HL7 Europe Imaging Report R4, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.1-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r4/ and changes regularly. See the Directory of published versions
| Draft as of 2025-08-05 | 
Definitions for the EHDSDispenseDecline logical model
Guidance on how to interpret the contents of this table can be foundhere
| 0. EHDSDispenseDecline | |
| Definition | Explicit statement about declining the dispense request (prescription), usually recorded in order to communicate the issue back to the prescriber. Reasons for declining a dispense may vary, but typically this statement is only sent when a following action is expected on the prescriber’s side (cancelling or changing the problematic prescription or the whole treatment). | 
| Short | Medication dispense decline model | 
| Control | 0..* | 
| Is Modifier | false | 
| Logical Model | Instances of this logical model are not marked to be the target of a Reference | 
| 2. EHDSDispenseDecline.header | |
| Definition | Common header for all patient-related data | 
| Short | Common header for all patient-related data | 
| Control | 1..1 | 
| Type | Base | 
| 4. EHDSDispenseDecline.header.subject | |
| Definition | Patient/subject information | 
| Short | Subject | 
| Control | 1..1 | 
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient | 
| 6. EHDSDispenseDecline.header.identifier | |
| Definition | Business identifier for the object | 
| Short | Business identifier for the object | 
| Note | This is a business identifier, not a resource identifier (see discussion) | 
| Control | 0..* | 
| Type | Identifier | 
| 8. EHDSDispenseDecline.header.authorship | |
| Definition | Resource authoring details | 
| Short | Authorship | 
| Control | 1..* | 
| Type | Base | 
| 10. EHDSDispenseDecline.header.authorship.author[x] | |
| Definition | Author(s) by whom the resource was/were authored. Multiple authors could be provided. | 
| Short | Author | 
| Control | 1..1 | 
| Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice | 
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | 
| 12. EHDSDispenseDecline.header.authorship.datetime | |
| Definition | Date and time of the issuing the document/resource by its author. | 
| Short | Date and time of authoring/issuing | 
| Control | 1..1 | 
| Type | dateTime | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| 14. EHDSDispenseDecline.header.lastUpdate | |
| Definition | Date and time of the last update to the document/information | 
| Short | Date and time of the last update to the resource | 
| Control | 0..1 | 
| Type | dateTime | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| 16. EHDSDispenseDecline.header.status | |
| Definition | Status of the resource | 
| Short | Status of the resource | 
| Control | 1..1 | 
| Type | CodeableConcept | 
| 18. EHDSDispenseDecline.header.statusReason[x] | |
| Definition | Reason for the current status of the resource. | 
| Short | Reason for not dispensing the medication | 
| Control | 1..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 | 
| 20. EHDSDispenseDecline.header.language | |
| Definition | Language in which the resource is written. Language is expressed by the IETF language tag. | 
| Short | Language | 
| Control | 0..1 | 
| Binding | BCP 47 | 
| Type | CodeableConcept | 
| 22. EHDSDispenseDecline.header.version | |
| Definition | Business version of the resource. | 
| Short | Version | 
| Note | This is a business version Id, not a resource version Id (see discussion) | 
| Control | 0..1 | 
| Type | string | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| 24. EHDSDispenseDecline.presentedForm | |
| Definition | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document | 
| Short | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document | 
| Control | 0..* | 
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment | 
| 26. EHDSDispenseDecline.relatedRequest | |
| Definition | The single-item prescription or prescription line item that was declined by the dispenser. [Used for searching] | 
| Short | The single-item prescription or prescription line item that was declined by the dispenser. [Used for searching] | 
| Control | 1..* | 
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationPrescription | 
| 28. EHDSDispenseDecline.comment | |
| Definition | Additional information about why the dispensation was declined. | 
| Short | Additional information about why the dispensation was declined. | 
| Control | 0..1 | 
| 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 foundhere
| 0. EHDSDispenseDecline | |
| Definition | Explicit statement about declining the dispense request (prescription), usually recorded in order to communicate the issue back to the prescriber. Reasons for declining a dispense may vary, but typically this statement is only sent when a following action is expected on the prescriber’s side (cancelling or changing the problematic prescription or the whole treatment). | 
| Short | Medication dispense decline model | 
| Logical Model | Instances of this logical model are not marked to be the target of a Reference | 
| 2. EHDSDispenseDecline.header | |
| 4. EHDSDispenseDecline.header.statusReason[x] | |
| Short | Reason for not dispensing the medication | 
| Control | 1..? | 
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | 
| 6. EHDSDispenseDecline.relatedRequest | |
| Definition | The single-item prescription or prescription line item that was declined by the dispenser. [Used for searching] | 
| Short | The single-item prescription or prescription line item that was declined by the dispenser. [Used for searching] | 
| Control | 1..* | 
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationPrescription | 
| 8. EHDSDispenseDecline.comment | |
| Definition | Additional information about why the dispensation was declined. | 
| Short | Additional information about why the dispensation was declined. | 
| Control | 0..1 | 
| 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 foundhere
| 0. EHDSDispenseDecline | |
| Definition | Explicit statement about declining the dispense request (prescription), usually recorded in order to communicate the issue back to the prescriber. Reasons for declining a dispense may vary, but typically this statement is only sent when a following action is expected on the prescriber’s side (cancelling or changing the problematic prescription or the whole treatment). | 
| Short | Medication dispense decline model | 
| Control | 0..* | 
| Is Modifier | false | 
| Logical Model | Instances of this logical model are not marked to be the target of a Reference | 
| 2. EHDSDispenseDecline.header | |
| Definition | Common header for all patient-related data | 
| Short | Common header for all patient-related data | 
| Control | 1..1 | 
| Type | Base | 
| 4. EHDSDispenseDecline.header.subject | |
| Definition | Patient/subject information | 
| Short | Subject | 
| Control | 1..1 | 
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient | 
| 6. EHDSDispenseDecline.header.identifier | |
| Definition | Business identifier for the object | 
| Short | Business identifier for the object | 
| Note | This is a business identifier, not a resource identifier (see discussion) | 
| Control | 0..* | 
| Type | Identifier | 
| 8. EHDSDispenseDecline.header.authorship | |
| Definition | Resource authoring details | 
| Short | Authorship | 
| Control | 1..* | 
| Type | Base | 
| 10. EHDSDispenseDecline.header.authorship.author[x] | |
| Definition | Author(s) by whom the resource was/were authored. Multiple authors could be provided. | 
| Short | Author | 
| Control | 1..1 | 
| Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice | 
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | 
| 12. EHDSDispenseDecline.header.authorship.datetime | |
| Definition | Date and time of the issuing the document/resource by its author. | 
| Short | Date and time of authoring/issuing | 
| Control | 1..1 | 
| Type | dateTime | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| 14. EHDSDispenseDecline.header.lastUpdate | |
| Definition | Date and time of the last update to the document/information | 
| Short | Date and time of the last update to the resource | 
| Control | 0..1 | 
| Type | dateTime | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| 16. EHDSDispenseDecline.header.status | |
| Definition | Status of the resource | 
| Short | Status of the resource | 
| Control | 1..1 | 
| Type | CodeableConcept | 
| 18. EHDSDispenseDecline.header.statusReason[x] | |
| Definition | Reason for the current status of the resource. | 
| Short | Reason for not dispensing the medication | 
| Control | 1..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 | 
| 20. EHDSDispenseDecline.header.language | |
| Definition | Language in which the resource is written. Language is expressed by the IETF language tag. | 
| Short | Language | 
| Control | 0..1 | 
| Binding | BCP 47 | 
| Type | CodeableConcept | 
| 22. EHDSDispenseDecline.header.version | |
| Definition | Business version of the resource. | 
| Short | Version | 
| Note | This is a business version Id, not a resource version Id (see discussion) | 
| Control | 0..1 | 
| Type | string | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| 24. EHDSDispenseDecline.presentedForm | |
| Definition | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document | 
| Short | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document | 
| Control | 0..* | 
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment | 
| 26. EHDSDispenseDecline.relatedRequest | |
| Definition | The single-item prescription or prescription line item that was declined by the dispenser. [Used for searching] | 
| Short | The single-item prescription or prescription line item that was declined by the dispenser. [Used for searching] | 
| Control | 1..* | 
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationPrescription | 
| 28. EHDSDispenseDecline.comment | |
| Definition | Additional information about why the dispensation was declined. | 
| Short | Additional information about why the dispensation was declined. | 
| Control | 0..1 | 
| Type | string | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |