medication[x]

Medication WITH dm+d code

Where a dm+d code exists it SHALL be used either as MedicationRequest.medicationCodeableConcept.coding or as MedicationRequest.medicationReference.Medication.code

Where CodeableConcept is used, MedicationRequest.medicationCodeableConcept.coding is the dm+d code and MedicationRequest.medicationCodeableConcept.text is dm+d concept name/description.

Can be either a dm+d code as a CodeableConcept or reference to UK Core Profile UKCore-Medication resource. Using a CodeableConcept is preferred unless additional data if required that would be contained within a UK Core Profile UKCore-Medication resource.

The elements MedicationRequest.medicationCodeableConcept.coding and MedicationRequest.medicationReference.Medication.code are both bound to ValueSet UKCore-MedicationCode

Examples where a reference to a UK Core Profile UKCore-Medication would be applicable include:

• Record a VTM with a specific form
• Record manufacturer with a concept as described in ValueSet UKCore-MedicationCode
• Record batch number
• Record ingredients (for example with a magisterial prescription or an excipient).

Medication WITHOUT dm+d code

Medication not published within the dm+d may be requested in the Acute care setting.

In this scenario it is recommended to use the MedicationRequest.medicationCodeableConcept variant for this element.

If the prescribing system has both a locally assigned code and description for the medication then;

• The MedicationRequest.medicationCodeableConcept.text SHOULD be the description for the medication.
• The MedicationRequest.medicationCodeableConcept.coding.code SHOULD be the code for the medication.
• The MedicationRequest.medicationCodeableConcept.coding.display SHOULD be the description for the medication, i.e. the same value as MedicationRequest.medicationCodeableConcept.text.

If the prescribing system only has a description for the medication then;

• The MedicationRequest.medicationCodeableConcept.text SHOULD be the locally assigned description for the medication.