UK Core Implementation Guide 1.0.0 - STU1

category

It is expected that any implementation will need to distinguish between medication orders for processes for dispensing and / or administration so this element is business required.

Category values mapped to target use-cases

Example use cases for each category:

Category Use-case Scenario
inpatient Inpatient medication requests, for a named patient, to be dispensed by the hospital pharmacy and intended for administration on a hospital ward. Patient Anne Teak is admitted as an inpatient is prescribed Amoxicillin 500mg orally three times daily for a suspected chest infection.
leave Medication requests, for a named patient who is on short-term leave from an inpatient stay (but is not discharged), to be dispensed by the hospital pharmacy and intended for administration at home. Current inpatient Jackie Taitor is going home for weekend leave and is prescribed 3 days supply of Citalopram 20mg tablets one to be taken in the morning.
discharge Discharge medications requests, for a named patient, to be dispensed by the hospital pharmacy and issued on discharge for administration at home. Patient Bill Ding is discharged from hospital following an admission where they were diagnosed as being diabetic. They were prescribed 4 weeks quantity of Metformin 500mg tablets to take twice daily on an on-going basis. Their GP will be instructed to continue this course of medication within a discharge note.
outpatient Outpatient medication requests, for a named patient, to be dispensed by the hospital pharmacy and intended for administration in the Outpatients department, Accident and Emergency department, or Day unit. Patient Moe DeGrasse is prescribed a Goserelin 3.6mg implant to be administered by IM injection in the Outpatients department on 1st May 2020.
community Outpatient medication requests, for a named patient, to be dispensed by the hospital pharmacy for administration at home. Patient Lorna Mower has attended the dermatology outpatients clinic and is prescribed Betamethasone 0.1% cream to be applied sparingly twice daily for 2 weeks.

Note: A community medication request would trigger the printing and signing of a paper FP10HNC prescription, or (when implemented by the Trust) an electronic prescription sent to the NHS Electronic Prescription Service.


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