{"openapi":"3.0.3","info":{"title":"FHIR Dispensing Service API","description":"## Overview\n<style>.codeinline.example {word-wrap: anywhere;}</style>\nUse this API to access the [Electronic Prescription Service (EPS)](https://digital.nhs.uk/services/electronic-prescription-service). EPS is the national service used to send electronic prescription messages between prescribers and community dispensers.\n\nIf you are using this API in [user-restricted mode](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation#user-restricted-apis) a healthcare worker must be present and authenticated with an [NHS smartcard or a modern alternative](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation/nhs-smartcards-for-developers) to use this API.\n\n\n### Dispensers can:\n* download an individual prescription from EPS\n* download a batch of prescriptions from EPS\n* return a prescription to EPS\n* submit a dispense notification to EPS\n* withdraw a dispense notification from EPS\n* submit a dispense claim\n\nYou cannot currently use this API to:\n* view a prescription's detailed dispense history\n\n## Who can use this API\n  This API can only be used where there is a legal basis to do so. Make sure you have a [valid use case](https://digital.nhs.uk/services/electronic-prescription-service/enabling-eps-for-your-service) before you go too far with your development.\n\nYou must get approval before you can go live. For more information, see the 'Onboarding' section.\n\n## Related APIs, services and documentation\n\n### Services\nThese services must be used alongside EPS to create a functioning prescribing or dispensing system.\n* [Care Identity Service 2 (CIS2)](https://digital.nhs.uk/services/identity-and-access-management/national-care-identity-service) - use this to authenticate prescribers with their smartcard or a modern alternative.\n* [Directory of Services (DOS)](https://digital.nhs.uk/developer/api-catalogue/directory-of-healthcare-services/version-3) - prescribers must use the DOS to find dispensing sites for patients.\n* [Organisation Data Service (ODS)](https://digital.nhs.uk/developer/api-catalogue/organisation-data-service-fhir) - use this to access ODS codes for prescribing organisations.\n* [Personal Demographics Service (PDS)](https://digital.nhs.uk/developer/api-catalogue/personal-demographics-service-fhir) - use PDS to synchronise a patient's demographic details including their name, date of birth and address.\n* [Role-Based Access Controls (RBAC)](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation/national-rbac-for-developers) - RBAC rules are stored in the National RBAC Database (NRD) and are used to limit what prescribers can and cannot do.\n* [Real-Time Exemption Checking](https://nhsconnect.github.io/prescription-exemptions/) - dispensing systems must use the Real-Time Exemption Checking service to prevent prescriptions fraud and enable effective processing of charge exemptions.\n\n### Documentation\nThis documentation provides important context\n* [Dictionary of Medicines and Devices (dm+d)](https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/dictionary-medicines-and-devices-dmd) - the dm+d has the names, descriptions and unique identifiers for medicines and devices that can be prescribed.\n* [Requirements and Guidance for Endorsement in the Electronic Prescription Service (EPS)](https://www.nhsbsa.nhs.uk/sites/default/files/2023-03/NHSBSAGuidanceforEndorsement_v8.0.pdf) - guidance on handling prescription types, prescription endorsements, and patient charge exemptions within EPS.\n\n### Guidance for developers and product owners\nDocumentation and guidance about EPS for technical and non-technical audiences\n* [Simplifier implementation guide for EPS](https://simplifier.net/guide/nhsengland-eps?version=current) - the implementation guide contains detailed information and example messages, error codes and processes. This is for technical audiences like developers.\n\n## API status and roadmap\nThe immediate priority of EPS development is to support the rollout of the next-gen FHIR APIs for primary care and secondary care prescribing and dispensing.\n\n### Dispensing\nThis API supports a community pharmacy, dispensing doctor and DAC dispensing workflows.\n\nFor these workflows, prescriptions can be released (downloaded) from EPS, updated, dispensed, and then claimed by the pharmacy. For this workflow, the API is [in production](https://digital.nhs.uk/developer/guides-and-documentation/reference-guide#statuses).\n- it is available in integration and production\n- we might make breaking changes, but only if we cannot avoid it, and we will give advance notice\n\n### Roadmap\nTo see our roadmap, or to suggest, comment or vote on features for this API, see our [interactive product backlog](https://nhs-digital-api-management.featureupvote.com/?tag=eps-fhir-api).\n\nIf you have any other queries, please [contact us](https://digital.nhs.uk/developer/help-and-support).\n\n## Service level\nThis API is a platinum service, meaning it is operational and supported 24 hours a day, 365 days a year.\n\nFor more details, see [service levels](https://digital.nhs.uk/developer/guides-and-documentation/reference-guide#service-levels).\n\n## Technology\nThis API is [RESTful](https://digital.nhs.uk/developer/guides-and-documentation/our-api-technologies#basic-rest).\n\nIt conforms to the [FHIR](https://digital.nhs.uk/developer/guides-and-documentation/our-api-technologies#fhir) global standard for health care data exchange, specifically to [FHIR R4 (v4.0.1)](https://hl7.org/fhir/r4/), except that it does not support the [capabilities](http://hl7.org/fhir/R4/http.html#capabilities) interaction.\n\nIt includes some country-specific FHIR extensions, which are built against [FHIR UK Core](https://simplifier.net/guide/ukcoreversionhistory/home?version=current).\n\nYou do not need to know much about FHIR to use this API - FHIR APIs are just RESTful APIs that follow specific rules. In particular:\n* resource names are capitalised and singular, for example `/Patient` not `/patients`\n* array names are singular, for example `line` not `lines` for address lines\n* data items that are country-specific and thus not included in the FHIR global base resources are usually wrapped in an `extension` object\n\nThere are [libraries and software development kits available](https://digital.nhs.uk/developer/guides-and-documentation/api-technologies-at-nhs-digital#fhir-libraries-and-sdks) to help with FHIR API integration.\n\n## Network access\nThis API is available on the internet and, indirectly, on the [Health and Social Care Network (HSCN)](https://digital.nhs.uk/services/health-and-social-care-network).\nTo use this API with [NHS smartcards](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation/nhs-smartcards-for-developers), the end user needs an HSCN connection, although internet-facing alternatives to smartcards are available.\n\nFor more details see [Network access for APIs](https://digital.nhs.uk/developer/guides-and-documentation/network-access-for-apis).\n\n## Security and authorisation\nThis API has 2 access modes:\n* [user-restricted access](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation#user-restricted-apis) for all requests\n* [application-restricted access](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation#application-restricted-apis), meaning we authenticate the calling application but not the end user for the 'Download prescriptions - Dispensing' and the 'Unattended release' endpoints\n\n### User-restricted access\nFor the [user-restricted access mode](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation#user-restricted-apis), the end user must be:\n- a healthcare worker\n- authenticated, using [CIS2 Authentication](https://digital.nhs.uk/services/care-identity-service/applications-and-services/cis2-authentication),\nto [authentication assurance level (AAL) 3](https://digital.nhs.uk/services/care-identity-service/applications-and-services/cis2-authentication/authenticators#authenticator-levels)\n- suitably authorised using [national role-based access control (RBAC) activity codes](https://digital.nhs.uk/services/care-identity-service/applications-and-services/cis2-authentication/integrate/design-and-build/national-rbac-for-developers)\n\nTo integrate with this API, you must use the [CIS2 separate authentication and authorisation](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation/user-restricted-restful-apis-cis2-separate-authentication-and-authorisation) security pattern.\n\n#### Authorisation and national RBAC\nServices using this API must ensure that the end user has the right [national RBAC activity codes](https://digital.nhs.uk/services/care-identity-service/applications-and-services/cis2-authentication/integrate/design-and-build/national-rbac-for-developers)\nto use this API’s endpoints.\nThe specific codes that are needed are shown in the 'Authorisation' section for each endpoint.\n\n### Application-restricted access\nThis access mode means there is no end user session. The \"Download prescriptions unattended - Dispensing\" request is submitted as part of a back-end process to download prescriptions to the pharmacy. Use the [application-restricted access security pattern](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation/application-restricted-restful-apis-signed-jwt-authentication).\n\n## Environment and testing\n| Environment      | Base URL                                                   |\n|------------------|------------------------------------------------------------|\n| Sandbox          | `https://sandbox.api.service.nhs.uk/fhir-dispensing`       |\n| Integration test | `https://int.api.service.nhs.uk/fhir-dispensing`           |\n| Production       | `https://api.service.nhs.uk/fhir-dispensing`               |\n\n### Sandbox testing\nOur [sandbox environment](https://digital.nhs.uk/developer/guides-and-documentation/testing#sandbox-testing):\n\n* is for early developer testing\n* only covers a limited set of scenarios\n* is stateless, so it does not actually persist any updates\n* is open access, so does not allow you to test authorisation\n\nFor details of sandbox testing, or to try out the sandbox using our \"Try this API\" feature, see the documentation for each endpoint.\n\n### Integration testing\nOur [integration test environment](https://digital.nhs.uk/developer/guides-and-documentation/testing#integration-testing):\n\n* is for formal integration testing\n* is stateful, so persists updates\n* includes authorisation, with [smartcard](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation/nhs-smartcards-for-developers) and non-smartcard options\n\nFor more details see [integration testing with our RESTful APIs](https://digital.nhs.uk/developer/guides-and-documentation/testing#integration-testing-with-our-restful-apis).\n\n## Onboarding\nYour software must be approved by us before you can begin the EPS onboarding process and go live with this FHIR API. EPS 'onboarding' is the term used for the development and assurance required before IT suppliers can offer EPS to NHS organisations.\n\nDetails of the onboarding process can be found on our [EPS onboarding and assurance for IT suppliers](https://digital.nhs.uk/services/electronic-prescription-service/guidance-for-suppliers) page.\n\n## Resources\nUse the [Digital Medicines Implementation Guide](https://simplifier.net/guide/NHSDigital-Medicines) to assist with your integration.\nThis is the FHIR specification for Digital Medicines starting with the assets required for an electronic prescription sent to the EPS.\n\n## Errors\n### Verification errors\n| HTTP Status | Error Code    | Example Diagnostic                                                                                                                                                               | Description                                                                                                    | Endpoints                                                             |\n|-------------|---------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------|\n| 400         | value         | Incorrect FHIR resource type. Expected Bundle.                                                                                                                                   | Body's `resourceType` not the expected value.                                                                  | `/$process-message`, `/Claim`, `/Task/$release`, `/Task/$release-unattended`, `/Task`      |\n| 400         | value         | MedicationRequest.intent must be order, original-order or instance-order.                                                                                                        | Bundle contains a plan or reflex. Only order, original-order and instance-order are supported.                 | `/$process-message`                                                   |\n| 400         | value         | Expected all MedicationRequests to have the same value for dispenseRequest.performer. Received [\"1f8cb914-feb0-4ef8-b676-bf2dfa5ac47d\", \"8b676178-768c-445a-98a9-bea45931fcd8\"]. | A MedicationRequest field that should be consistent has multiple unique values across requests.                | `/$process-message`                                                   |\n| 400         | value         | Task.status must be one of: 'in-progress', 'rejected'                                                                                                                            | Specified field must be one of the listed values.                                                              | `/Task`                                                               |\n| 400         | value         | Task.code is required when Task.status is 'in-progress'.                                                                                                                         | Specified field is missing.                                                                                    | `/Task`                                                               |\n| 400         | value         | Task.reasonCode must have a system of 'https://fhir.nhs.uk/CodeSystem/EPS-task-dispense-return-status-reason' and a value from that system.                                      | Specified field is missing a required system.                                                                  | `/Task`                                                               |\n| 400         | value         | The Bundle must contain exactly one MedicationRequest if MessageHeader.eventCoding.code is 'prescription-order-update'.                                                          | The requested operation can only be performed on a single medication request.                                  | `/$process-message`                                                   |\n| 400         | value         | Expected MedicationRequest to have a value for statusReason.                                                                                                                     | Specified field is missing.                                                                                    | `/$process-message`                                                   |\n| 400         | not-supported | Prescribing functionality is disabled.                                                                                                                                           | Requested operation is not enabled/supported.                                                                  | `/Claim`, `/Task/$release`, `/Task/$release-unattended`, `/Task`       |\n| 400         | structure     | MedicationRequest cannot contain both medicationReference and medicationCodeableConcept fields.                                                                                  | MedicationRequest contains both `medicationReference` and `medicationCodeableConcept` fields.                  | `/$process-message`                                                   |\n| 400         | invalid       | practitionerRole.practitioner populated incorrectly. Please populate with Reference to resource within Bundle.                                                                   | The specified field should be a reference but is not.                                                          | `/$process-message`                                                   |\n| 400         | invalid       | Parameters.parameter(\"agent\").resource.practitioner populated incorrectly. Please populate with Identifier and Display.                                                          | The specified field should not be a reference but is.                                                          | `/Claim`, `/Task/$release`, `/Task/$release-unattended`, `/Task`       |\n| 400         | invalid       | Unexpected field of practitionerRole.healthcareService.                                                                                                                          | Specified field is provided when it should not have been.                                                      | `/$process-message`                                                   |\n| 400         | invalid       | Required field organization.partOf is missing.                                                                                                                                   | Specified field is not provided when it should have been.                                                      | `/$process-message`                                                   |\n| 400         | invalid       | Required parameter owner is missing.                                                                                                                                             | Specified parameter is not provided when it should have been.                                                  | `/Task/$release`, `/Task/$release-unattended`                         |\n| 400         | invalid       | The claim is missing the required endorsement code.                                                                                                                              | The necessary endorsement code is not included in the claim request.                                           | `/Claim`                                                              |\n| 400         | invalid       | The dispense notification is missing the reimbursement authority and it should be provided.                                                                                      | The necessary extension containing the reimbursement authority is missing and it should be provided.           | `/$process-message`, `#dispense-notification`                         |\n| 400         | invalid       | The dispense notification is missing the ODS code for the reimbursement authority and it should be provided.                                                                     | The necessary ODS code is not included in the dispense notification and it should be provided.                 | `/$process-message`, `#dispense-notification`                         |\n| 500         | invalid       | *N/A*                                                                                                                                                                            | An internal error occurred. Details should be specified in attached OperationOutcome.                          | `/Claim`, `/Task/$release`, `/Task/$release-unattended`, `/Task`      |\n| 403         | forbidden     | Your app does not have permission to access prescribing functionality.                                                                                                           | App does not have permission to use the requested function.                                                    | `/$process-message`, `/Claim`, `/Task/$release`, `/Task/$release-unattended`, `/Task` |\n| 403         | forbidden     | Dispensing functionality requires user-restricted access unless otherwise stated.                                                                                                | The requested function requires user-restricted access mode unless otherwise stated.                           | `/$process-message`, `/Claim`, `/Task/$release`, `/Task`              |\n\n### System Errors\n#### Nominated Release Errors\n| Error Code    | EPS Issue Code        | Description                                             | Endpoints        |\n|---------------|-----------------------|---------------------------------------------------------|------------------|\n| invalid       | *N/A*                 | A generic error occurred.                               | `/Task/$release`, `/Task/$release-unattended` |\n| informational | NO_MORE_PRESCRIPTIONS | No more prescriptions available for nominated download. | `/Task/$release`, `/Task/$release-unattended` |\n\n#### Dispensing Errors\n| Error Code    | EPS Issue Code                             | Description                                                                                    | Endpoints                                        |\n|---------------|--------------------------------------------|------------------------------------------------------------------------------------------------|--------------------------------------------------|\n| invalid       | *N/A*                                      | A generic error occurred.                                                                      | `/Claim`, `/Task/$release`, `/Task/$release-unattended`, `/Task` |\n| not-found     | PRESCRIPTION_NOT_FOUND                     | The requested prescription could not be found.                                                 | `/Claim`, `/Task/$release`, `/Task/$release-unattended`, `/Task` |\n| business-rule | PRESCRIPTION_WITH_ANOTHER_DISPENSER        | The requested prescription is with another dispenser.                                          | `/Task`                                          |\n| business-rule | PRESCRIPTION_INVALID_STATE_TRANSITION      | The requested operation is not valid for the current state of the prescription.                | `/Task/$release`, `/Task/$release-unattended`, `/Task` |\n| business-rule | PRESCRIPTION_INVALID_LINE_STATE_TRANSITION | The requested operation is not valid for the current state of the prescription.                | `/Task/$release`, `/Task/$release-unattended`, `/Claim` |\n| not-found     | ITEM_NOT_FOUND                             | The requested item could not be found.                                                         | `/Task/$release`, `/Task/$release-unattended`, `/Claim` |\n| business-rule | MISMATCH_AUTHORISED_REPEAT_COUNTS          | The repeat count in this message does not match the repeat count in the original prescription. | `/Task/$release`, `/Task/$release-unattended`, `/Claim` |\n| business-rule | DISPENSE_AMEND_IDENTIFIER_MISMATCH         | Replacement target does not match existing claim reference on record.                          | `/Claim`                                         |\n| business-rule | CLAIM_AMEND_PERIOD_ISSUE                   | Claim amendment is not permitted outside of the claim period.                                  | `/Claim`                                         |\n| structure     | INVALID_MESSAGE                            | The message is not valid.                                                                      | `/Claim`                                         |\n| processing    | FAILURE_TO_PROCESS_MESSAGE                 | An unexpected error occurred while processing the message.                                     | `/Task`                                          |\n\n### Platform wide errors\n| HTTP Status   | Error Code            | Description                                                                                                                           |\n| ------------- | --------------------- | ------------------------------------------------------------------------------------------------------------------------------------- |\n| 401           | ACCESS_DENIED         | User does not have permission for a particular request.                                                                               |\n| 403           | FORBIDDEN             | Insufficient authorization.                                                                                                           |\n| 404           | NOT_FOUND             | Route not found.                                                                                                                      |\n| 500           | INTERNAL SERVER ERROR | The server has encountered a situation it does not know how to handle.                                                                |\n| 504           | GATEWAY_TIMEOUT       | If your request has not been fully processed within 30 seconds, you will get this response. Retry the request with identical payload. |\n\nFor further details on common error codes, see [HTTP status codes](https://digital.nhs.uk/developer/guides-and-documentation/reference-guide#http-status-codes)\n","termsOfService":null,"contact":{"name":"Electronic Prescription Service FHIR API Support","url":"https://digital.nhs.uk/developer/help-and-support","email":"api.management@nhs.net"},"license":null,"version":"v1.9.1"},"servers":[{"url":"https://sandbox.api.service.nhs.uk/fhir-dispensing","description":null,"variables":null}],"paths":{"/FHIR/R4/Task/$release":{"$ref":null,"summary":null,"description":null,"get":null,"put":null,"post":{"tags":["dispensing"],"summary":"Download prescriptions - Dispensing","description":"## Overview\nUse this endpoint to download prescriptions from EPS that are available for dispensing.\nYou can download a single prescription using the prescription's ID,\nor download up to 25 prescriptions (per request) nominated to a dispenser using the dispenser's ODS code.\n\nSend a [Task-release message](https://simplifier.net/guide/NHSDigital-Medicines/Home/FHIRAssets/AllAssets/OperationDefinition-duplicate-2/release-duplicate-2) to this endpoint to download the prescription.\n\n## Authorisation\nTo use this endpoint, the end user must have the [national RBAC](https://digital.nhs.uk/services/care-identity-service/applications-and-services/cis2-authentication/integrate/design-and-build/national-rbac-for-developers) activity code B0570.\n","externalDocs":null,"operationId":"release","parameters":[{"description":"An [OAuth 2.0 bearer token](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation#user-restricted-apis).\n\nRequired in all environments except sandbox.\n","required":true,"deprecated":false,"style":null,"explode":false,"schema":{"title":null,"multipleOf":null,"maximum":null,"exclusiveMaximum":null,"minimum":null,"exclusiveMinimum":null,"maxLength":null,"minLength":null,"pattern":null,"maxItems":null,"minItems":null,"uniqueItems":null,"maxProperties":null,"minProperties":null,"required":null,"enum":null,"type":"string","allOf":null,"oneOf":null,"anyOf":null,"not":null,"items":null,"properties":null,"additionalProperties":null,"description":null,"format":"^Bearer\\ [[:ascii:]]+$","default":null,"nullable":null,"discriminator":null,"readOnly":null,"writeOnly":null,"xml":null,"externalDocs":null,"example":"Bearer g1112R_ccQ1Ebbb4gtHBP1aaaNM","deprecated":null},"example":null,"examples":null,"content":null,"name":"Authorization","in":"header","allowEmptyValue":false,"allowReserved":false},{"description":"The user role ID (URID) for the current session. Also known as a user role profile ID (URPID).\n\nIf you are using User-restricted RESTful APIs - NHS login separate authentication and authorisation, see [determine the user's role](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation/user-restricted-restful-apis-nhs-cis2-separate-authentication-and-authorisation#step-9-determine-the-user-s-role) for guidance.\n\nThis field is optional and should only be supplied when using user-restricted access. Do not send it when using application-restricted access.\n","required":false,"deprecated":false,"style":null,"explode":false,"schema":{"title":null,"multipleOf":null,"maximum":null,"exclusiveMaximum":null,"minimum":null,"exclusiveMinimum":null,"maxLength":null,"minLength":null,"pattern":"^[0-9]+$","maxItems":null,"minItems":null,"uniqueItems":null,"maxProperties":null,"minProperties":null,"required":null,"enum":null,"type":"string","allOf":null,"oneOf":null,"anyOf":null,"not":null,"items":null,"properties":null,"additionalProperties":null,"description":null,"format":null,"default":null,"nullable":null,"discriminator":null,"readOnly":null,"writeOnly":null,"xml":null,"externalDocs":null,"example":"555254240100","deprecated":null},"example":null,"examples":null,"content":null,"name":"NHSD-Session-URID","in":"header","allowEmptyValue":false,"allowReserved":false},{"description":"A globally unique identifier (GUID) for the request. This is used to de-duplicate repeated requests and to trace the request if you contact our helpdesk.\n\nEach new HTTP request must use a different X-Request-ID even if they are related to the same prescription.\n\nMust be a universally unique identifier (UUID) (ideally version 4) formatted using numbers and lower case alphabetic characters.\n\nMirrored back in a response header.\n\nIf you re-send a failed request, use the same value in this header.\n\nRequired in all environments except sandbox.\n","required":true,"deprecated":false,"style":null,"explode":false,"schema":{"title":null,"multipleOf":null,"maximum":null,"exclusiveMaximum":null,"minimum":null,"exclusiveMinimum":null,"maxLength":null,"minLength":null,"pattern":"^[0-9a-fA-F]{8}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{12}$","maxItems":null,"minItems":null,"uniqueItems":null,"maxProperties":null,"minProperties":null,"required":null,"enum":null,"type":"string","allOf":null,"oneOf":null,"anyOf":null,"not":null,"items":null,"properties":null,"additionalProperties":null,"description":null,"format":null,"default":null,"nullable":null,"discriminator":null,"readOnly":null,"writeOnly":null,"xml":null,"externalDocs":null,"example":"60e0b220-8136-4ca5-ae46-1d97ef59d068","deprecated":null},"example":null,"examples":null,"content":null,"name":"X-Request-ID","in":"header","allowEmptyValue":false,"allowReserved":false},{"description":"An optional ID which you can use to track transactions across multiple systems. It can have any value, but we recommend avoiding `.` characters.\n\nMirrored back in a response 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