Patch-IOPS-4166-Clinical-Prescription-Tracker-API-Reivew

MedicationRequest/MedicationRequest-WithoutGroupID-Example.xml

@@ -0,0 +1,71 @@
+<MedicationRequest xmlns="http://hl7.org/fhir">
+ <id value="MedicationRequest-WithoutGroupID-Example" />
+ <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-PendingCancellation">
+  <valueBoolean value="false" />
+ </extension>
+ <extension
+  url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation">
+  <extension url="numberOfPrescriptionsIssued">
+   <valueUnsignedInt value="3" />
+  </extension>
+  <extension url="authorisationExpiryDate">
+   <valueDateTime value="2026-12-31" />
+  </extension>
+ </extension>
+ <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-EPS-DispensingInformation">
+  <extension url="dispenseStatus">
+   <valueCoding>
+    <system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-type" />
+    <code value="0008" />
+    <display value="Item with dispenser" />
+   </valueCoding>
+  </extension>
+ </extension>
+ <identifier>
+  <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
+  <value value="a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
+ </identifier>
+ <status value="active" />
+ <intent value="reflex-order" />
+ <medicationCodeableConcept>
+  <coding>
+   <system value="http://snomed.info/sct" />
+   <code value="39720311000001101" />
+   <display value="Paracetamol 500mg soluble tablets" />
+  </coding>
+ </medicationCodeableConcept>
+ <subject>
+  <reference value="Patient/Patient-StaceyTwitchett-Example" />
+  <identifier>
+   <system value="https://fhir.nhs.uk/Id/nhs-number" />
+   <value value="5839945242" />
+  </identifier>
+ </subject>
+ <courseOfTherapyType>
+  <coding>
+   <system value="https://fhir.nhs.uk/CodeSystem/medicationrequest-course-of-therapy" />
+   <code value="continuous-repeat-dispensing" />
+   <display value="Continuous long term (repeat dispensing)" />
+  </coding>
+ </courseOfTherapyType>
+ <dosageInstruction>
+  <text value="Take two tablets three times a day." />
+ </dosageInstruction>
+ <dispenseRequest>
+  <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType">
+   <valueCoding>
+    <system value="https://fhir.nhs.uk/CodeSystem/dispensing-site-preference" />
+    <code value="P1" />
+   </valueCoding>
+  </extension>
+  <quantity>
+   <value value="30" />
+   <unit value="dose" />
+   <system value="http://snomed.info/sct" />
+   <code value="3317411000001100" />
+  </quantity>
+ </dispenseRequest>
+ <substitution>
+  <allowedBoolean value="false" />
+ </substitution>
+</MedicationRequest>

StructureDefinition/NHSDigital-MedicationRequest.xml

@@ -2,11 +2,11 @@
 <StructureDefinition xmlns="http://hl7.org/fhir">
   <id value="NHSDigital-MedicationRequest" />
   <url value="https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationRequest" />
-  <version value="1.1.2" />
+  <version value="1.2.0" />
   <name value="NHSDigitalMedicationRequest" />
   <title value="NHS Digital MedicationRequest" />
   <status value="draft" />
-  <date value="2025-12-15T00:00:00+00:00" />
+  <date value="2026-04-07T00:00:00+00:00" />
   <publisher value="NHS England" />
   <contact>
     <name value="NHS England" />
@@ -59,12 +59,6 @@
         <human value="dispenseRequest.numberOfRepeatsAllowed should be populated for continuous-repeat-dispensing MedicationRequests." />
         <expression value="(courseOfTherapyType.coding.code.startsWith('acute') or courseOfTherapyType.coding.code = 'continuous') or  (courseOfTherapyType.coding.code.startsWith('continuous-repeat-dispensing') and dispenseRequest.exists() and dispenseRequest.numberOfRepeatsAllowed.exists())" />
       </constraint>
-      <constraint>
-        <key value="eps-10" />
-        <severity value="error" />
-        <human value="For continuous-repeat-dispensing (intent=reflex-order) basedOn must be populated" />
-        <expression value="(courseOfTherapyType.coding.code = 'acute') or (courseOfTherapyType.coding.code = 'continuous') or (courseOfTherapyType.coding.code = 'continuous-repeat-dispensing' and intent !='reflex-order') or (courseOfTherapyType.coding.code = 'continuous-repeat-dispensing' and intent ='reflex-order' and dispenseRequest.exists() and basedOn.exists())" />
-      </constraint>
       <constraint>
         <key value="eps-11" />
         <severity value="error" />
@@ -383,7 +377,6 @@
       <short value="groupIdentifier (Short Form Prescription ID)" />
       <definition value="The purpose of the Short Form Prescription ID is to identify the prescription during its lifecycle within the Spine (i.e. prescribe, dispense &amp; claim). The prescription UUID is retained to provide the link through to the Spine medication record within the PSIS and must be included as the first identifier within the prescription message.&#xD;&#xA;The format of the Short Form Prescription ID is as follows;&#xD;&#xA;&#xD;&#xA;`&lt;RandomNumber&gt;-&lt;PracticeODSCode/ClinicODSCode&gt;-&lt;PracticeSequence/ClinicSequence&gt;&lt;CheckDigit&gt;`&#xD;&#xA;&#xD;&#xA;Where;&#xD;&#xA;&#xD;&#xA;`&lt;RandomNumber&gt;` is a locally generated random number each time a Prescription ID is generated of length 6 hexadecimal characters.&#xD;&#xA;&#xD;&#xA;`&lt;PracticeODSCode/ClinicODSCode&gt;` is the unique ODS code for the practice or clinic code (aka cost centre) as defined within the Spine SDS of length 6 characters. Where the prescriber ODS code is shorter than 6 characters it must be zero-padded up to six characters from the start of the ODS code, e.g. “0A1B2C”.&#xD;&#xA;&#xD;&#xA;`&lt;PracticeSequence/ClinicSequence&gt;` is an incremental sequence number starting from 00000 that is reset after FFFFF back to zero of length 5 hexadecimal characters. For systems that support multiple practices or clinics, a sequence number per practice/clinic is required. This is to ensure uniqueness of prescriptions within the Spine EPS component during the prescription lifecycle.&#xD;&#xA;&#xD;&#xA;`&lt;CheckDigit&gt;` is calculated on the entire ID using the ISO/IEC 7064:2003 MOD 37-2 standard. The check digit algorithm is identical to that using for EPS Release 1.&#xD;&#xA;&#xD;&#xA;Note. Hyphens are always included to separate the ID into 3 blocks of 6 characters.&#xD;&#xA;&#xD;&#xA;Note. The implementation of the MOD 37-2 standard uses a “+” character for char 36 opposed to a “*” character.&#xD;&#xA;&#xD;&#xA;Short Form Prescription ID example (for illustration purposes only);&#xD;&#xA;&#xD;&#xA;**83C40E-A23856-00123W**&#xD;&#xA;&#xD;&#xA;```json&#xD;&#xA;&quot;groupIdentifier&quot;: {&#xD;&#xA;    ...&#xD;&#xA;    &quot;system&quot;: &quot;https://fhir.nhs.uk/Id/prescription-order-number&quot;,&#xD;&#xA;    &quot;value&quot;: &quot;DC2C66-A1B2C3-23407B&quot;&#xD;&#xA;},&#xD;&#xA;```" />
       <comment value="ITK HL7v3 Mapping = The groupIdentifier is equivalent to ParentPrescription.id (prescription-order-number). The extension is used to carry the ParentPrescription.id (UUID)." />
-      <min value="1" />
       <mustSupport value="true" />
     </element>
     <element id="MedicationRequest.groupIdentifier.extension">

fhirpkg.lock.json

@@ -1,5 +1,5 @@
 {
-  "updated": "2025-07-25T17:27:50.0661131+01:00",
+  "updated": "2026-04-07T12:57:28.4297209+01:00",
   "dependencies": {
     "hl7.fhir.r4.core": "4.0.1",
     "fhir.r4.ukcore.stu3.currentbuild": "0.0.3-pre-release"