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Please note: This guidance has been superseded by the Implementation guide for digitial medicines, which contains up-to-date information.

Supply of Medication

Primary Care / Community Supply

Applicable for the following use cases;

  • Primary Care, Community Care and Urgent and Emergency Care (UEC) medication requests to community pharmacy (aka an FP10 in England or GP10 in Scotland).
  • Outpatient medication requests to be dispensed by a Community Pharmacy (aka an FP10HNC).
  • Outpatient medication requests to a contracted Outpatient pharmacy.
  • Outpatient medication requests to a Homecare medicines provider.
Note: For implementations within England using the Electronic Prescription Service (EPS), refer to the specific implementation guidance below;

View the England EPS guidance

Secondary Care

Applicable for the following use cases;

  • Inpatient medication requests, for a named patient, to be dispensed by the hospital pharmacy and intended for administration on a hospital ward.
  • Medication requests, for a named patient who is on short-term leave from an inpatient stay (but is not discharged), to be dispensed by the hospital pharmacy and intended for administration at home.
  • Discharge medication requests, for a named patient, to be dispensed by the hospital pharmacy and issued on discharge for administration at home.
  • Outpatient medication requests, for a named patient, to be dispensed by the hospital pharmacy and intended for administration in the Outpatients department, Accident and Emergency department, or Day unit.
  • Outpatient medication requests, for a named patient, to be dispensed by the hospital pharmacy for administration at home.

Applicable FHIR resources: MedicationRequest and MedicationDispense

The use of FHIR resources for these use cases is identical except for the following;

  • Care setting identified by the MedicationRequest.category.
  • The quantity of discharge medication to supply may be defined within a MedicationRequest.dispenseRequest.

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