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 and changes regularly. See the Directory of published versions

Logical Model: Medication prescription - Data Model

Official URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-model-medicationprescription Version: 1.1.0
Draft as of 2024-10-22 Computable Name: BeModelMedicationPrescription

Logical model for medication prescription (or some other form of order)

Relationship with other elements:

The Medication Prescription relates to the other data structures in the following way:

Medication Product  Medication Line  Prescription Line  Dispense          

Usage:

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

Formal Views of Profile Content

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

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. be-model-medicationprescription 0..* Base Medication prescription - Data Model
Instances of this logical model are not marked to be the target of a Reference
... identifier 1..* II Business identifier(s) for the prescription
... basedOnMedicationLine 0..1 Reference(Medication Line - logical model) Link to the Medication Line from which this request is based
... patient 1..1 Reference() The person for whom the medication is prescribed/ordered
... medication 1..1 Reference(Medication - logical model) Prescribed product, branded, generic, virtual, extemporaneous, etc
... prescriber 1..1 Reference(Practitioner | PractitionerRole) The person who made the prescription, and who takes the responsibility of the treatment
... organization 0..1 Reference(BeOrganization) The organization from which the prescriber issues the prescription.
... indication 0..* Class Reason for the prescription (typically diagnosis, or a procedure)
.... reference 0..* CD Reason for the prescription (typically diagnosis, or a procedure)
.... code 0..* CD Reason for the prescription (typically diagnosis, or a procedure)
.... text 0..1 ST Reason for the prescription in textual form. This might not be allowed by some implementations.
... dosage 1..* DosagingInformation Dosaging and administration instructions
... dosageOverride 0..1 BL Indication if standard dosage is overriden
... dosageOverrideReason 0..1 CD Reason why standard dosage is overriden
... validFrom 0..1 DT Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
... validUntil 0..1 DT The validity period end date. The prescription is not dispensable after this date.
... category 0..* CD Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
... note 0..* ST Additional information or comments
... dispenseRequest 0..1 Class Dispense Request or authorization for the prescribed medication
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... quantityPerDispense 0..1 SimpleQuantity Amount of medication to supply per dispense
... instructionsForReimbursement 0..1 CD Instructions for reimbursement
Binding: MedicationRequestReimbursementTypeVS (extensible): Instructions for reimbursement

... groupIdentifier 0..1 II Identifier for the group that this prescription belongs to. This might be the common identifier in use cases where one national prescription contains several medication items, which can be handled as separate orders
... recordingDate 0..1 DT Time of authoring the prescription/draft in the information system
... issueDate 1..1 DT Time of issuing (signing) the prescription by health care practicioner
... recorder 0..1 Reference(Practitioner | PractitionerRole) The recorder of the prescription/draft in the information system
... noSubstitution 0..1 BackboneElement Substitution is not allowed for a given reason
.... noSubstitutionFlag 1..1 BL Substitution of the product is not allowed.
.... noSubstitutionReason 0..1 CD Coded reason for the no-substitution requirement
.... noSubstitutionReasonText 0..1 ST Textual reason for the no-substitution requirement
... allowedSubstitutionType 0..* CD Specific type of substitution that is allowed. Can be an explicit relaxation to normal jurisdictional substitution rules, especially in hospital context.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
be-model-medicationprescription.instructionsForReimbursementextensible​MedicationRequestReimbursementTypeVS
MedicationRequestReimbursementTypeVS
NameFlagsCard.TypeDescription & Constraintsdoco
.. be-model-medicationprescription 0..* Base Medication prescription - Data Model
Instances of this logical model are not marked to be the target of a Reference
... identifier 1..* II Business identifier(s) for the prescription
... basedOnMedicationLine 0..1 Reference(Medication Line - logical model) Link to the Medication Line from which this request is based
... patient 1..1 Reference() The person for whom the medication is prescribed/ordered
... medication 1..1 Reference(Medication - logical model) Prescribed product, branded, generic, virtual, extemporaneous, etc
... prescriber 1..1 Reference(Practitioner | PractitionerRole) The person who made the prescription, and who takes the responsibility of the treatment
... organization 0..1 Reference(BeOrganization) The organization from which the prescriber issues the prescription.
... indication 0..* Class Reason for the prescription (typically diagnosis, or a procedure)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... reference 0..* CD Reason for the prescription (typically diagnosis, or a procedure)
.... code 0..* CD Reason for the prescription (typically diagnosis, or a procedure)
.... text 0..1 ST Reason for the prescription in textual form. This might not be allowed by some implementations.
... dosage 1..* DosagingInformation Dosaging and administration instructions
... dosageOverride 0..1 BL Indication if standard dosage is overriden
... dosageOverrideReason 0..1 CD Reason why standard dosage is overriden
... validFrom 0..1 DT Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
... validUntil 0..1 DT The validity period end date. The prescription is not dispensable after this date.
... category 0..* CD Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
... note 0..* ST Additional information or comments
... dispenseRequest 0..1 Class Dispense Request or authorization for the prescribed medication
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... quantityPerDispense 0..1 SimpleQuantity Amount of medication to supply per dispense
... instructionsForReimbursement 0..1 CD Instructions for reimbursement
Binding: MedicationRequestReimbursementTypeVS (extensible): Instructions for reimbursement

... groupIdentifier 0..1 II Identifier for the group that this prescription belongs to. This might be the common identifier in use cases where one national prescription contains several medication items, which can be handled as separate orders
... recordingDate 0..1 DT Time of authoring the prescription/draft in the information system
... issueDate 1..1 DT Time of issuing (signing) the prescription by health care practicioner
... recorder 0..1 Reference(Practitioner | PractitionerRole) The recorder of the prescription/draft in the information system
... noSubstitution 0..1 BackboneElement Substitution is not allowed for a given reason
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... noSubstitutionFlag 1..1 BL Substitution of the product is not allowed.
.... noSubstitutionReason 0..1 CD Coded reason for the no-substitution requirement
.... noSubstitutionReasonText 0..1 ST Textual reason for the no-substitution requirement
... allowedSubstitutionType 0..* CD Specific type of substitution that is allowed. Can be an explicit relaxation to normal jurisdictional substitution rules, especially in hospital context.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
be-model-medicationprescription.instructionsForReimbursementextensible​MedicationRequestReimbursementTypeVS
MedicationRequestReimbursementTypeVS

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. be-model-medicationprescription 0..* Base Medication prescription - Data Model
Instances of this logical model are not marked to be the target of a Reference
... identifier 1..* II Business identifier(s) for the prescription
... basedOnMedicationLine 0..1 Reference(Medication Line - logical model) Link to the Medication Line from which this request is based
... patient 1..1 Reference() The person for whom the medication is prescribed/ordered
... medication 1..1 Reference(Medication - logical model) Prescribed product, branded, generic, virtual, extemporaneous, etc
... prescriber 1..1 Reference(Practitioner | PractitionerRole) The person who made the prescription, and who takes the responsibility of the treatment
... organization 0..1 Reference(BeOrganization) The organization from which the prescriber issues the prescription.
... indication 0..* Class Reason for the prescription (typically diagnosis, or a procedure)
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... reference 0..* CD Reason for the prescription (typically diagnosis, or a procedure)
.... code 0..* CD Reason for the prescription (typically diagnosis, or a procedure)
.... text 0..1 ST Reason for the prescription in textual form. This might not be allowed by some implementations.
... dosage 1..* DosagingInformation Dosaging and administration instructions
... dosageOverride 0..1 BL Indication if standard dosage is overriden
... dosageOverrideReason 0..1 CD Reason why standard dosage is overriden
... validFrom 0..1 DT Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
... validUntil 0..1 DT The validity period end date. The prescription is not dispensable after this date.
... category 0..* CD Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
... note 0..* ST Additional information or comments
... dispenseRequest 0..1 Class Dispense Request or authorization for the prescribed medication
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... quantityPerDispense 0..1 SimpleQuantity Amount of medication to supply per dispense
... instructionsForReimbursement 0..1 CD Instructions for reimbursement
Binding: MedicationRequestReimbursementTypeVS (extensible): Instructions for reimbursement

... groupIdentifier 0..1 II Identifier for the group that this prescription belongs to. This might be the common identifier in use cases where one national prescription contains several medication items, which can be handled as separate orders
... recordingDate 0..1 DT Time of authoring the prescription/draft in the information system
... issueDate 1..1 DT Time of issuing (signing) the prescription by health care practicioner
... recorder 0..1 Reference(Practitioner | PractitionerRole) The recorder of the prescription/draft in the information system
... noSubstitution 0..1 BackboneElement Substitution is not allowed for a given reason
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... noSubstitutionFlag 1..1 BL Substitution of the product is not allowed.
.... noSubstitutionReason 0..1 CD Coded reason for the no-substitution requirement
.... noSubstitutionReasonText 0..1 ST Textual reason for the no-substitution requirement
... allowedSubstitutionType 0..* CD Specific type of substitution that is allowed. Can be an explicit relaxation to normal jurisdictional substitution rules, especially in hospital context.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
be-model-medicationprescription.instructionsForReimbursementextensible​MedicationRequestReimbursementTypeVS
MedicationRequestReimbursementTypeVS

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. be-model-medicationprescription 0..* Base Medication prescription - Data Model
Instances of this logical model are not marked to be the target of a Reference
... identifier 1..* II Business identifier(s) for the prescription
... basedOnMedicationLine 0..1 Reference(Medication Line - logical model) Link to the Medication Line from which this request is based
... patient 1..1 Reference() The person for whom the medication is prescribed/ordered
... medication 1..1 Reference(Medication - logical model) Prescribed product, branded, generic, virtual, extemporaneous, etc
... prescriber 1..1 Reference(Practitioner | PractitionerRole) The person who made the prescription, and who takes the responsibility of the treatment
... organization 0..1 Reference(BeOrganization) The organization from which the prescriber issues the prescription.
... indication 0..* Class Reason for the prescription (typically diagnosis, or a procedure)
.... reference 0..* CD Reason for the prescription (typically diagnosis, or a procedure)
.... code 0..* CD Reason for the prescription (typically diagnosis, or a procedure)
.... text 0..1 ST Reason for the prescription in textual form. This might not be allowed by some implementations.
... dosage 1..* DosagingInformation Dosaging and administration instructions
... dosageOverride 0..1 BL Indication if standard dosage is overriden
... dosageOverrideReason 0..1 CD Reason why standard dosage is overriden
... validFrom 0..1 DT Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
... validUntil 0..1 DT The validity period end date. The prescription is not dispensable after this date.
... category 0..* CD Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
... note 0..* ST Additional information or comments
... dispenseRequest 0..1 Class Dispense Request or authorization for the prescribed medication
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... quantityPerDispense 0..1 SimpleQuantity Amount of medication to supply per dispense
... instructionsForReimbursement 0..1 CD Instructions for reimbursement
Binding: MedicationRequestReimbursementTypeVS (extensible): Instructions for reimbursement

... groupIdentifier 0..1 II Identifier for the group that this prescription belongs to. This might be the common identifier in use cases where one national prescription contains several medication items, which can be handled as separate orders
... recordingDate 0..1 DT Time of authoring the prescription/draft in the information system
... issueDate 1..1 DT Time of issuing (signing) the prescription by health care practicioner
... recorder 0..1 Reference(Practitioner | PractitionerRole) The recorder of the prescription/draft in the information system
... noSubstitution 0..1 BackboneElement Substitution is not allowed for a given reason
.... noSubstitutionFlag 1..1 BL Substitution of the product is not allowed.
.... noSubstitutionReason 0..1 CD Coded reason for the no-substitution requirement
.... noSubstitutionReasonText 0..1 ST Textual reason for the no-substitution requirement
... allowedSubstitutionType 0..* CD Specific type of substitution that is allowed. Can be an explicit relaxation to normal jurisdictional substitution rules, especially in hospital context.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
be-model-medicationprescription.instructionsForReimbursementextensible​MedicationRequestReimbursementTypeVS
MedicationRequestReimbursementTypeVS

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. be-model-medicationprescription 0..* Base Medication prescription - Data Model
Instances of this logical model are not marked to be the target of a Reference
... identifier 1..* II Business identifier(s) for the prescription
... basedOnMedicationLine 0..1 Reference(Medication Line - logical model) Link to the Medication Line from which this request is based
... patient 1..1 Reference() The person for whom the medication is prescribed/ordered
... medication 1..1 Reference(Medication - logical model) Prescribed product, branded, generic, virtual, extemporaneous, etc
... prescriber 1..1 Reference(Practitioner | PractitionerRole) The person who made the prescription, and who takes the responsibility of the treatment
... organization 0..1 Reference(BeOrganization) The organization from which the prescriber issues the prescription.
... indication 0..* Class Reason for the prescription (typically diagnosis, or a procedure)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... reference 0..* CD Reason for the prescription (typically diagnosis, or a procedure)
.... code 0..* CD Reason for the prescription (typically diagnosis, or a procedure)
.... text 0..1 ST Reason for the prescription in textual form. This might not be allowed by some implementations.
... dosage 1..* DosagingInformation Dosaging and administration instructions
... dosageOverride 0..1 BL Indication if standard dosage is overriden
... dosageOverrideReason 0..1 CD Reason why standard dosage is overriden
... validFrom 0..1 DT Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
... validUntil 0..1 DT The validity period end date. The prescription is not dispensable after this date.
... category 0..* CD Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
... note 0..* ST Additional information or comments
... dispenseRequest 0..1 Class Dispense Request or authorization for the prescribed medication
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... quantityPerDispense 0..1 SimpleQuantity Amount of medication to supply per dispense
... instructionsForReimbursement 0..1 CD Instructions for reimbursement
Binding: MedicationRequestReimbursementTypeVS (extensible): Instructions for reimbursement

... groupIdentifier 0..1 II Identifier for the group that this prescription belongs to. This might be the common identifier in use cases where one national prescription contains several medication items, which can be handled as separate orders
... recordingDate 0..1 DT Time of authoring the prescription/draft in the information system
... issueDate 1..1 DT Time of issuing (signing) the prescription by health care practicioner
... recorder 0..1 Reference(Practitioner | PractitionerRole) The recorder of the prescription/draft in the information system
... noSubstitution 0..1 BackboneElement Substitution is not allowed for a given reason
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... noSubstitutionFlag 1..1 BL Substitution of the product is not allowed.
.... noSubstitutionReason 0..1 CD Coded reason for the no-substitution requirement
.... noSubstitutionReasonText 0..1 ST Textual reason for the no-substitution requirement
... allowedSubstitutionType 0..* CD Specific type of substitution that is allowed. Can be an explicit relaxation to normal jurisdictional substitution rules, especially in hospital context.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
be-model-medicationprescription.instructionsForReimbursementextensible​MedicationRequestReimbursementTypeVS
MedicationRequestReimbursementTypeVS

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. be-model-medicationprescription 0..* Base Medication prescription - Data Model
Instances of this logical model are not marked to be the target of a Reference
... identifier 1..* II Business identifier(s) for the prescription
... basedOnMedicationLine 0..1 Reference(Medication Line - logical model) Link to the Medication Line from which this request is based
... patient 1..1 Reference() The person for whom the medication is prescribed/ordered
... medication 1..1 Reference(Medication - logical model) Prescribed product, branded, generic, virtual, extemporaneous, etc
... prescriber 1..1 Reference(Practitioner | PractitionerRole) The person who made the prescription, and who takes the responsibility of the treatment
... organization 0..1 Reference(BeOrganization) The organization from which the prescriber issues the prescription.
... indication 0..* Class Reason for the prescription (typically diagnosis, or a procedure)
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... reference 0..* CD Reason for the prescription (typically diagnosis, or a procedure)
.... code 0..* CD Reason for the prescription (typically diagnosis, or a procedure)
.... text 0..1 ST Reason for the prescription in textual form. This might not be allowed by some implementations.
... dosage 1..* DosagingInformation Dosaging and administration instructions
... dosageOverride 0..1 BL Indication if standard dosage is overriden
... dosageOverrideReason 0..1 CD Reason why standard dosage is overriden
... validFrom 0..1 DT Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
... validUntil 0..1 DT The validity period end date. The prescription is not dispensable after this date.
... category 0..* CD Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
... note 0..* ST Additional information or comments
... dispenseRequest 0..1 Class Dispense Request or authorization for the prescribed medication
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... quantityPerDispense 0..1 SimpleQuantity Amount of medication to supply per dispense
... instructionsForReimbursement 0..1 CD Instructions for reimbursement
Binding: MedicationRequestReimbursementTypeVS (extensible): Instructions for reimbursement

... groupIdentifier 0..1 II Identifier for the group that this prescription belongs to. This might be the common identifier in use cases where one national prescription contains several medication items, which can be handled as separate orders
... recordingDate 0..1 DT Time of authoring the prescription/draft in the information system
... issueDate 1..1 DT Time of issuing (signing) the prescription by health care practicioner
... recorder 0..1 Reference(Practitioner | PractitionerRole) The recorder of the prescription/draft in the information system
... noSubstitution 0..1 BackboneElement Substitution is not allowed for a given reason
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... noSubstitutionFlag 1..1 BL Substitution of the product is not allowed.
.... noSubstitutionReason 0..1 CD Coded reason for the no-substitution requirement
.... noSubstitutionReasonText 0..1 ST Textual reason for the no-substitution requirement
... allowedSubstitutionType 0..* CD Specific type of substitution that is allowed. Can be an explicit relaxation to normal jurisdictional substitution rules, especially in hospital context.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
be-model-medicationprescription.instructionsForReimbursementextensible​MedicationRequestReimbursementTypeVS
MedicationRequestReimbursementTypeVS

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel

Notes:

Detailed diagram:

MedicationLineuniqueIdentifier 1..1versionIdentifier 1..1basedOnMedicationLine 0..1groupIdentifier 0..*patient 1..1status 1..1statusReason 0..1category 0..1originType 0..1medication 1..1product 1..1type 1..1requester 1..1indication 0..*reference 0..1code 0..1dispenseRequest 0..*dispenseInterval 0..1quantityPerDispense 0..1dosage 0..1dosageDetails 0..1dosageOverride 0..1dosageOverrideReason 1..1note 0..*