FHIR-ePMA-Implementation/index.md at master · nhsconnect/FHIR-ePMA-Implementation

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Introduction

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Scope of this Implementation Guidance

This guidance for the population of a MedicationRequest resource for the use cases of;

Inpatients
- 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 medications requests, for a named patient, to be dispensed by the hospital pharmacy and issued on discharge for administration at home
Outpatients
- 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.

At this time, this guidance is not applicable for the following uses cases;

Orders for the supply of ward stock medications
Primary care medication requests to community pharmacy (aka an FP10)
Medication requests to a Homecare medicines provider from a Trust
Outpatient medication requests to be dispensed by a community pharmacy (aka an FP10HNC)
Medication requests between two Trusts where there is a local shortage of supply.

This guidance is aligned to the following FHIR standards;

This guidance is being incorporated into the on-going work to define a UK-specific implementation of the R4 standard known as R4 UK Core.