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

Logical Model: Medication prescription model

Official URL: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationPrescription Version: 0.1.0
Draft as of 2025-03-31 Computable Name: EHDSMedicationPrescription

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

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. EHDSMedicationPrescription 0..* Base Medication prescription model
Instances of this logical model can be the target of a Reference
... header 1..1 EHDSMedicationPrescriptionHeader Prescription header
... presentedForm 0..* EHDSAttachment Presented Form
... comment 0..* string Additional information or comments
.... identifier 0..1 Identifier Identifier for a single line on prescription, if exists. In case of single-line prescription, this identifier is typically the same as prescription identifier.
.... 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 (No ValueSet): (preferred): shall we have a preferred binding here?


..... indicationCodeableConcept CodeableConcept
..... indicationEHDSCondition EHDSCondition
.... indicationText 0..1 string Reason for the prescription in textual form. This might not be allowed by some implementations.
.... prescriptionIntent 0..1 CodeableConcept Intent of the prescription - prophylaxis, treatment, anesthesia, etc
.... treatmentPeriod 0..1 Period Period over which the medication is to be taken (in case of multiple dosaging 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).
.... dosageInstructions 0..* EHDSDosaging Dosaging and administration instructions
.... preparationInstructions 0..1 string Additional instructions about preparation or dispense
.... substitution 0..1 Base Whether and which type of substitution is allowed for this medication treatment line
..... 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
...... reasonCodeableConcept CodeableConcept
...... reasonString string
.... status 1..1 CodeableConcept Status of the prescription, this should not be status of treatment
.... 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
.... repeatsAllowed 0..1 integer Number of refills authorized
.... minimumDispenseInterval 0..1 Duration Minimum Dispense Interval
.... 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
.... comment 0..* string Additional information or comments

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSMedicationPrescription.prescriptionItem.indication[x]preferred

 

Other representations of profile: CSV, Excel