P3.1. Authorisation

Authorise (Authorise)

Represents an authorisation for one or more prescriptions for a specified medication item in a stated dosage.

[1..1] classCode (CS){ Fixed="SPLY " }

[1..1] moodCode (CS){ Fixed="INT " }

[1..1] id (II)

An identifier of the prescription.

[1..1] code (CV) {CNE:EhrSupplyType}

A code representing the type of prescription authorised by this authorisation.

[1..1] statusCode (CS) {CNE:EhrSupplyState}

Indicates the status of the authorisation:

  • Active - a currently valid authorisation against which repeat issues may be made.
  • Complete - a valid record of an expired or discontinued authorisation is no longer active.
  • Obsolete - an erroneous authorisation record that has been replaced by a correction.
  • Nullified - an erroneous authorisation record that has been deleted.

[0..1] effectiveTime (IVL<TS>)

A period starting with the time of authorisation and ending (if appropriate) with the expiry date of the period of authorisation.

Note that for an active authorisation the end date of the effective time is the review date. That is the date after which this authorisation will no longer be valid unless reviewed and reauthorised. Reauthorisation after a review is regarded as new instance of the MedicationStatement class with a new associated Authorise that refers to the previous authorisation.

In the case of an inactive medication (statusCode "complete"), the end date represents the actual date of expiry.

[1..1] availabilityTime (TS)

The system date and time that the authorisation was recorded.

[1..1] quantity (PQ)

The quantity prescribed on each prescription issued in compliance with this authorisation.

  • Express simple quantities such as "100 ml" or "3 grams" using Quantity in Standard Units.
  • Express numbers of doses, tablets, capsules, etc. where the size of the dose or item is explicit elsewhere in the authorisation data using Quantity in Standard Units with the unit "1" (unity).
  • Express quantities that cannot be represented adequately using standard units using Quantity in Arbitrary Units (e.g. "3 packs each containing 21 tablets of substance A and 7 tablets of substance B".

[0..1] repeatNumber (INT){ Default="1 " }

The number of authorised prescription that were authorised for issue by this authorisation record.

The number of actual issues against the prescription can be determined from the number of Prescribe instances referring to this authorisation.

[0..1] pertinentInformation (EhrSupply/pertinentInformation)

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

[1..1] pertinentSupplyAnnotation (SupplyAnnotation)

Details of the annotation.

[1..1] classCode (CS){ Fixed="OBS " }

[1..1] moodCode (CS){ Fixed="EVN " }

[1..1] text (ED)

[0..1] performer (EhrSupply/performer)

Include this only if the authoriser is not the EhrComposition/author of the containing EhrComposition.

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

[1..1] AgentRef (AgentRef)

Refers to the person (or other agent) responsible for this authorisation.

[1..1] classCode (CS){ Fixed="AGNT " }

[1..1] id (II)

[0..1] consumable (EhrSupply/consumable)

Include this only where necessary to provide more detailed information about the authorised product.

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

[1..1] manufacturedProduct (ManufacturedProduct)

Details of the medicinal product supplied.

  • May include, drugs, nutritional supplements, devices used to administer drugs, dressing, appliances, diagnostic reagents, etc.

[1..1] classCode (CS){ Fixed="MANU " }

 Indicates that this is a manufactured product.

[1..1] manufacturedMaterial (Material)

Information about the material or substance that forms the medicinal product.

[1..1] Material

The details of a medicinal product.

[1..1] classCode (CS){ Fixed="MMAT " }

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

[1..1] code (CE)

The code representing the nature of the product as one of the following:

  • virtual medicinal product
  • virtual medicinal product pack
  • actual medicinal product
  • actual medicinal product pack.

If the native coding scheme for medicinal product is the Read Codes then the appropriate code is represented using the Coded with Original Text flavour of the data type CD. Otherwise the Coded Translated flavour should be used with the medicinal product represented in the coding system used  in the sending system with a translation to an appropriate (possibly more generalised) Read Code.

Note

  • The source of these codes should eventually be an agreed UK medicinal product dictionary.

[0..1] quantity (PQ)

The quantity of the product.

[0..1] predecessor  (Authorise/predecessor)

 A reference to a previously recorded authorisation which is reauthorised by the source act.

[1..1] typeCode (CS){ Fixed="SUCC " }

[1..1] MedicationRef (MedicationRef) 

A reference to a previously recorded MedicationStatement statement that represented the previous authorisation of this repeat authorisation.

[1..1] classCode (CS){ Fixed="SBADM" }

Indicates that the referenced class is based on the Substance Administration class.

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

Indicates whether this is an intention (INT), recommendation (RMD), order (ORD) or an actual event (EVN). The value used here should be the same as the moodCode of the MedicationStatement being referenced.

[1..1] id (II)

Refers to the id of the referenced medication statement.