Xt-EHR
0.1.0 - ci-build

Xt-EHR, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Xt-EHR/xt-ehr-common/ and changes regularly. See the Directory of published versions

Logical Model: EHDSMedicationPrescription - Detailed Descriptions

Draft as of 2024-11-13

Definitions for the EHDSMedicationPrescription logical model.

Guidance on how to interpret the contents of this table can be found here

0. EHDSMedicationPrescription
Definition

Logical model for medication prescription. A prescription contains one or more prescription items.

ShortMedication Prescription (model)
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSMedicationPrescription.identifier
Definition

Business identifier(s) for the prescription

ShortBusiness identifier(s) for the prescription
Comments

No change

NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..*
TypeIdentifier
4. EHDSMedicationPrescription.prescriber
Definition

Question: would we want to add basic Practicioner model?

ShortThe person who made the prescription, and who takes the responsibility of the treatment
Comments

No change

Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
6. EHDSMedicationPrescription.issueDate
Definition

Time of issuing (signing) the prescription by health care practicioner

ShortTime of issuing (signing) the prescription by health care practicioner
Comments

No change

Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. EHDSMedicationPrescription.patient
Definition

Question: would we want to add basic Patient model?

ShortThe person for whom the medication is prescribed/ordered
Comments

No change (Patient model will be common for all use cases)

Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
10. EHDSMedicationPrescription.category
Definition

Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).

ShortCategory or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
Comments

Added.

Control0..*
TypeCodeableConcept
12. EHDSMedicationPrescription.validFrom
Definition

Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate

ShortEffective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
Comments

Added. Often the same as IssueDate (A 1.2.2) or Start of therapy (A 1.5.6)

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. EHDSMedicationPrescription.validUntil
Definition

The validity period end date. The prescription is not dispensable after this date.

ShortThe validity period end date. The prescription is not dispensable after this date.
Comments

No change (A.1.5.8)

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. EHDSMedicationPrescription.recorder
Definition

The recorder of the prescription/draft in the information system

ShortThe recorder of the prescription/draft in the information system
Comments

Added. Not relevant for crossborder.

Control0..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
18. EHDSMedicationPrescription.recordingDate
Definition

Time of authoring the prescription/draft in the information system

ShortTime of authoring the prescription/draft in the information system
Comments

Added. Not relevant for crossborder.

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. EHDSMedicationPrescription.status
Definition

Status of the prescription, this should not be status of treatment

ShortStatus of the prescription, this should not be status of treatment
Comments

Added.

Control1..1
TypeCodeableConcept
22. EHDSMedicationPrescription.dispensable
Definition

Dispensability of this prescription. May be calculated from status and other elements, e.g. for cross-border use cases.

ShortDispensability of this prescription. May be calculated from status and other elements, e.g. for cross-border use cases.
Comments

Added.

Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. EHDSMedicationPrescription.statusReason
Definition

Reason for the current status of prescription, for example the reason why the prescription was made invalid

ShortReason for the current status of prescription, for example the reason why the prescription was made invalid
Comments

Added.

Control0..*
TypeCodeableConcept
26. EHDSMedicationPrescription.statusReasonText
Definition

Textual reason for the current status of prescription

ShortTextual reason for the current status of prescription
Comments

Added.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. EHDSMedicationPrescription.comment
Definition

Additional information or comments

ShortAdditional information or comments
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
30. EHDSMedicationPrescription.prescriptionItem
Definition

Presription line for one medication. In many countries, only one line is allowed. In case multiple medications are allowed, all lines need to be authored together.

ShortPresription line for one medication. In many countries, only one line is allowed. In case multiple medications are allowed, all lines need to be authored together.
Control1..*
TypeBase
32. EHDSMedicationPrescription.prescriptionItem.identifier
Definition

Identifier for a single line on prescription, if exists. In case of single-line prescription, this identifier is typically the same as prescription identifier.

ShortIdentifier for a single line on prescription, if exists. In case of single-line prescription, this identifier is typically the same as prescription identifier.
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
34. EHDSMedicationPrescription.prescriptionItem.medication
Definition

Prescribed product, branded, generic, virtual, extemporal, etc

ShortPrescribed product, branded, generic, virtual, extemporal, etc
Comments

Medication model changed - described within that model

Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedication
36. EHDSMedicationPrescription.prescriptionItem.indication
Definition

Reason for the prescription (typically diagnosis, or a procedure)

ShortReason for the prescription (typically diagnosis, or a procedure)
Comments

No change (A.1.5.10)

Control0..*
Binding

shall we have a preferred binding here?

TypeCodeableConcept
38. EHDSMedicationPrescription.prescriptionItem.indicationText
Definition

Reason for the prescription in textual form. This might not be allowed by some implementations.

ShortReason for the prescription in textual form. This might not be allowed by some implementations.
Comments

No change (code not required) A1.5.10

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. EHDSMedicationPrescription.prescriptionItem.prescriptionIntent
Definition

Intent of the prescription - prophylaxis, treatment, anesthesia, etc

ShortIntent of the prescription - prophylaxis, treatment, anesthesia, etc
Control0..1
TypeCodeableConcept
42. EHDSMedicationPrescription.prescriptionItem.treatmentPeriod
Definition

Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)

ShortPeriod over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)
Comments

Starting Date of Therapy A1.5.6. End date added.

Control0..1
TypePeriod
44. EHDSMedicationPrescription.prescriptionItem.quantityPrescribed
Definition

Overall quantity of prescribed product (e.g number of packages or number of tablets).

ShortOverall quantity of prescribed product (e.g number of packages or number of tablets).
Comments

No change

Control0..1
TypeQuantity
46. EHDSMedicationPrescription.prescriptionItem.dosageInstructions
Definition

Dosaging and administration instructions

ShortDosaging and administration instructions
Comments

Dosage model significantly changed towards more granularity. A.1.5.3-A.1.5.7

Control0..*
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDosaging
48. EHDSMedicationPrescription.prescriptionItem.preparationInstructions
Definition

Additional instructions about preparation or dispense

ShortAdditional instructions about preparation or dispense
Comments

Added.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
50. EHDSMedicationPrescription.prescriptionItem.substitution
Definition

Whether and which type of substitution is allowed for this medication treatment line

ShortWhether and which type of substitution is allowed for this medication treatment line
Comments

No change but subelements added. A 1.5.11

Control0..1
TypeBase
52. EHDSMedicationPrescription.prescriptionItem.substitution.allowed
Definition

Whether substitution is allowed or not.

ShortWhether substitution is allowed or not.
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
54. EHDSMedicationPrescription.prescriptionItem.substitution.type
Definition

The type of substitution that is allowed.

ShortThe type of substitution that is allowed.
Control0..1
TypeCodeableConcept
56. EHDSMedicationPrescription.prescriptionItem.substitution.typeReason[x]
Definition

Reason for the substitution requirement

ShortReason for the substitution requirement
Control0..1
TypeChoice of: CodeableConcept, string
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
58. EHDSMedicationPrescription.prescriptionItem.status
Definition

Status of the prescription, this should not be status of treatment

ShortStatus of the prescription, this should not be status of treatment
Comments

Added.

Control1..1
TypeCodeableConcept
60. EHDSMedicationPrescription.prescriptionItem.statusReason
Definition

Reason for the current status of prescription, for example the reason why the prescription was made invalid

ShortReason for the current status of prescription, for example the reason why the prescription was made invalid
Comments

Added.

Control0..*
TypeCodeableConcept
62. EHDSMedicationPrescription.prescriptionItem.statusReasonText
Definition

Textual reason for the current status of prescription

ShortTextual reason for the current status of prescription
Comments

Added.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
64. EHDSMedicationPrescription.prescriptionItem.reasonForChange
Definition

The reason the prescription was changed from previous

ShortThe reason the prescription was changed from previous
Comments

Added. Changed from which other (version of) prescription?

Control0..1
TypeCodeableConcept
66. EHDSMedicationPrescription.prescriptionItem.repeatsAllowed
Definition

How many times the prescription item can be dispensed in addition to the original dispense.

ShortNumber of refills authorized
Comments

Added. A.1.5.9 Repeats

Control0..1
TypeunsignedInt
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
68. EHDSMedicationPrescription.prescriptionItem.minimumDispenseInterval
Definition

If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.

ShortMinimum Dispense Interval
Comments

Added, based on ISO 17532:2024 A.7.3 Minimum dispensing interval

Control0..1
TypeDuration
70. EHDSMedicationPrescription.prescriptionItem.comment
Definition

Additional information or comments

ShortAdditional information or comments
Comments

Added.

Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be found here

0. EHDSMedicationPrescription
Definition

Logical model for medication prescription. A prescription contains one or more prescription items.


Base definition for all types defined in FHIR type system.

ShortMedication Prescription (model)Base for all types and resources
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSMedicationPrescription.identifier
Definition

Business identifier(s) for the prescription

ShortBusiness identifier(s) for the prescription
Comments

No change

NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..*
TypeIdentifier
4. EHDSMedicationPrescription.prescriber
Definition

Question: would we want to add basic Practicioner model?

ShortThe person who made the prescription, and who takes the responsibility of the treatment
Comments

No change

Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
6. EHDSMedicationPrescription.issueDate
Definition

Time of issuing (signing) the prescription by health care practicioner

ShortTime of issuing (signing) the prescription by health care practicioner
Comments

No change

Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. EHDSMedicationPrescription.patient
Definition

Question: would we want to add basic Patient model?

ShortThe person for whom the medication is prescribed/ordered
Comments

No change (Patient model will be common for all use cases)

Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
10. EHDSMedicationPrescription.category
Definition

Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).

ShortCategory or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
Comments

Added.

Control0..*
TypeCodeableConcept
12. EHDSMedicationPrescription.validFrom
Definition

Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate

ShortEffective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
Comments

Added. Often the same as IssueDate (A 1.2.2) or Start of therapy (A 1.5.6)

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. EHDSMedicationPrescription.validUntil
Definition

The validity period end date. The prescription is not dispensable after this date.

ShortThe validity period end date. The prescription is not dispensable after this date.
Comments

No change (A.1.5.8)

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. EHDSMedicationPrescription.recorder
Definition

The recorder of the prescription/draft in the information system

ShortThe recorder of the prescription/draft in the information system
Comments

Added. Not relevant for crossborder.

Control0..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
18. EHDSMedicationPrescription.recordingDate
Definition

Time of authoring the prescription/draft in the information system

ShortTime of authoring the prescription/draft in the information system
Comments

Added. Not relevant for crossborder.

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. EHDSMedicationPrescription.status
Definition

Status of the prescription, this should not be status of treatment

ShortStatus of the prescription, this should not be status of treatment
Comments

Added.

Control1..1
TypeCodeableConcept
22. EHDSMedicationPrescription.dispensable
Definition

Dispensability of this prescription. May be calculated from status and other elements, e.g. for cross-border use cases.

ShortDispensability of this prescription. May be calculated from status and other elements, e.g. for cross-border use cases.
Comments

Added.

Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. EHDSMedicationPrescription.statusReason
Definition

Reason for the current status of prescription, for example the reason why the prescription was made invalid

ShortReason for the current status of prescription, for example the reason why the prescription was made invalid
Comments

Added.

Control0..*
TypeCodeableConcept
26. EHDSMedicationPrescription.statusReasonText
Definition

Textual reason for the current status of prescription

ShortTextual reason for the current status of prescription
Comments

Added.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. EHDSMedicationPrescription.comment
Definition

Additional information or comments

ShortAdditional information or comments
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
30. EHDSMedicationPrescription.prescriptionItem
Definition

Presription line for one medication. In many countries, only one line is allowed. In case multiple medications are allowed, all lines need to be authored together.

ShortPresription line for one medication. In many countries, only one line is allowed. In case multiple medications are allowed, all lines need to be authored together.
Control1..*
TypeBase
32. EHDSMedicationPrescription.prescriptionItem.identifier
Definition

Identifier for a single line on prescription, if exists. In case of single-line prescription, this identifier is typically the same as prescription identifier.

ShortIdentifier for a single line on prescription, if exists. In case of single-line prescription, this identifier is typically the same as prescription identifier.
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
34. EHDSMedicationPrescription.prescriptionItem.medication
Definition

Prescribed product, branded, generic, virtual, extemporal, etc

ShortPrescribed product, branded, generic, virtual, extemporal, etc
Comments

Medication model changed - described within that model

Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedication
36. EHDSMedicationPrescription.prescriptionItem.indication
Definition

Reason for the prescription (typically diagnosis, or a procedure)

ShortReason for the prescription (typically diagnosis, or a procedure)
Comments

No change (A.1.5.10)

Control0..*
Binding

shall we have a preferred binding here?

TypeCodeableConcept
38. EHDSMedicationPrescription.prescriptionItem.indicationText
Definition

Reason for the prescription in textual form. This might not be allowed by some implementations.

ShortReason for the prescription in textual form. This might not be allowed by some implementations.
Comments

No change (code not required) A1.5.10

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. EHDSMedicationPrescription.prescriptionItem.prescriptionIntent
Definition

Intent of the prescription - prophylaxis, treatment, anesthesia, etc

ShortIntent of the prescription - prophylaxis, treatment, anesthesia, etc
Control0..1
TypeCodeableConcept
42. EHDSMedicationPrescription.prescriptionItem.treatmentPeriod
Definition

Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)

ShortPeriod over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)
Comments

Starting Date of Therapy A1.5.6. End date added.

Control0..1
TypePeriod
44. EHDSMedicationPrescription.prescriptionItem.quantityPrescribed
Definition

Overall quantity of prescribed product (e.g number of packages or number of tablets).

ShortOverall quantity of prescribed product (e.g number of packages or number of tablets).
Comments

No change

Control0..1
TypeQuantity
46. EHDSMedicationPrescription.prescriptionItem.dosageInstructions
Definition

Dosaging and administration instructions

ShortDosaging and administration instructions
Comments

Dosage model significantly changed towards more granularity. A.1.5.3-A.1.5.7

Control0..*
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDosaging
48. EHDSMedicationPrescription.prescriptionItem.preparationInstructions
Definition

Additional instructions about preparation or dispense

ShortAdditional instructions about preparation or dispense
Comments

Added.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
50. EHDSMedicationPrescription.prescriptionItem.substitution
Definition

Whether and which type of substitution is allowed for this medication treatment line

ShortWhether and which type of substitution is allowed for this medication treatment line
Comments

No change but subelements added. A 1.5.11

Control0..1
TypeBase
52. EHDSMedicationPrescription.prescriptionItem.substitution.allowed
Definition

Whether substitution is allowed or not.

ShortWhether substitution is allowed or not.
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
54. EHDSMedicationPrescription.prescriptionItem.substitution.type
Definition

The type of substitution that is allowed.

ShortThe type of substitution that is allowed.
Control0..1
TypeCodeableConcept
56. EHDSMedicationPrescription.prescriptionItem.substitution.typeReason[x]
Definition

Reason for the substitution requirement

ShortReason for the substitution requirement
Control0..1
TypeChoice of: CodeableConcept, string
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
58. EHDSMedicationPrescription.prescriptionItem.status
Definition

Status of the prescription, this should not be status of treatment

ShortStatus of the prescription, this should not be status of treatment
Comments

Added.

Control1..1
TypeCodeableConcept
60. EHDSMedicationPrescription.prescriptionItem.statusReason
Definition

Reason for the current status of prescription, for example the reason why the prescription was made invalid

ShortReason for the current status of prescription, for example the reason why the prescription was made invalid
Comments

Added.

Control0..*
TypeCodeableConcept
62. EHDSMedicationPrescription.prescriptionItem.statusReasonText
Definition

Textual reason for the current status of prescription

ShortTextual reason for the current status of prescription
Comments

Added.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
64. EHDSMedicationPrescription.prescriptionItem.reasonForChange
Definition

The reason the prescription was changed from previous

ShortThe reason the prescription was changed from previous
Comments

Added. Changed from which other (version of) prescription?

Control0..1
TypeCodeableConcept
66. EHDSMedicationPrescription.prescriptionItem.repeatsAllowed
Definition

How many times the prescription item can be dispensed in addition to the original dispense.

ShortNumber of refills authorized
Comments

Added. A.1.5.9 Repeats

Control0..1
TypeunsignedInt
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
68. EHDSMedicationPrescription.prescriptionItem.minimumDispenseInterval
Definition

If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.

ShortMinimum Dispense Interval
Comments

Added, based on ISO 17532:2024 A.7.3 Minimum dispensing interval

Control0..1
TypeDuration
70. EHDSMedicationPrescription.prescriptionItem.comment
Definition

Additional information or comments

ShortAdditional information or comments
Comments

Added.

Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be found here

0. EHDSMedicationPrescription
Definition

Logical model for medication prescription. A prescription contains one or more prescription items.

ShortMedication Prescription (model)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSMedicationPrescription.identifier
Definition

Business identifier(s) for the prescription

ShortBusiness identifier(s) for the prescription
Comments

No change

NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..*
TypeIdentifier
4. EHDSMedicationPrescription.prescriber
Definition

Question: would we want to add basic Practicioner model?

ShortThe person who made the prescription, and who takes the responsibility of the treatment
Comments

No change

Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
6. EHDSMedicationPrescription.issueDate
Definition

Time of issuing (signing) the prescription by health care practicioner

ShortTime of issuing (signing) the prescription by health care practicioner
Comments

No change

Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. EHDSMedicationPrescription.patient
Definition

Question: would we want to add basic Patient model?

ShortThe person for whom the medication is prescribed/ordered
Comments

No change (Patient model will be common for all use cases)

Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
10. EHDSMedicationPrescription.category
Definition

Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).

ShortCategory or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
Comments

Added.

Control0..*
TypeCodeableConcept
12. EHDSMedicationPrescription.validFrom
Definition

Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate

ShortEffective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
Comments

Added. Often the same as IssueDate (A 1.2.2) or Start of therapy (A 1.5.6)

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. EHDSMedicationPrescription.validUntil
Definition

The validity period end date. The prescription is not dispensable after this date.

ShortThe validity period end date. The prescription is not dispensable after this date.
Comments

No change (A.1.5.8)

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. EHDSMedicationPrescription.recorder
Definition

The recorder of the prescription/draft in the information system

ShortThe recorder of the prescription/draft in the information system
Comments

Added. Not relevant for crossborder.

Control0..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
18. EHDSMedicationPrescription.recordingDate
Definition

Time of authoring the prescription/draft in the information system

ShortTime of authoring the prescription/draft in the information system
Comments

Added. Not relevant for crossborder.

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. EHDSMedicationPrescription.status
Definition

Status of the prescription, this should not be status of treatment

ShortStatus of the prescription, this should not be status of treatment
Comments

Added.

Control1..1
TypeCodeableConcept
22. EHDSMedicationPrescription.dispensable
Definition

Dispensability of this prescription. May be calculated from status and other elements, e.g. for cross-border use cases.

ShortDispensability of this prescription. May be calculated from status and other elements, e.g. for cross-border use cases.
Comments

Added.

Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. EHDSMedicationPrescription.statusReason
Definition

Reason for the current status of prescription, for example the reason why the prescription was made invalid

ShortReason for the current status of prescription, for example the reason why the prescription was made invalid
Comments

Added.

Control0..*
TypeCodeableConcept
26. EHDSMedicationPrescription.statusReasonText
Definition

Textual reason for the current status of prescription

ShortTextual reason for the current status of prescription
Comments

Added.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. EHDSMedicationPrescription.comment
Definition

Additional information or comments

ShortAdditional information or comments
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
30. EHDSMedicationPrescription.prescriptionItem
Definition

Presription line for one medication. In many countries, only one line is allowed. In case multiple medications are allowed, all lines need to be authored together.

ShortPresription line for one medication. In many countries, only one line is allowed. In case multiple medications are allowed, all lines need to be authored together.
Control1..*
TypeBase
32. EHDSMedicationPrescription.prescriptionItem.identifier
Definition

Identifier for a single line on prescription, if exists. In case of single-line prescription, this identifier is typically the same as prescription identifier.

ShortIdentifier for a single line on prescription, if exists. In case of single-line prescription, this identifier is typically the same as prescription identifier.
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
34. EHDSMedicationPrescription.prescriptionItem.medication
Definition

Prescribed product, branded, generic, virtual, extemporal, etc

ShortPrescribed product, branded, generic, virtual, extemporal, etc
Comments

Medication model changed - described within that model

Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedication
36. EHDSMedicationPrescription.prescriptionItem.indication
Definition

Reason for the prescription (typically diagnosis, or a procedure)

ShortReason for the prescription (typically diagnosis, or a procedure)
Comments

No change (A.1.5.10)

Control0..*
Binding

shall we have a preferred binding here?

TypeCodeableConcept
38. EHDSMedicationPrescription.prescriptionItem.indicationText
Definition

Reason for the prescription in textual form. This might not be allowed by some implementations.

ShortReason for the prescription in textual form. This might not be allowed by some implementations.
Comments

No change (code not required) A1.5.10

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. EHDSMedicationPrescription.prescriptionItem.prescriptionIntent
Definition

Intent of the prescription - prophylaxis, treatment, anesthesia, etc

ShortIntent of the prescription - prophylaxis, treatment, anesthesia, etc
Control0..1
TypeCodeableConcept
42. EHDSMedicationPrescription.prescriptionItem.treatmentPeriod
Definition

Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)

ShortPeriod over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)
Comments

Starting Date of Therapy A1.5.6. End date added.

Control0..1
TypePeriod
44. EHDSMedicationPrescription.prescriptionItem.quantityPrescribed
Definition

Overall quantity of prescribed product (e.g number of packages or number of tablets).

ShortOverall quantity of prescribed product (e.g number of packages or number of tablets).
Comments

No change

Control0..1
TypeQuantity
46. EHDSMedicationPrescription.prescriptionItem.dosageInstructions
Definition

Dosaging and administration instructions

ShortDosaging and administration instructions
Comments

Dosage model significantly changed towards more granularity. A.1.5.3-A.1.5.7

Control0..*
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDosaging
48. EHDSMedicationPrescription.prescriptionItem.preparationInstructions
Definition

Additional instructions about preparation or dispense

ShortAdditional instructions about preparation or dispense
Comments

Added.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
50. EHDSMedicationPrescription.prescriptionItem.substitution
Definition

Whether and which type of substitution is allowed for this medication treatment line

ShortWhether and which type of substitution is allowed for this medication treatment line
Comments

No change but subelements added. A 1.5.11

Control0..1
TypeBase
52. EHDSMedicationPrescription.prescriptionItem.substitution.allowed
Definition

Whether substitution is allowed or not.

ShortWhether substitution is allowed or not.
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
54. EHDSMedicationPrescription.prescriptionItem.substitution.type
Definition

The type of substitution that is allowed.

ShortThe type of substitution that is allowed.
Control0..1
TypeCodeableConcept
56. EHDSMedicationPrescription.prescriptionItem.substitution.typeReason[x]
Definition

Reason for the substitution requirement

ShortReason for the substitution requirement
Control0..1
TypeChoice of: CodeableConcept, string
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
58. EHDSMedicationPrescription.prescriptionItem.status
Definition

Status of the prescription, this should not be status of treatment

ShortStatus of the prescription, this should not be status of treatment
Comments

Added.

Control1..1
TypeCodeableConcept
60. EHDSMedicationPrescription.prescriptionItem.statusReason
Definition

Reason for the current status of prescription, for example the reason why the prescription was made invalid

ShortReason for the current status of prescription, for example the reason why the prescription was made invalid
Comments

Added.

Control0..*
TypeCodeableConcept
62. EHDSMedicationPrescription.prescriptionItem.statusReasonText
Definition

Textual reason for the current status of prescription

ShortTextual reason for the current status of prescription
Comments

Added.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
64. EHDSMedicationPrescription.prescriptionItem.reasonForChange
Definition

The reason the prescription was changed from previous

ShortThe reason the prescription was changed from previous
Comments

Added. Changed from which other (version of) prescription?

Control0..1
TypeCodeableConcept
66. EHDSMedicationPrescription.prescriptionItem.repeatsAllowed
Definition

How many times the prescription item can be dispensed in addition to the original dispense.

ShortNumber of refills authorized
Comments

Added. A.1.5.9 Repeats

Control0..1
TypeunsignedInt
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
68. EHDSMedicationPrescription.prescriptionItem.minimumDispenseInterval
Definition

If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.

ShortMinimum Dispense Interval
Comments

Added, based on ISO 17532:2024 A.7.3 Minimum dispensing interval

Control0..1
TypeDuration
70. EHDSMedicationPrescription.prescriptionItem.comment
Definition

Additional information or comments

ShortAdditional information or comments
Comments

Added.

Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension