Electronic Prescription Service (EPS) Implementation Guide

prescription-order-update

This message definition describes the rules for a Prescription Order Update interactions used in a FHIR Messaging exchange. It is used to cancel a single prescribed medication item.

The FHIR Message Bundle MUST contain one MessageHeader resource conforming to NHSDigital-MessageHeader.

MessageHeader.eventCoding

System Code
Message Events prescription-order-update 
"eventCoding": {
    "system": "https://fhir.nhs.uk/CodeSystem/message-event",
    "code": "prescription-order-update",
    "display": "Prescription Order Update"
}

MessageHeader.reason

The MessageHeader.reason should be cancel.

"reason": {
    "coding": [
        {
            "system": "https://fhir.nhs.uk/CodeSystem/message-reason-prescription",
            "code": "cancel",
            "display": "Cancel"
        }
    ]
}

MessageHeader.focus

Profile Min Max Notes
NHSDigital-MedicationRequest 1 1 The NHSDigital-Provenance and NHSDigital-CommunicationRequest resources do not need to be included in the Bundle.
Response Required
always
Allowed Responses
prescription-order-response
NHSDigital-OperationOutcome
<MessageDefinition xmlns="http://hl7.org/fhir">
<id value="prescription-order-update" />
<url value="https://fhir.nhs.uk/MessageDefinition/prescription-order-update" />
<identifier>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="c81b88dc-760e-4b1e-9cdb-c5f853630664" />
</identifier>
<version value="1.0.0" />
<name value="NHSDigitalPrescriptionOrderUpdate" />
<title value="Pharmacy/Treatment Order Update" />
<status value="active" />
<date value="2020-08-28" />
<description value="An update to a prescription-order message" />
<eventCoding>
<system value="https://fhir.nhs.uk/CodeSystem/message-event" />
<code value="prescription-order-update" />
<display value="Prescription Order Update" />
</eventCoding>
<category value="consequence" />
<focus>
<code value="MedicationRequest" />
<profile value="https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationRequest" />
<min value="1" />
<max value="1" />
</focus>
<responseRequired value="always" />
<allowedResponse>
<message value="https://fhir.nhs.uk/MessageDefinition/prescription-order-response" />
</allowedResponse>
</MessageDefinition>
{
"resourceType": "MessageDefinition",
"id": "prescription-order-update",
"url": "https://fhir.nhs.uk/MessageDefinition/prescription-order-update",
"identifier": [
{
"system": "https://tools.ietf.org/html/rfc4122",
"value": "c81b88dc-760e-4b1e-9cdb-c5f853630664"
}
],
"version": "1.0.0",
"name": "NHSDigitalPrescriptionOrderUpdate",
"title": "Pharmacy/Treatment Order Update",
"status": "active",
"date": "2020-08-28",
"description": "An update to a prescription-order message",
"eventCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/message-event",
"code": "prescription-order-update",
"display": "Prescription Order Update"
},
"category": "consequence",
"focus": [
{
"code": "MedicationRequest",
"profile": "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationRequest",
"min": 1,
"max": "1"
}
],
"responseRequired": "always",
"allowedResponse": [
{
"message": "https://fhir.nhs.uk/MessageDefinition/prescription-order-response"
}
]
}

image-message-prescription-order-update

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