Electronic Prescribing And Medicines Administration Data Set - Medicines Administration

The Electronic Prescribing and Medicines Administration Data Sets are secondary use data sets which aim to re-purpose clinical and operational data concerning the prescribing and administration of medication in Health Care Providers in England who have a live Electronic Prescribing and Medication Administration system.

Overview

Introduction

The utilisation of secondary care PATIENT -level data supports improvements to health outcomes, and the Electronic Prescribing and Medicines Administration Data Sets will be linked to other national data sets to provide enhanced intelligence to support:

safety and effectiveness
monitoring uptake of innovative medicine
pharmacovigilance
cost-effectiveness (pharmacoeconomics)
compliance with best practice and policy directives
antimicrobial stewardship

Data in scope of the Electronic Prescribing and Medicines Administration Data Sets is from the Primary Electronic Prescribing and Medicine Administration system. Therefore the data should not include activity where a separate system is used, for example for the delivery of certain cancer treatments (such as those covered by the Systemic Anti-Cancer Therapy Data Set), the prescribing and administration of specific medications such as Warfarin, and delivery of medications in specific care settings such as Intensive Care Units.

Care settings in scope of the Electronic Prescribing and Medicines Administration Data Sets are:

Admitted Patient Setting - on a WARD during a Hospital Provider Spell
Out-Patient Setting - in an Out-Patient Clinic or Ward Attendance
Emergency Care Department
setting
Admitted Patient - on Discharge from the Hospital Provider Spell
Admitted Patient - for Home Leave
Admitted Patient - existing medication on admission
Other Medication Administration Setting

Submission Information

Electronic Prescribing and Medicines Administration Data Sets data for submission must be formatted into XML files as per the Technology Reference Update Distribution (TRUD) page at: NHS Data Model and Dictionary XML Schemas.

The data sets should be extracted from the primary Electronic Prescribing and Medicine Administration system on a weekly basis, covering the previous seven days'ACTIVITY for both prescribing and medicines administration.

Data submissions are made to NHS England using the Message Exchange for Social Care and Health (MESH) portal.

Further Guidance

Further guidance for the Electronic Prescribing and Medicines Administration Data Sets is available at Interoperable Medicines Programme.

Mandation

The Mandation column indicates the recommendation for the inclusion of data.

M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
R = Required: NHS business processes cannot be delivered without this data element

XML Schema

For guidance on the XML Schema constraints, see the Electronic Prescribing and Medicines Administration Data Set XML Schema Constraints.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

Specification


HEADER To carry header details for the submission.One occurrence of this group is required.
Mandation	Data Elements
M	ORGANISATION SITE IDENTIFIER (SYSTEM LOCATION)
M	DATA SET CREATED TIMESTAMP
M	PRIMARY DATA COLLECTION SYSTEM IN USE
M	REPORTING PERIOD START DATE
M	REPORTING PERIOD END DATE


MEDICATION ADMINISTRATION To carry details of the occurrence of medication administered to the patient.One occurrence of this group is required.
Mandation	Data Elements
R	NHS NUMBER
R	NHS NUMBER STATUS INDICATOR CODE
R	PERSON BIRTH DATE
R	ORGANISATION SITE IDENTIFIER (OF TREATMENT)
R	MEDICATION ADMINISTRATION SETTING TYPE (ACTUAL)
R	OTHER MEDICATION ADMINISTRATION SETTING DESCRIPTION
R	MEDICATION ADMINISTRATION STATUS DESCRIPTION
M	MEDICATION ADMINISTRATION IDENTIFIER
R	PRESCRIBED ITEM IDENTIFIER
M	PRESCRIBED MEDICATION DOSE TO BE ADMINISTERED TIMESTAMP
R	CODED PROCEDURE TIMESTAMP (MEDICATION ADMINISTRATION)
R	MEDICATION ADMINISTRATION RECORDED TIMESTAMP
R	PRESCRIBED MEDICATION DOSE NOT ADMINISTERED BOOLEAN
R	PRESCRIBED MEDICATION DOSE NOT ADMINISTERED REASON DESCRIPTION
M	MEDICATION ADMINISTRATION RECORD LAST UPDATED TIMESTAMP
M	MEDICATION ADMINISTERED NAME
R	MEDICATION ADMINISTERED (DM+D)
R	MEDICATION ADMINISTRATION DOSE FORM DESCRIPTION
R	MEDICATION ADMINISTRATION DOSE FORM (SNOMED CT)
R	MEDICATION ADMINISTRATION DOSE ACTUAL DESCRIPTION
R	BODY SITE OF ADMINISTRATION ACTUAL DESCRIPTION
R	BODY SITE OF ADMINISTRATION ACTUAL (SNOMED CT)
R	ROUTE OF ADMINISTRATION ACTUAL DESCRIPTION
R	ROUTE OF ADMINISTRATION ACTUAL (SNOMED CT)
R	METHOD OF ADMINISTRATION ACTUAL DESCRIPTION
R	METHOD OF ADMINISTRATION ACTUAL (SNOMED CT)
R	MEDICATION ADMINISTRATION DOSE QUANTITY VALUE
R	MEDICATION ADMINISTRATION DOSE QUANTITY VALUE UNIT OF MEASUREMENT DESCRIPTION


ACTIVE INGREDIENT To carry details of the active ingredient of the medication administered to the patient.Multiple occurrences of this group are permitted per medication administered.
Mandation	Data Elements
R	MEDICATION ADMINISTERED ACTIVE INGREDIENT SUBSTANCE DESCRIPTION
R	MEDICATION ADMINISTERED ACTIVE INGREDIENT SUBSTANCE STRENGTH DESCRIPTION

Also Known As

This data set is also known by these names:

Context	Alias
Also known as	EPMA - Medicines Administration Data Set
Short name	Medicines Administration