ePMA Implementation Guidance for FHIR STU3

This guidance is under active development by NHS Digital and content may be added or updated on a regular basis.
Please note: This guidance has been superseded by the Implementation guide for digitial medicines, which contains up-to-date information.

Element: medication[x]

Populating the element

Can be either a dm+d code as a CodeableConcept or reference to UK Medication. CodeableConcept is preferred where no more information would be provided by reference to UK Core Medication.

Where a dm+d code exists it MUST be used either as CodeableConcept.coding or as Medication.Medication.code

Where CodeableConcept is used CodeableConcept.coding is dm+d code and CodeableConcept.text is dm+d text. Where no dm+d code is available drug name can be provided as text as CodeableConcept.text

A Reference to UK Core Medication should only be used when there is additional information to record which is not explicit in CodeableConcept for example where:

  • To specify a VTM with a specific form
  • To record manufacture against VTM, VMP and VMP
  • To record batch number

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