NHS Digital FHIR Medicines (Retired - 2.1.14)

This guidance is under active development by NHS Digital and content may be added or updated on a regular basis.

MedicationRequest.courseOfTherapyType

This element was introduced in HL7 FHIR R4 and in the NHS Digital Medicines this replaces the following extensions:

FHIR Version Extension
CareConnect (GP Connect) STU3 https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescriptionType-1
CareConnect STU3 https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1
UKCore R4 https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PrescriptionType

These extensions use CodeSystems

  • https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1
  • https://fhir.hl7.org.uk/CodeSystem/UKCore-PrescriptionType

These are not supported in NHS Digital Medicines and the codes must be mapped to codes from

  • http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy
  • https://fhir.nhs.uk/CodeSystem/medicationrequest-course-of-therapy

The mapping is described in a FHIR ConceptMap MedicationRequest-course-therapy-type-map, which is summarised below:

Source Code Source CodeSystem Destination Code Destination CodeSystem
acute (Acute) https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1

https://fhir.hl7.org.uk/CodeSystem/UKCore-PrescriptionType
acute (Short course (acute) therapy) http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy
repeat (Repeat) https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1

https://fhir.hl7.org.uk/CodeSystem/UKCore-PrescriptionType
continuous (Continuous long term therapy) http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy
repeat-dispensing (Repeat Dispensing) https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1

https://fhir.hl7.org.uk/CodeSystem/UKCore-PrescriptionType
continuous-repeat-dispensing (Continuous long term (repeat dispensing)) https://fhir.nhs.uk/CodeSystem/medicationrequest-course-of-therapy
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