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Please note: This guidance has been superseded by the Implementation guide for digitial medicines, which contains up-to-date information.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: reasonCode

Optional, but useful to the wider clinical team as an additional safety check, especially if the requested medication is normally prescribed for different reasons, to avoid confusion between clinical teams. Recording an indication against a medication request also gives valuable insight when data is collated for secondary uses, especially if linked with outcome data.

Where possible this should be a coded term from the SNOMED-CT hierarchy as a descendant of the concept 404684003 (Clinical finding); however, free-text reasons are also acceptable.

Recommendation: if used reasonCode and reasonReference are mutually exclusive and not both populated.

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