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:

  • 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:

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: DD 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 Digital  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

PRESCRIBED MEDICATION
Mandation Prescribed Medication

To carry details of the prescribed medication for a patient.One occurrence of this group is required.

R

NHS NUMBER

R

NHS NUMBER STATUS INDICATOR CODE

R

PERSON BIRTH DATE

R

ORGANISATION SITE IDENTIFIER (OF TREATMENT)

R

MEDICATION ADMINISTRATION SETTING TYPE (PRESCRIBED)

R

OTHER MEDICATION ADMINISTRATION SETTING DESCRIPTION

R

PRESCRIBED MEDICATION STATUS DESCRIPTION

M

PRESCRIBED ITEM IDENTIFIER

R

PRESCRIBED MEDICATION AUTHORISED TIMESTAMP

R

PRESCRIBED MEDICATION GENERAL PRACTITIONER MANAGED POST DISCHARGE BOOLEAN

M

PRESCRIBED MEDICATION RECORD LAST UPDATED TIMESTAMP

M

PRESCRIBED MEDICATION NAME

R

PRESCRIBED MEDICATION (DM+D)

R

PRESCRIBED MEDICATION DOSE FORM DESCRIPTION

R

PRESCRIBED MEDICATION DOSE FORM (SNOMED CT)

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

PRESCRIBED MEDICATION THERAPEUTIC INDICATION DESCRIPTION

R

THERAPEUTIC INDICATION CODE (SNOMED CT)

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

PRESCRIBED MEDICATION DOSAGE INSTRUCTION SEQUENCE NUMBER

R

PRESCRIBED MEDICATION DOSAGE INSTRUCTION DESCRIPTION

R

BODY SITE OF ADMINISTRATION PRESCRIBED DESCRIPTION

R

BODY SITE OF ADMINISTRATION PRESCRIBED (SNOMED CT)

R

ROUTE OF ADMINISTRATION PRESCRIBED DESCRIPTION

R

ROUTE OF ADMINISTRATION PRESCRIBED (SNOMED CT)

R

METHOD OF ADMINISTRATION PRESCRIBED DESCRIPTION

R

METHOD OF ADMINISTRATION PRESCRIBED (SNOMED CT)

R

PRESCRIBED MEDICATION DOSE QUANTITY VALUE

R

PRESCRIBED MEDICATION DOSE QUANTITY VALUE UNIT OF MEASUREMENT DESCRIPTION

R

PRESCRIBED MEDICATION DOSE RANGE LOW QUANTITY VALUE

R

PRESCRIBED MEDICATION DOSE RANGE LOW QUANTITY VALUE UNIT OF MEASUREMENT DESCRIPTION

R

PRESCRIBED MEDICATION DOSE RANGE HIGH QUANTITY VALUE

R

PRESCRIBED MEDICATION DOSE RANGE HIGH QUANTITY VALUE UNIT OF MEASUREMENT DESCRIPTION

R

PRESCRIBED MEDICATION DOSE REPEAT FREQUENCY VALUE

R

PRESCRIBED MEDICATION DOSE REPEAT PERIOD

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

PRESCRIBED MEDICATION DOSE ADMINISTERED AS NEEDED BOOLEAN

R

PRESCRIBED MEDICATION VALIDITY PERIOD START TIMESTAMP

R

PRESCRIBED MEDICATION VALIDITY PERIOD END TIMESTAMP

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
Also known as EPMA - Prescribing Data Set
Short name Prescribing