Gives information about the Medications and Medical Devices section

Warning: The new medicine service use case is now retired and you cannot implement it.

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
Data Item	Description	Cardinality	Values	Mandatory/required/optional	FHIR Target
Medication name	May be generic name or brand name (as appropriate).	1 ONLY	Choice of • Text • Coded text (needs to be GS1 code mapped to DM+D)– constraint: MedicationName. Any AMP/VMP/VTM/AMPP/VMPP subsets from the dm+d terminology. NHS dm+d AMP ::352201000001139 NHS dm+d AMPP ::352401000001135 NHS dm+d VMP ::352701000001133 NHS dm+d VMPP ::352601000001138. Constraint binding: [dm+d]subset=NHS_dm+d	Mandatory	MedicationStatement.medicationReference.Medication.code
Form	E.g. capsule, drops, tablet, lotion etc.	0 TO 1	Choice of • Text • Coded text – constraint: DrugDoseForm. SNOMED CT CfH DoseForm termset. Any descendant of 421967003 - drug dose form. Constraint binding: [SNOMED CT]subset=CfH DoseForm	Required	MedicationStatement.medicationReference.Medication.form
Route	Medication administration description (oral, IM, IV, etc.): may include method of administration, (e.g., by infusion, via nebuliser, via NG tube).	0 TO MANY	• Coded text – constraint: NHS e-prescribing route of administration subset ID: 413001000001136 Original Id : 30201000001137 This is an extract from the SUBSET -BiAnnual-Drug-15.0.1-20130401: SnomedCT_GB1000001_20130401/Subsets/EPrescribing/NHS e-Prescribing route of administration subset. Constraint binding: [SNOMED-CT]subset=NHS e-Prescribing route of administration subset	Required	MedicationStatement.dosage.route
Indication	Reason for medication being prescribed, where known.	0 TO 1	This will be free text or SNOMED CT subset	Required	MedicationStatement.reasonCode
Dose directions description	A single plain text phrase describing the entire medication dosage and administration directions including dose quantity and medication frequency. Comment, e.g., “1 tablet at night or “2mg at 10pm”. This is the form of dosage direction text normally available from UK GP Systems.	0 TO 1	Free text	Required	MedicationStatement.dosage.text
Matters identified during the discussion	Matters identified during the service about the patient’s experience of using the medication. To include e.g., patient using/not using the medicine as prescribed, patient reports side effects, patient reports negative feelings about the medication etc.	1 TO MANY	Coded text using the following descriptors: a. patient reports using the medicine as prescribed b. patient reports not using the medicine as prescribed i. patient has not started using the medicine ii. prescriber has stopped new medicine iii. patient is not using the medicine in line with the directions of the prescriber iv. patient reports missing a dose in the past 7 days c. patient reports need for more information about the medicine d. patient reports side effects e. patient reports negative feelings about the medicine f. patient reports uncertainty on whether the medicine is working g. patient reports concern about remembering to take the medicine h. patient reports difficulty using the medicine due to its pharmaceutical form/formulation i. other - free text option	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>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>injection</td>
				</tr>
				<tr>
					<th>Route</th>
					<td>IM</td>
				</tr>
				<tr>
					<th>Indication</th>
					<td>Reason for medication being prescribed, where known.</td>
				</tr>
				<tr>
					<th>Dose directions description</th>
					<td>I tablet at night" or "20mg at 10pm</td>
				</tr>
				<tr>
					<th>Matters identified during the discussion</th>
					<td>patient reports need for more information about the medicine</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