medication[x]

Where the requested medication is contained within the dm+d then it SHALL be recorded using the dm+d standard.

When referencing a Medication resource, it is recommended that the medicationReference.display is populated with the medication description as selected by the clinician. This may be slightly different to the medication described as returned by a SNOMED CT/dm+d terminology FHIR server if the prescribing system has not fully implemented dm+d into their medication picking list.

Requested 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 CodeableConcept variant for this element.

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

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

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

• TheCodeableConcept.text SHOULD be the locally assigned description for the medication.