Gives information about the Appliances section

Warning: The applicance use review 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/

Appliances Section Content

The Appliances section carries information about the appliances used. PRSB Elements should be formatted as subheadings in any HTML sent.

APPLIANCES
Data Item	Description	Cardinality	Values	Mandatory/required/ optional	FHIR Target
Appliance name	May be generic name or brand name (as appropriate).	1 ONLY	As per dm+d (AMP)	Mandatory	MedicationStatement.medicationReference.Medication.code
Product order number	The product order number for the appliance.	0 TO 1	As per dm+d (AMP) appliance product information (where applicable)	Optional	MedicationStatement.medicationReference.Medication.code
Manufacturer	Name of appliance manufacturer.	0 TO 1	As per dm+d (AMP)	Optional	Medication.manufacturer
Batch number	The batch number of the appliance.	0 TO 1	Free text	Optional	Medication.package.batch.lotNumber
Size	The size of the appliance.	0 TO 1	As per dm+d (AMP) appliance product information (where applicable)	Required	MedicationStatement.medicationReference.Medication.code
Weight	The weight of the appliance.	0 TO 1	As per dm+d (AMP) appliance product information (where applicable)	Required	MedicationStatement.medicationReference.Medication.code
Colour	The colour of the appliance.	0 TO 1	As par dm+d (AMP) appliance product information (where applicable)	Required	MedicationStatement.medicationReference.Medication.code
Route	Appliance administration description (IM, IV, etc.): may include method of administration, (e.g., by infusion).	0 TO 1	E.g. catheter may have been introduced suprapubically or urethrally. The following value set may be applicable, but would need validating for appliances: • 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
Site	The anatomical site at which the appliance is to be used, including laterality.	0 TO 1	The following value set may be applicable, but would need validating for appliances: • Coded text – constraint: SiteOfMedicationAdministration. Any valid site for the administration of a medication. Constraint binding: [SNOMED-CT]subset= SiteOfMedicationAdministration	Required	MedicationStatement.dosage.site
Quantity	The quantity of the appliance (including the units).	0 TO 1	Recorded in a structured format i.e. a unit and a value.	Required	MedicationStatement.basedon.medicationrequest.dispenserequested.quantity
Indication	Reason for appliance being prescribed, where known.	0 TO 1	Free text	Required	MedicationStatement.reasoncode
Matters identified during the discussion	Matters identified during the service about the patient’s experience of using the appliance. To include e.g, patient using/not using the appliance as prescribed, patient reports negative feelings about the appliance etc. Also to include whether the information was provided by the patient or somebody else (e.g. a relative, carer etc).	1 TO MANY	Coded. Reference set needs to be defined e.g. patient using/not using the appliance as prescribed, patient reports negative feelings about the appliance etc.	Mandatory	Composition.section.text

Example Clinical Narrative Section

<!--<xml>-->
<!--Appliances-->
	<section>
		<title value="Appliances"/>
		<code>
			<coding>
				<system value="http://snomed.info/sct"/>
				<code value="334251007"/>
				<display value="Appliance"/>
			</coding>
		</code>
		<text>
			<status value="additional"/>
			<div xmlns="http://www.w3.org/1999/xhtml">
			<table width="100%">
				<tbody>
				<tr>
					<th>Appliance name</th>
					<td>May be generic name or brand name (as appropriate).</td>
				</tr>
				<tr>
					<th>Product order number</th>
					<td>The product order number for the appliance.</td>
				</tr>
				<tr>
					<th>Manufacturer</th>
					<td>Name of appliance manufacturer.</td>
				</tr>
				<tr>
					<th>Batch number</th>
					<td>The batch number of the appliance.</td>
				</tr>
				<tr>
					<th>Size</th>
					<td>The size of the appliance.</td>
				</tr>
				<tr>
					<th>Weight</th>
					<td>The weight of the appliance.</td>
				</tr>
				<tr>
					<th>Colour</th>
					<td>The colour of the appliance.</td>
				</tr>
				<tr>
					<th>Route</th>
					<td>Appliance administration description (IM, IV, etc.): may include method of administration, (e.g., by infusion).</td>
				</tr>
				<tr>
					<th>Site</th>
					<td>The anatomical site at which the appliance is to be used, including laterality.</td>
				</tr>
				<tr>
					<th>Quantity</th>
					<td>The quantity of the appliance (including the units).</td>
				</tr>
				<tr>
					<th>Indication</th>
					<td>Reason for appliance being prescribed, where known.</td>
				</tr>
				<tr>
					<th>Matters identified during the discussion</th>
					<td>Matters identified during the service about the patient’s experience of using the appliance. To include e.g, patient using/not using the appliance as prescribed, patient reports negative feelings about the appliance etc. Also to include whether the information was provided by the patient or somebody else (e.g. a relative, carer etc).</td>
				</tr>
				</tbody>
			</table>
			</div>
		</text>
	</section>
<!--</xml>-->

Tags: fhir