Generated Narrative: StructureDefinition Prescription Name Flags Card. Type Description & Constraints Prescription 0..* Base A - Prescription #xD; patient 0..* Subject A.1.1 Patient administrative data #xD; authentication 0..* Base A.1.2 Authentication of the prescription #xD; <a href="StructureDefinition-Prescription-definitions.html#Prescription.authentication.identifier" title="A unique string generated by an EPS (Electronic Prescribing System) to #xA;uniquely identify a prescription; this unique code is needed for traceability. #xA;It might be used to register whether a prescription, and/or the maximum #xA;number of repeats, has already been dispensed. The identifier can consist of #xA;a root and an extension [ISO 21090:2011].">identifier 0..* Identifier A.1.2.1 Identifier of the Prescription #xD; issueDate 0..* dateTime A.1.2.2 Issue date #xD; prescriber 0..1 Base A.1.3 Identification of the prescribing health professional #xD; familyName 0..* string A.1.3.1 Familyname #xD; givenName 0..* string A.1.3.2 Given name #xD; qualification 0..* CodeableConcept A.1.3.3 Professional qualifications #xD; contact 0..* ContactPoint A.1.3.4 Details for direct contact #xD; workAddress 0..* Address A.1.3.5 Work address #xD; signature 0..* Signature A.1.3.6 Signature #xD; <a href="StructureDefinition-Prescription-definitions.html#Prescription.prescriber.identifier" title="A unique number or code issued for the purpose of identifying a health care provider [ISO/TS 27527:2010]; this may be a licence or registration number which can be used to trace the prescriber and to check whether a medicinal product was prescribed by the right person according to the law of the prescribing country.">identifier 0..* Identifier A.1.3.7 Health care provider identifier #xD; product 0..1 MedicinalProduct A1.4 Identification of the prescribed product #xD; details 0..1 Base A.1.5 Prescription information #xD; <a href="StructureDefinition-Prescription-definitions.html#Prescription.details.quantity" title="Total quantity or volume of the medicinal product that is prescribed to the specific patient. It can be provided as number of packages, given that the pack size is sufficiently described, or it can be the overall amount in appropriate units of measure (UCUM) or units of presentation (EDQM) (ml, g, tablets, vials).#xA;Depending on national legislation, this quantity may or may not be dispensed in one dispensation.">quantity 0..* Quantity A.1.5.2 Quantity of prescribed product Binding Description: (preferred): UCUM, EDQM #xD; doseRegimen 0..* Base A.1.5.3 Dose regimen #xD; unitsPerIntake 0..* Quantity A.1.5.3.1 Number of units per intake Binding Description: (preferred): UCUM, EDQM #xD; frequencyOfIntakes 0..* Base A.1.5.3.2 Frequency of intakes #xD; route 0..* CodeableConcept A.1.5.4 Route of administration Binding Description: (preferred): EDQM #xD; duration 0..* Quantity A.1.5.5 Duration of treatment Binding Description: (preferred): UCUM #xD; startDate 0..* dateTime A.1.5.6 Starting date of therapy #xD; directionsOfUse 0..* CodeableConcept A.1.5.7 Directions for use Binding Description: (preferred): HL7 TimingEvent #xD; expiryDate 0..* dateTime A.1.5.8 Prescription expiry date #xD; <a href="StructureDefinition-Prescription-definitions.html#Prescription.details.repeats" title="In some countries, when medicinal products are dispensed for the first time, #xA;the patient may only receive medication for a short period of time. When a #xA;patient starts taking medication for a chronic illness, the prescriber can issue a prescription for a longer period that is now separated by repeats. In addition, the maximum quantity (A.1.4.3) of the prescribed product that may be dispensed in one dispensation may be stated here.#xA;Decision on dispensability is made in the country of prescription.">repeats 0..* integer A.1.5.9 Repeats #xD; <a href="StructureDefinition-Prescription-definitions.html#Prescription.details.reason" title="The reason why the medicine is being prescribed, including the option to mention that the medicinal product is being prescribed for ?off label? use. #xA;The reason for the prescription gives the dispenser the opportunity to review the prescription for medication safety issues.#xA;Note: in some countries it is obligatory to state the reason for prescription on the prescription itself for some or all medicinal products.">reason 0..* CodeableConcept A.1.5.10 Reason for prescription #xD; substitution 0..* CodeableConcept A.1.5.11 Substitution #xD; Documentation for this format
Prescription. Several Sections of the eHN guideline.
Used by permission of HL7 Europe, all rights reserved Creative Commons License
A.1.2 Authentication of the prescription
A unique string generated by an EPS (Electronic Prescribing System) to uniquely identify a prescription; this unique code is needed for traceability. It might be used to register whether a prescription, and/or the maximum number of repeats, has already been dispensed. The identifier can consist of a root and an extension [ISO 21090:2011].
The date and optionally the time the prescription was issued.
A.1.3 Identification of the prescribing health professional
Identification of the prescribing health professional
The family name/surname/last name of the prescriber. This enables the prescriber to be traced in the event of questions or emergencies.
The given name/ first name of the prescriber. This enables the prescriber to be traced in the event of questions or emergencies.
The professional title of the prescribing health professional, which may be used to prove the authority of the prescriber.
Details for direct contact could be an email address and/or phone/fax number of the prescriber in order for the dispenser and/or patient to contact the prescriber. This might be necessary if problems arise with dosage, allergies, reimbursement etc.
This is the address of the hospital or the practice, etc. where the health professional normally works, meets patients and prescribes medication. Minimally, the country should be specified.
Digital signature or token as proof of the authenticity of the prescriber.
A.1.3.7 Health care provider identifier
A unique number or code issued for the purpose of identifying a health care provider [ISO/TS 27527:2010]; this may be a licence or registration number which can be used to trace the prescriber and to check whether a medicinal product was prescribed by the right person according to the law of the prescribing country.
A1.4 Identification of the prescribed product
Identification of the prescribed product
Total quantity or volume of the medicinal product that is prescribed to the specific patient. It can be provided as number of packages, given that the pack size is sufficiently described, or it can be the overall amount in appropriate units of measure (UCUM) or units of presentation (EDQM) (ml, g, tablets, vials). Depending on national legislation, this quantity may or may not be dispensed in one dispensation.
The regimen governing the dose quantity per single administration, the dose frequency, and/or speed of administration (in the event of intravenous administration). Note: this information may be used by the dispenser to calculate the quantity to be dispensed.
The number of units per intake that the patient is taking. Example: 1 tablet
Frequency of intakes per hour/day/week/month. Example: every 24 hours. Preferred codesystems UCUM, HL7 TimingEvent
The route of administration as prescribed. Example: oral intake
The duration of the treatment as indicated by the Prescriber. Example: 14 days. Can be left blank for long-term therapies.
The time and date on which it is agreed that therapy will start. - Preferred system(s): ISO 8601
Information about the directions for use of the prescribed medicinal product (such as ?with food? or ?before a meal?) and any cautionary advice for correct use of the prescribed medicinal product by the patient.
This might be dependent on local or national policy or legislation, in accordance with the treatment plan or because the therapeutic need for the prescribed medicine has expired.
In some countries, when medicinal products are dispensed for the first time, the patient may only receive medication for a short period of time. When a patient starts taking medication for a chronic illness, the prescriber can issue a prescription for a longer period that is now separated by repeats. In addition, the maximum quantity (A.1.4.3) of the prescribed product that may be dispensed in one dispensation may be stated here. Decision on dispensability is made in the country of prescription.
The reason why the medicine is being prescribed, including the option to mention that the medicinal product is being prescribed for ?off label? use. The reason for the prescription gives the dispenser the opportunity to review the prescription for medication safety issues. Note: in some countries it is obligatory to state the reason for prescription on the prescription itself for some or all medicinal products.
Substitution handling can be recorded to indicate whether and to what extent substitution is allowed by the prescriber.