Acute medication (Last 12 months)
Clinical narrative
A list of acute medicines that are currently being, or have recently been, used to treat or prevent disease for the patient. The provider MUST include all acute medication whose Start Date (the date the prescription is expected to start) is greater than the current date minus 365 days.
This is aligned to the Acute Medications section in Summary Care Records (SCR).
Purpose
The purpose of this section is to provide a view of acute medications that the patient has recently been taking, which informs the clinical decision-making process.
Subsection title
The subsection title MUST be ‘Acute Medication (Last 12 Months)’.
Date filter
All relevant records MUST be returned.
Subsection content banner
Provider message describing at a summary level how they have populated this subsection.
Providers MUST return the following message, if applicable:
<div> <p>Scheduled End Date is not always captured in the source; where it was not recorded, the displayed date is calculated from start date and days duration</p> </div>
Table columns
Providers MUST return all the columns as described in the table below, sorted by Start Date descending:
| Order | Name | Description | Value details |
|---|---|---|---|
| 1 | Type |
Type of medication issued (for example, Acute, Acute Post-Dated, Acute - [Prescribing Agency Type]1). |
free-text |
| 2 | Start Date |
The date of issue of the acute medications, except where: - the medication is post-dated it MUST be the post date - the medication is prescribed elsewhere it MUST be the expected start date if known, else the entered date |
dd-Mmm-yyyy |
| 3 | Medication Item |
Descriptive name of medication item (including dosage) (for example, Ibuprofen 400mg tablets). |
free-text |
| 4 | Dosage Instruction |
Dosage instructions for the medication item. As a minimum, this MUST include: - Dosage Rate - Schedule (when / how often) for example, two to be taken daily |
free-text |
| 5 | Quantity |
Quantity details for the medication item. As a minimum, this MUST include: - Quantity - Quantity unit for example, 14 capsule |
free-text |
| 6 | Scheduled End Date |
The date the prescription is expected to finish. | dd-Mmm-yyyy |
| 7 | Days Duration |
Duration of medication issued in days. | integer |
| 8 | Additional Information |
If the medication record includes the information, the following details MUST be included (each item MUST be separated with a line break): - CONTROLLED DRUG label in bold text- CANCELLED: label with cancellation date and reason- Reason for the medication - Linked problems / diagnoses - Other supporting information The provider MAY include labels in addition to the ones specified to support additional text (for example, Linked Problem : Ear Infection). |
free-text |
1 Where the medication was Prescribed Elsewhere the prescribing agency (type of organisation responsible for authorising and issuing the medication) MUST be included with the Type, for example, ‘Acute – Dentist’. If the medication item is identifiable as prescribed elsewhere but the type of organisation who prescribed it is not recorded, then the Type MUST be returned as ‘Acute – Unknown Prescriber’.