Generated Narrative: StructureDefinition EHDSMedicationPrescriptionObligations Name Flags Card. Type Description & Constraints EHDSMedicationPrescriptionObligations 0..* EHDSMedicationPrescription Medication prescription model obligations Elements defined in Ancestors:header, header, presentedForm, prescriptionItem #xD; header #xD; subject O 1..1 EHDSPatient The person for whom the medication is prescribed/ordered. [Used for searching] Obligations Actor SHALL:able-to-populate Producer SHALL:process Consumer #xD; identifier O 1..* Identifier Business identifier(s) for the prescription. [Used for searching] Obligations Actor SHALL:able-to-populate Producer SHALL:process Consumer #xD; author[x] O 1..* EHDSHealthProfessional, EHDSOrganisation The prescriber, the person who made the prescription, and who takes the responsibility for the treatment. [Used for searching] Obligations Actor SHALL:able-to-populate Producer SHALL:process Consumer #xD; date O 1..1 dateTime Time of issuing (signing) the prescription by health care professional. [Used for searching] Obligations Actor SHALL:able-to-populate Producer SHALL:process Consumer #xD; status O 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] Obligations Actor SHALL:able-to-populate Producer SHALL:process Consumer #xD; presentedForm O 0..* EHDSAttachment Entire prescription as issued. Various formats could be provided, PDF format is recommended. Obligations Actor SHOULD:able-to-populate Producer SHOULD:display Consumer #xD; prescriptionItem O 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. Obligations Actor SHALL:able-to-populate Producer SHALL:process Consumer #xD; identifier O 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] Obligations Actor SHALL:able-to-populate Producer SHALL:process Consumer #xD; status O 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] Obligations Actor SHALL:able-to-populate Producer SHALL:process Consumer #xD; medication O 1..1 EHDSMedication Prescribed product, branded, generic, virtual, extemporal, etc Obligations Actor SHALL:able-to-populate Producer SHALL:process Consumer #xD; quantityPrescribed O 0..1 Quantity Overall quantity of prescribed product (e.g number of packages or number of tablets). Obligations Actor SHOULD:able-to-populate Producer SHOULD:process Consumer #xD; dosageInstructions O 1..1 EHDSDosage Dosage and administration instructions Obligations Actor SHALL:able-to-populate Producer SHALL:process Consumer #xD; validityPeriod O 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. Obligations Actor SHOULD:able-to-populate Producer SHOULD:process Consumer #xD; substitution O 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. Obligations Actor SHOULD:able-to-populate Producer SHOULD:process Consumer #xD; note O 0..1 string Additional information or comments, e.g. message to the dispenser Obligations Actor SHOULD:able-to-populate Producer SHOULD:display Consumer #xD; Documentation for this format
Medication prescription model obligations
Obligations for the logical model for medication prescription body for prescribing systems (producer) and dispensing systems (consumer).
A dispensing system shall process the patient information for identification purposes.
The person for whom the medication is prescribed/ordered. [Used for searching]
For a single-item prescription these identifiers shall match prescriptionItem.identifier.
A dispensing system shall use this prescription identifier for reference in the dispense record.
Business identifier(s) for the prescription. [Used for searching]
Systems shall support at least EHDSHealthProfessional data type for the element.
The prescriber, the person who made the prescription, and who takes the responsibility for the treatment. [Used for searching]
Time of issuing (signing) the prescription by health care professional. [Used for searching]
A dispensing system shall process the prescription status together with other information to determine dispensability.
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 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.
Language in which the resource is written. Language is expressed by the IETF language tag.
Reason for the current status of prescription, for example the reason why the prescription was made invalid or changed from a previous state.
A system making prescriptions available should be able to provide a rendered, human-readable version of the prescription,
Entire prescription as issued. Various formats could be provided, PDF format is recommended.
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.
For a single-item prescription these identifiers shall match .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 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]
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
Prescribed product, branded, generic, virtual, extemporal, etc
Reason for the prescription (typically diagnosis, or a procedure)
Intent of the prescription - prophylaxis, treatment, anesthesia, etc
Period over which the medication is to be taken (in case of multiple dosage schemes, this would be the overall period of all dosages.)
Overall quantity of prescribed product (e.g number of packages or number of tablets).
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.
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.
Whether and to what extent substitution is allowed.
Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
Number of refills authorised - how many times the prescription item can be dispensed in addition to the original dispense. The default value is 0 (no repeats).
Minimum dispense interval. If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
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
Indicates off-label use. Must be 'true' when .reason is provided.
Reason or related clarification for off-label use
Additional information or comments, e.g. message to the dispenser