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/tree/stakeholder-consultation-D6-2 and changes regularly. See the Directory of published versions

## Logical Model: Medication dispense model

Official URL: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationDispense | Version: 0.1.0
Draft as of 2025-05-26 | Computable Name: EHDSMedicationDispense

Logical model for medication dispensation (based on request or independently)

Usage:

- This Logical Model Profile is not used by any profiles in this Implementation Guide

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSMedicationDispense |  | 0..* | EHDSDataSet | Elements defined in Ancestors:header, presentedForm Medication dispense model Instances of this logical model can be the target of a Reference
header |  | 1..* | Base | Common header for all patient-related data
subject |  | 1..1 | EHDSPatient | Subject
identifier |  | 0..* | Identifier | Business identifier for the object
authorship |  | 1..* | Base | Authorship
author[x] |  | 1..1 |  | Author
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganization |  |  | EHDSOrganization |
authorEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of authoring/issuing
lastUpdate |  | 0..1 | dateTime | Date and time of the last update to the resource
status |  | 1..1 | CodeableConcept | Status of the resource
statusReason[x] |  | 0..1 |  | Reason for the current status of the resource.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonString |  |  | string |
language |  | 0..1 | CodeableConcept | Language Binding Description (No ValueSet): (preferred): BCP 47
version |  | 0..1 | string | Version
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
dispenseLocation |  | 0..1 | EHDSLocation | Location of dispense
receiver[x] |  | 0..1 |  | Identification of the person who received the dispensed medication, especially when it was not the patient
receiverEHDSPatient |  |  | EHDSPatient |
receiverEHDSHealthProfessional |  |  | EHDSHealthProfessional |
receiverEHDSRelatedPerson |  |  | EHDSRelatedPerson |
relatedRequest |  | 0..* | Identifier | Identifier of the prescription or prescription item the dispense is related to
medication |  | 1..1 | EHDSMedication | Exact dispensed product
dispensedQuantity |  | 1..1 | Quantity | Number of dispensed packages if the pack size is known, or number of smaller items/units Binding Description (No ValueSet): (preferred): UCUM, EDQM Standard Terms
timeOfDispensation |  | 1..1 | dateTime | Date and time of dispensation
substitution |  | 0..1 | Base | Indicated whether substitution was made by the dispenser
substitutionOccurred |  | 1..1 | boolean | Indicated whether substitution was made by the dispenser
type |  | 0..1 | CodeableConcept | What kind of substitution was made by the dispenser
reason |  | 0..* | CodeableConcept | Reason why the substitution was made or why the expected substitution was not made.
dosageInstructions |  | 0..* | EHDSDosaging | Dosaging and administration instructions
comment |  | 0..* | string | Additional information or comments
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSMedicationDispense.header.language | preferred |
EHDSMedicationDispense.dispensedQuantity | preferred |

This structure is derived from EHDSDataSet

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSMedicationDispense |  | 0..* | EHDSDataSet | Elements defined in Ancestors:header, presentedForm Medication dispense model Instances of this logical model can be the target of a Reference
dispenseLocation |  | 0..1 | EHDSLocation | Location of dispense
receiver[x] |  | 0..1 |  | Identification of the person who received the dispensed medication, especially when it was not the patient
receiverEHDSPatient |  |  | EHDSPatient |
receiverEHDSHealthProfessional |  |  | EHDSHealthProfessional |
receiverEHDSRelatedPerson |  |  | EHDSRelatedPerson |
relatedRequest |  | 0..* | Identifier | Identifier of the prescription or prescription item the dispense is related to
medication |  | 1..1 | EHDSMedication | Exact dispensed product
dispensedQuantity |  | 1..1 | Quantity | Number of dispensed packages if the pack size is known, or number of smaller items/units Binding Description (No ValueSet): (preferred): UCUM, EDQM Standard Terms
timeOfDispensation |  | 1..1 | dateTime | Date and time of dispensation
substitution |  | 0..1 | Base | Indicated whether substitution was made by the dispenser
substitutionOccurred |  | 1..1 | boolean | Indicated whether substitution was made by the dispenser
type |  | 0..1 | CodeableConcept | What kind of substitution was made by the dispenser
reason |  | 0..* | CodeableConcept | Reason why the substitution was made or why the expected substitution was not made.
dosageInstructions |  | 0..* | EHDSDosaging | Dosaging and administration instructions
comment |  | 0..* | string | Additional information or comments
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
EHDSMedicationDispense.dispensedQuantity | preferred |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSMedicationDispense |  | 0..* | EHDSDataSet | Elements defined in Ancestors:header, presentedForm Medication dispense model Instances of this logical model can be the target of a Reference
header |  | 1..* | Base | Common header for all patient-related data
subject |  | 1..1 | EHDSPatient | Subject
identifier |  | 0..* | Identifier | Business identifier for the object
authorship |  | 1..* | Base | Authorship
author[x] |  | 1..1 |  | Author
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganization |  |  | EHDSOrganization |
authorEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of authoring/issuing
lastUpdate |  | 0..1 | dateTime | Date and time of the last update to the resource
status |  | 1..1 | CodeableConcept | Status of the resource
statusReason[x] |  | 0..1 |  | Reason for the current status of the resource.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonString |  |  | string |
language |  | 0..1 | CodeableConcept | Language Binding Description (No ValueSet): (preferred): BCP 47
version |  | 0..1 | string | Version
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
dispenseLocation |  | 0..1 | EHDSLocation | Location of dispense
receiver[x] |  | 0..1 |  | Identification of the person who received the dispensed medication, especially when it was not the patient
receiverEHDSPatient |  |  | EHDSPatient |
receiverEHDSHealthProfessional |  |  | EHDSHealthProfessional |
receiverEHDSRelatedPerson |  |  | EHDSRelatedPerson |
relatedRequest |  | 0..* | Identifier | Identifier of the prescription or prescription item the dispense is related to
medication |  | 1..1 | EHDSMedication | Exact dispensed product
dispensedQuantity |  | 1..1 | Quantity | Number of dispensed packages if the pack size is known, or number of smaller items/units Binding Description (No ValueSet): (preferred): UCUM, EDQM Standard Terms
timeOfDispensation |  | 1..1 | dateTime | Date and time of dispensation
substitution |  | 0..1 | Base | Indicated whether substitution was made by the dispenser
substitutionOccurred |  | 1..1 | boolean | Indicated whether substitution was made by the dispenser
type |  | 0..1 | CodeableConcept | What kind of substitution was made by the dispenser
reason |  | 0..* | CodeableConcept | Reason why the substitution was made or why the expected substitution was not made.
dosageInstructions |  | 0..* | EHDSDosaging | Dosaging and administration instructions
comment |  | 0..* | string | Additional information or comments
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSMedicationDispense.header.language | preferred |
EHDSMedicationDispense.dispensedQuantity | preferred |

This structure is derived from EHDSDataSet

Summary

Mandatory: 0 element(4 nested mandatory elements)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSMedicationDispense |  | 0..* | EHDSDataSet | Elements defined in Ancestors:header, presentedForm Medication dispense model Instances of this logical model can be the target of a Reference
header |  | 1..* | Base | Common header for all patient-related data
subject |  | 1..1 | EHDSPatient | Subject
identifier |  | 0..* | Identifier | Business identifier for the object
authorship |  | 1..* | Base | Authorship
author[x] |  | 1..1 |  | Author
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganization |  |  | EHDSOrganization |
authorEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of authoring/issuing
lastUpdate |  | 0..1 | dateTime | Date and time of the last update to the resource
status |  | 1..1 | CodeableConcept | Status of the resource
statusReason[x] |  | 0..1 |  | Reason for the current status of the resource.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonString |  |  | string |
language |  | 0..1 | CodeableConcept | Language Binding Description (No ValueSet): (preferred): BCP 47
version |  | 0..1 | string | Version
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
dispenseLocation |  | 0..1 | EHDSLocation | Location of dispense
receiver[x] |  | 0..1 |  | Identification of the person who received the dispensed medication, especially when it was not the patient
receiverEHDSPatient |  |  | EHDSPatient |
receiverEHDSHealthProfessional |  |  | EHDSHealthProfessional |
receiverEHDSRelatedPerson |  |  | EHDSRelatedPerson |
relatedRequest |  | 0..* | Identifier | Identifier of the prescription or prescription item the dispense is related to
medication |  | 1..1 | EHDSMedication | Exact dispensed product
dispensedQuantity |  | 1..1 | Quantity | Number of dispensed packages if the pack size is known, or number of smaller items/units Binding Description (No ValueSet): (preferred): UCUM, EDQM Standard Terms
timeOfDispensation |  | 1..1 | dateTime | Date and time of dispensation
substitution |  | 0..1 | Base | Indicated whether substitution was made by the dispenser
substitutionOccurred |  | 1..1 | boolean | Indicated whether substitution was made by the dispenser
type |  | 0..1 | CodeableConcept | What kind of substitution was made by the dispenser
reason |  | 0..* | CodeableConcept | Reason why the substitution was made or why the expected substitution was not made.
dosageInstructions |  | 0..* | EHDSDosaging | Dosaging and administration instructions
comment |  | 0..* | string | Additional information or comments
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSMedicationDispense.header.language | preferred |
EHDSMedicationDispense.dispensedQuantity | preferred |

Differential View

This structure is derived from EHDSDataSet

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSMedicationDispense |  | 0..* | EHDSDataSet | Elements defined in Ancestors:header, presentedForm Medication dispense model Instances of this logical model can be the target of a Reference
dispenseLocation |  | 0..1 | EHDSLocation | Location of dispense
receiver[x] |  | 0..1 |  | Identification of the person who received the dispensed medication, especially when it was not the patient
receiverEHDSPatient |  |  | EHDSPatient |
receiverEHDSHealthProfessional |  |  | EHDSHealthProfessional |
receiverEHDSRelatedPerson |  |  | EHDSRelatedPerson |
relatedRequest |  | 0..* | Identifier | Identifier of the prescription or prescription item the dispense is related to
medication |  | 1..1 | EHDSMedication | Exact dispensed product
dispensedQuantity |  | 1..1 | Quantity | Number of dispensed packages if the pack size is known, or number of smaller items/units Binding Description (No ValueSet): (preferred): UCUM, EDQM Standard Terms
timeOfDispensation |  | 1..1 | dateTime | Date and time of dispensation
substitution |  | 0..1 | Base | Indicated whether substitution was made by the dispenser
substitutionOccurred |  | 1..1 | boolean | Indicated whether substitution was made by the dispenser
type |  | 0..1 | CodeableConcept | What kind of substitution was made by the dispenser
reason |  | 0..* | CodeableConcept | Reason why the substitution was made or why the expected substitution was not made.
dosageInstructions |  | 0..* | EHDSDosaging | Dosaging and administration instructions
comment |  | 0..* | string | Additional information or comments
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
EHDSMedicationDispense.dispensedQuantity | preferred |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSMedicationDispense |  | 0..* | EHDSDataSet | Elements defined in Ancestors:header, presentedForm Medication dispense model Instances of this logical model can be the target of a Reference
header |  | 1..* | Base | Common header for all patient-related data
subject |  | 1..1 | EHDSPatient | Subject
identifier |  | 0..* | Identifier | Business identifier for the object
authorship |  | 1..* | Base | Authorship
author[x] |  | 1..1 |  | Author
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganization |  |  | EHDSOrganization |
authorEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of authoring/issuing
lastUpdate |  | 0..1 | dateTime | Date and time of the last update to the resource
status |  | 1..1 | CodeableConcept | Status of the resource
statusReason[x] |  | 0..1 |  | Reason for the current status of the resource.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonString |  |  | string |
language |  | 0..1 | CodeableConcept | Language Binding Description (No ValueSet): (preferred): BCP 47
version |  | 0..1 | string | Version
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
dispenseLocation |  | 0..1 | EHDSLocation | Location of dispense
receiver[x] |  | 0..1 |  | Identification of the person who received the dispensed medication, especially when it was not the patient
receiverEHDSPatient |  |  | EHDSPatient |
receiverEHDSHealthProfessional |  |  | EHDSHealthProfessional |
receiverEHDSRelatedPerson |  |  | EHDSRelatedPerson |
relatedRequest |  | 0..* | Identifier | Identifier of the prescription or prescription item the dispense is related to
medication |  | 1..1 | EHDSMedication | Exact dispensed product
dispensedQuantity |  | 1..1 | Quantity | Number of dispensed packages if the pack size is known, or number of smaller items/units Binding Description (No ValueSet): (preferred): UCUM, EDQM Standard Terms
timeOfDispensation |  | 1..1 | dateTime | Date and time of dispensation
substitution |  | 0..1 | Base | Indicated whether substitution was made by the dispenser
substitutionOccurred |  | 1..1 | boolean | Indicated whether substitution was made by the dispenser
type |  | 0..1 | CodeableConcept | What kind of substitution was made by the dispenser
reason |  | 0..* | CodeableConcept | Reason why the substitution was made or why the expected substitution was not made.
dosageInstructions |  | 0..* | EHDSDosaging | Dosaging and administration instructions
comment |  | 0..* | string | Additional information or comments
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSMedicationDispense.header.language | preferred |
EHDSMedicationDispense.dispensedQuantity | preferred |

This structure is derived from EHDSDataSet

Summary

Mandatory: 0 element(4 nested mandatory elements)

Other representations of profile: CSV, Excel