GP Connect (Patient Facing) Prescriptions - FHIR API

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

Extensions

id0..1string
id0..1string
extensionC0..*Extension
url1..1uriFixed Value
valueUnsignedIntunsignedInt
id0..1string
extensionC0..*Extension
url1..1uriFixed Value
valueDateTimedateTime
url1..1uriFixed Value
ExtensionC
ShortMedication repeat information
Definition

Medication repeat information.

Cardinality0..1
ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1
Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Extension.id
ShortUnique id for inter-element referencing
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality0..1
Typestring
Mappings
  • rim: n/a
Extension.extensionC
ShortAdditional content defined by implementations
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Cardinality0..*
TypeExtension
Aliasextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1
Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Extension.extension:numberOfPrescriptionsIssuedC
ShortThe specific number of times a repeat prescription has been issued
Definition

An integer recording the number of times a repeat prescription has been issued. This integer does not include the original order dispense.

Cardinality0..1
TypeExtension
Aliasextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1
Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Extension.extension:numberOfPrescriptionsIssued.id
ShortUnique id for inter-element referencing
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality0..1
Typestring
Mappings
  • rim: n/a
Extension.extension:numberOfPrescriptionsIssued.extensionC
ShortAdditional content defined by implementations
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Cardinality0..*
TypeExtension
Aliasextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1
Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Extension.extension:numberOfPrescriptionsIssued.url
Shortidentifies the meaning of the extension
Definition

Source of the definition for the extension code - a logical name or a URL.

Cardinality1..1
Typeuri
Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Fixed Value
numberOfPrescriptionsIssued
Mappings
  • rim: N/A
Extension.extension:numberOfPrescriptionsIssued.value[x]
ShortThe specific number of times a repeat prescription has been issued
Definition

An integer recording the number of times a repeat prescription has been issued. This integer does not include the original order dispense.

Cardinality1..1
TypeunsignedInt
ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1
Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Extension.extension:authorisationExpiryDateC
ShortRepeat prescription review date
Definition

The date a prescriber must review a repeat prescription with the patient. This is distinct from dispenseRequest.validityPeriod.end, which marks when a dispensing cycle ends e.g. in Electronic Repeat Dispensing

Cardinality0..1
TypeExtension
Aliasextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1
Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Extension.extension:authorisationExpiryDate.id
ShortUnique id for inter-element referencing
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality0..1
Typestring
Mappings
  • rim: n/a
Extension.extension:authorisationExpiryDate.extensionC
ShortAdditional content defined by implementations
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Cardinality0..*
TypeExtension
Aliasextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1
Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Extension.extension:authorisationExpiryDate.url
Shortidentifies the meaning of the extension
Definition

Source of the definition for the extension code - a logical name or a URL.

Cardinality1..1
Typeuri
Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Fixed Value
authorisationExpiryDate
Mappings
  • rim: N/A
Extension.extension:authorisationExpiryDate.value[x]
ShortRepeat prescription review date
Definition

Repeat prescription review date.

Cardinality1..1
TypedateTime
ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1
Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Extension.url
Shortidentifies the meaning of the extension
Definition

Source of the definition for the extension code - a logical name or a URL.

Cardinality1..1
Typeuri
Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Fixed Value
https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation
Mappings
  • rim: N/A
Extension.value[x]
ShortValue of extension
Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Cardinality0..0
TypeAddress | Age | Annotation | Attachment | base64Binary | boolean | canonical | code | CodeableConcept | Coding | ContactDetail | ContactPoint | Contributor | Count | DataRequirement | date | dateTime | decimal | Distance | Dosage | Duration | Expression | HumanName | id | Identifier | instant | integer | markdown | Meta | Money | oid | ParameterDefinition | Period | positiveInt | Quantity | Range | Ratio | Reference | RelatedArtifact | SampledData | Signature | string | time | Timing | TriggerDefinition | unsignedInt | uri | url | UsageContext | uuid
ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1
Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A

extension:medicationRepeatInformation

DataType Optionality Cardinality
Extension required 0:1

This extension must be present for continuous and continuous-repeat-dispensing therapy types.

medicationRepeatInformation.authorisationExpiryDate

Only populate for a MedicationRequest with an intent = plan. For a MedicationRequest with an intent = order this is not populated.

medicationRepeatInformation.numberOfPrescriptionsIssued

Running total of number of issues made against a repeat authorisation.

MUST be zero, if not yet issued.

Example

"extension": [
  {
       "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation",
       "extension": [
           {
               "url": "numberOfRepeatPrescriptionsIssued",
               "valueUnsignedInt": 3
           },
           {
               "url": "authorisationExpiryDate",
               "valueDateTime": "2022-08-07"
           }
       ]
   }
]

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