Release Notes

Change to the implementation guidance are recorded on this page.

1.3.11-private-beta (Mar 2025)

Added additional SNOMED hierarchy for units of measure
Amendment to dose to text conversion
- Remove "take" for count
- Remove "and" for multiple when statements
- Added principle for expresson of decimals

Redirect the reader to UKCore for implementation guidance for the OperationOutcome resource.
Use case for repeated doseRate dosing instructions.
Additional suitable SNOMED hierarchy for coded additionalInstructions.
Updated guidance for patientInstruction dosing instructions.
Added use case and example for a fully free text dosing instruction.
SNOMED coding guidance for site updated to include the "Nonspecific site (body structure)" hierarchy.
Dosing element patientInstruction excluded from the dose to text translation algorithm.

Additional guidance for use of meal/food related dosage timing instructions including use of SNOMED coded terms for with food and with or after food.

Updates made to the guidance for known dosage structure limitations as some of these limitations have now been resolved.

Guide title changed to "Implementation guide for interoperable medicines"
Where possible, referenced to NHS Digital changed to NHS England
Broken links to external online resources fixed
Merge and consolidation of the Reference Architectures and Shared Record Architectures pages within the Design section

Guidance added for dosage "at least" and "up to" timing instructions, with associated guidance for translating a boundRange.low with no high as "for at least..."
Guidance added for dosage "up to" for timing instructions, with associated guidance for translating to text. Note a dosing (not timing) instruction of "at least" is possible with FHIR but not recommended within an implementation.
Infusions guidance and examples updated based on engagement with the Interoperable Medicines Working Group.
Section within Known Dosage Structure Limitations updated for periods of no medicines administration.
Guidance added for unknown clinical trial medications

Specific infusion examples added.
Corrections to some existing examples.
Drafting notes added to the Dose to Product translation process to include relevant AMPs.

Dosage implementation guidance incorporated from the previously separate Dosage implementation guide.
Design Overview updated.
Shared Medication Record Architectures updated to include the Persisted Single and Only Architecture architecture option.
Interactions moved to the 'Build' menu.
Referencing FHIR Resources updated to highlight the differences between a FHIR Messaging and FHIR RESTful implementation.

Updated Required (R) flag to be Must Support (MS) for consistency with other guides
Dedicated area for use-cases added
Additional examples added (Cedeep Laya and Chris Packet) to support use-cases
Updated packages to reference FHIR UK Core (R4)
Slight restructure of guidance for readability
Homepage added
NHS Digital Corporate branding added

Added to Simplifier
Extended guidance on API architecture and patterns
Added guidance for MedicationDispense
Added draft guidance for MedicationStatement and remains WORK-IN-PROGRESS
Added draft guidance for MedicationAdministration and remains WORK-IN-PROGRESS
Amended guidance for Practitioner to align with the FHIR implementation of the Electronic Prescription Service for the use of professional codes as an identifier
Forked from the STU3 / CareConnect ePMA Implementation Guidance

First version published covering MedicationRequest and the referenced resources of Patient, Practitioner and Organisation