Reimbursement model guidance
This guidance seeks to support API consumers with populating prescriptions with the necessary details needed for reimbursement.
SCAL notice for suppliers
Please refer to the Supplier Conformance Assessment List (SCAL) as the definitive source of supplier information and guidance for EPS development. You will receive the SCAL when you begin the EPS onboarding process.
Cost centre models
Prescribing cost centre model
Where your site is configured to use a 'Prescribing Cost Centre' model, then the site might use identifiers to identify medical prescribers at the site.
These include a:
- DIN number to identify the responsible practitioner
- spurious code to identify that the requester is acting as a locum at a given site
- spurious code used by medical prescribers at the site
Prescribing cost centre model (6 digit code)
This model is typically for primary and community care. There are 3 key fields which must be completed: Responsible Practitioner, Requester, and Prescription Type.
Trust site model
Where your site is configured to use a 10nn model, then the site will not have any prescriber specific identifiers as costs in this model are charged back to the site itself. Therefore, there are no specific identifiers beyond the professional identifier to identify prescribers at the site.
Trust site code or ePACT model (5 digit code)
This model is typically for secondary care for 'HP' equivalent prescriptions. There are 3 key fields which must be completed: Responsible Practitioner, Requester, and Prescription Type.
Field mapping
Entity | FHIR mapping |
---|---|
Requester |
MedicationRequest.requester: PractitionerRole → PractitionerRole.Practitioner |
Responsible Practitioner |
MedicationRequest.extension: DM-ResponsiblePractitioner → PractitionerRole.Practitioner |
Last edited: 3 September 2024 3:10 pm