Gives information about the Medications and Medical Devices section

Important: This specification is based on the Professional Records Standards Body's Pharmacy information flows standard which provides further information on document headings and content: https://theprsb.org/standards/pharmacyinformationflows1and2/

Medications and Medical Devices Section Content

The Medications and medical devices section carries information about the patient’s medication. PRSB Elements should be formatted as subheadings in any HTML sent. For more information on constructing medication lists see constructing clinical coded structures.

MEDICATIONS AND MEDICAL DEVICES
Supply Appropriate	Confirmation that in the opinion of the pharmacist, it is appropriate to sell a medicine to the patient under the NHS Minor Illness Referral Consultation		Options - “Yes”, “No”	Mandatory	Composition.section.text
Med1 Supplied	The name of any “over the counter” (OTC) medication supplied to support the patient with treatment of their minor illness		Free text data entry	Mandatory	Composition.section.text and MedicationDispense. medicationReference. Medication. code
Med1 Supplied_cost	The cost of any OTC medication provided to the patient		Free text data entry	Mandatory	Composition.section.text
Med1 Supplied_Quantity	The quantity of any OTC medication provided to the patient		Free text data entry	Mandatory	Composition.section.text and MedicationDispense. quantity
Med1 Dose	The dosage instructions for the OTC medication provided to the patient		Free text data entry	Mandatory	Composition.section.text and MedicationDispense. dosageInstruction. text
Med2 Supplied	The name of any “over the counter” (OTC) medication supplied to support the patient with treatment of their minor illness		Free text data entry	Mandatory	Composition.section.text and MedicationDispense. medicationReference. Medication. code
Med2 Supplied_cost	The cost of any OTC medication provided to the patient		Free text data entry	Mandatory	Composition.section.text
Med2 Supplied_Quantity	The quantity of any OTC medication provided to the patient		Free text data entry	Mandatory	Composition.section.text and MedicationDispense. quantity
Med2 Dose	The dosage instructions for the OTC medication provided to the patient		Free text data entry	Mandatory	Composition.section.text and MedicationDispense. dosageInstruction. text
Advice Provided With Medicine	Details of any additional advice given to the patient		Free text data entry	Mandatory	Composition.section.text and MedicationDispense.note
Advice Provided Only	Confirmation that only advice was given to the patient		Options - “Yes”, “No”	Mandatory	Composition.section.text
Additional Instructions	Any additional information or instructions provided to the patient as part of the consultation		Free text data entry	Mandatory	Composition.section.text
Person Advised	Recording of the person who was given the advice and their relationship to the patient if they were representing them in the consultation		Options drop down menu (see notes)	Mandatory	Composition.section.text
Symptom Advice Given	Any specific symptom advice provided to the patient		Free text data entry	Mandatory	Composition.section.text

Example Medications and Medical Devices Section

Note: These examples have not been clinically assured against Digital Medicines use cases.
Examples are illustrative only.

<!--<xml>-->
	<section>
		<title value="Medications and medical devices"/>
		<code>
			<coding>
				<system value="http://snomed.info/sct"/>
				<code value="933361000000108"/>
				<display value="Medications and medical devices"/>
			</coding>
		</code>
		<text>
		<status value="additional"/>
		<div xmlns="http://www.w3.org/1999/xhtml">
		<table width="100%">
			<tbody>
				<tr>
					<th>Supply type</th>
					<td>A description of the type of medication being supplied (e.g. emergency supply, over the counter medication, patient group direction etc.).</td>
				</tr>
				<tr>
					<th>Medication name</th>
					<td>BD Viva hypodermic insulin needles for pre-filled / reusable pen injectors screw on 5mm/31gauge (Becton, Dickinson UK Ltd)</td>
				</tr>
				<tr>
					<th>Form</th>
					<td>capsule</td>
				</tr>
				<tr>
					<th>Site</th>
					<td>"Mouth"</td>
				</tr>
				<tr>
					<th>Indication</th>
					<td>Reason for medication being prescribed, where known.</td>
				</tr>
				<tr>
					<th>Total amount of medication supplied</th>
					<td>30 tablets</td>
				</tr>
				<tr>
					<th>Dose directions description</th>
					<td>I tablet at night" or "20mg at 10pm"</td>
				</tr>
				<tr>
					<th>Additional instructions</th>
					<td>Allows for: <br> - requirements for adherence support, e.g., compliance aids, prompts and packaging requirements <br> - additional information about specific person requirements, e.g., unable to swallow tablets.medicines, e.g., where specific brand required</td>
				</tr>
				<tr>
					<th>Date/time</th>
					<td>The date/time on which the medication was supplied to the patient.</td>
				</tr>
			</tbody>
		</table>
		</div>
		</text>
		<!--reference to further information carried in the medication dispense list resource-->
		<entry>
			<reference value="urn:uuid:4bc7faea-5974-407a-b658-d6ed1d4c9187"/>
		</entry>
	</section>
<!--</xml>-->

Coded Resources

This text section should be linked to the following FHIR Resources to provide the textual information in a coded format.

• List
• MedicationDispense
• Medication

See constructing clinical coded structures - Medication Dispense List

Tags: fhir