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-D7-3 and changes regularly. See the Directory of published versions

## Logical Model: EHDSMedicationPrescription - Detailed Descriptions

Draft as of 2025-08-25

Definitions for the EHDSMedicationPrescription logical model.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. EHDSMedicationPrescription
Definition | Logical model for medication prescription. A prescription contains one or more prescription items. Base definition for all types defined in FHIR type system.
Short | Medication prescription modelBase for all types and resources
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSMedicationPrescription.header
Definition | Prescription header data elements
Short | Prescription header
Control | 1..1
Type | Base
4. EHDSMedicationPrescription.header.subject
Definition | Patient/subject information
Short | The person for whom the medication is prescribed/ordered. [Used for searching]
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
6. EHDSMedicationPrescription.header.identifier
Definition | Business identifier for the object
Short | Business identifier(s) for the prescription. [Used for searching]
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
8. EHDSMedicationPrescription.header.authorship
Definition | Resource authoring details
Short | Authorship
Control | 1..*
Type | Base
10. EHDSMedicationPrescription.header.authorship.author[x]
Definition | Author(s) by whom the resource was/were authored. Multiple authors could be provided.
Short | The prescriber, the person who made the prescription, and who takes the responsibility of the treatment. [Used for searching]
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. EHDSMedicationPrescription.header.authorship.datetime
Definition | Date and time of the issuing the document/resource by its author.
Short | Time of issuing (signing) the prescription by health care professional. [Used for searching]
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. EHDSMedicationPrescription.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. EHDSMedicationPrescription.header.status
Definition | Status of the resource
Short | Status of the prescription, this should not be status of treatment. For multi-item prescription, the status of prescription is often related to statuses of single lines. In case of single-item prescriptions, the status for line is usually the status of prescription. [Used for searching]
Control | 1..1
Type | CodeableConcept
18. EHDSMedicationPrescription.header.statusReason[x]
Definition | Reason for the current status of the resource.
Short | 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
Control | 0..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. EHDSMedicationPrescription.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. EHDSMedicationPrescription.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. EHDSMedicationPrescription.presentedForm
Definition | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Short | Entire prescription as issued. Various formats could be provided, PDF format is recommended.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment
26. EHDSMedicationPrescription.header.recorder
Definition | The recorder of the prescription/draft in the information system
Short | The recorder of the prescription/draft in the information system
Control | 0..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
28. EHDSMedicationPrescription.header.recordingDate
Definition | Time of authoring the prescription/draft in the information system
Short | Time of authoring the prescription/draft in the information system
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
30. EHDSMedicationPrescription.header.validFrom
Definition | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate. [Used for searching]
Short | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate. [Used for searching]
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
32. EHDSMedicationPrescription.header.validUntil
Definition | The validity period end date. The prescription is not dispensable after this date. [Used for searching]
Short | The validity period end date. The prescription is not dispensable after this date. [Used for searching]
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
34. EHDSMedicationPrescription.comment
Definition | Additional information or comments
Short | Additional information or comments
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
36. EHDSMedicationPrescription.prescriptionItem
Definition | Prescription line for one medication. In many countries, only one item is allowed. In case multiple medications are allowed, all lines need to be authored together.
Short | Prescription line for one medication. In many countries, only one item is allowed. In case multiple medications are allowed, all lines need to be authored together.
Control | 1..*
Type | Base
38. EHDSMedicationPrescription.prescriptionItem.identifier
Definition | Identifier for a single item on prescription, if exists. In case of single-item prescription, this identifier is typically the same as prescription identifier.
Short | Identifier for a single item on prescription, if exists. In case of single-item prescription, this identifier is typically the same as prescription identifier.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
40. EHDSMedicationPrescription.prescriptionItem.category
Definition | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
Short | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
Control | 0..*
Type | CodeableConcept
42. EHDSMedicationPrescription.prescriptionItem.medication
Definition | Prescribed product, branded, generic, virtual, extemporal, etc
Short | Prescribed product, branded, generic, virtual, extemporal, etc
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedication
44. EHDSMedicationPrescription.prescriptionItem.indication[x]
Definition | Reason for the prescription (typically diagnosis, or a procedure)
Short | Reason for the prescription (typically diagnosis, or a procedure)
Control | 0..*
Type | Choice of: CodeableConcept, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
46. EHDSMedicationPrescription.prescriptionItem.indicationText
Definition | Reason for the prescription in textual form. This might not be allowed by some implementations.
Short | Reason for the prescription in textual form. This might not be allowed by some implementations.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
48. EHDSMedicationPrescription.prescriptionItem.prescriptionIntent
Definition | Intent of the prescription - prophylaxis, treatment, anesthesia, etc
Short | Intent of the prescription - prophylaxis, treatment, anesthesia, etc
Control | 0..1
Type | CodeableConcept
50. EHDSMedicationPrescription.prescriptionItem.treatmentPeriod
Definition | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)
Short | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)
Control | 0..1
Type | Period
52. EHDSMedicationPrescription.prescriptionItem.quantityPrescribed
Definition | Overall quantity of prescribed product (e.g number of packages or number of tablets).
Short | Overall quantity of prescribed product (e.g number of packages or number of tablets).
Control | 0..1
Binding | UCUM, EDQM Standard Terms
Type | Quantity
54. EHDSMedicationPrescription.prescriptionItem.dosageInstructions
Definition | Dosaging and administration instructions
Short | Dosaging and administration instructions
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDosaging
56. EHDSMedicationPrescription.prescriptionItem.preparationInstructions
Definition | Additional instructions about preparation or dispense
Short | Additional instructions about preparation or dispense
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
58. EHDSMedicationPrescription.prescriptionItem.substitution
Definition | Whether and which type of substitution is allowed for this medication treatment item
Short | Whether and which type of substitution is allowed for this medication treatment item
Control | 0..1
Type | Base
60. EHDSMedicationPrescription.prescriptionItem.substitution.allowed[x]
Definition | Whether and to what extent substitution is allowed.
Short | Whether and to what extent substitution is allowed.
Control | 0..1
Type | Choice of: boolean, CodeableConcept
[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
62. EHDSMedicationPrescription.prescriptionItem.substitution.reason[x]
Definition | Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
Short | Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
Control | 0..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
64. EHDSMedicationPrescription.prescriptionItem.status
Definition | 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.
Short | 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.
Control | 1..1
Type | CodeableConcept
66. EHDSMedicationPrescription.prescriptionItem.statusReason[x]
Definition | 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
Short | 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
Control | 0..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
68. EHDSMedicationPrescription.prescriptionItem.repeatsAllowed
Definition | How many times the prescription item can be dispensed in addition to the original dispense.
Short | Number of refills authorized
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
70. EHDSMedicationPrescription.prescriptionItem.minimumDispenseInterval
Definition | If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
Short | Minimum Dispense Interval
Control | 0..1
Type | Quantity
72. EHDSMedicationPrescription.prescriptionItem.offLabel
Definition | 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
Short | 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
Control | 0..1
Type | Base
74. EHDSMedicationPrescription.prescriptionItem.offLabel.isOffLabelUse
Definition | Indicates off-label use. Must be 'true' when .reason is provided.
Short | Indicates off-label use. Must be 'true' when .reason is provided.
Control | 1..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
76. EHDSMedicationPrescription.prescriptionItem.offLabel.reason[x]
Definition | Reason or related clarification for off-label use
Short | Reason or related clarification for off-label use
Control | 0..*
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
78. EHDSMedicationPrescription.prescriptionItem.comment
Definition | Additional information or comments
Short | Additional information or comments
Control | 0..*
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. EHDSMedicationPrescription
Definition | Logical model for medication prescription. A prescription contains one or more prescription items.
Short | Medication prescription model
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSMedicationPrescription.header
Definition | Prescription header data elements
Short | Prescription header
4. EHDSMedicationPrescription.header.subject
Short | The person for whom the medication is prescribed/ordered. [Used for searching]
6. EHDSMedicationPrescription.header.identifier
Short | Business identifier(s) for the prescription. [Used for searching]
Note | This is a business identifier, not a resource identifier (see discussion)
8. EHDSMedicationPrescription.header.authorship
10. EHDSMedicationPrescription.header.authorship.author[x]
Short | The prescriber, the person who made the prescription, and who takes the responsibility of the treatment. [Used for searching]
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
12. EHDSMedicationPrescription.header.authorship.datetime
Short | Time of issuing (signing) the prescription by health care professional. [Used for searching]
14. EHDSMedicationPrescription.header.status
Short | Status of the prescription, this should not be status of treatment. For multi-item prescription, the status of prescription is often related to statuses of single lines. In case of single-item prescriptions, the status for line is usually the status of prescription. [Used for searching]
16. EHDSMedicationPrescription.header.statusReason[x]
Short | 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
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
18. EHDSMedicationPrescription.header.recorder
Definition | The recorder of the prescription/draft in the information system
Short | The recorder of the prescription/draft in the information system
Control | 0..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
20. EHDSMedicationPrescription.header.recordingDate
Definition | Time of authoring the prescription/draft in the information system
Short | Time of authoring the prescription/draft in the information system
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
22. EHDSMedicationPrescription.header.validFrom
Definition | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate. [Used for searching]
Short | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate. [Used for searching]
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
24. EHDSMedicationPrescription.header.validUntil
Definition | The validity period end date. The prescription is not dispensable after this date. [Used for searching]
Short | The validity period end date. The prescription is not dispensable after this date. [Used for searching]
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
26. EHDSMedicationPrescription.presentedForm
Short | Entire prescription as issued. Various formats could be provided, PDF format is recommended.
28. EHDSMedicationPrescription.comment
Definition | Additional information or comments
Short | Additional information or comments
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
30. EHDSMedicationPrescription.prescriptionItem
Definition | Prescription line for one medication. In many countries, only one item is allowed. In case multiple medications are allowed, all lines need to be authored together.
Short | Prescription line for one medication. In many countries, only one item is allowed. In case multiple medications are allowed, all lines need to be authored together.
Control | 1..*
Type | Base
32. EHDSMedicationPrescription.prescriptionItem.identifier
Definition | Identifier for a single item on prescription, if exists. In case of single-item prescription, this identifier is typically the same as prescription identifier.
Short | Identifier for a single item on prescription, if exists. In case of single-item prescription, this identifier is typically the same as prescription identifier.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
34. EHDSMedicationPrescription.prescriptionItem.category
Definition | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
Short | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
Control | 0..*
Type | CodeableConcept
36. EHDSMedicationPrescription.prescriptionItem.medication
Definition | Prescribed product, branded, generic, virtual, extemporal, etc
Short | Prescribed product, branded, generic, virtual, extemporal, etc
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedication
38. EHDSMedicationPrescription.prescriptionItem.indication[x]
Definition | Reason for the prescription (typically diagnosis, or a procedure)
Short | Reason for the prescription (typically diagnosis, or a procedure)
Control | 0..*
Type | Choice of: CodeableConcept, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
40. EHDSMedicationPrescription.prescriptionItem.indicationText
Definition | Reason for the prescription in textual form. This might not be allowed by some implementations.
Short | Reason for the prescription in textual form. This might not be allowed by some implementations.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
42. EHDSMedicationPrescription.prescriptionItem.prescriptionIntent
Definition | Intent of the prescription - prophylaxis, treatment, anesthesia, etc
Short | Intent of the prescription - prophylaxis, treatment, anesthesia, etc
Control | 0..1
Type | CodeableConcept
44. EHDSMedicationPrescription.prescriptionItem.treatmentPeriod
Definition | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)
Short | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)
Control | 0..1
Type | Period
46. EHDSMedicationPrescription.prescriptionItem.quantityPrescribed
Definition | Overall quantity of prescribed product (e.g number of packages or number of tablets).
Short | Overall quantity of prescribed product (e.g number of packages or number of tablets).
Control | 0..1
Binding | UCUM, EDQM Standard Terms
Type | Quantity
48. EHDSMedicationPrescription.prescriptionItem.dosageInstructions
Definition | Dosaging and administration instructions
Short | Dosaging and administration instructions
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDosaging
50. EHDSMedicationPrescription.prescriptionItem.preparationInstructions
Definition | Additional instructions about preparation or dispense
Short | Additional instructions about preparation or dispense
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
52. EHDSMedicationPrescription.prescriptionItem.substitution
Definition | Whether and which type of substitution is allowed for this medication treatment item
Short | Whether and which type of substitution is allowed for this medication treatment item
Control | 0..1
Type | Base
54. EHDSMedicationPrescription.prescriptionItem.substitution.allowed[x]
Definition | Whether and to what extent substitution is allowed.
Short | Whether and to what extent substitution is allowed.
Control | 0..1
Type | Choice of: boolean, CodeableConcept
[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
56. EHDSMedicationPrescription.prescriptionItem.substitution.reason[x]
Definition | Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
Short | Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
Control | 0..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
58. EHDSMedicationPrescription.prescriptionItem.status
Definition | 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.
Short | 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.
Control | 1..1
Type | CodeableConcept
60. EHDSMedicationPrescription.prescriptionItem.statusReason[x]
Definition | 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
Short | 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
Control | 0..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
62. EHDSMedicationPrescription.prescriptionItem.repeatsAllowed
Definition | How many times the prescription item can be dispensed in addition to the original dispense.
Short | Number of refills authorized
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
64. EHDSMedicationPrescription.prescriptionItem.minimumDispenseInterval
Definition | If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
Short | Minimum Dispense Interval
Control | 0..1
Type | Quantity
66. EHDSMedicationPrescription.prescriptionItem.offLabel
Definition | 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
Short | 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
Control | 0..1
Type | Base
68. EHDSMedicationPrescription.prescriptionItem.offLabel.isOffLabelUse
Definition | Indicates off-label use. Must be 'true' when .reason is provided.
Short | Indicates off-label use. Must be 'true' when .reason is provided.
Control | 1..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
70. EHDSMedicationPrescription.prescriptionItem.offLabel.reason[x]
Definition | Reason or related clarification for off-label use
Short | Reason or related clarification for off-label use
Control | 0..*
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
72. EHDSMedicationPrescription.prescriptionItem.comment
Definition | Additional information or comments
Short | Additional information or comments
Control | 0..*
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. EHDSMedicationPrescription
Definition | Logical model for medication prescription. A prescription contains one or more prescription items.
Short | Medication prescription model
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSMedicationPrescription.header
Definition | Prescription header data elements
Short | Prescription header
Control | 1..1
Type | Base
4. EHDSMedicationPrescription.header.subject
Definition | Patient/subject information
Short | The person for whom the medication is prescribed/ordered. [Used for searching]
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
6. EHDSMedicationPrescription.header.identifier
Definition | Business identifier for the object
Short | Business identifier(s) for the prescription. [Used for searching]
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
8. EHDSMedicationPrescription.header.authorship
Definition | Resource authoring details
Short | Authorship
Control | 1..*
Type | Base
10. EHDSMedicationPrescription.header.authorship.author[x]
Definition | Author(s) by whom the resource was/were authored. Multiple authors could be provided.
Short | The prescriber, the person who made the prescription, and who takes the responsibility of the treatment. [Used for searching]
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. EHDSMedicationPrescription.header.authorship.datetime
Definition | Date and time of the issuing the document/resource by its author.
Short | Time of issuing (signing) the prescription by health care professional. [Used for searching]
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. EHDSMedicationPrescription.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. EHDSMedicationPrescription.header.status
Definition | Status of the resource
Short | Status of the prescription, this should not be status of treatment. For multi-item prescription, the status of prescription is often related to statuses of single lines. In case of single-item prescriptions, the status for line is usually the status of prescription. [Used for searching]
Control | 1..1
Type | CodeableConcept
18. EHDSMedicationPrescription.header.statusReason[x]
Definition | Reason for the current status of the resource.
Short | 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
Control | 0..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. EHDSMedicationPrescription.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. EHDSMedicationPrescription.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. EHDSMedicationPrescription.presentedForm
Definition | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Short | Entire prescription as issued. Various formats could be provided, PDF format is recommended.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment
26. EHDSMedicationPrescription.header.recorder
Definition | The recorder of the prescription/draft in the information system
Short | The recorder of the prescription/draft in the information system
Control | 0..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
28. EHDSMedicationPrescription.header.recordingDate
Definition | Time of authoring the prescription/draft in the information system
Short | Time of authoring the prescription/draft in the information system
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
30. EHDSMedicationPrescription.header.validFrom
Definition | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate. [Used for searching]
Short | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate. [Used for searching]
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
32. EHDSMedicationPrescription.header.validUntil
Definition | The validity period end date. The prescription is not dispensable after this date. [Used for searching]
Short | The validity period end date. The prescription is not dispensable after this date. [Used for searching]
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
34. EHDSMedicationPrescription.comment
Definition | Additional information or comments
Short | Additional information or comments
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
36. EHDSMedicationPrescription.prescriptionItem
Definition | Prescription line for one medication. In many countries, only one item is allowed. In case multiple medications are allowed, all lines need to be authored together.
Short | Prescription line for one medication. In many countries, only one item is allowed. In case multiple medications are allowed, all lines need to be authored together.
Control | 1..*
Type | Base
38. EHDSMedicationPrescription.prescriptionItem.identifier
Definition | Identifier for a single item on prescription, if exists. In case of single-item prescription, this identifier is typically the same as prescription identifier.
Short | Identifier for a single item on prescription, if exists. In case of single-item prescription, this identifier is typically the same as prescription identifier.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
40. EHDSMedicationPrescription.prescriptionItem.category
Definition | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
Short | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
Control | 0..*
Type | CodeableConcept
42. EHDSMedicationPrescription.prescriptionItem.medication
Definition | Prescribed product, branded, generic, virtual, extemporal, etc
Short | Prescribed product, branded, generic, virtual, extemporal, etc
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedication
44. EHDSMedicationPrescription.prescriptionItem.indication[x]
Definition | Reason for the prescription (typically diagnosis, or a procedure)
Short | Reason for the prescription (typically diagnosis, or a procedure)
Control | 0..*
Type | Choice of: CodeableConcept, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
46. EHDSMedicationPrescription.prescriptionItem.indicationText
Definition | Reason for the prescription in textual form. This might not be allowed by some implementations.
Short | Reason for the prescription in textual form. This might not be allowed by some implementations.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
48. EHDSMedicationPrescription.prescriptionItem.prescriptionIntent
Definition | Intent of the prescription - prophylaxis, treatment, anesthesia, etc
Short | Intent of the prescription - prophylaxis, treatment, anesthesia, etc
Control | 0..1
Type | CodeableConcept
50. EHDSMedicationPrescription.prescriptionItem.treatmentPeriod
Definition | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)
Short | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)
Control | 0..1
Type | Period
52. EHDSMedicationPrescription.prescriptionItem.quantityPrescribed
Definition | Overall quantity of prescribed product (e.g number of packages or number of tablets).
Short | Overall quantity of prescribed product (e.g number of packages or number of tablets).
Control | 0..1
Binding | UCUM, EDQM Standard Terms
Type | Quantity
54. EHDSMedicationPrescription.prescriptionItem.dosageInstructions
Definition | Dosaging and administration instructions
Short | Dosaging and administration instructions
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDosaging
56. EHDSMedicationPrescription.prescriptionItem.preparationInstructions
Definition | Additional instructions about preparation or dispense
Short | Additional instructions about preparation or dispense
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
58. EHDSMedicationPrescription.prescriptionItem.substitution
Definition | Whether and which type of substitution is allowed for this medication treatment item
Short | Whether and which type of substitution is allowed for this medication treatment item
Control | 0..1
Type | Base
60. EHDSMedicationPrescription.prescriptionItem.substitution.allowed[x]
Definition | Whether and to what extent substitution is allowed.
Short | Whether and to what extent substitution is allowed.
Control | 0..1
Type | Choice of: boolean, CodeableConcept
[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
62. EHDSMedicationPrescription.prescriptionItem.substitution.reason[x]
Definition | Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
Short | Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
Control | 0..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
64. EHDSMedicationPrescription.prescriptionItem.status
Definition | 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.
Short | 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.
Control | 1..1
Type | CodeableConcept
66. EHDSMedicationPrescription.prescriptionItem.statusReason[x]
Definition | 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
Short | 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
Control | 0..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
68. EHDSMedicationPrescription.prescriptionItem.repeatsAllowed
Definition | How many times the prescription item can be dispensed in addition to the original dispense.
Short | Number of refills authorized
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
70. EHDSMedicationPrescription.prescriptionItem.minimumDispenseInterval
Definition | If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
Short | Minimum Dispense Interval
Control | 0..1
Type | Quantity
72. EHDSMedicationPrescription.prescriptionItem.offLabel
Definition | 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
Short | 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
Control | 0..1
Type | Base
74. EHDSMedicationPrescription.prescriptionItem.offLabel.isOffLabelUse
Definition | Indicates off-label use. Must be 'true' when .reason is provided.
Short | Indicates off-label use. Must be 'true' when .reason is provided.
Control | 1..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
76. EHDSMedicationPrescription.prescriptionItem.offLabel.reason[x]
Definition | Reason or related clarification for off-label use
Short | Reason or related clarification for off-label use
Control | 0..*
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
78. EHDSMedicationPrescription.prescriptionItem.comment
Definition | Additional information or comments
Short | Additional information or comments
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension