Medication
1.1.0 - STU Belgium flag

Medication, published by HL7 Belgium. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/medication/tree/master and changes regularly. See the Directory of published versions

Logical Model: MedicationLine - Detailed Descriptions

Draft as of 2025-07-25

Definitions for the BeModelMedicationLine logical model.

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

0. BeModelMedicationLine
Definition

Logical data model for medication line.

ShortMedication Line (model)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. BeModelMedicationLine.identifier
Definition

A unique identifier for the medication line. This identifier alone may be the same for different versions of the medication line.

ShortUnique identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..*
TypeIdentifier
4. BeModelMedicationLine.recordedDate
Definition

Timestamp the medication line content was recorded or last updated.

ShortTimestamp the medication line content was recorded or last updated.
Comments

We consider this is redundant with the above, given the intended use in Belgium (version is a date). How to ensure the compatibility?

Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. BeModelMedicationLine.recorder
Definition

Recorder

ShortRecorder
Comments

We understand this will be updated as the line changes

Control1..1
TypeReference(BePractitioner)
8. BeModelMedicationLine.patient
Definition

Patient

ShortPatient
Control1..1
TypeReference(BePatient)
10. BeModelMedicationLine.status
Definition

Status of the line entry

ShortStatus of the line entry
Control1..1
Binding

Draft, Recorded, or Entered in Error

Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. BeModelMedicationLine.adherence
Definition

Whether the patient is known to be taking the medication

ShortWhether the patient is known to be taking the medication
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. BeModelMedicationLine.adherence.id
Definition

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

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
16. BeModelMedicationLine.adherence.extension
Definition

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.

ShortAdditional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on BeModelMedicationLine.adherence.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 18. BeModelMedicationLine.adherence.modifierExtension
    Definition

    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).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    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.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    20. BeModelMedicationLine.adherence.status
    Definition

    The status - taking, not taking,...

    ShortThe status - taking, not taking,...
    Control1..1
    BindingThe codes SHALL be taken from BeExtAdherenceStatus
    (required to https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/BeMedicationLineAdherenceStatusVS)
    TypeCodeableConcept
    22. BeModelMedicationLine.adherence.adherenceStatusReason
    Definition

    Reason for the adherence status

    ShortReason for the adherence status
    Comments

    The value set provided is an indicative example

    Control0..1
    BindingFor example codes, see Adherence Status Reason ValueSet
    (example to https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/BeMedicationLineAdherenceStatusReasonVS)
    TypeCodeableConcept
    24. BeModelMedicationLine.medication
    Definition

    The product or substance

    ShortThe product or substance
    Control1..1
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. BeModelMedicationLine.medication.id
    Definition

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

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    28. BeModelMedicationLine.medication.extension
    Definition

    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.

    ShortAdditional content defined by implementations
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on BeModelMedicationLine.medication.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 30. BeModelMedicationLine.medication.modifierExtension
      Definition

      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).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      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.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      32. BeModelMedicationLine.medication.product
      Definition

      Product reference, identifier or name

      ShortProduct reference, identifier or name
      Control1..1
      TypeReference(Medication (model))
      34. BeModelMedicationLine.medication.type
      Definition

      Type of medication - magistral, medicinal product, non-medicinal product

      ShortType of medication - magistral, medicinal product, non-medicinal product
      Control1..1
      BindingThe codes SHALL be taken from Medication preparation Type value set
      (required to https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/BeMedicationTypeVS)
      TypeCodeableConcept
      36. BeModelMedicationLine.reason
      Definition

      Reason for the medication treatment

      ShortReason for the medication treatment
      Control0..*
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. BeModelMedicationLine.reason.id
      Definition

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

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      40. BeModelMedicationLine.reason.extension
      Definition

      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.

      ShortAdditional content defined by implementations
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on BeModelMedicationLine.reason.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 42. BeModelMedicationLine.reason.modifierExtension
        Definition

        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).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        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.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        44. BeModelMedicationLine.reason.reference
        Definition

        Reference to existing condition or reason

        ShortReference to existing condition or reason
        Control0..1
        TypeReference
        46. BeModelMedicationLine.reason.code
        Definition

        Code of the condition, or free text

        ShortCode of the condition, or free text
        Control0..1
        TypeCodeableConcept
        48. BeModelMedicationLine.effectivePeriod
        Definition

        Period of medication treatment

        ShortPeriod of medication treatment
        Control1..1
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        50. BeModelMedicationLine.effectivePeriod.id
        Definition

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

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        52. BeModelMedicationLine.effectivePeriod.extension
        Definition

        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.

        ShortAdditional content defined by implementations
        Comments

        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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on BeModelMedicationLine.effectivePeriod.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 54. BeModelMedicationLine.effectivePeriod.modifierExtension
          Definition

          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).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          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.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          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.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          56. BeModelMedicationLine.effectivePeriod.start
          Definition

          The begin of the medication line

          ShortThe begin of the medication line
          Control1..1
          TypedateTime
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          58. BeModelMedicationLine.effectivePeriod.end
          Definition

          The end of the medication line

          ShortThe end of the medication line
          Control0..1
          TypedateTime
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          60. BeModelMedicationLine.dosage
          Definition

          Structured Dosage

          ShortStructured Dosage
          Control0..*
          Typehttps://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeModelDosagingInformation
          62. BeModelMedicationLine.offLabel
          Definition

          Reason for Off-label use or dosage override

          ShortReason for Off-label use or dosage override
          Comments

          isOffLabelUse and reason are expected to be manually filled by the prescriber, indicating that this dosage is not entered in error. This information is an indication (for example) for the pharmacist to see that there is a justification of the dosage difference.

          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          64. BeModelMedicationLine.exposure
          Definition

          Therapeutic, Prophylactic

          ShortTherapeutic, Prophylactic
          Control0..1
          BindingThe codes SHALL be taken from Medication exposure intent
          (required to https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/BeMedicationExposureIntentVS)
          TypeCodeableConcept
          66. BeModelMedicationLine.originType
          Definition

          The origin of the line - hospital, ambulatory

          ShortThe origin of the line - hospital, ambulatory
          Control0..1
          BindingThe codes SHALL be taken from Medication origin type value set
          (required to https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/BeMedicationLineOriginTypeVS)
          TypeCodeableConcept
          68. BeModelMedicationLine.note
          Definition

          A note captured by a professional

          ShortA note captured by a professional
          Control0..*
          TypeAnnotation

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

          0. BeModelMedicationLine
          Definition

          Logical data model for medication line.

          ShortMedication Line (model)
          Logical ModelInstances of this logical model are not marked to be the target of a Reference
          2. BeModelMedicationLine.identifier
          Definition

          A unique identifier for the medication line. This identifier alone may be the same for different versions of the medication line.

          ShortUnique identifier
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control1..*
          TypeIdentifier
          4. BeModelMedicationLine.recordedDate
          Definition

          Timestamp the medication line content was recorded or last updated.

          ShortTimestamp the medication line content was recorded or last updated.
          Comments

          We consider this is redundant with the above, given the intended use in Belgium (version is a date). How to ensure the compatibility?

          Control1..1
          TypedateTime
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          6. BeModelMedicationLine.recorder
          Definition

          Recorder

          ShortRecorder
          Comments

          We understand this will be updated as the line changes

          Control1..1
          TypeReference(BePractitioner)
          8. BeModelMedicationLine.patient
          Definition

          Patient

          ShortPatient
          Control1..1
          TypeReference(BePatient)
          10. BeModelMedicationLine.status
          Definition

          Status of the line entry

          ShortStatus of the line entry
          Control1..1
          Binding

          Draft, Recorded, or Entered in Error

          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          12. BeModelMedicationLine.adherence
          Definition

          Whether the patient is known to be taking the medication

          ShortWhether the patient is known to be taking the medication
          Control0..1
          TypeBackboneElement
          14. BeModelMedicationLine.adherence.status
          Definition

          The status - taking, not taking,...

          ShortThe status - taking, not taking,...
          Control1..1
          BindingThe codes SHALL be taken from BeExtAdherenceStatus
          (required to https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/BeMedicationLineAdherenceStatusVS)
          TypeCodeableConcept
          16. BeModelMedicationLine.adherence.adherenceStatusReason
          Definition

          Reason for the adherence status

          ShortReason for the adherence status
          Comments

          The value set provided is an indicative example

          Control0..1
          BindingFor example codes, see Adherence Status Reason ValueSet
          (example to https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/BeMedicationLineAdherenceStatusReasonVS)
          TypeCodeableConcept
          18. BeModelMedicationLine.medication
          Definition

          The product or substance

          ShortThe product or substance
          Control1..1
          TypeBackboneElement
          20. BeModelMedicationLine.medication.product
          Definition

          Product reference, identifier or name

          ShortProduct reference, identifier or name
          Control1..1
          TypeReference(Medication (model))
          22. BeModelMedicationLine.medication.type
          Definition

          Type of medication - magistral, medicinal product, non-medicinal product

          ShortType of medication - magistral, medicinal product, non-medicinal product
          Control1..1
          BindingThe codes SHALL be taken from Medication preparation Type value set
          (required to https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/BeMedicationTypeVS)
          TypeCodeableConcept
          24. BeModelMedicationLine.reason
          Definition

          Reason for the medication treatment

          ShortReason for the medication treatment
          Control0..*
          TypeBackboneElement
          26. BeModelMedicationLine.reason.reference
          Definition

          Reference to existing condition or reason

          ShortReference to existing condition or reason
          Control0..1
          TypeReference
          28. BeModelMedicationLine.reason.code
          Definition

          Code of the condition, or free text

          ShortCode of the condition, or free text
          Control0..1
          TypeCodeableConcept
          30. BeModelMedicationLine.effectivePeriod
          Definition

          Period of medication treatment

          ShortPeriod of medication treatment
          Control1..1
          TypeBackboneElement
          32. BeModelMedicationLine.effectivePeriod.start
          Definition

          The begin of the medication line

          ShortThe begin of the medication line
          Control1..1
          TypedateTime
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          34. BeModelMedicationLine.effectivePeriod.end
          Definition

          The end of the medication line

          ShortThe end of the medication line
          Control0..1
          TypedateTime
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          36. BeModelMedicationLine.dosage
          Definition

          Structured Dosage

          ShortStructured Dosage
          Control0..*
          Typehttps://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeModelDosagingInformation
          38. BeModelMedicationLine.offLabel
          Definition

          Reason for Off-label use or dosage override

          ShortReason for Off-label use or dosage override
          Comments

          isOffLabelUse and reason are expected to be manually filled by the prescriber, indicating that this dosage is not entered in error. This information is an indication (for example) for the pharmacist to see that there is a justification of the dosage difference.

          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          40. BeModelMedicationLine.exposure
          Definition

          Therapeutic, Prophylactic

          ShortTherapeutic, Prophylactic
          Control0..1
          BindingThe codes SHALL be taken from Medication exposure intent
          (required to https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/BeMedicationExposureIntentVS)
          TypeCodeableConcept
          42. BeModelMedicationLine.originType
          Definition

          The origin of the line - hospital, ambulatory

          ShortThe origin of the line - hospital, ambulatory
          Control0..1
          BindingThe codes SHALL be taken from Medication origin type value set
          (required to https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/BeMedicationLineOriginTypeVS)
          TypeCodeableConcept
          44. BeModelMedicationLine.note
          Definition

          A note captured by a professional

          ShortA note captured by a professional
          Control0..*
          TypeAnnotation

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

          0. BeModelMedicationLine
          Definition

          Logical data model for medication line.

          ShortMedication Line (model)
          Control0..*
          Is Modifierfalse
          Logical ModelInstances of this logical model are not marked to be the target of a Reference
          2. BeModelMedicationLine.identifier
          Definition

          A unique identifier for the medication line. This identifier alone may be the same for different versions of the medication line.

          ShortUnique identifier
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control1..*
          TypeIdentifier
          4. BeModelMedicationLine.recordedDate
          Definition

          Timestamp the medication line content was recorded or last updated.

          ShortTimestamp the medication line content was recorded or last updated.
          Comments

          We consider this is redundant with the above, given the intended use in Belgium (version is a date). How to ensure the compatibility?

          Control1..1
          TypedateTime
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          6. BeModelMedicationLine.recorder
          Definition

          Recorder

          ShortRecorder
          Comments

          We understand this will be updated as the line changes

          Control1..1
          TypeReference(BePractitioner)
          8. BeModelMedicationLine.patient
          Definition

          Patient

          ShortPatient
          Control1..1
          TypeReference(BePatient)
          10. BeModelMedicationLine.status
          Definition

          Status of the line entry

          ShortStatus of the line entry
          Control1..1
          Binding

          Draft, Recorded, or Entered in Error

          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          12. BeModelMedicationLine.adherence
          Definition

          Whether the patient is known to be taking the medication

          ShortWhether the patient is known to be taking the medication
          Control0..1
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          14. BeModelMedicationLine.adherence.id
          Definition

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

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          16. BeModelMedicationLine.adherence.extension
          Definition

          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.

          ShortAdditional content defined by implementations
          Comments

          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.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on BeModelMedicationLine.adherence.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 18. BeModelMedicationLine.adherence.modifierExtension
            Definition

            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).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            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.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            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.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            20. BeModelMedicationLine.adherence.status
            Definition

            The status - taking, not taking,...

            ShortThe status - taking, not taking,...
            Control1..1
            BindingThe codes SHALL be taken from BeExtAdherenceStatus
            (required to https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/BeMedicationLineAdherenceStatusVS)
            TypeCodeableConcept
            22. BeModelMedicationLine.adherence.adherenceStatusReason
            Definition

            Reason for the adherence status

            ShortReason for the adherence status
            Comments

            The value set provided is an indicative example

            Control0..1
            BindingFor example codes, see Adherence Status Reason ValueSet
            (example to https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/BeMedicationLineAdherenceStatusReasonVS)
            TypeCodeableConcept
            24. BeModelMedicationLine.medication
            Definition

            The product or substance

            ShortThe product or substance
            Control1..1
            TypeBackboneElement
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. BeModelMedicationLine.medication.id
            Definition

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

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            28. BeModelMedicationLine.medication.extension
            Definition

            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.

            ShortAdditional content defined by implementations
            Comments

            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.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on BeModelMedicationLine.medication.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 30. BeModelMedicationLine.medication.modifierExtension
              Definition

              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).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              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.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              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.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              32. BeModelMedicationLine.medication.product
              Definition

              Product reference, identifier or name

              ShortProduct reference, identifier or name
              Control1..1
              TypeReference(Medication (model))
              34. BeModelMedicationLine.medication.type
              Definition

              Type of medication - magistral, medicinal product, non-medicinal product

              ShortType of medication - magistral, medicinal product, non-medicinal product
              Control1..1
              BindingThe codes SHALL be taken from Medication preparation Type value set
              (required to https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/BeMedicationTypeVS)
              TypeCodeableConcept
              36. BeModelMedicationLine.reason
              Definition

              Reason for the medication treatment

              ShortReason for the medication treatment
              Control0..*
              TypeBackboneElement
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              38. BeModelMedicationLine.reason.id
              Definition

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

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              40. BeModelMedicationLine.reason.extension
              Definition

              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.

              ShortAdditional content defined by implementations
              Comments

              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.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on BeModelMedicationLine.reason.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 42. BeModelMedicationLine.reason.modifierExtension
                Definition

                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).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                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.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                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.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                44. BeModelMedicationLine.reason.reference
                Definition

                Reference to existing condition or reason

                ShortReference to existing condition or reason
                Control0..1
                TypeReference
                46. BeModelMedicationLine.reason.code
                Definition

                Code of the condition, or free text

                ShortCode of the condition, or free text
                Control0..1
                TypeCodeableConcept
                48. BeModelMedicationLine.effectivePeriod
                Definition

                Period of medication treatment

                ShortPeriod of medication treatment
                Control1..1
                TypeBackboneElement
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                50. BeModelMedicationLine.effectivePeriod.id
                Definition

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

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                52. BeModelMedicationLine.effectivePeriod.extension
                Definition

                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.

                ShortAdditional content defined by implementations
                Comments

                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.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on BeModelMedicationLine.effectivePeriod.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 54. BeModelMedicationLine.effectivePeriod.modifierExtension
                  Definition

                  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).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  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.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  56. BeModelMedicationLine.effectivePeriod.start
                  Definition

                  The begin of the medication line

                  ShortThe begin of the medication line
                  Control1..1
                  TypedateTime
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  58. BeModelMedicationLine.effectivePeriod.end
                  Definition

                  The end of the medication line

                  ShortThe end of the medication line
                  Control0..1
                  TypedateTime
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  60. BeModelMedicationLine.dosage
                  Definition

                  Structured Dosage

                  ShortStructured Dosage
                  Control0..*
                  Typehttps://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeModelDosagingInformation
                  62. BeModelMedicationLine.offLabel
                  Definition

                  Reason for Off-label use or dosage override

                  ShortReason for Off-label use or dosage override
                  Comments

                  isOffLabelUse and reason are expected to be manually filled by the prescriber, indicating that this dosage is not entered in error. This information is an indication (for example) for the pharmacist to see that there is a justification of the dosage difference.

                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  64. BeModelMedicationLine.exposure
                  Definition

                  Therapeutic, Prophylactic

                  ShortTherapeutic, Prophylactic
                  Control0..1
                  BindingThe codes SHALL be taken from Medication exposure intent
                  (required to https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/BeMedicationExposureIntentVS)
                  TypeCodeableConcept
                  66. BeModelMedicationLine.originType
                  Definition

                  The origin of the line - hospital, ambulatory

                  ShortThe origin of the line - hospital, ambulatory
                  Control0..1
                  BindingThe codes SHALL be taken from Medication origin type value set
                  (required to https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/BeMedicationLineOriginTypeVS)
                  TypeCodeableConcept
                  68. BeModelMedicationLine.note
                  Definition

                  A note captured by a professional

                  ShortA note captured by a professional
                  Control0..*
                  TypeAnnotation