Prescription. Several Sections of the eHN guideline.

Patient administrative data

Authentication of the prescription

A unique string generated by an EPS (Electronic Prescribing System) to uniquely identify a prescription; this unique code is needed for traceability. It might be used to register whether a prescription, and/or the maximum number of repeats, has already been dispensed. The identifier can consist of a root and an extension [ISO 21090:2011].

The date and optionally the time the prescription was issued.

• Preferred system(s): ISO 8601

Identification of the prescribing health professional

The family name/surname/last name of the prescriber. This enables the prescriber to be traced in the event of questions or emergencies.

The given name/ first name of the prescriber. This enables the prescriber to be traced in the event of questions or emergencies.

The professional title of the prescribing health professional, which may be used to prove the authority of the prescriber.

Details for direct contact could be an email address and/or phone/fax number of the prescriber in order for the dispenser and/or patient to contact the prescriber. This might be necessary if problems arise with dosage, allergies, reimbursement etc.

This is the address of the hospital or the practice, etc. where the health professional normally works, meets patients and prescribes medication. Minimally, the country should be specified.

Digital signature or token as proof of the authenticity of the prescriber.

A unique number or code issued for the purpose of identifying a health care provider [ISO/TS 27527:2010]; this may be a licence or registration number which can be used to trace the prescriber and to check whether a medicinal product was prescribed by the right person according to the law of the prescribing country.

Identification of the prescribed product

Prescription information

Total quantity or volume of the medicinal product that is prescribed to the specific patient. It can be provided as number of packages, given that the pack size is sufficiently described, or it can be the overall amount in appropriate units of measure (UCUM) or units of presentation (EDQM) (ml, g, tablets, vials). Depending on national legislation, this quantity may or may not be dispensed in one dispensation.

• Preferred system(s): UCUM, EDQM

The regimen governing the dose quantity per single administration, the dose frequency, and/or speed of administration (in the event of intravenous administration). Note: this information may be used by the dispenser to calculate the quantity to be dispensed.

The number of units per intake that the patient is taking. Example: 1 tablet

• Preferred system(s): UCUM, EDQM

Frequency of intakes per hour/day/week/month. Example: every 24 hours

• Preferred system(s): UCUM, HL7 TimingEvent

The route of administration as prescribed. Example: oral intake

• Preferred system(s): EDQM

The duration of the treatment as indicated by the Prescriber. Example: 14 days. Can be left blank for long-term therapies.

• Preferred system(s): UCUM

The time and date on which it is agreed that therapy will start.

• Preferred system(s): ISO 8601

Information about the directions for use of the prescribed medicinal product (such as ?with food? or ?before a meal?) and any cautionary advice for correct use of the prescribed medicinal product by the patient.

• Preferred system(s): HL7 TimingEvent

This might be dependent on local or national policy or legislation, in accordance with the treatment plan or because the therapeutic need for the prescribed medicine has expired.

• Preferred system(s): ISO 8601

In some countries, when medicinal products are dispensed for the first time, the patient may only receive medication for a short period of time. When a patient starts taking medication for a chronic illness, the prescriber can issue a prescription for a longer period that is now separated by repeats. In addition, the maximum quantity (A.1.4.3) of the prescribed product that may be dispensed in one dispensation may be stated here. Decision on dispensability is made in the country of prescription.

The reason why the medicine is being prescribed, including the option to mention that the medicinal product is being prescribed for ?off label? use. The reason for the prescription gives the dispenser the opportunity to review the prescription for medication safety issues. Note: in some countries it is obligatory to state the reason for prescription on the prescription itself for some or all medicinal products.

Substitution handling can be recorded to indicate whether and to what extent substitution is allowed by the prescriber.

Prescription. Several Sections of the eHN guideline.

Patient administrative data

Authentication of the prescription

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

A unique string generated by an EPS (Electronic Prescribing System) to uniquely identify a prescription; this unique code is needed for traceability. It might be used to register whether a prescription, and/or the maximum number of repeats, has already been dispensed. The identifier can consist of a root and an extension [ISO 21090:2011].

The date and optionally the time the prescription was issued.

• Preferred system(s): ISO 8601

Identification of the prescribing health professional

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

The family name/surname/last name of the prescriber. This enables the prescriber to be traced in the event of questions or emergencies.

The given name/ first name of the prescriber. This enables the prescriber to be traced in the event of questions or emergencies.

The professional title of the prescribing health professional, which may be used to prove the authority of the prescriber.

Details for direct contact could be an email address and/or phone/fax number of the prescriber in order for the dispenser and/or patient to contact the prescriber. This might be necessary if problems arise with dosage, allergies, reimbursement etc.

This is the address of the hospital or the practice, etc. where the health professional normally works, meets patients and prescribes medication. Minimally, the country should be specified.

Digital signature or token as proof of the authenticity of the prescriber.

A unique number or code issued for the purpose of identifying a health care provider [ISO/TS 27527:2010]; this may be a licence or registration number which can be used to trace the prescriber and to check whether a medicinal product was prescribed by the right person according to the law of the prescribing country.

Identification of the prescribed product

Prescription information

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Total quantity or volume of the medicinal product that is prescribed to the specific patient. It can be provided as number of packages, given that the pack size is sufficiently described, or it can be the overall amount in appropriate units of measure (UCUM) or units of presentation (EDQM) (ml, g, tablets, vials). Depending on national legislation, this quantity may or may not be dispensed in one dispensation.

• Preferred system(s): UCUM, EDQM

The regimen governing the dose quantity per single administration, the dose frequency, and/or speed of administration (in the event of intravenous administration). Note: this information may be used by the dispenser to calculate the quantity to be dispensed.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

The number of units per intake that the patient is taking. Example: 1 tablet

• Preferred system(s): UCUM, EDQM

Frequency of intakes per hour/day/week/month. Example: every 24 hours

• Preferred system(s): UCUM, HL7 TimingEvent

The route of administration as prescribed. Example: oral intake

• Preferred system(s): EDQM

The duration of the treatment as indicated by the Prescriber. Example: 14 days. Can be left blank for long-term therapies.

• Preferred system(s): UCUM

The time and date on which it is agreed that therapy will start.

• Preferred system(s): ISO 8601

Information about the directions for use of the prescribed medicinal product (such as ?with food? or ?before a meal?) and any cautionary advice for correct use of the prescribed medicinal product by the patient.

• Preferred system(s): HL7 TimingEvent

This might be dependent on local or national policy or legislation, in accordance with the treatment plan or because the therapeutic need for the prescribed medicine has expired.

• Preferred system(s): ISO 8601

In some countries, when medicinal products are dispensed for the first time, the patient may only receive medication for a short period of time. When a patient starts taking medication for a chronic illness, the prescriber can issue a prescription for a longer period that is now separated by repeats. In addition, the maximum quantity (A.1.4.3) of the prescribed product that may be dispensed in one dispensation may be stated here. Decision on dispensability is made in the country of prescription.

The reason why the medicine is being prescribed, including the option to mention that the medicinal product is being prescribed for ?off label? use. The reason for the prescription gives the dispenser the opportunity to review the prescription for medication safety issues. Note: in some countries it is obligatory to state the reason for prescription on the prescription itself for some or all medicinal products.

Substitution handling can be recorded to indicate whether and to what extent substitution is allowed by the prescriber.

Prescription. Several Sections of the eHN guideline.

Patient administrative data

Authentication of the prescription

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

A unique string generated by an EPS (Electronic Prescribing System) to uniquely identify a prescription; this unique code is needed for traceability. It might be used to register whether a prescription, and/or the maximum number of repeats, has already been dispensed. The identifier can consist of a root and an extension [ISO 21090:2011].

The date and optionally the time the prescription was issued.

• Preferred system(s): ISO 8601

Identification of the prescribing health professional

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

The family name/surname/last name of the prescriber. This enables the prescriber to be traced in the event of questions or emergencies.

The given name/ first name of the prescriber. This enables the prescriber to be traced in the event of questions or emergencies.

The professional title of the prescribing health professional, which may be used to prove the authority of the prescriber.

Details for direct contact could be an email address and/or phone/fax number of the prescriber in order for the dispenser and/or patient to contact the prescriber. This might be necessary if problems arise with dosage, allergies, reimbursement etc.

This is the address of the hospital or the practice, etc. where the health professional normally works, meets patients and prescribes medication. Minimally, the country should be specified.

Digital signature or token as proof of the authenticity of the prescriber.

A unique number or code issued for the purpose of identifying a health care provider [ISO/TS 27527:2010]; this may be a licence or registration number which can be used to trace the prescriber and to check whether a medicinal product was prescribed by the right person according to the law of the prescribing country.

Identification of the prescribed product

Prescription information

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Total quantity or volume of the medicinal product that is prescribed to the specific patient. It can be provided as number of packages, given that the pack size is sufficiently described, or it can be the overall amount in appropriate units of measure (UCUM) or units of presentation (EDQM) (ml, g, tablets, vials). Depending on national legislation, this quantity may or may not be dispensed in one dispensation.

• Preferred system(s): UCUM, EDQM

The regimen governing the dose quantity per single administration, the dose frequency, and/or speed of administration (in the event of intravenous administration). Note: this information may be used by the dispenser to calculate the quantity to be dispensed.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

The number of units per intake that the patient is taking. Example: 1 tablet

• Preferred system(s): UCUM, EDQM

Frequency of intakes per hour/day/week/month. Example: every 24 hours

• Preferred system(s): UCUM, HL7 TimingEvent

The route of administration as prescribed. Example: oral intake

• Preferred system(s): EDQM

The duration of the treatment as indicated by the Prescriber. Example: 14 days. Can be left blank for long-term therapies.

• Preferred system(s): UCUM

The time and date on which it is agreed that therapy will start.

• Preferred system(s): ISO 8601

Information about the directions for use of the prescribed medicinal product (such as ?with food? or ?before a meal?) and any cautionary advice for correct use of the prescribed medicinal product by the patient.

• Preferred system(s): HL7 TimingEvent

This might be dependent on local or national policy or legislation, in accordance with the treatment plan or because the therapeutic need for the prescribed medicine has expired.

• Preferred system(s): ISO 8601

In some countries, when medicinal products are dispensed for the first time, the patient may only receive medication for a short period of time. When a patient starts taking medication for a chronic illness, the prescriber can issue a prescription for a longer period that is now separated by repeats. In addition, the maximum quantity (A.1.4.3) of the prescribed product that may be dispensed in one dispensation may be stated here. Decision on dispensability is made in the country of prescription.

The reason why the medicine is being prescribed, including the option to mention that the medicinal product is being prescribed for ?off label? use. The reason for the prescription gives the dispenser the opportunity to review the prescription for medication safety issues. Note: in some countries it is obligatory to state the reason for prescription on the prescription itself for some or all medicinal products.

Substitution handling can be recorded to indicate whether and to what extent substitution is allowed by the prescriber.