EHDS Logical Information Models
0.4.0 - draft

EHDS Logical Information Models, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.4.0 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: Medication prescription model

Official URL: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationPrescription Version: 0.4.0
Draft as of 2026-02-17 Computable Name: EHDSMedicationPrescription

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

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSMedicationPrescription 0..* EHDSDataSet Medication prescription model

Elements defined in Ancestors:header
... header 1..1 Base Prescription header
.... subject 1..1 EHDSPatient The person for whom the medication is prescribed/ordered. [Used for searching]
.... identifier 1..* Identifier Business identifier(s) for the prescription. [Used for searching]
.... author[x] 1..* The prescriber, the person who made the prescription, and who takes the responsibility for the treatment. [Used for searching]
..... authorEHDSHealthProfessional EHDSHealthProfessional
..... authorEHDSOrganisation EHDSOrganisation
.... date 1..1 dateTime Time of issuing (signing) the prescription by health care professional. [Used for searching]
.... status 1..1 CodeableConcept Status of authorisation for dispensing the prescription items. This should not be the status of treatment. For a multiple-item prescription, this conveys the aggregate status of the entire prescription. In case of a single-item prescription, prescriptionItem.status shall be the same as EHDSMedicationPrescription.header.status. [Used for searching]
.... language 0..1 CodeableConcept Language in which the resource is written. Language is expressed by the IETF language tag.
Binding Description: (preferred): BCP 47
.... statusReason[x] 0..1 Reason for the current status of prescription, for example the reason why the prescription was made invalid or changed from a previous state.
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
... presentedForm 0..* EHDSAttachment Entire prescription as issued. Various formats could be provided, PDF format is recommended.
... prescriptionItem 1..* Base Prescription line for one medication. In many countries, only one item is allowed and there shall be no expectation to be able to manage multiple items. In case multiple medications are allowed, all items need to be authored together.
.... identifier 1..* Identifier Identifier for a single item on prescription, if exists. In case of single-item prescription, this identifier is typically the same as prescription identifier. [Used for searching]
.... status 1..1 CodeableConcept Status of a single item of a multi-item prescription. In case of single-item prescriptions, the status of prescription has the same meaning as the status of the item. [Used for searching]
.... statusReason[x] 0..1 Reason for the current status of prescription, for example the reason why the prescription was made invalid or why the prescription was changed from previous
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
.... medication 1..1 EHDSMedication Prescribed product, branded, generic, virtual, extemporal, etc
.... indication[x] 0..* Reason for the prescription (typically diagnosis, or a procedure)
Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode
..... indicationCodeableConcept CodeableConcept
..... indicationString string
.... intendedUseType 0..1 CodeableConcept Intent of the prescription - prophylaxis, treatment, anesthesia, etc
.... periodOfUse 0..1 Period Period over which the medication is to be taken (in case of multiple dosage schemes, this would be the overall period of all dosages.)
.... quantityPrescribed 0..1 Quantity Overall quantity of prescribed product (e.g number of packages or number of tablets).
Binding Description: (preferred): UCUM, EDQM Standard Terms
.... dosageInstructions 1..1 EHDSDosage Dosage and administration instructions
.... validityPeriod 0..1 Period The period over which the prescription is considered valid and dispensable. validityPeriod.start is, if missing, is assumed to be the date of issuing the prescription.
.... substitution 0..1 Base Whether and which type of substitution is allowed for this prescription. The legislation in the country of dispense applies, e.g. if this information is missing.
..... allowed[x] 0..1 Whether and to what extent substitution is allowed.
...... allowedBoolean boolean
...... allowedCodeableConcept CodeableConcept
..... reason[x] 0..1 Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
...... reasonCodeableConcept CodeableConcept
...... reasonString string
.... numberOfRepeats 0..1 integer Number of refills authorised - how many times the prescription item can be dispensed in addition to the original dispense.
.... minimumDispenseInterval 0..1 Quantity Minimum dispense interval. If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
.... offLabel 0..1 Base Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the drug
..... isOffLabelUse 1..1 boolean Indicates off-label use. Must be 'true' when .reason is provided.
..... reason[x] 0..* Reason or related clarification for off-label use
...... reasonCodeableConcept CodeableConcept
...... reasonString string
.... note 0..1 string Additional information or comments, e.g. message to the dispenser

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EHDSMedicationPrescription.​header.language Base preferred Not State Unknown
EHDSMedicationPrescription.​prescriptionItem.indication[x] Base preferred Not State Unknown
EHDSMedicationPrescription.​prescriptionItem.quantityPrescribed Base preferred Not State Unknown

This structure is derived from EHDSDataSet

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSMedicationPrescription 0..* EHDSDataSet Medication prescription model

Elements defined in Ancestors:header
... header 1..1 Base Prescription header
.... subject 1..1 EHDSPatient The person for whom the medication is prescribed/ordered. [Used for searching]
.... identifier 1..* Identifier Business identifier(s) for the prescription. [Used for searching]
.... author[x] 1..* The prescriber, the person who made the prescription, and who takes the responsibility for the treatment. [Used for searching]
..... authorEHDSHealthProfessional EHDSHealthProfessional
..... authorEHDSOrganisation EHDSOrganisation
.... date 1..1 dateTime Time of issuing (signing) the prescription by health care professional. [Used for searching]
.... status 1..1 CodeableConcept Status of authorisation for dispensing the prescription items. This should not be the status of treatment. For a multiple-item prescription, this conveys the aggregate status of the entire prescription. In case of a single-item prescription, prescriptionItem.status shall be the same as EHDSMedicationPrescription.header.status. [Used for searching]
.... source 0..0 Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.
.... statusReason[x] 0..1 Reason for the current status of prescription, for example the reason why the prescription was made invalid or changed from a previous state.
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
... presentedForm 0..* EHDSAttachment Entire prescription as issued. Various formats could be provided, PDF format is recommended.
... prescriptionItem 1..* Base Prescription line for one medication. In many countries, only one item is allowed and there shall be no expectation to be able to manage multiple items. In case multiple medications are allowed, all items need to be authored together.
.... identifier 1..* Identifier Identifier for a single item on prescription, if exists. In case of single-item prescription, this identifier is typically the same as prescription identifier. [Used for searching]
.... status 1..1 CodeableConcept Status of a single item of a multi-item prescription. In case of single-item prescriptions, the status of prescription has the same meaning as the status of the item. [Used for searching]
.... statusReason[x] 0..1 Reason for the current status of prescription, for example the reason why the prescription was made invalid or why the prescription was changed from previous
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
.... medication 1..1 EHDSMedication Prescribed product, branded, generic, virtual, extemporal, etc
.... indication[x] 0..* Reason for the prescription (typically diagnosis, or a procedure)
Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode
..... indicationCodeableConcept CodeableConcept
..... indicationString string
.... intendedUseType 0..1 CodeableConcept Intent of the prescription - prophylaxis, treatment, anesthesia, etc
.... periodOfUse 0..1 Period Period over which the medication is to be taken (in case of multiple dosage schemes, this would be the overall period of all dosages.)
.... quantityPrescribed 0..1 Quantity Overall quantity of prescribed product (e.g number of packages or number of tablets).
Binding Description: (preferred): UCUM, EDQM Standard Terms
.... dosageInstructions 1..1 EHDSDosage Dosage and administration instructions
.... validityPeriod 0..1 Period The period over which the prescription is considered valid and dispensable. validityPeriod.start is, if missing, is assumed to be the date of issuing the prescription.
.... substitution 0..1 Base Whether and which type of substitution is allowed for this prescription. The legislation in the country of dispense applies, e.g. if this information is missing.
..... allowed[x] 0..1 Whether and to what extent substitution is allowed.
...... allowedBoolean boolean
...... allowedCodeableConcept CodeableConcept
..... reason[x] 0..1 Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
...... reasonCodeableConcept CodeableConcept
...... reasonString string
.... numberOfRepeats 0..1 integer Number of refills authorised - how many times the prescription item can be dispensed in addition to the original dispense.
.... minimumDispenseInterval 0..1 Quantity Minimum dispense interval. If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
.... offLabel 0..1 Base Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the drug
..... isOffLabelUse 1..1 boolean Indicates off-label use. Must be 'true' when .reason is provided.
..... reason[x] 0..* Reason or related clarification for off-label use
...... reasonCodeableConcept CodeableConcept
...... reasonString string
.... note 0..1 string Additional information or comments, e.g. message to the dispenser

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
EHDSMedicationPrescription.​prescriptionItem.indication[x] Base preferred Not State Unknown
EHDSMedicationPrescription.​prescriptionItem.quantityPrescribed Base preferred Not State Unknown
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSMedicationPrescription 0..* EHDSDataSet Medication prescription model

Elements defined in Ancestors:header
... header 1..1 Base Prescription header
.... subject 1..1 EHDSPatient The person for whom the medication is prescribed/ordered. [Used for searching]
.... identifier 1..* Identifier Business identifier(s) for the prescription. [Used for searching]
.... author[x] 1..* The prescriber, the person who made the prescription, and who takes the responsibility for the treatment. [Used for searching]
..... authorEHDSHealthProfessional EHDSHealthProfessional
..... authorEHDSOrganisation EHDSOrganisation
.... date 1..1 dateTime Time of issuing (signing) the prescription by health care professional. [Used for searching]
.... status 1..1 CodeableConcept Status of authorisation for dispensing the prescription items. This should not be the status of treatment. For a multiple-item prescription, this conveys the aggregate status of the entire prescription. In case of a single-item prescription, prescriptionItem.status shall be the same as EHDSMedicationPrescription.header.status. [Used for searching]
.... language 0..1 CodeableConcept Language in which the resource is written. Language is expressed by the IETF language tag.
Binding Description: (preferred): BCP 47
.... statusReason[x] 0..1 Reason for the current status of prescription, for example the reason why the prescription was made invalid or changed from a previous state.
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
... presentedForm 0..* EHDSAttachment Entire prescription as issued. Various formats could be provided, PDF format is recommended.
... prescriptionItem 1..* Base Prescription line for one medication. In many countries, only one item is allowed and there shall be no expectation to be able to manage multiple items. In case multiple medications are allowed, all items need to be authored together.
.... identifier 1..* Identifier Identifier for a single item on prescription, if exists. In case of single-item prescription, this identifier is typically the same as prescription identifier. [Used for searching]
.... status 1..1 CodeableConcept Status of a single item of a multi-item prescription. In case of single-item prescriptions, the status of prescription has the same meaning as the status of the item. [Used for searching]
.... statusReason[x] 0..1 Reason for the current status of prescription, for example the reason why the prescription was made invalid or why the prescription was changed from previous
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
.... medication 1..1 EHDSMedication Prescribed product, branded, generic, virtual, extemporal, etc
.... indication[x] 0..* Reason for the prescription (typically diagnosis, or a procedure)
Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode
..... indicationCodeableConcept CodeableConcept
..... indicationString string
.... intendedUseType 0..1 CodeableConcept Intent of the prescription - prophylaxis, treatment, anesthesia, etc
.... periodOfUse 0..1 Period Period over which the medication is to be taken (in case of multiple dosage schemes, this would be the overall period of all dosages.)
.... quantityPrescribed 0..1 Quantity Overall quantity of prescribed product (e.g number of packages or number of tablets).
Binding Description: (preferred): UCUM, EDQM Standard Terms
.... dosageInstructions 1..1 EHDSDosage Dosage and administration instructions
.... validityPeriod 0..1 Period The period over which the prescription is considered valid and dispensable. validityPeriod.start is, if missing, is assumed to be the date of issuing the prescription.
.... substitution 0..1 Base Whether and which type of substitution is allowed for this prescription. The legislation in the country of dispense applies, e.g. if this information is missing.
..... allowed[x] 0..1 Whether and to what extent substitution is allowed.
...... allowedBoolean boolean
...... allowedCodeableConcept CodeableConcept
..... reason[x] 0..1 Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
...... reasonCodeableConcept CodeableConcept
...... reasonString string
.... numberOfRepeats 0..1 integer Number of refills authorised - how many times the prescription item can be dispensed in addition to the original dispense.
.... minimumDispenseInterval 0..1 Quantity Minimum dispense interval. If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
.... offLabel 0..1 Base Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the drug
..... isOffLabelUse 1..1 boolean Indicates off-label use. Must be 'true' when .reason is provided.
..... reason[x] 0..* Reason or related clarification for off-label use
...... reasonCodeableConcept CodeableConcept
...... reasonString string
.... note 0..1 string Additional information or comments, e.g. message to the dispenser

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EHDSMedicationPrescription.​header.language Base preferred Not State Unknown
EHDSMedicationPrescription.​prescriptionItem.indication[x] Base preferred Not State Unknown
EHDSMedicationPrescription.​prescriptionItem.quantityPrescribed Base preferred Not State Unknown

This structure is derived from EHDSDataSet

Summary

Mandatory: 3 elements(6 nested mandatory elements)
Prohibited: 1 element

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSMedicationPrescription 0..* EHDSDataSet Medication prescription model

Elements defined in Ancestors:header
... header 1..1 Base Prescription header
.... subject 1..1 EHDSPatient The person for whom the medication is prescribed/ordered. [Used for searching]
.... identifier 1..* Identifier Business identifier(s) for the prescription. [Used for searching]
.... author[x] 1..* The prescriber, the person who made the prescription, and who takes the responsibility for the treatment. [Used for searching]
..... authorEHDSHealthProfessional EHDSHealthProfessional
..... authorEHDSOrganisation EHDSOrganisation
.... date 1..1 dateTime Time of issuing (signing) the prescription by health care professional. [Used for searching]
.... status 1..1 CodeableConcept Status of authorisation for dispensing the prescription items. This should not be the status of treatment. For a multiple-item prescription, this conveys the aggregate status of the entire prescription. In case of a single-item prescription, prescriptionItem.status shall be the same as EHDSMedicationPrescription.header.status. [Used for searching]
.... language 0..1 CodeableConcept Language in which the resource is written. Language is expressed by the IETF language tag.
Binding Description: (preferred): BCP 47
.... statusReason[x] 0..1 Reason for the current status of prescription, for example the reason why the prescription was made invalid or changed from a previous state.
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
... presentedForm 0..* EHDSAttachment Entire prescription as issued. Various formats could be provided, PDF format is recommended.
... prescriptionItem 1..* Base Prescription line for one medication. In many countries, only one item is allowed and there shall be no expectation to be able to manage multiple items. In case multiple medications are allowed, all items need to be authored together.
.... identifier 1..* Identifier Identifier for a single item on prescription, if exists. In case of single-item prescription, this identifier is typically the same as prescription identifier. [Used for searching]
.... status 1..1 CodeableConcept Status of a single item of a multi-item prescription. In case of single-item prescriptions, the status of prescription has the same meaning as the status of the item. [Used for searching]
.... statusReason[x] 0..1 Reason for the current status of prescription, for example the reason why the prescription was made invalid or why the prescription was changed from previous
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
.... medication 1..1 EHDSMedication Prescribed product, branded, generic, virtual, extemporal, etc
.... indication[x] 0..* Reason for the prescription (typically diagnosis, or a procedure)
Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode
..... indicationCodeableConcept CodeableConcept
..... indicationString string
.... intendedUseType 0..1 CodeableConcept Intent of the prescription - prophylaxis, treatment, anesthesia, etc
.... periodOfUse 0..1 Period Period over which the medication is to be taken (in case of multiple dosage schemes, this would be the overall period of all dosages.)
.... quantityPrescribed 0..1 Quantity Overall quantity of prescribed product (e.g number of packages or number of tablets).
Binding Description: (preferred): UCUM, EDQM Standard Terms
.... dosageInstructions 1..1 EHDSDosage Dosage and administration instructions
.... validityPeriod 0..1 Period The period over which the prescription is considered valid and dispensable. validityPeriod.start is, if missing, is assumed to be the date of issuing the prescription.
.... substitution 0..1 Base Whether and which type of substitution is allowed for this prescription. The legislation in the country of dispense applies, e.g. if this information is missing.
..... allowed[x] 0..1 Whether and to what extent substitution is allowed.
...... allowedBoolean boolean
...... allowedCodeableConcept CodeableConcept
..... reason[x] 0..1 Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
...... reasonCodeableConcept CodeableConcept
...... reasonString string
.... numberOfRepeats 0..1 integer Number of refills authorised - how many times the prescription item can be dispensed in addition to the original dispense.
.... minimumDispenseInterval 0..1 Quantity Minimum dispense interval. If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
.... offLabel 0..1 Base Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the drug
..... isOffLabelUse 1..1 boolean Indicates off-label use. Must be 'true' when .reason is provided.
..... reason[x] 0..* Reason or related clarification for off-label use
...... reasonCodeableConcept CodeableConcept
...... reasonString string
.... note 0..1 string Additional information or comments, e.g. message to the dispenser

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EHDSMedicationPrescription.​header.language Base preferred Not State Unknown
EHDSMedicationPrescription.​prescriptionItem.indication[x] Base preferred Not State Unknown
EHDSMedicationPrescription.​prescriptionItem.quantityPrescribed Base preferred Not State Unknown

Differential View

This structure is derived from EHDSDataSet

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSMedicationPrescription 0..* EHDSDataSet Medication prescription model

Elements defined in Ancestors:header
... header 1..1 Base Prescription header
.... subject 1..1 EHDSPatient The person for whom the medication is prescribed/ordered. [Used for searching]
.... identifier 1..* Identifier Business identifier(s) for the prescription. [Used for searching]
.... author[x] 1..* The prescriber, the person who made the prescription, and who takes the responsibility for the treatment. [Used for searching]
..... authorEHDSHealthProfessional EHDSHealthProfessional
..... authorEHDSOrganisation EHDSOrganisation
.... date 1..1 dateTime Time of issuing (signing) the prescription by health care professional. [Used for searching]
.... status 1..1 CodeableConcept Status of authorisation for dispensing the prescription items. This should not be the status of treatment. For a multiple-item prescription, this conveys the aggregate status of the entire prescription. In case of a single-item prescription, prescriptionItem.status shall be the same as EHDSMedicationPrescription.header.status. [Used for searching]
.... source 0..0 Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.
.... statusReason[x] 0..1 Reason for the current status of prescription, for example the reason why the prescription was made invalid or changed from a previous state.
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
... presentedForm 0..* EHDSAttachment Entire prescription as issued. Various formats could be provided, PDF format is recommended.
... prescriptionItem 1..* Base Prescription line for one medication. In many countries, only one item is allowed and there shall be no expectation to be able to manage multiple items. In case multiple medications are allowed, all items need to be authored together.
.... identifier 1..* Identifier Identifier for a single item on prescription, if exists. In case of single-item prescription, this identifier is typically the same as prescription identifier. [Used for searching]
.... status 1..1 CodeableConcept Status of a single item of a multi-item prescription. In case of single-item prescriptions, the status of prescription has the same meaning as the status of the item. [Used for searching]
.... statusReason[x] 0..1 Reason for the current status of prescription, for example the reason why the prescription was made invalid or why the prescription was changed from previous
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
.... medication 1..1 EHDSMedication Prescribed product, branded, generic, virtual, extemporal, etc
.... indication[x] 0..* Reason for the prescription (typically diagnosis, or a procedure)
Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode
..... indicationCodeableConcept CodeableConcept
..... indicationString string
.... intendedUseType 0..1 CodeableConcept Intent of the prescription - prophylaxis, treatment, anesthesia, etc
.... periodOfUse 0..1 Period Period over which the medication is to be taken (in case of multiple dosage schemes, this would be the overall period of all dosages.)
.... quantityPrescribed 0..1 Quantity Overall quantity of prescribed product (e.g number of packages or number of tablets).
Binding Description: (preferred): UCUM, EDQM Standard Terms
.... dosageInstructions 1..1 EHDSDosage Dosage and administration instructions
.... validityPeriod 0..1 Period The period over which the prescription is considered valid and dispensable. validityPeriod.start is, if missing, is assumed to be the date of issuing the prescription.
.... substitution 0..1 Base Whether and which type of substitution is allowed for this prescription. The legislation in the country of dispense applies, e.g. if this information is missing.
..... allowed[x] 0..1 Whether and to what extent substitution is allowed.
...... allowedBoolean boolean
...... allowedCodeableConcept CodeableConcept
..... reason[x] 0..1 Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
...... reasonCodeableConcept CodeableConcept
...... reasonString string
.... numberOfRepeats 0..1 integer Number of refills authorised - how many times the prescription item can be dispensed in addition to the original dispense.
.... minimumDispenseInterval 0..1 Quantity Minimum dispense interval. If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
.... offLabel 0..1 Base Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the drug
..... isOffLabelUse 1..1 boolean Indicates off-label use. Must be 'true' when .reason is provided.
..... reason[x] 0..* Reason or related clarification for off-label use
...... reasonCodeableConcept CodeableConcept
...... reasonString string
.... note 0..1 string Additional information or comments, e.g. message to the dispenser

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
EHDSMedicationPrescription.​prescriptionItem.indication[x] Base preferred Not State Unknown
EHDSMedicationPrescription.​prescriptionItem.quantityPrescribed Base preferred Not State Unknown

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSMedicationPrescription 0..* EHDSDataSet Medication prescription model

Elements defined in Ancestors:header
... header 1..1 Base Prescription header
.... subject 1..1 EHDSPatient The person for whom the medication is prescribed/ordered. [Used for searching]
.... identifier 1..* Identifier Business identifier(s) for the prescription. [Used for searching]
.... author[x] 1..* The prescriber, the person who made the prescription, and who takes the responsibility for the treatment. [Used for searching]
..... authorEHDSHealthProfessional EHDSHealthProfessional
..... authorEHDSOrganisation EHDSOrganisation
.... date 1..1 dateTime Time of issuing (signing) the prescription by health care professional. [Used for searching]
.... status 1..1 CodeableConcept Status of authorisation for dispensing the prescription items. This should not be the status of treatment. For a multiple-item prescription, this conveys the aggregate status of the entire prescription. In case of a single-item prescription, prescriptionItem.status shall be the same as EHDSMedicationPrescription.header.status. [Used for searching]
.... language 0..1 CodeableConcept Language in which the resource is written. Language is expressed by the IETF language tag.
Binding Description: (preferred): BCP 47
.... statusReason[x] 0..1 Reason for the current status of prescription, for example the reason why the prescription was made invalid or changed from a previous state.
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
... presentedForm 0..* EHDSAttachment Entire prescription as issued. Various formats could be provided, PDF format is recommended.
... prescriptionItem 1..* Base Prescription line for one medication. In many countries, only one item is allowed and there shall be no expectation to be able to manage multiple items. In case multiple medications are allowed, all items need to be authored together.
.... identifier 1..* Identifier Identifier for a single item on prescription, if exists. In case of single-item prescription, this identifier is typically the same as prescription identifier. [Used for searching]
.... status 1..1 CodeableConcept Status of a single item of a multi-item prescription. In case of single-item prescriptions, the status of prescription has the same meaning as the status of the item. [Used for searching]
.... statusReason[x] 0..1 Reason for the current status of prescription, for example the reason why the prescription was made invalid or why the prescription was changed from previous
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
.... medication 1..1 EHDSMedication Prescribed product, branded, generic, virtual, extemporal, etc
.... indication[x] 0..* Reason for the prescription (typically diagnosis, or a procedure)
Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode
..... indicationCodeableConcept CodeableConcept
..... indicationString string
.... intendedUseType 0..1 CodeableConcept Intent of the prescription - prophylaxis, treatment, anesthesia, etc
.... periodOfUse 0..1 Period Period over which the medication is to be taken (in case of multiple dosage schemes, this would be the overall period of all dosages.)
.... quantityPrescribed 0..1 Quantity Overall quantity of prescribed product (e.g number of packages or number of tablets).
Binding Description: (preferred): UCUM, EDQM Standard Terms
.... dosageInstructions 1..1 EHDSDosage Dosage and administration instructions
.... validityPeriod 0..1 Period The period over which the prescription is considered valid and dispensable. validityPeriod.start is, if missing, is assumed to be the date of issuing the prescription.
.... substitution 0..1 Base Whether and which type of substitution is allowed for this prescription. The legislation in the country of dispense applies, e.g. if this information is missing.
..... allowed[x] 0..1 Whether and to what extent substitution is allowed.
...... allowedBoolean boolean
...... allowedCodeableConcept CodeableConcept
..... reason[x] 0..1 Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
...... reasonCodeableConcept CodeableConcept
...... reasonString string
.... numberOfRepeats 0..1 integer Number of refills authorised - how many times the prescription item can be dispensed in addition to the original dispense.
.... minimumDispenseInterval 0..1 Quantity Minimum dispense interval. If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
.... offLabel 0..1 Base Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the drug
..... isOffLabelUse 1..1 boolean Indicates off-label use. Must be 'true' when .reason is provided.
..... reason[x] 0..* Reason or related clarification for off-label use
...... reasonCodeableConcept CodeableConcept
...... reasonString string
.... note 0..1 string Additional information or comments, e.g. message to the dispenser

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EHDSMedicationPrescription.​header.language Base preferred Not State Unknown
EHDSMedicationPrescription.​prescriptionItem.indication[x] Base preferred Not State Unknown
EHDSMedicationPrescription.​prescriptionItem.quantityPrescribed Base preferred Not State Unknown

This structure is derived from EHDSDataSet

Summary

Mandatory: 3 elements(6 nested mandatory elements)
Prohibited: 1 element

 

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