EHDS Logical Information Models
0.1.0 - ci-build
EHDS Logical Information Models
0.1.0 - ci-build
EHDS Logical Information Models, 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
| Draft as of 2024-12-16 |
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. |
| Short | Medication Prescription (model) |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. EHDSMedicationPrescription.identifier | |
| Definition | Business identifier(s) for the prescription |
| Short | Business identifier(s) for the prescription |
| Comments | No change |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 1..* |
| Type | Identifier |
| 4. EHDSMedicationPrescription.prescriber | |
| Definition | Question: would we want to add basic Practicioner model? |
| Short | The person who made the prescription, and who takes the responsibility of the treatment |
| Comments | No change |
| Control | 1..1 |
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional |
| 6. EHDSMedicationPrescription.issueDate | |
| Definition | Time of issuing (signing) the prescription by health care practicioner |
| Short | Time of issuing (signing) the prescription by health care practicioner |
| Comments | No change |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This 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? |
| Short | The person for whom the medication is prescribed/ordered |
| Comments | No change (Patient model will be common for all use cases) |
| Control | 1..1 |
| Type | https://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). |
| Short | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc). |
| Comments | Added. |
| Control | 0..* |
| Type | CodeableConcept |
| 12. EHDSMedicationPrescription.validFrom | |
| Definition | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate |
| Short | Effective 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) |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This 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. |
| Short | The validity period end date. The prescription is not dispensable after this date. |
| Comments | No change (A.1.5.8) |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This 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 |
| Short | The recorder of the prescription/draft in the information system |
| Comments | Added. Not relevant for crossborder. |
| Control | 0..1 |
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional |
| 18. EHDSMedicationPrescription.recordingDate | |
| Definition | Time of authoring the prescription/draft in the information system |
| Short | Time of authoring the prescription/draft in the information system |
| Comments | Added. Not relevant for crossborder. |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This 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 |
| Short | Status of the prescription, this should not be status of treatment |
| Comments | Added. |
| Control | 1..1 |
| Type | CodeableConcept |
| 22. EHDSMedicationPrescription.statusReason | |
| Definition | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Short | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Comments | Added. |
| Control | 0..* |
| Type | CodeableConcept |
| 24. EHDSMedicationPrescription.statusReasonText | |
| Definition | Textual reason for the current status of prescription |
| Short | Textual reason for the current status of prescription |
| Comments | Added. |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 26. EHDSMedicationPrescription.comment | |
| Definition | Additional information or comments |
| Short | Additional information or comments |
| Control | 0..* |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 28. 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. |
| Short | 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. |
| Control | 1..* |
| Type | Base |
| 30. 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. |
| Short | Identifier for a single line on prescription, if exists. In case of single-line prescription, this identifier is typically the same as prescription identifier. |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 |
| Type | Identifier |
| 32. EHDSMedicationPrescription.prescriptionItem.medication | |
| Definition | Prescribed product, branded, generic, virtual, extemporal, etc |
| Short | Prescribed product, branded, generic, virtual, extemporal, etc |
| Comments | Medication model changed - described within that model |
| Control | 1..1 |
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedication |
| 34. EHDSMedicationPrescription.prescriptionItem.indication | |
| Definition | Reason for the prescription (typically diagnosis, or a procedure) |
| Short | Reason for the prescription (typically diagnosis, or a procedure) |
| Comments | No change (A.1.5.10) |
| Control | 0..* |
| Binding | shall we have a preferred binding here? |
| Type | CodeableConcept |
| 36. EHDSMedicationPrescription.prescriptionItem.indicationText | |
| Definition | Reason for the prescription in textual form. This might not be allowed by some implementations. |
| Short | Reason for the prescription in textual form. This might not be allowed by some implementations. |
| Comments | No change (code not required) A1.5.10 |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 38. EHDSMedicationPrescription.prescriptionItem.prescriptionIntent | |
| Definition | Intent of the prescription - prophylaxis, treatment, anesthesia, etc |
| Short | Intent of the prescription - prophylaxis, treatment, anesthesia, etc |
| Control | 0..1 |
| Type | CodeableConcept |
| 40. 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.) |
| Short | Period 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. |
| Control | 0..1 |
| Type | Period |
| 42. EHDSMedicationPrescription.prescriptionItem.quantityPrescribed | |
| Definition | Overall quantity of prescribed product (e.g number of packages or number of tablets). |
| Short | Overall quantity of prescribed product (e.g number of packages or number of tablets). |
| Comments | No change |
| Control | 0..1 |
| Type | Quantity |
| 44. EHDSMedicationPrescription.prescriptionItem.dosageInstructions | |
| Definition | Dosaging and administration instructions |
| Short | Dosaging and administration instructions |
| Comments | Dosage model significantly changed towards more granularity. A.1.5.3-A.1.5.7 |
| Control | 0..* |
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDosaging |
| 46. EHDSMedicationPrescription.prescriptionItem.preparationInstructions | |
| Definition | Additional instructions about preparation or dispense |
| Short | Additional instructions about preparation or dispense |
| Comments | Added. |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 48. EHDSMedicationPrescription.prescriptionItem.substitution | |
| Definition | Whether and which type of substitution is allowed for this medication treatment line |
| Short | Whether and which type of substitution is allowed for this medication treatment line |
| Comments | No change but subelements added. A 1.5.11 |
| Control | 0..1 |
| Type | Base |
| 50. EHDSMedicationPrescription.prescriptionItem.substitution.allowed | |
| Definition | Whether substitution is allowed or not. |
| Short | Whether substitution is allowed or not. |
| Control | 0..1 |
| Type | boolean |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 52. EHDSMedicationPrescription.prescriptionItem.substitution.type | |
| Definition | The type of substitution that is allowed. |
| Short | The type of substitution that is allowed. |
| Control | 0..1 |
| Type | CodeableConcept |
| 54. EHDSMedicationPrescription.prescriptionItem.substitution.typeReason[x] | |
| Definition | Reason for the substitution requirement |
| Short | Reason for the substitution requirement |
| Control | 0..1 |
| Type | Choice of: CodeableConcept, string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 56. EHDSMedicationPrescription.prescriptionItem.status | |
| Definition | Status of the prescription, this should not be status of treatment |
| Short | Status of the prescription, this should not be status of treatment |
| Comments | Added. |
| Control | 1..1 |
| Type | CodeableConcept |
| 58. EHDSMedicationPrescription.prescriptionItem.statusReason | |
| Definition | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Short | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Comments | Added. |
| Control | 0..* |
| Type | CodeableConcept |
| 60. EHDSMedicationPrescription.prescriptionItem.statusReasonText | |
| Definition | Textual reason for the current status of prescription |
| Short | Textual reason for the current status of prescription |
| Comments | Added. |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 62. EHDSMedicationPrescription.prescriptionItem.reasonForChange | |
| Definition | The reason the prescription was changed from previous |
| Short | The reason the prescription was changed from previous |
| Comments | Added. Changed from which other (version of) prescription? |
| Control | 0..1 |
| Type | CodeableConcept |
| 64. EHDSMedicationPrescription.prescriptionItem.repeatsAllowed | |
| Definition | How many times the prescription item can be dispensed in addition to the original dispense. |
| Short | Number of refills authorized |
| Comments | Added. A.1.5.9 Repeats |
| Control | 0..1 |
| Type | integer |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 66. EHDSMedicationPrescription.prescriptionItem.minimumDispenseInterval | |
| Definition | If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here. |
| Short | Minimum Dispense Interval |
| Comments | Added, based on ISO 17532:2024 A.7.3 Minimum dispensing interval |
| Control | 0..1 |
| Type | Duration |
| 68. EHDSMedicationPrescription.prescriptionItem.comment | |
| Definition | Additional information or comments |
| Short | Additional information or comments |
| Comments | Added. |
| Control | 0..* |
| Type | string |
| Primitive Value | This 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. |
| Short | Medication Prescription (model)Base for all types and resources |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. EHDSMedicationPrescription.identifier | |
| Definition | Business identifier(s) for the prescription |
| Short | Business identifier(s) for the prescription |
| Comments | No change |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 1..* |
| Type | Identifier |
| 4. EHDSMedicationPrescription.prescriber | |
| Definition | Question: would we want to add basic Practicioner model? |
| Short | The person who made the prescription, and who takes the responsibility of the treatment |
| Comments | No change |
| Control | 1..1 |
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional |
| 6. EHDSMedicationPrescription.issueDate | |
| Definition | Time of issuing (signing) the prescription by health care practicioner |
| Short | Time of issuing (signing) the prescription by health care practicioner |
| Comments | No change |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This 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? |
| Short | The person for whom the medication is prescribed/ordered |
| Comments | No change (Patient model will be common for all use cases) |
| Control | 1..1 |
| Type | https://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). |
| Short | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc). |
| Comments | Added. |
| Control | 0..* |
| Type | CodeableConcept |
| 12. EHDSMedicationPrescription.validFrom | |
| Definition | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate |
| Short | Effective 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) |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This 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. |
| Short | The validity period end date. The prescription is not dispensable after this date. |
| Comments | No change (A.1.5.8) |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This 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 |
| Short | The recorder of the prescription/draft in the information system |
| Comments | Added. Not relevant for crossborder. |
| Control | 0..1 |
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional |
| 18. EHDSMedicationPrescription.recordingDate | |
| Definition | Time of authoring the prescription/draft in the information system |
| Short | Time of authoring the prescription/draft in the information system |
| Comments | Added. Not relevant for crossborder. |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This 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 |
| Short | Status of the prescription, this should not be status of treatment |
| Comments | Added. |
| Control | 1..1 |
| Type | CodeableConcept |
| 22. EHDSMedicationPrescription.statusReason | |
| Definition | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Short | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Comments | Added. |
| Control | 0..* |
| Type | CodeableConcept |
| 24. EHDSMedicationPrescription.statusReasonText | |
| Definition | Textual reason for the current status of prescription |
| Short | Textual reason for the current status of prescription |
| Comments | Added. |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 26. EHDSMedicationPrescription.comment | |
| Definition | Additional information or comments |
| Short | Additional information or comments |
| Control | 0..* |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 28. 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. |
| Short | 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. |
| Control | 1..* |
| Type | Base |
| 30. 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. |
| Short | Identifier for a single line on prescription, if exists. In case of single-line prescription, this identifier is typically the same as prescription identifier. |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 |
| Type | Identifier |
| 32. EHDSMedicationPrescription.prescriptionItem.medication | |
| Definition | Prescribed product, branded, generic, virtual, extemporal, etc |
| Short | Prescribed product, branded, generic, virtual, extemporal, etc |
| Comments | Medication model changed - described within that model |
| Control | 1..1 |
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedication |
| 34. EHDSMedicationPrescription.prescriptionItem.indication | |
| Definition | Reason for the prescription (typically diagnosis, or a procedure) |
| Short | Reason for the prescription (typically diagnosis, or a procedure) |
| Comments | No change (A.1.5.10) |
| Control | 0..* |
| Binding | shall we have a preferred binding here? |
| Type | CodeableConcept |
| 36. EHDSMedicationPrescription.prescriptionItem.indicationText | |
| Definition | Reason for the prescription in textual form. This might not be allowed by some implementations. |
| Short | Reason for the prescription in textual form. This might not be allowed by some implementations. |
| Comments | No change (code not required) A1.5.10 |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 38. EHDSMedicationPrescription.prescriptionItem.prescriptionIntent | |
| Definition | Intent of the prescription - prophylaxis, treatment, anesthesia, etc |
| Short | Intent of the prescription - prophylaxis, treatment, anesthesia, etc |
| Control | 0..1 |
| Type | CodeableConcept |
| 40. 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.) |
| Short | Period 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. |
| Control | 0..1 |
| Type | Period |
| 42. EHDSMedicationPrescription.prescriptionItem.quantityPrescribed | |
| Definition | Overall quantity of prescribed product (e.g number of packages or number of tablets). |
| Short | Overall quantity of prescribed product (e.g number of packages or number of tablets). |
| Comments | No change |
| Control | 0..1 |
| Type | Quantity |
| 44. EHDSMedicationPrescription.prescriptionItem.dosageInstructions | |
| Definition | Dosaging and administration instructions |
| Short | Dosaging and administration instructions |
| Comments | Dosage model significantly changed towards more granularity. A.1.5.3-A.1.5.7 |
| Control | 0..* |
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDosaging |
| 46. EHDSMedicationPrescription.prescriptionItem.preparationInstructions | |
| Definition | Additional instructions about preparation or dispense |
| Short | Additional instructions about preparation or dispense |
| Comments | Added. |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 48. EHDSMedicationPrescription.prescriptionItem.substitution | |
| Definition | Whether and which type of substitution is allowed for this medication treatment line |
| Short | Whether and which type of substitution is allowed for this medication treatment line |
| Comments | No change but subelements added. A 1.5.11 |
| Control | 0..1 |
| Type | Base |
| 50. EHDSMedicationPrescription.prescriptionItem.substitution.allowed | |
| Definition | Whether substitution is allowed or not. |
| Short | Whether substitution is allowed or not. |
| Control | 0..1 |
| Type | boolean |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 52. EHDSMedicationPrescription.prescriptionItem.substitution.type | |
| Definition | The type of substitution that is allowed. |
| Short | The type of substitution that is allowed. |
| Control | 0..1 |
| Type | CodeableConcept |
| 54. EHDSMedicationPrescription.prescriptionItem.substitution.typeReason[x] | |
| Definition | Reason for the substitution requirement |
| Short | Reason for the substitution requirement |
| Control | 0..1 |
| Type | Choice of: CodeableConcept, string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 56. EHDSMedicationPrescription.prescriptionItem.status | |
| Definition | Status of the prescription, this should not be status of treatment |
| Short | Status of the prescription, this should not be status of treatment |
| Comments | Added. |
| Control | 1..1 |
| Type | CodeableConcept |
| 58. EHDSMedicationPrescription.prescriptionItem.statusReason | |
| Definition | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Short | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Comments | Added. |
| Control | 0..* |
| Type | CodeableConcept |
| 60. EHDSMedicationPrescription.prescriptionItem.statusReasonText | |
| Definition | Textual reason for the current status of prescription |
| Short | Textual reason for the current status of prescription |
| Comments | Added. |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 62. EHDSMedicationPrescription.prescriptionItem.reasonForChange | |
| Definition | The reason the prescription was changed from previous |
| Short | The reason the prescription was changed from previous |
| Comments | Added. Changed from which other (version of) prescription? |
| Control | 0..1 |
| Type | CodeableConcept |
| 64. EHDSMedicationPrescription.prescriptionItem.repeatsAllowed | |
| Definition | How many times the prescription item can be dispensed in addition to the original dispense. |
| Short | Number of refills authorized |
| Comments | Added. A.1.5.9 Repeats |
| Control | 0..1 |
| Type | integer |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 66. EHDSMedicationPrescription.prescriptionItem.minimumDispenseInterval | |
| Definition | If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here. |
| Short | Minimum Dispense Interval |
| Comments | Added, based on ISO 17532:2024 A.7.3 Minimum dispensing interval |
| Control | 0..1 |
| Type | Duration |
| 68. EHDSMedicationPrescription.prescriptionItem.comment | |
| Definition | Additional information or comments |
| Short | Additional information or comments |
| Comments | Added. |
| Control | 0..* |
| Type | string |
| Primitive Value | This 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. |
| Short | Medication Prescription (model) |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. EHDSMedicationPrescription.identifier | |
| Definition | Business identifier(s) for the prescription |
| Short | Business identifier(s) for the prescription |
| Comments | No change |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 1..* |
| Type | Identifier |
| 4. EHDSMedicationPrescription.prescriber | |
| Definition | Question: would we want to add basic Practicioner model? |
| Short | The person who made the prescription, and who takes the responsibility of the treatment |
| Comments | No change |
| Control | 1..1 |
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional |
| 6. EHDSMedicationPrescription.issueDate | |
| Definition | Time of issuing (signing) the prescription by health care practicioner |
| Short | Time of issuing (signing) the prescription by health care practicioner |
| Comments | No change |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This 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? |
| Short | The person for whom the medication is prescribed/ordered |
| Comments | No change (Patient model will be common for all use cases) |
| Control | 1..1 |
| Type | https://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). |
| Short | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc). |
| Comments | Added. |
| Control | 0..* |
| Type | CodeableConcept |
| 12. EHDSMedicationPrescription.validFrom | |
| Definition | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate |
| Short | Effective 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) |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This 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. |
| Short | The validity period end date. The prescription is not dispensable after this date. |
| Comments | No change (A.1.5.8) |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This 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 |
| Short | The recorder of the prescription/draft in the information system |
| Comments | Added. Not relevant for crossborder. |
| Control | 0..1 |
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional |
| 18. EHDSMedicationPrescription.recordingDate | |
| Definition | Time of authoring the prescription/draft in the information system |
| Short | Time of authoring the prescription/draft in the information system |
| Comments | Added. Not relevant for crossborder. |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This 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 |
| Short | Status of the prescription, this should not be status of treatment |
| Comments | Added. |
| Control | 1..1 |
| Type | CodeableConcept |
| 22. EHDSMedicationPrescription.statusReason | |
| Definition | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Short | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Comments | Added. |
| Control | 0..* |
| Type | CodeableConcept |
| 24. EHDSMedicationPrescription.statusReasonText | |
| Definition | Textual reason for the current status of prescription |
| Short | Textual reason for the current status of prescription |
| Comments | Added. |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 26. EHDSMedicationPrescription.comment | |
| Definition | Additional information or comments |
| Short | Additional information or comments |
| Control | 0..* |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 28. 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. |
| Short | 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. |
| Control | 1..* |
| Type | Base |
| 30. 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. |
| Short | Identifier for a single line on prescription, if exists. In case of single-line prescription, this identifier is typically the same as prescription identifier. |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 |
| Type | Identifier |
| 32. EHDSMedicationPrescription.prescriptionItem.medication | |
| Definition | Prescribed product, branded, generic, virtual, extemporal, etc |
| Short | Prescribed product, branded, generic, virtual, extemporal, etc |
| Comments | Medication model changed - described within that model |
| Control | 1..1 |
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedication |
| 34. EHDSMedicationPrescription.prescriptionItem.indication | |
| Definition | Reason for the prescription (typically diagnosis, or a procedure) |
| Short | Reason for the prescription (typically diagnosis, or a procedure) |
| Comments | No change (A.1.5.10) |
| Control | 0..* |
| Binding | shall we have a preferred binding here? |
| Type | CodeableConcept |
| 36. EHDSMedicationPrescription.prescriptionItem.indicationText | |
| Definition | Reason for the prescription in textual form. This might not be allowed by some implementations. |
| Short | Reason for the prescription in textual form. This might not be allowed by some implementations. |
| Comments | No change (code not required) A1.5.10 |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 38. EHDSMedicationPrescription.prescriptionItem.prescriptionIntent | |
| Definition | Intent of the prescription - prophylaxis, treatment, anesthesia, etc |
| Short | Intent of the prescription - prophylaxis, treatment, anesthesia, etc |
| Control | 0..1 |
| Type | CodeableConcept |
| 40. 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.) |
| Short | Period 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. |
| Control | 0..1 |
| Type | Period |
| 42. EHDSMedicationPrescription.prescriptionItem.quantityPrescribed | |
| Definition | Overall quantity of prescribed product (e.g number of packages or number of tablets). |
| Short | Overall quantity of prescribed product (e.g number of packages or number of tablets). |
| Comments | No change |
| Control | 0..1 |
| Type | Quantity |
| 44. EHDSMedicationPrescription.prescriptionItem.dosageInstructions | |
| Definition | Dosaging and administration instructions |
| Short | Dosaging and administration instructions |
| Comments | Dosage model significantly changed towards more granularity. A.1.5.3-A.1.5.7 |
| Control | 0..* |
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDosaging |
| 46. EHDSMedicationPrescription.prescriptionItem.preparationInstructions | |
| Definition | Additional instructions about preparation or dispense |
| Short | Additional instructions about preparation or dispense |
| Comments | Added. |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 48. EHDSMedicationPrescription.prescriptionItem.substitution | |
| Definition | Whether and which type of substitution is allowed for this medication treatment line |
| Short | Whether and which type of substitution is allowed for this medication treatment line |
| Comments | No change but subelements added. A 1.5.11 |
| Control | 0..1 |
| Type | Base |
| 50. EHDSMedicationPrescription.prescriptionItem.substitution.allowed | |
| Definition | Whether substitution is allowed or not. |
| Short | Whether substitution is allowed or not. |
| Control | 0..1 |
| Type | boolean |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 52. EHDSMedicationPrescription.prescriptionItem.substitution.type | |
| Definition | The type of substitution that is allowed. |
| Short | The type of substitution that is allowed. |
| Control | 0..1 |
| Type | CodeableConcept |
| 54. EHDSMedicationPrescription.prescriptionItem.substitution.typeReason[x] | |
| Definition | Reason for the substitution requirement |
| Short | Reason for the substitution requirement |
| Control | 0..1 |
| Type | Choice of: CodeableConcept, string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 56. EHDSMedicationPrescription.prescriptionItem.status | |
| Definition | Status of the prescription, this should not be status of treatment |
| Short | Status of the prescription, this should not be status of treatment |
| Comments | Added. |
| Control | 1..1 |
| Type | CodeableConcept |
| 58. EHDSMedicationPrescription.prescriptionItem.statusReason | |
| Definition | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Short | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Comments | Added. |
| Control | 0..* |
| Type | CodeableConcept |
| 60. EHDSMedicationPrescription.prescriptionItem.statusReasonText | |
| Definition | Textual reason for the current status of prescription |
| Short | Textual reason for the current status of prescription |
| Comments | Added. |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 62. EHDSMedicationPrescription.prescriptionItem.reasonForChange | |
| Definition | The reason the prescription was changed from previous |
| Short | The reason the prescription was changed from previous |
| Comments | Added. Changed from which other (version of) prescription? |
| Control | 0..1 |
| Type | CodeableConcept |
| 64. EHDSMedicationPrescription.prescriptionItem.repeatsAllowed | |
| Definition | How many times the prescription item can be dispensed in addition to the original dispense. |
| Short | Number of refills authorized |
| Comments | Added. A.1.5.9 Repeats |
| Control | 0..1 |
| Type | integer |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 66. EHDSMedicationPrescription.prescriptionItem.minimumDispenseInterval | |
| Definition | If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here. |
| Short | Minimum Dispense Interval |
| Comments | Added, based on ISO 17532:2024 A.7.3 Minimum dispensing interval |
| Control | 0..1 |
| Type | Duration |
| 68. EHDSMedicationPrescription.prescriptionItem.comment | |
| Definition | Additional information or comments |
| Short | Additional information or comments |
| Comments | Added. |
| Control | 0..* |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
IG © 2022+ Xt-EHR. Package eu.ehds.models#0.1.0 based on FHIR 5.0.0. Generated 2024-12-16
Links:
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QA Report
The Xt-EHR action is co-funded by the European Union, EU4Health Program 2021-2027, under Grant Agreement Nr.º 101128085.
