Signing Requirements document (Ref: NPFIT-ETP-EDB-0064.07).

Where there is no digital signature - i.e. in cases where the relevant documentation is issued and signed in ink by the prescriber - this attribute shall contain nullFlavor "NA":

<signatureText nullFlavor="NA"/>

[1..1] agent      [CMET: UKCT_MT120201UK04]

NPfIT CMET to identify a person fulfilling the role of the authorising prescriber, i.e. the person who signs this prescription. 

This information is mandatory.

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

AgentPerson
id SDS role profile code
code SDS job role code (returned in the SAML assertion following successful end-user authentication)
telecom Telephone number
Person : details of the person playing the Agent role.
id Prescriber's code issued by the PPA.
name Name
Organization : details of the scoping GP practice
id Organisation SDS identifier
code Type of organisation
name Name of organisation
telecom Telephone number of organisation
addr Address of organisation
HealthCareProvider
Organization : details of the controlling organisation, i.e. the PCT.
id Organisation SDS identifier
code Type of organisation
name Name of organisation
[0..1] legalAuthenticator
A participation used to provide a link to the person (another prescriber) who countersigns the prescription, where legally necessary, before it becomes dispensable. This is a requirement in law and the instances of it are likely to increase.
[1..1] typeCode (CS {CNE:LA} ){ Fixed="LA" }

A code to indicate legal authenticator

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

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

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

  • Default value: "OP" - Overriding and propagating

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

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

[1..1] time (TS)

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

The date-timestamp must be given with the following precision:

  • YYYYMMDDHHMMSS
[1..1] signatureText (ED)

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

Electronic signature requirements are specified in the ETP Message Signing Requirements document (Ref: NPFIT-ETP-EDB-0064.07).

Where there is no digital signature - i.e. in cases where the relevant documentation is issued and signed in ink by the prescriber - this attribute shall contain nullFlavor "NA":

<signatureText nullFlavor="NA"/>

[1..1] agent      [CMET: UKCT_MT120201UK04]

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

This information is optional and may be omitted.

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

AgentPerson
id SDS role profile code
code SDS job role code (returned in the SAML assertion following successful end-user authentication)
Person : details of the person playing the Agent role.
id SDS identifier
name Name
Organization : details of the scoping GP practice
id Organisation SDS identifier
code Type of organisation
name Name of organisation
telecom Telephone number of organisation
addr Address of organisation
[1..1] responsibleParty
A participation used to provide a link to the healthcare professional who has direct responsibility for the patient.
[1..1] typeCode (CS {CNE:RESP} ){ Fixed="RESP" }

Indicates that the Consultant has primary responsibility for the patient.

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

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

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

  • Default value: "OP" - Overriding and propagating

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

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

[1..1] participant      [CMET: UKCT_MT120201UK04]

NPfIT CMET to identify a person fulfilling the role of the prescriber who's details are recorded at the bottom of the FP10 / token. 

This information is mandatory.

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

AgentPerson
id SDS role profile code
code SDS job role code (returned in the SAML assertion following successful end-user authentication)
telecom Telephone number
Person : details of the person playing the Agent role.
id SDS identifier
name Name
Organization : details of the scoping GP practice
id Organisation SDS identifier
code Type of organisation
name Name of organisation
telecom Telephone number of organisation
addr Address of organisation
HealthCareProvider
Organization : details of the controlling organisation, i.e. the PCT.
id Organisation SDS identifier
code Type of organisation
name Name of organisation
[0..1] component1

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

Applicable to repeat dispensing prescriptions only.

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

Indicates that this is a component.

  • Fixed value: "COMP"
[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] daysSupply (DaysSupply)

The number of days supply pertinent to this prescription if it is for repeat dispensing.

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

[0..1] pertinentInformation7

An act relationship used to provide information on repeat dispensing prescriptions, informing the dispenser of the anticipated date of the review of the prescription details by the prescriber.

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

Indicates that this is pertinent information.

  • Fixed value : "PERT"
[1..1] 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] 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] pertinentReviewDate (ReviewDate)

The review date pertinent to this prescription if it is for repeat dispensing.

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

[1..1] pertinentInformation5

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

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

Indicates that this is pertinent 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] 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] pertinentPrescriptionTreatmentType (PrescriptionTreatmentType)

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

This information is mandatory.

[0..1] pertinentInformation6

An act relationship to provide a link to the Provision of Care (POC) event that resulted in the prescription being generated.

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

Indicates that this is pertinent information.

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

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.

In this context the inversionInd defaults to "false".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.

In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.

If the source act is intended to be interpreted independently the value shall be "true" otherwise the value shall be "false".

The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.

In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

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

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

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

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

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

Indicates that this is pertinent information.

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

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.

If the source act is intended to be interpreted independently the value shall be "true" otherwise the value shall be "false".

The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.

In this context the seperatableInd defaults to "true".

[1..1] pertinentDispensingSitePreference (DispensingSitePreference)

Indicates that DispensingSitePreference is pertinent to the Prescription.

This information is mandatory.

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

Indicates that this is pertinent information.

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

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.

In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If "true", associations in the parent act are conducted across the ActRelationship to the child act.

In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.

In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.

If the source act is intended to be interpreted independently the value shall be "true" otherwise the value shall be "false".

The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.

In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

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

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

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

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

[1..1] pertinentInformation8

An Act Relationship that provides information about whether the patient was given a token.

[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] 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] pertinentTokenIssued (TokenIssued)

Indicates if the patient was given a token.

[0..1] pertinentInformation3
An act relationship that provides information about the patient's prescription charge exemption status.
[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 "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] pertinentTemporaryExemptionInfo (TemporaryExemptionInfo)

Indicates that TemporaryExemptionInfo is pertinent to the Prescription.

This information is optional and may be omitted.

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

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] 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] 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] pertinentPrescriptionType (PrescriptionType)

Indicates that the PrescriptionType is pertinent to the Prescription.

This information is a mandatory requirement.

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

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

  • 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] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.

In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.

If the source act is intended to be interpreted independently the value shall be "true" otherwise the value shall be "false".

The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.

In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

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

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

A reference, used by PSIS, to the original prescription clinical event that a repeat prescription instance is intended to fulfill.

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

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: ParentPrescription
[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:CRETypeSnCT} )

A code from the SNOMED CT subset used to categorise clinical statement messages.

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

  • The code attribute will contain the fixed value "185361000000102" corresponding to the "Medication" Care Record Element category;
  • The codeSystem attribute will contain the OID value referenced in the CRETypeSnCT vocabulary.
[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.

DaysSupply

Prescription duration and supply intervals used to calculate the "Dispensing Window".

This information is mandatory for repeat dispensing prescriptions, optional otherwise.

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

A code to indicate supply.

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

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

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

A code from the SupplyActSnCT UK subset that describes the supply of pharmaceutical products and medical devices.

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 SupplyActSnCT vocabulary;
  • the codeSystem attribute will contain the OID value referenced in the SupplyActSnCT vocabulary.
[0..1] effectiveTime (IVL<TS>)

Date range specifying the earliest and latest dates for dispensing issues of this prescription.

The Date or Time Interval Complete datatype flavour is used to carry this information as follows:

  • the low.value attribute shall contain the earliest date for dispensing with YYYYMMDD precision.
  • the high.value attribute shall contain the latest date for dispensing with YYYYMMDD precision.
[0..1] expectedUseTime (IVL<TS>)

Date range specifying the number of days' treatment that the medication items in this prescription are intended to be provided for.

The Date or Time Duration Unanchored datatype flavour is used to carry this information with as follows:

  • the width.value attribute shall contain the duration in days and shall be assigned a default value of "28"; and
  • the width.unit attribute shall contain the code representing "day", as specified in the Unified Code for Units of Measure (UCUM)

Example 

<!-- Expected use time of 28 days -->
<expectedUseTime>
  <width value="28" unit="d"/>
</expectedUseTime>

ReviewDate
For repeat dispensing prescriptions, these are the details about the date at which the prescriber would like to review the patient with regard to their treatment with this set of medications.
Used by: Prescription
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS" }

Indicates that this act is an observation

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

Indicates that this is an event

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

Indicates that this is representation of the review date

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

  • The code attribute will contain the fixed value "RD" from the list of codes in the PrescriptionAnnotation vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the PrescriptionAnnotation vocabulary.
[1..1] value (TS)

Datetime for the patient assessment and medication review.

The date-timestamp must be given with the following precision:

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

Indicates that this act is an observation

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

Indicates that this is an event

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

Indicates that this is representation of the prescription type.

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

  • The code attribute will contain the fixed value "PTT" from the list of codes in the PrescriptionAnnotation vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the PrescriptionAnnotation vocabulary.
[1..1] value (CV {CWE:PrescriptionTreatmentType} )

Coded representation of the prescription treatment type.

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

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

Refers to the Provision of Care event

Used by: Prescription
[1..1] classCode (CS {CNE:ActClass} )

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.

DispensingSitePreference

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

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

Indicates that this act is an observation

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

Indicates that this is an event

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

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

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

  • The code attribute will contain the fixed value "DSP" from the list of codes in the PrescriptionAnnotation vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the PrescriptionAnnotation vocabulary.
[1..1] value (CV {CWE:DispensingSitePreference} )

Code representation of the dispensing site preference.

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

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

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

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

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

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

UUID identifying this instance of a service request. This identifier is universally unique across all records. It is in the form of a UUID.  This is the globally unique identifier for each medication item in the prescription.

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

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

[1..1] effectiveTime (GTS)

Indicates the timing instructions for the medication. (e.g. every 8 hours).

This attribute is reserved for future use and shall therefore contain the nullFlavor "NA" as follows:

<effectiveTime nullFlavor="NA"/>

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

This interval is used to represent the number of authorised instances of a repeat dispensed item only.

The Interval of Integers datatype flavour is used to carry this information as follows:

  • the low.value attribute shall contain the value "1";
  • the high.value attribute shall contain the number of times the item is authorised to be dispensed.
[0..1] doseQuantity (IVL<PQ>)

This is the amount of medication that is to be administered to the patient at each single dose.

THIS ATTRIBUTE IS RESERVED FOR FUTURE USE AND SHOULD NOT BE USED IN THIS VERSION OF THE MESSAGE.

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

The rate at which a medication such as an infusion is administered (for example 100 mL/h).

THIS ATTRIBUTE IS RESERVED FOR FUTURE USE AND SHOULD NOT BE USED IN THIS VERSION OF THE MESSAGE.

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

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

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

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

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

  • Default value: "OP" - Overriding and propagating

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

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

[1..1] manufacturedProduct (ManufacturedProduct)

A link to the product data.

This information is mandatory.

[1..1] component

An act relationship used to denote the total amount of medication to be dispensed as a unit of measure.

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

Indicates that this is a component.

  • Fixed value: "COMP"
[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] lineItemQuantity (LineItemQuantity)

Indicates that LineItemQuantity is pertinent to the Line Item.

This information is mandatory.

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

Indicates that this is pertinent information.

  • Fixed value : "PERT"
[1..1] 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] 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 Additional Instructions are pertinent to the Line Item.

This information is optional and may be omitted.

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

Indicates that this is pertinent information.

  • Fixed value : "PERT"
[1..1] 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] 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] pertinentPrescriberEndorsement (PrescriberEndorsement)

Indicates that the PrescriberEndorsement is pertinent to the prescription LineItem.

This information is optional and may be omitted.

[1..1] pertinentInformation2
An act relationship to allow the specification of dosage instructions in human readable form.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT" }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] 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] 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] pertinentDosageInstructions (DosageInstructions)

Indicates that the DosageInstructions are pertinent to the prescription LineItem.

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

[0..1] inFulfillmentOf2

For repeat prescriptions this act relationship denotes that the prescription Line Item is fulfilling a request based on the orignal prescription Line Item.

This relationship shall be present if and only if the Line Item represents a repeat medication and if inFulfillmentOf1  priorIndendedMedicationAdministrationRef does not exist.

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

Indicates that this Line Item source is fulfilling the request of the original prescription Line Item target.

  • 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.

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.

In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.

If the source act is intended to be interpreted independently the value shall be "true" otherwise the value shall be "false".

The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.

In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

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

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

Indicates that the OriginalItemRef is pertinent to the LineItem.

This information is optional and may be omitted.

[0..1] inFulfillmentOf1

An act relationship linking this medication line item to a medication plan that it is intended to fulfill.

[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 inversionInd defaults to "false".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.

In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.

If the source act is intended to be interpreted independently the value shall be "true" otherwise the value shall be "false".

The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.

In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

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

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

  • the root attribute shall contain the value of the Template Identifiers OID = 2.16.840.1.113883.2.1.3.2.4.18.2
  • the extension attribute shall contain the fixed template ID "CSAB_RM-NPfITUK10.sourceOf1"
[1..1] priorIntendedMedicationAdministrationRef (IntendedMedicationAdministrationRef)

Reference to prior medication plan that this line item is intended to fulfill.

TokenIssued

Details of whether the patient was given a token.

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

Indicates that this act is an observation

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

Indicates that this is an event

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

Code representation for Token Issued status.

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

  • The code attribute will contain the fixed value "TI" from the list of codes in the PrescriptionAnnotation vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the PrescriptionAnnotation vocabulary.
[1..1] value (BL)

Default to a value of "true"

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

Indicates that this act is an observation

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

Indicates that this is an event

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

Code representation for prescription charge exemption status.

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

  • The code attribute will contain the fixed value "EX" from the list of codes in the PrescriptionAnnotation vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the PrescriptionAnnotation vocabulary.
[1..1] effectiveTime (IVL<TS>)

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

The Date or Time Interval Complete datatype flavour is used to carry this information as follows:

  • the low.value attribute shall contain the start of exemption with YYYYMMDD precision.
  • the high.value attribute shall contain the end of exemption with YYYYMMDD precision.
[1..1] value (CV {CWE:PrescriptionChargeExemption} )

Coded representation of the prescription charge exemption status.

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

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

Indicates that this act is an observation

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

Indicates that this is an event

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

Indicates that this is representation of the prescription type.

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

  • The code attribute will contain the fixed value "PT" from the list of codes in the PrescriptionAnnotation vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the PrescriptionAnnotation vocabulary.
[1..1] value (CV {CWE:PrescriptionType} )

Coded representation of the prescription type.

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

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

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

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

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

  • Fixed value: "RQO"
[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.

  • the globally unique number (DCE UUID) that identifies the prescription clinical event.
ActRef

Reference to a clinical statement within this message.

Used by: CareRecordElementCategory
[1..1] classCode (CS {CNE:ActClass} )

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.

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

Indicates that this is the manufacture details

  • Fixed Value "MANU" (Manufactured)
[1..1] manufacturedRequestedMaterial (RequestedMaterial)

A link to the physical characteristics of the material.

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

A code to indicate supply.

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

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

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

A code from the SupplyActSnCT UK subset that describes the supply of pharmaceutical products and medical devices.

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 SupplyActSnCT vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the SupplyActSnCT vocabulary.
[1..1] quantity (PQ)

Quantity of drugs supplied for the duration of the medication treatment .

The National Programme mandates the use of the dm+d for expressing drug codes and associated units of measure. The Quantity in Alternative Units datatype flavour is therefore used to carry this information as follows:

  • The value attribute shall contain the integer or decimal (real) number value in the approved unit.
  • The unit attribute shall contain the UCUM unit "1".
  • The translation value attribute shall contain the integer or decimal (real) number value in the alternative unit.
  • The translation code attribute shall contain the dm+d Unit of Measure codification associated with the drug code
  • The translation codeSystem attribute shall contain the OID for SNOMED CT 2.16.840.1.113883.2.1.3.2.4.15 
  • The translation displayName attribute is mandatory and shall contain the text representation of the units as given in the codeSystem (e.g. "gram", "tablet", "unit dose", etc)

<!-- 30 grams of Betamethasone valerate 0.1% cream -->
<quantity value="30" unit="1">
     <translation value="30" code="258682000" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="gram"/>
</quantity>

<!-- 100 Paracetamol 500mg Tablets -->
<quantity value="100" unit="1">
     <translation value="100" code="3319411000001109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="tablet"/>
</quantity>

For more information on representing drug quantites using dm+d drug codes, see the Implementation of dm+d and Compliance Guide (Ref: NPFIT-ETP-EDB-0068).  It should be noted that this guidance does not fully comply with the standard HL7 / UCUM representation of measured quantities in that the PQ unit attribute is assigned a value of "1" (for unity) and not the UCUM representation of the approved unit.

AdditionalInstructions
Additional Instructions provided with the prescription Line Item.
Used by: LineItem
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS" }

Indicates that this act is an observation

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

Indicates that this is an event

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

Indicates that this is representation of the additional instructions.

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

  • The code attribute will contain the fixed value "AI" from the list of codes in the PrescriptionAnnotation vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the PrescriptionAnnotation vocabulary.
[1..1] value (ST)

Additional medication instructions provided in human readable form.

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

Indicates that this act is an observation

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

Indicates that this is an event

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

Indicates that this is representation of the prescriber endorsement

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

  • The code attribute will contain the fixed value "PE" from the list of codes in the PrescriptionAnnotation vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the PrescriptionAnnotation vocabulary.
[0..1] text (ST)

Justification for using off formulary medication items.

This information is optional and may be omitted.

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

Coded representation of the prescriber 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 PrescriberEndorsement vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the PrescriberEndorsement vocabulary.
DosageInstructions
The dosage and medication instructions in human readable form.
Used by: LineItem
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS" }

Indicates that this act is an observation

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

Indicates that this is an event

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

Indicates that this is representation of the dosage instructions.

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

  • The code attribute will contain the fixed value "DI" from the list of codes in the PrescriptionAnnotation vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the PrescriptionAnnotation vocabulary.
[1..1] value (ST)

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

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

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

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

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

  • Fixed value: "RQO"
[1..1] id (II)

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

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

IntendedMedicationAdministrationRef

Reference identifying a medication plan whose details are held on PSIS.

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

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

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

A code value taken from the HL7 x_ActMoodIntentRequest vocabulary:

  • INT
  • RQO
[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 UUID of a PoC clinical statement.

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

Indicates that this is a manufactured material

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

Indicates that this is a generic representation of the kind of material

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

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

The Coded with Original Text datatype shall be used to carry this information as follows:

  • The code attribute will contain the dm+d codification associated with the product or device
  • The codeSystem attribute will contain the OID for SNOMED CT
  • the displayName attribute will contain the textual (human readable) description associated with the code
  • the originalText attribute will contain a human readable description of the medication treatment

NOTE: this attribute uses the CE data type due to limitations of the current HL7 toolset, which prevent it from being modelled using the CD dataype.