Electronic Prescribing And Medicines Administration Data Set - Prescribing
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 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.
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:
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safety and effectiveness
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monitoring uptake of innovative medicine
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pharmacovigilance
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cost-effectiveness (pharmacoeconomics)
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compliance with best practice and policy directives
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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:
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Admitted Patient Setting - on a WARD during a Hospital Provider Spell
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Out-Patient Setting - in an Out-Patient Clinic or Ward Attendance
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Emergency Care Department
setting
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Admitted Patient - on Discharge from the Hospital Provider Spell
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Admitted Patient - for Home Leave
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Admitted Patient - existing medication on admission
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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.
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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
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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. |
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Mandation |
Data Elements |
M |
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M |
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M |
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M |
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M |
PRESCRIBED MEDICATION | |
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Mandation |
Prescribed Medication
To carry details of the prescribed medication for a patient.One occurrence of this group is required. |
R |
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R |
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R |
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R |
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R |
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R |
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R |
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M |
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R |
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R |
PRESCRIBED MEDICATION GENERAL PRACTITIONER MANAGED POST DISCHARGE BOOLEAN |
M |
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M |
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R |
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R |
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R |
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Mandation |
Prescribed Medication Active Ingredient Substance
To carry details of the active ingredient substance contained in the medication prescribed for the patient.Multiple occurrences of this group are permitted per prescribed medication. |
R |
PRESCRIBED MEDICATION ACTIVE INGREDIENT SUBSTANCE DESCRIPTION |
R |
PRESCRIBED MEDICATION ACTIVE INGREDIENT SUBSTANCE STRENGTH DESCRIPTION |
Mandation |
Prescribed Medication Therapeutic Indication
To carry details of the therapeutic indication for prescribing the medication for the patient.Multiple occurrences of this group are permitted per prescribed medication. |
R |
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R |
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Mandation |
Prescribed Medication Dosage
To carry details of the dosage of prescribed medication for the patient.Multiple occurrences of this group are permitted per prescribed medication. |
R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
PRESCRIBED MEDICATION DOSE QUANTITY VALUE UNIT OF MEASUREMENT DESCRIPTION |
R |
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R |
PRESCRIBED MEDICATION DOSE RANGE LOW QUANTITY VALUE UNIT OF MEASUREMENT DESCRIPTION |
R |
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R |
PRESCRIBED MEDICATION DOSE RANGE HIGH QUANTITY VALUE UNIT OF MEASUREMENT DESCRIPTION |
R |
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R |
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R |
PRESCRIBED MEDICATION DOSE REPEAT PERIOD UNIT OF MEASUREMENT (FHIR R4) |
R |
PRESCRIBED MEDICATION DOSE DAY OF WEEK (FHIR R4) Multiple occurrences of this item are permitted |
R |
PRESCRIBED MEDICATION DOSE TIME OF DAY Multiple occurrences of this item are permitted |
R |
PRESCRIBED MEDICATION DOSE ASSOCIATED EVENT (FHIR R4) Multiple occurrences of this item are permitted |
R |
PRESCRIBED MEDICATION DOSE TO BE ADMINISTERED TIMESTAMP Multiple occurrences of this item are permitted |
R |
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R |
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R |
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Mandation |
Prescribed Medication Additional Dosage Instructions
To carry additional dosage instructions for the prescribed medication.Multiple occurrences of this group are permitted per Prescribed Medication Dosage. |
R |
PRESCRIBED MEDICATION ADDITIONAL DOSAGE INSTRUCTION DESCRIPTION |
R |
PRESCRIBED MEDICATION ADDITIONAL DOSAGE INSTRUCTION (SNOMED CT) |
Also Known As
This data set is also known by these names:
Context | Alias |
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Also known as | EPMA - Prescribing Data Set |
Short name | Prescribing |