Prescription Ordering
The prescribing models (course of Therapy) are described in
See also:
Prescription Signing
| FHIR Exchange | API | FHIR Operation Definition |
|---|---|---|
| FHIR Operation | POST /$prepare | prepare |
A prescription must be signed before it can be sent to EPS and Pharmacists.
Prescription Order
| FHIR Exchange | API | Event Type | FHIR (Bundle) Message Definition |
|---|---|---|---|
| FHIR Messaging | POST /$process-message | prescription-order |
prescription-order |
The prescription-order FHIR Message is sent to the EPS $process-message endpoint. The contents of this message are defined in prescription-order
Additional Notes
Prescription Type (courseOfTherapyType)
The prescription-order MUST NOT mix continuous-repeat-dispensing prescriptions and acute / continuous prescriptions in the same order.
Maximum number of repeat prescriptions(repeatInformation.numberOfRepeatPrescriptionsAllowed)
If present the maximum number of repeat prescriptions must be identical for all items on a prescription.
Prescription Authorisation Expiry (repeatInformation.authorisationExpiryDate)
The order authorisation expiry date is the earliest prescription expiry date found in the order. If separate Authorisation Expiry dates are required, then those prescriptions must be sent individually.
If present the authorisation expiry date must be identical for all items on a prescription.
Prescription Validity Period (dispenseRequest.validityPeriod)
This MUST be identical for all items in the prescription order.
Prescription Duration (dispenseRequest.expectedSupplyDuration)
This MUST be identical for all prescriptions within the order and MUST be specified in days.
Prescription Order Cancel
| FHIR Exchange | API | Event Type | FHIR (Bundle) Message Definition |
|---|---|---|---|
| FHIR Messaging | POST /$process-message | prescription-order-update |
prescription-order-update |
Electronic prescriptions can be cancelled by any prescriber (or staff) who has the correct authorisation on their smartcard. This can be done at any point until the prescription is dispensed and given to the patient.
The prescription-order-update message is similar to the prescription-order message and the main differences are the CommunicationRequest and Provence resources are not required.
Only one MedicationRequest can be cancelled, it is not possible to cancel the entire prescription-order. To cancel the entire prescription-order, multiple prescription-order-update messages must be used, one for each MedicationRequest in the prescription-order.
The same MedicationRequest resource used within the prescription-order message can be reused with the following amendments:
| Source Data Item | FHIR Element | Additional Conformance |
|---|---|---|
| meta.lastUpdated | Date of cancellation | |
| status | MUST be cancelled |
|
| statusReason.coding.code | MUST be present and use a code from DM-MedicationRequest-Status-Reason | |
| statusReason.text | SHOULD be present. If not present statusReason.coding.display will be used. |
|
| Cancellation requestor | extension (ResponsiblePractitioner) NHSDigital-PractitionerRole | Person and their organization requesting cancellation of the prescription item. This is MUST be present if the requestor is not the same as the author. GMC Reference Number MUST NOT be used as a Practitioner identifier |
When a prescription has already been downloaded by the patient's nominated pharmacy it cannot be cancelled and EPS will send a cancellation rejected message back to the prescriber.
The prescriber should then contact the dispenser to return the whole prescription to the NHS Spine. If this is possible (the medication has not been dispensed), the dispenser returns the prescription to EPS and then EPS sends a subsequent cancellation to the prescriber.
Build Notes
Prescription Order Response
The response to a prescription-order-update is a prescription-order-response FHIR Message and is defined in prescription-order-response