The dm+d is a dictionary of descriptions and codes which represent medicines and devices in use across the NHS. The dm+d data is refreshed weekly and contains a huge variety of information, including:
- whether a product will be reimbursed by NHSBSA, if submitted for reimbursement by a dispensing contractor
- the indicative price of each pack of a product (where a price is maintained)
- current and discontinued products and packs available from manufacturers and suppliers
New beta version of the dm+d browser (October 2021)
This weekly extract of the dm+d browser is currently in public beta and lets you search and access data held in the dm+d.
Previous version of the dm+d browser
You can still access the previous version of the dm+d browser.
About the dm+d - the NHS medicines standard
The dm+d is maintained by ourselves with support from NHS Digital.
The dm+d provides:
- the recognised NHS standard for uniquely identifying medicines and medical devices used in patient care
- clear, consistent recording and communication of information relating to medicines and devices used in patient care
- consistency in how medicines and medical devices are expressed through a robust published editorial policy
The Standardisation Committee for Care Information (SCCI) has approved the NHS dictionary of medicines and devices (dm+d) as the NHS standard for communicating medicines information.
The dm+d Standard
The NHS dictionary of medicines and devices (dm+d) standard (SCCI0052) is an 'Interoperability' standard.
This makes sure that diverse clinical systems can effectively 'talk' to each other using a common coded language for the transfer of medicines information.
The dm+d provides this common language using identifying codes with associated written descriptions.
The scope of the content of the standard is currently for licensed medicines only.
Other content of dm+d, medical devices for example, are excluded in terms of complying with the standard but users can use all the content of dm+d if it supports their needs.
How to comply with the standard
Detailed requirements are available in the SCCI0052 dm+d Specification document.
Where information about medicines used in the care of a NHS patient needs to be transferred electronically from one system to another, those systems must be able to output and receive dm+d codes.
The systems must be able to 'translate' the code and display the associated written description.
When to comply with the standard
Trusts must implement NHS standards in accordance with the NHS Standard Contract and the Health and Social Care Act 2012.
However, relevant organisations should consider implementing this standard earlier than this if major updates are made to existing systems or new procurements are undertaken with system suppliers.
Responsibility for the approval of information standards passed from the Information Standards Board for Health and Social Care (ISB) to the Standardisation Committee for Care Information (SCCI). The dm+d Standard has been uplifted to a SCCI approved standard accordingly. SCCI has been replaced by the Data Coordination Board (DCB).
We have developed a series of short webinars that last no longer than 5 to 10 minutes each, providing information about the NHS dm+d and the SNOMED CT UK Drug Extension.
Webinars are available to view now:
This short 10 minute webinar provides a brief introduction about dm+d, what it is and why we need it.
This is a 10 minute demonstration of the BSA dm+d browser. As well as demonstrating how to use the browser to search for medicines and devices, it also gives you a good insight into the 5 box dm+d model and what additional information is associated with each description
This short 10 minute webinar demonstrates how to locate and download the dm+d and SNOMED CT Extension files from the TRUD server.
This short webinar will give you further insight into the 5 box model and how each box within the model and its associated attributes support various uses such as prescribing, dispensing and recoding of medicines information.
dm+d data model and governance
dm+d has five basic components – these are represented as a box in the dm+d data model diagram (PDF: 493KB).
Each component describes a product at different levels of granularity to support various use cases. This makes up the dm+d model.
A more in depth description of the dm+d data model can be found in the NHS dictionary of medicines and devices Data Model (PDF: 750KB).
dm+d governance structures mean that the Programme Board has ultimate responsibility for dm+d.
The Content Committee is responsible for content within dm+d, including maintaining the editorial policy and evaluating and approving any major changes. Clinical and professional representatives can also be called upon to act in an advisory capacity to support the Programme Board and Content Committee.
Introduction to SNOMED CT UK Drug Extension
SNOMED CT UK Drug Extension
The NHS dictionary of medicines and devices (dm+d) was developed as a stand-alone product which could be implemented in systems independent of the strategic clinical terminology solution the NHS was committed to - SNOMED CT® (Systematized Nomenclature of Medicine Clinical Terms).
However, it was still important that dm+d was integrated with the SNOMED CT solution and the SNOMED CT content and identifiers were therefore used. All unique identifiers used in dm+d are SNOMED CT codes.
Clinical systems that do not need to provide users with access to clinical terms can use dm+d alone to give access to standard codes and terms for medicines and devices.
All dm+d concepts have a SNOMED CT code allocated, but some codes that are valid on dm+d may be inactive in the SNOMED CT data.
Not all attributes and values populated on dm+d are present in the SNOMED CT UK Drug Extension data. You can find more information by viewing the Medications Masterclass: SNOMED vs dm+d presentation on YouTube
dm+d data must be used by systems when information about medicines used in the care of NHS patients is transferred electronically from one system to another. This is to ensure compliance with the SCCI0052 standard.
Documentation relating to the SNOMED CT UK Drug Extension can be found at the SNOMED CT home page.
The documentation for a particular SNOMED CT UK Drug Extension data release can be found at SNOMED CT UK Drug Extension Release.
SNOMED and SNOMED CT are registered trademarks of the SNOMED International
dm+d release files through TRUD
The dm+d and its supporting files and information are released through TRUD (Technology Reference data Update Distribution). TRUD is hosted by NHS Digital and provides the distribution and licensing mechanism for NHS terminologies (including dm+d). Release dates and other communications can be found on the TRUD site.
dm+d Implementation Guidance (Primary Care) (PDF: 1MB) explains how dm+d might be implemented in a primary care system to support processes such as the Electronic Prescription Service (EPS).
NHSBSA dm+d subpack
Weekly updates of the subpack contain:
- dm+d TRUD release schedule - a description of TRUD release ID, extraction date, distribution date and week number
- dm+d in XML format - this also includes a mapping file between AMPP and GTIN
Each weekly update also includes a PDF file to communicate news to users of dm+d. The communications file summarises changes to the dm+d data and provides advance notice of future changes.
NHSBSA dm+d Supplementary subpack
Weekly updates of the subpack contain dm+d supplementary XML files - we maintain a list of ATC classifications and pseudo-BNF codes (PDF: 264KB) linked to products prescribed in Primary Care. They are not an officially endorsed dm+d product.
dm+d description guidance
dm+d description guidance (Word: 264KB) explains how dm+d descriptions might be implemented by system suppliers and programmes.
Individual programme requirements may provide more detailed information.
Primary care implementation guidance
dm+d Implementation Guide (Primary Care) v2.1 (PDF: 876KB) explains how dm+d might be implemented in a primary care system to support processes such as the Electronic Prescription Service.
Secondary care implementation guidance
dm+d Implementation Guide (Secondary Care) (PDF: 1.1MB) explains how dm+d might be implemented in hospital-based ePrescribing systems. It contains information about dm+d itself, the data files in which it (and supporting information) is published and a prescribing model which may be used to enable dose-based prescribing.
To implement the approach detailed within the guide, you will also need to refer to a number of files available in the UK Drug Bonus Files and ePrescribing subset files of the latest SNOMED CT UK Drug Extension release. These can be downloaded from TRUD.
Secondary care guidance on mapping to 'Specials' in dm+d (PDF: 167KB) explains how local and system supplier drug dictionary ‘Specials’ descriptions can be mapped to dm+d.
Health Education England's elearning programme
If you're part of a team in a secondary care setting, Health Education England has a series of elearning sessions to help you implement dm+d. The elearning sessions cover key areas of dm+d, including:
- what is dm+d
- why you should adopt the dm+d standard
- how to adopt the dm+d standard
You can find more information and answers to common queries on the Publications and Resources page on the Delen website.
Weekly release notes for dm+d
|Date||Release notes||Global trade item number (GTIN) extract comms|
|24 January 2022||dm+d extract comms v1.3.0 (Word: 75KB)||dm+d extract comms GTIN v1.3.0 (Word: 69KB)|
|17 January 2022||dm+d extract comms v1.2.0 (Word: 83KB)||dm+d extract comms GTIN v1.2.0 (Word: 77KB)|
|10 January 2022||dm+d extract comms v1.1.0 (Word: 83KB)||dm+d extract comms GTIN v1.1.0 (Word: 77KB)|
|4 January 2022||dm+d extract comms v1.0.0 (Word: 83KB)||dm+d extract comms GTIN v1.0.0 (Word: 77KB)|
|27 December 2021||dm+d extract comms v12.3.0 (Word: 83KB)||dm+d extract comms GTIN v12.3.0 (Word: 77KB)|
|20 December 2021||dm+d extract comms v12.2.0 (Word: 83KB)||dm+d extract comms GTIN v12.2.0 (Word: 83KB)|
|13 December 2021||dm+d extract comms v12.1.0 (Word: 83KB)||dm+d extract comms GTIN v12.1.0 (Word: 83KB)|
|6 December 2021||dm+d extract comms v12.0.0 (Word: 83KB)||dm+d extract comms GTIN v12.0.0 (Word: 83KB)|
GTIN transfer tracking log
NHS Digital Terminology Server
Data on the dm+d is now available on the NHS Digital Terminology Server and as downloaded files in TRUD.
Ingredient Strength data in the Terminology Server is currently only available for single-ingredient drugs. The structure of the ingredient strength is being changed so that ingredient strength detail for multi-ingredient drugs can be represented safely. GTIN (bar codes) data is not currently available as part of the dm+d data in the Terminology Server.
Changes to the structure of ingredient strength and GTIN data are planned to be available on the NHS Digital Terminology Server by April 2022. Changes to the NHS Digital Terminology Server should be factored into any business change or integration work planned in the future.
A guide on the dm+d code system structure and how to query dm+d data is available.
Support for the Terminology Server is available via The NHS Digital Terminology Server - NHS Digital
Contact dm+d or raise an issue
Raise an issue
If you have a serious complaint, are dissatisfied with the service or believe there is a major safety issue/risk or something clinically unacceptable then please complete an issues form and email it to firstname.lastname@example.org.
You can view all issues on the dm+d issues log (Excel: 56KB)
The log is updated regularly to show progress towards resolving the issue.View the process for managing enquiries and issues (PDF: 103KB).
For help using the NHSBSA’s dm+d browser:
Telephone: 0300 330 1349 or 0191 279 0568
For enquiries about changes to the data and the editorial policy:
For technical queries about the dm+d XML files and TRUD and for enquiries about the SNOMED CT UK Drug Extension: