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2 changes: 1 addition & 1 deletion GPConnectDirectCareAPIs-STU3/README.md
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## Last Updated

Updated at: Mon Dec 23 18:01:56 UTC 2024
Updated at: Tue Dec 24 18:02:01 UTC 2024
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## {{page-title}}

```xml
<entry>
<fullUrl value="urn:uuid:4bc7faea-5974-407a-b658-d6ed1d4c9187"/>
<resource>
<List>
<id value="4bc7faea-5974-407a-b658-d6ed1d4c9187"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-MedicationDispense-List-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="197987da-97a7-49c2-9657-dac1aea2a461"/>
</identifier>
<status value="current"/>
<mode value="snapshot"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="163541000000107"/>
<display value="Dispensed Medication"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:1e2b5223-1cd8-43ff-8a67-55dec3edb9b0"/>
<display value="SMITH, William (Mr)"/>
</subject>
<encounter>
<reference value="urn:uuid:adb353f9-0953-4fb4-a4ab-f0ab04a44dbc"/>
</encounter>
<date value="2018-05-09"/>
<entry>
<item>
<reference value="urn:uuid:0885779a-82e7-11ea-bc55-0242ac130003"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:42ac049c-87ca-4e33-93ad-987167422b01"/>
</item>
</entry>
</List>
</resource>
</entry>
```

## {{page-title}}

<div class="nhsd-a-box nhsd-a-box--bg-red nhsd-!t-margin-bottom-6 nhsd-t-body">
<b>WARNING</b>: The code 163541000000107 | Dispensed medication is not valid in the "Care Connect List Code" value set and will result in a FHIR validation error.
</div>

```xml
<entry>
<fullUrl value="urn:uuid:4bc7faea-5974-407a-b658-d6ed1d4c9187"/>
<resource>
<List>
<id value="4bc7faea-5974-407a-b658-d6ed1d4c9187"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-MedicationDispense-List-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="197987da-97a7-49c2-9657-dac1aea2a461"/>
</identifier>
<status value="current"/>
<mode value="snapshot"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="163541000000107"/>
<display value="Dispensed Medication"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:1e2b5223-1cd8-43ff-8a67-55dec3edb9b0"/>
<display value="SMITH, William (Mr)"/>
</subject>
<encounter>
<reference value="urn:uuid:adb353f9-0953-4fb4-a4ab-f0ab04a44dbc"/>
</encounter>
<date value="2018-05-09"/>
<entry>
<item>
<reference value="urn:uuid:0885779a-82e7-11ea-bc55-0242ac130003"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:42ac049c-87ca-4e33-93ad-987167422b01"/>
</item>
</entry>
</List>
</resource>
</entry>
```

---

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## {{page-title}}


**Example XML files**


- [Example 1](https://simplifier.net/gpconnect2/digimeds-emergency-supply-of-meds--example-1/$download?format=xml)

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- name: Index
filename: Index.page.md
- name: 'MessageDefinition: ITK-DM-EmergencySupply-MessageDefinition-1'
filename: MessageDefinition-ITK-DM-EmergencySupply-MessageDefinition-1
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## {{page-title}}
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- name: Index
filename: Index.page.md
- name: 'Profile: CareConnect-Organization-1'
filename: Profile-CareConnect-Organization-1.page.md
- name: id
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<div class="nhsd-a-box nhsd-a-box--bg-light-blue nhsd-!t-margin-bottom-6 nhsd-t-body">
<b>Note</b>: At the time of writing this specification, there are no specific FHIR ValueSets for this capability outside of the ones defined within each resource.
</div>
</div>
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# Welcome
# {{page-title}}

Welcome to the GP Connect - Emergency Supply of Medicines (ITK3) Implementation Guide.
### About This Guide:

Use the dropdown menus at the top of the screen to navigate around the site.
This guide supports the implementation of ITK3 for the Community Pharmacy Consultation Service (CPCS): Emergency Supply of Medications.

If you're brand new here, we recommended you read the {{pagelink:Home/Introduction/Introduction, hint:Introduction}}.
### Navigation:

<div class="nhsd-a-box nhsd-a-box--bg-light-yellow nhsd-!t-margin-bottom-6 nhsd-t-body">
<b>Important</b>: This specification only supports the Community Pharmacy Consultation Service: Emergency Supply of Medicines
</div>
Use the dropdown menus above to navigate the guide.

### Getting Started:

New users should begin with the {{pagelink:Home/Introduction/Introduction/Index.page.md}} section.

GP Connect: Update Record is used to support all other Community Pharmacy post-event messages to the patient's registered General Practitioner Practice.
### Scope:

This specification is specifically for emergency supply requests from Community Pharmacy. For other message types within Community Pharmacy, see the [GP Connect: Update Record](https://simplifier.net/guide/gp-connect---update-record--itk3----version-history?version=current) guide.

### Previous versions

<div class="nhsd-a-box nhsd-a-box--bg-light-yellow nhsd-!t-margin-bottom-6 nhsd-t-body">
<b>Important</b>
<ul>
<li>The retirement status of the emergency supply of medicines use-case has been removed.</li>
<li>This version of the specification has been migrated from the NHS developer network. It <strong>does not</strong> change the guidance in the previous specification; however, it has been designed to make it clearer as to what data items are supported, and how they currently flow between community pharmacy and GP IT systems.
</div>

A complete list of previous versions can be found [here](https://simplifier.net/guide/gp-connect-emergency-supply-of-medications-itk3-version-history/home/index.page.md?version=current).

---

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The enablement team can help get you started by guiding you in the following:

##### 1. Confirming the GP Connect - Vaccinations (ITK3) capability fulfils the use case requirements
##### 1. Confirming the GP Connect - Emergency supply of medicines capability fulfils the use case requirements
Read through this specification to ensure that it fulfils the requirements for your use case, and that the sending or receiving system(s) can meet the data requirements - for example, having the information required to populate the FHIR resources as described in this specification.

##### 2. Submit your use case for the GP Connect - Vaccinations (ITK3) capability
Contact [[email protected]](mailto:[email protected]) about your use case for the GP Connect - Vaccinations (ITK3) capability.
##### 2. Submit your use case for the GP Connect - Emergency supply of medicines (ITK3) capability
Contact [[email protected]](mailto:[email protected]) about your use case for the GP Connect - Emergency supply of medicines (ITK3) capability.

##### 3. Getting your use case approved
Use cases are approved on the basis that development is started for the capability approved within six months. If this date is missed, then a review of the case will be required.
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## {{page-title}}

[Link to specification](https://developer.nhs.uk/apis/digitalmedicines-1.1.2-alpha/)
[Link to specification](https://developer.nhs.uk/apis/digitalmedicines-1.1.3-alpha/)

#### Changes

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## {{page-title}}

[Link to specification](https://developer.nhs.uk/apis/digitalmedicines-1.2.2-private-beta/)

#### Changes

<table data-responsive>
<tbody>
<tr>
<td class="nhsd-m-table__highlighted-items">Examples updated</td>
<td>
<ul>
<li>Banners added clarifying that examples are illustrative, and have not been formally clinically assured Examples aligned with specification to correctly show <pre>Composition.section.text content</pre></li>
<li>Location of event - FHIR Target changed to additional freetext added to <pre>Composition.section.text</pre></li>
<li>Serialisation code - optional field. Removed from examples.</li>
<li>Vaccine procedure - examples changed to <a href="https://termbrowser.nhs.uk/?perspective=full&conceptId1=955691000000108">955691000000108 | Seasonal influenza vaccination given by pharmacist (situation) |</a></li>
<li>Vaccine product - examples changed to <a href="https://termbrowser.nhs.uk/?perspective=full&conceptId1=35727111000001109">35727111000001109 | Influvac sub-unit Tetra vaccine suspension for injection 0.5ml pre-filled syringes (Viatris UK Healthcare Ltd) (product) |</a></li>
<li><a href="https://github.com/nhsconnect/ITK-FHIR-Digital-Medicines/compare/b2809dcc8c433e28c7a36bcdc99164d5dca5085c..4ce7a8e6413f3ef85a6c1fc8432e98801724ef67">Difference between 1.2.1-private-beta</a></li>
</ul>
</td>
</tr>
</tbody>
</table>

## {{page-title}}

[Link to specification](https://developer.nhs.uk/apis/digitalmedicines-1.2.2-private-beta/)

#### Changes

<table data-responsive>
<tbody>
<tr>
<td class="nhsd-m-table__highlighted-items">Examples updated</td>
<td>
<ul>
<li>Banners added clarifying that examples are illustrative, and have not been formally clinically assured Examples aligned with specification to correctly show <pre>Composition.section.text content</pre></li>
<li>Location of event - FHIR Target changed to additional freetext added to <pre>Composition.section.text</pre></li>
<li>Serialisation code - optional field. Removed from examples.</li>
<li>Vaccine procedure - examples changed to <a href="https://termbrowser.nhs.uk/?perspective=full&conceptId1=955691000000108">955691000000108 | Seasonal influenza vaccination given by pharmacist (situation) |</a></li>
<li>Vaccine product - examples changed to <a href="https://termbrowser.nhs.uk/?perspective=full&conceptId1=35727111000001109">35727111000001109 | Influvac sub-unit Tetra vaccine suspension for injection 0.5ml pre-filled syringes (Viatris UK Healthcare Ltd) (product) |</a></li>
<li><a href="https://github.com/nhsconnect/ITK-FHIR-Digital-Medicines/compare/b2809dcc8c433e28c7a36bcdc99164d5dca5085c..4ce7a8e6413f3ef85a6c1fc8432e98801724ef67">Difference between 1.2.1-private-beta</a></li>
</ul>
</td>
</tr>
</tbody>
</table>

---
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## {{page-title}}

[Link to specification](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/)

#### Changes

- Added DaysSupply as required and changed Indication to optional within [Medications and Medical devices](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/explore_medication_ES.html) headings
- Added DaysSupply as required to [Medication Dispense List](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/build_medication_dispense_list.html#medicationdispense)
- Updated [examples](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/build_medication_dispense_list.html#medication-dispense-list-examples) on Medication Dispense List
- Added [MedicationDispense.quantity](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/build_medication_dispense_list.html#quantity) coded data requirements
- Clarification on use of [Medication.form](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/build_medication_dispense_list.html#medicationform)
- Amendments to the [Emergency Supply example scenario](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/engage_william_smith_meds.html), including supply of both insulin and needles, and amendements to the ITK Header example
- Added requirement to reference an CareConnect-ITK-Header-Organization-1 resource within the `<sender>` element of the [ITK Header](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/explore.html#itk3-messaging-requirements)
- Added relevant [MESH WorkflowIDs](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/explore_transport.html#mesh-workflowids)

## {{page-title}}

[Link to specification](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/)

#### Changes

- Added DaysSupply as required and changed Indication to optional within [Medications and Medical devices](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/explore_medication_ES.html) headings
- Added DaysSupply as required to [Medication Dispense List](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/build_medication_dispense_list.html#medicationdispense)
- Updated [examples](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/build_medication_dispense_list.html#medication-dispense-list-examples) on Medication Dispense List
- Added [MedicationDispense.quantity](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/build_medication_dispense_list.html#quantity) coded data requirements
- Clarification on use of [Medication.form](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/build_medication_dispense_list.html#medicationform)
- Amendments to the [Emergency Supply example scenario](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/engage_william_smith_meds.html), including supply of both insulin and needles, and amendements to the ITK Header example
- Added requirement to reference an CareConnect-ITK-Header-Organization-1 resource within the `<sender>` element of the [ITK Header](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/explore.html#itk3-messaging-requirements)
- Added relevant [MESH WorkflowIDs](https://developer.nhs.uk/apis/digitalmedicines-1.2.3-private-beta/explore_transport.html#mesh-workflowids)

---
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## {{page-title}}

[Link to specification](https://developer.nhs.uk/apis/digitalmedicines-1.2.9-private-beta/)

#### Changes

- **IMPORTANT NOTICE: The Minor Illness specification has been RETIRED**
- **IMPORTANT NOTICE: The Vaccination and Emergency Supply specifications are in PRODUCTION, but have been DEPRECATED**
- MedicationDispense.daysSupply mandated for MinorIllness (if medication is provided)
- Remove batch number from medication
- Updated [Digital Medicines Headings](https://developer.nhs.uk/apis/digitalmedicines-1.2.9-private-beta/explore_headings.html) page to align with PRSB headings for [Minor Illness](https://prsb2.vercel.app/page/cpcs-minor-illness?hsCtaTracking=1d5866f8-00cc-4380-b593-f012a7c4fffc%7C316e3499-8b4c-4868-a7d9-abddbf63ba3b)
- Dose directions description (dosage instruction) mandated
- Contact with professionals heading page updated to include reference to CareConnect-ITK-Encounter-1
- Minor Illness Consultation Composition.type changed to 1577041000000109, Community Pharmacist Consultation Service for minor illness
- Further details given for [Medication Dispense List](https://developer.nhs.uk/apis/digitalmedicines-1.2.9-private-beta/build_medication_dispense_list.html) and [Medications and Medical Devices Section](https://developer.nhs.uk/apis/digitalmedicines-1.2.9-private-beta/explore_medication_mirc.html)
- Medications - guidance amended that only AMP / AMPP dm+d codes shall be sent
- AllergyIntolerance - guidance amended to correct ECL statements for causative agent.
- AllergyIntolerance - Remove Evidence data item (not required).
- AllergyIntolerance - clarification on reaction.severity
- Condition - remove Evidence data item (not required)
- Procedure - remove Category data item (not required)
- Procedure - remove anesthetic Issues data item (not required)
- Added page “Build Minor Illness Referral Consultation Document Coded Data” from Design and Constructing Clinical Coded Structures Overview

## {{page-title}}

[Link to specification](https://developer.nhs.uk/apis/digitalmedicines-1.2.9-private-beta/)

#### Changes

- **IMPORTANT NOTICE: The Minor Illness specification has been RETIRED**
- **IMPORTANT NOTICE: The Vaccination and Emergency Supply specifications are in PRODUCTION, but have been DEPRECATED**
- MedicationDispense.daysSupply mandated for MinorIllness (if medication is provided)
- Remove batch number from medication
- Updated [Digital Medicines Headings](https://developer.nhs.uk/apis/digitalmedicines-1.2.9-private-beta/explore_headings.html) page to align with PRSB headings for [Minor Illness](https://prsb2.vercel.app/page/cpcs-minor-illness?hsCtaTracking=1d5866f8-00cc-4380-b593-f012a7c4fffc%7C316e3499-8b4c-4868-a7d9-abddbf63ba3b)
- Dose directions description (dosage instruction) mandated
- Contact with professionals heading page updated to include reference to CareConnect-ITK-Encounter-1
- Minor Illness Consultation Composition.type changed to 1577041000000109, Community Pharmacist Consultation Service for minor illness
- Further details given for [Medication Dispense List](https://developer.nhs.uk/apis/digitalmedicines-1.2.9-private-beta/build_medication_dispense_list.html) and [Medications and Medical Devices Section](https://developer.nhs.uk/apis/digitalmedicines-1.2.9-private-beta/explore_medication_mirc.html)
- Medications - guidance amended that only AMP / AMPP dm+d codes shall be sent
- AllergyIntolerance - guidance amended to correct ECL statements for causative agent.
- AllergyIntolerance - Remove Evidence data item (not required).
- AllergyIntolerance - clarification on reaction.severity
- Condition - remove Evidence data item (not required)
- Procedure - remove Category data item (not required)
- Procedure - remove anesthetic Issues data item (not required)
- Added page “Build Minor Illness Referral Consultation Document Coded Data” from Design and Constructing Clinical Coded Structures Overview

---
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