Implementation guide for interoperable medicines

Supply of Medication

Primary Care / Community Supply

Applicable for the following use cases;

• Primary Care, Community Care and Urgent and Emergency Care (UEC) medication requests to community pharmacy (aka an FP10 in England or GP10 in Scotland).
• Outpatient medication requests to be dispensed by a Community Pharmacy (aka an FP10HNC).
• Outpatient medication requests to a contracted Outpatient pharmacy.
• Outpatient medication requests to a Homecare medicines provider.

Secondary Care

Applicable for the following use cases;

• Inpatient medication requests, for a named patient, to be dispensed by the hospital pharmacy and intended for administration on a hospital ward.
• 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.
• Discharge medication requests, for a named patient, to be dispensed by the hospital pharmacy and issued on discharge for administration at home.
• 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.
• Outpatient medication requests, for a named patient, to be dispensed by the hospital pharmacy for administration at home.

Applicable FHIR resources: MedicationRequest and MedicationDispense

The use of FHIR resources for these use cases is identical except for the following;

• Care setting identified by the MedicationRequest.category.
• The quantity of discharge medication to supply may be defined within a MedicationRequest.dispenseRequest.