Requirements Specification for Medication Recommendations
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| A list of medications (and medications-related) recommendations advised for action following discharge.
Requirement Reference: LRA DS expert group 2011.
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Medication Related Recommendation
Business DefinitionA suggestion about duration and/or review, ongoing monitoring requirements, advice or starting, discontinuing or changing
items in a patient’s medication record (to be actioned following discharge).Can include requirements for adherence support
(e.g. compliance aids, prompts and packaging requirements). Can also include information about specific brand names or a
special product where bioavailability or formulation issues arise. The recommendation may be made to another clinician or
directly to the patient. It may be followed or ignored by subsequent carers. (from Medication Management in NPfIT, Version
17, 26/08/04 combined with Keeping patients safe when they transfer between care providers – getting the medicines right,
Part 1: Good practice guidance for health professions, Royal Pharmaceutical Society (Final Draft 06/06/2011).
Requirement Reference
- Medicines Reconciliation: A Guide to Implementation (National Prescribing Centre, 2008).
- Medicines adherence: Involving patients in decisions about prescribed medicines and supporting adherence – NICE clinical
guideline 76 (National Institute for Health and Clinical Excellence, January 2009).
- Keeping patients safe when they transfer between care providers – getting the medicines right, Part 1: Good practice guidance
for health professions, Royal Pharmaceutical Society (Final Draft 06/06/2011).
Proposed Data ValuesFree text.
Data UsePatient information, continuing care.
Data SourceCopied from previous record entry or new entry.
Data Examples
- Patient advised to visit community pharmacist post-discharge for a medicines use review (MUR).
- Consider change medication <a> to medication <b> if not effective
- Consider stopping medications <c> and <d>.
- Change dose of <z> after 3 weeks.
- Continue medications <x> and <y>.
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Service Organisation Recommendation Recipient
Business DefinitionThe organisation intended as the recipient of the medication recommendation.
To be used only if the intended recipient is an organisation rather than an individual.
Requirement Reference Input received during the open review of draft LRA Discharge Summary technical models (2011).
Proposed Data ValuesOrganisation codes.
Data UseContact, information for patient and follow-up care.
Data SourceCopied from previous record or new entry.
Available Data StandardsOrganisational code used within the NHS England and Wales and provided and maintained by SDS.
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Person Recommendation Recipient
Business DefinitionPerson who is the intended recipient for the medication recommendation.
Requirement Reference Input received during the open review of draft LRA Discharge Summary technical models (2011).
Proposed Data Values[Prefixes][Given names][Family names][Suffixes].
Data UseContact.
Data SourceCopied from previous record entry or new record entry.
Available Data StandardsISO 21090 Health informatics data types, HL7 V3 Data Types, NHS MIM data types.
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Contact Address
Business DefinitionThe address of the service.
Requirement Reference LRA DS expert group 2011 – useful for contact.
Proposed Data ValuesAddress Prefix, Building Name and Building Number; Dependent Street or Road Name, and Street or Road Name; Dependent Locality
and Double dependent locality; Postal Town; Postal County; Postal Code; PAF Key - unique ID for an address allocated by the
Royal Mail.
Data UseContact.
Data SourceCopied from previous record / PAS.
Available Data StandardsBS7666 address standard, e-GIF, NHS ISB 1500: Common User Interface - Address Input and Display.
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Contact Telephone Numbers
Business DefinitionTelephone number(s) associated with the service.
Requirement Reference LRA DS expert group 2011 – useful for contact.
Proposed Data ValuesTelephone number(s), with an optional 'Use' code or set of codes which may be assigned to differentiate number type :
- home
- primary home
- vacation home
- work place
- direct (to the person)
- public
- temporary
- answering service
- emergency contact
- mobile contact
- pager
(NOTE: more than one of the use descriptions above may apply to the same number).
Data UseContact.
Data SourcePrevious record entry or new entry.
Available Data Standardse-GIF GDSC standard for UK Telephone Number, ISB 1508: Common User Interface - Telephone Number Input and Display, Telecommunication
Address Use codes from ISO 21090.
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Date For Actions
Business DefinitionThe date(s) and optionally time when the action is planned to be executed.
Requirement Reference A Clinician’s Guide to Record Standards – Part 2: Standards for the structure and content of medical records and communications
when patients are admitted to hospital (Academy of Medical Royal Colleges, October 2008).
Proposed Data ValuesA string with the format "YYYYMMDDHHMMSS.UUUU[+|-ZZzz]".
Data UsePatient information, continuing care.
Data SourceCopied from previous record or new entry.
Available Data StandardsISO 11404 - Point in Time, NHS ISB 1502: Common User Interface - Date and Time Input, NHS ISB 1503: Common User Interface
- Date Display, NHS ISB 1501: Common User Interface - Time Display.
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