v.1.0.0: Medication prescription model - EHDS Logical Information Models v1.0.0


IDMinMaxType(s)Förslag svensk termDefinitionFörslag svensk beskrivningRequirementsBinding DescriptionBinding Value SetNationellt kodsystemRIM-mappningKommentarer
EHDSMedicationPrescription0*

Logical model for medication prescription. A prescription contains one or more prescription items (medications).



n/a

EHDSMedicationPrescription.header11Base

 Prescription header     n/a Se separat (synk med alla arbetsgrupper)
EHDSMedicationPrescription.presentedForm0*http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment
Entire prescription as issued. Various formats could be provided, PDF format is recommended.



n/a

EHDSMedicationPrescription.prescriptionItem1*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.



n/a

EHDSMedicationPrescription.prescriptionItem.identifier1*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]



n/a

EHDSMedicationPrescription.prescriptionItem.status11CodeableConcept
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]






EHDSMedicationPrescription.prescriptionItem.statusReason[x]01CodeableConcept
string
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






EHDSMedicationPrescription.prescriptionItem.medication11

http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedication




Prescribed product, branded, generic, virtual, extemporal, etc



n/a
Se arbetsgrupp IDMP
EHDSMedicationPrescription.prescriptionItem.indication[x]0*CodeableConcept
string
Reason for the prescription (typically diagnosis, or a procedure)

ICD-10, SNOMED CT, Orphacode


Se arbetsgrupp

vårdförmedling / väntetider / diagnoser / åtgärder

EHDSMedicationPrescription.prescriptionItem.intendedUseType01CodeableConcept
Intent of the prescription - prophylaxis, treatment, anesthesia, etc






EHDSMedicationPrescription.prescriptionItem.periodOfUse01Period
Period over which the medication is to be taken (in case of multiple dosage schemes, this would be the overall period of all dosages.)






EHDSMedicationPrescription.prescriptionItem.quantityPrescribed01Quantity
Overall quantity of prescribed product (e.g number of packages or number of tablets).

UCUM, EDQM Standard Terms



EHDSMedicationPrescription.prescriptionItem.dosageInstructions11

http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDosage




Dosage and administration instructions





Se separat: 

EHDSDosage - Arbetsgrupper för interoperabilitet - Confluence

EHDSMedicationPrescription.prescriptionItem.validityPeriod01Period
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.






EHDSMedicationPrescription.prescriptionItem.substitution01Base
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.






EHDSMedicationPrescription.prescriptionItem.substitution.allowed[x]01boolean
CodeableConcept
Whether and to what extent substitution is allowed.






EHDSMedicationPrescription.prescriptionItem.substitution.reason[x]01CodeableConcept
string
Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)






EHDSMedicationPrescription.prescriptionItem.numberOfRepeats01integer
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).



n/a

EHDSMedicationPrescription.prescriptionItem.minimumDispenseInterval01Quantity
Minimum dispense interval. If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.






EHDSMedicationPrescription.prescriptionItem.offLabel01Base
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






EHDSMedicationPrescription.prescriptionItem.offLabel.isOffLabelUse11boolean
Indicates off-label use. Must be 'true' when .reason is provided.



n/a

EHDSMedicationPrescription.prescriptionItem.offLabel.reason[x]0*CodeableConcept
string
Reason or related clarification for off-label use






EHDSMedicationPrescription.prescriptionItem.note01string
Additional information or comments, e.g. message to the dispenser



n/a