MyHealth@Eu Electronic Prescription and Dispense - Downloaded Version 1.0.0-poc See the Directory of published versions

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Logical Model: Medication Prescription model

MyHealth@EU refined model for ePrescription information

Usages:

• This Logical Model is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MyHealthEuPrescription		0..*	EHDSMedicationPrescription	Medication Prescription model Elements defined in Ancestors:header, header, presentedForm, prescriptionItem
header	O	1..1	Base	Prescription header Obligations Actor SHALL:handle MyHealth@EU Handler
subject	O	1..1	MyHealthEuPatient	The person for whom the medication is prescribed/ordered. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
identifier	O	1..*	Identifier	Business identifier(s) for the prescription. [Used for searching] Obligations Actor SHOULD:handle MyHealth@EU Handler
author[x]	O	1..*		The prescriber, the person who made the prescription, and who takes the responsibility for the treatment. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
authorMyHealthEuHealthProfessionalEpd			MyHealthEuHealthProfessionalEpd
authorMyHealthEuOrganisation			MyHealthEuOrganisation
date	O	1..1	dateTime	Time of issuing (signing) the prescription by health care professional. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
status		1..1	CodeableConcept	Status of authorisation for dispensing the prescription items. This should not be the status of treatment. For a multiple-item prescription, this conveys the aggregate status of the entire prescription. In case of a single-item prescription, prescriptionItem.status shall be the same as EHDSMedicationPrescription.header.status. [Used for searching]
language		0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
statusReason[x]		0..1		Reason for the current status of prescription, for example the reason why the prescription was made invalid or changed from a previous state.
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
presentedForm	O	0..*	EHDSAttachment	Entire prescription as issued. Various formats could be provided, PDF format is recommended. Obligations Actor SHALL:handle MyHealth@EU Handler
prescriptionItem	O	1..*	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. Obligations Actor SHALL:handle MyHealth@EU Handler
identifier	O	1..*	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] Obligations Actor SHALL:handle MyHealth@EU Handler
status		1..1	CodeableConcept	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]
statusReason[x]		0..1		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
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
medication	O	1..1	MyHealthEuMedicationEpd	Prescribed product, branded, generic, virtual, extemporal, etc Obligations Actor SHALL:handle MyHealth@EU Handler
indication[x]	O	0..*		Reason for the prescription (typically diagnosis, or a procedure) Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode Obligations Actor MAY:able-to-populate MyHealth@EU Handler
indicationCodeableConcept			CodeableConcept
indicationString			string
intendedUseType		0..1	CodeableConcept	Intent of the prescription - prophylaxis, treatment, anesthesia, etc
periodOfUse	O	0..1	Period	Period over which the medication is to be taken (in case of multiple dosage schemes, this would be the overall period of all dosages.) Obligations Actor SHALL:handle MyHealth@EU Handler
quantityPrescribed	O	0..1	Quantity	Overall quantity of prescribed product (e.g number of packages or number of tablets). Binding Description: (preferred): UCUM, EDQM Standard Terms Obligations Actor SHALL:handle MyHealth@EU Handler
dosageInstructions	O	1..1	MyHealthEuDosagingEpd	Dosage and administration instructions Obligations Actor SHALL:handle MyHealth@EU Handler
validityPeriod	O	0..1	Period	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. Obligations Actor SHOULD:handle MyHealth@EU Handler
substitution	O	0..1	Base	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. Obligations Actor MAY:able-to-populate MyHealth@EU Handler
allowed[x]		0..1		Whether and to what extent substitution is allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
reason[x]		0..1		Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
reasonCodeableConcept			CodeableConcept
reasonString			string
numberOfRepeats		0..1	integer	Number of refills authorised - how many times the prescription item can be dispensed in addition to the original dispense.
minimumDispenseInterval		0..1	Quantity	Minimum dispense interval. If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
offLabel		0..1	Base	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
isOffLabelUse		1..1	boolean	Indicates off-label use. Must be 'true' when .reason is provided.
reason[x]		0..*		Reason or related clarification for off-label use
reasonCodeableConcept			CodeableConcept
reasonString			string
note	O	0..1	string	Additional information or comments, e.g. message to the dispenser Obligations Actor MAY:able-to-populate MyHealth@EU Handler
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MyHealthEuPrescription.​header.language	Base	preferred		Not State	Unknown
MyHealthEuPrescription.​prescriptionItem.indication[x]	Base	preferred		Not State	Unknown
MyHealthEuPrescription.​prescriptionItem.quantityPrescribed	Base	preferred		Not State	Unknown

This structure is derived from EHDSMedicationPrescription

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MyHealthEuPrescription		0..*	EHDSMedicationPrescription	Medication Prescription model Elements defined in Ancestors:header, header, presentedForm, prescriptionItem
header	O	1..1	Base	Prescription header Obligations Actor SHALL:handle MyHealth@EU Handler
subject	O	1..1	MyHealthEuPatient	The person for whom the medication is prescribed/ordered. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
identifier	O	1..*	Identifier	Business identifier(s) for the prescription. [Used for searching] Obligations Actor SHOULD:handle MyHealth@EU Handler
author[x]	O	1..*		The prescriber, the person who made the prescription, and who takes the responsibility for the treatment. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
authorMyHealthEuHealthProfessionalEpd			MyHealthEuHealthProfessionalEpd
authorMyHealthEuOrganisation			MyHealthEuOrganisation
date	O	1..1	dateTime	Time of issuing (signing) the prescription by health care professional. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
presentedForm	O	0..*	EHDSAttachment	Entire prescription as issued. Various formats could be provided, PDF format is recommended. Obligations Actor SHALL:handle MyHealth@EU Handler
prescriptionItem	O	1..*	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. Obligations Actor SHALL:handle MyHealth@EU Handler
identifier	O	1..*	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] Obligations Actor SHALL:handle MyHealth@EU Handler
medication	O	1..1	MyHealthEuMedicationEpd	Prescribed product, branded, generic, virtual, extemporal, etc Obligations Actor SHALL:handle MyHealth@EU Handler
indication[x]	O	0..*	CodeableConcept, string	Reason for the prescription (typically diagnosis, or a procedure) Obligations Actor MAY:able-to-populate MyHealth@EU Handler
periodOfUse	O	0..1	Period	Period over which the medication is to be taken (in case of multiple dosage schemes, this would be the overall period of all dosages.) Obligations Actor SHALL:handle MyHealth@EU Handler
quantityPrescribed	O	0..1	Quantity	Overall quantity of prescribed product (e.g number of packages or number of tablets). Obligations Actor SHALL:handle MyHealth@EU Handler
dosageInstructions	O	1..1	MyHealthEuDosagingEpd	Dosage and administration instructions Obligations Actor SHALL:handle MyHealth@EU Handler
validityPeriod	O	0..1	Period	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. Obligations Actor SHOULD:handle MyHealth@EU Handler
substitution	O	0..1	Base	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. Obligations Actor MAY:able-to-populate MyHealth@EU Handler
note	O	0..1	string	Additional information or comments, e.g. message to the dispenser Obligations Actor MAY:able-to-populate MyHealth@EU Handler
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MyHealthEuPrescription		0..*	EHDSMedicationPrescription	Medication Prescription model Elements defined in Ancestors:header, header, presentedForm, prescriptionItem
header	O	1..1	Base	Prescription header Obligations Actor SHALL:handle MyHealth@EU Handler
subject	O	1..1	MyHealthEuPatient	The person for whom the medication is prescribed/ordered. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
identifier	O	1..*	Identifier	Business identifier(s) for the prescription. [Used for searching] Obligations Actor SHOULD:handle MyHealth@EU Handler
author[x]	O	1..*		The prescriber, the person who made the prescription, and who takes the responsibility for the treatment. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
authorMyHealthEuHealthProfessionalEpd			MyHealthEuHealthProfessionalEpd
authorMyHealthEuOrganisation			MyHealthEuOrganisation
date	O	1..1	dateTime	Time of issuing (signing) the prescription by health care professional. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
status		1..1	CodeableConcept	Status of authorisation for dispensing the prescription items. This should not be the status of treatment. For a multiple-item prescription, this conveys the aggregate status of the entire prescription. In case of a single-item prescription, prescriptionItem.status shall be the same as EHDSMedicationPrescription.header.status. [Used for searching]
language		0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
statusReason[x]		0..1		Reason for the current status of prescription, for example the reason why the prescription was made invalid or changed from a previous state.
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
presentedForm	O	0..*	EHDSAttachment	Entire prescription as issued. Various formats could be provided, PDF format is recommended. Obligations Actor SHALL:handle MyHealth@EU Handler
prescriptionItem	O	1..*	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. Obligations Actor SHALL:handle MyHealth@EU Handler
identifier	O	1..*	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] Obligations Actor SHALL:handle MyHealth@EU Handler
status		1..1	CodeableConcept	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]
statusReason[x]		0..1		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
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
medication	O	1..1	MyHealthEuMedicationEpd	Prescribed product, branded, generic, virtual, extemporal, etc Obligations Actor SHALL:handle MyHealth@EU Handler
indication[x]	O	0..*		Reason for the prescription (typically diagnosis, or a procedure) Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode Obligations Actor MAY:able-to-populate MyHealth@EU Handler
indicationCodeableConcept			CodeableConcept
indicationString			string
intendedUseType		0..1	CodeableConcept	Intent of the prescription - prophylaxis, treatment, anesthesia, etc
periodOfUse	O	0..1	Period	Period over which the medication is to be taken (in case of multiple dosage schemes, this would be the overall period of all dosages.) Obligations Actor SHALL:handle MyHealth@EU Handler
quantityPrescribed	O	0..1	Quantity	Overall quantity of prescribed product (e.g number of packages or number of tablets). Binding Description: (preferred): UCUM, EDQM Standard Terms Obligations Actor SHALL:handle MyHealth@EU Handler
dosageInstructions	O	1..1	MyHealthEuDosagingEpd	Dosage and administration instructions Obligations Actor SHALL:handle MyHealth@EU Handler
validityPeriod	O	0..1	Period	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. Obligations Actor SHOULD:handle MyHealth@EU Handler
substitution	O	0..1	Base	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. Obligations Actor MAY:able-to-populate MyHealth@EU Handler
allowed[x]		0..1		Whether and to what extent substitution is allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
reason[x]		0..1		Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
reasonCodeableConcept			CodeableConcept
reasonString			string
numberOfRepeats		0..1	integer	Number of refills authorised - how many times the prescription item can be dispensed in addition to the original dispense.
minimumDispenseInterval		0..1	Quantity	Minimum dispense interval. If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
offLabel		0..1	Base	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
isOffLabelUse		1..1	boolean	Indicates off-label use. Must be 'true' when .reason is provided.
reason[x]		0..*		Reason or related clarification for off-label use
reasonCodeableConcept			CodeableConcept
reasonString			string
note	O	0..1	string	Additional information or comments, e.g. message to the dispenser Obligations Actor MAY:able-to-populate MyHealth@EU Handler
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MyHealthEuPrescription.​header.language	Base	preferred		Not State	Unknown
MyHealthEuPrescription.​prescriptionItem.indication[x]	Base	preferred		Not State	Unknown
MyHealthEuPrescription.​prescriptionItem.quantityPrescribed	Base	preferred		Not State	Unknown

This structure is derived from EHDSMedicationPrescription

Summary

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MyHealthEuPrescription		0..*	EHDSMedicationPrescription	Medication Prescription model Elements defined in Ancestors:header, header, presentedForm, prescriptionItem
header	O	1..1	Base	Prescription header Obligations Actor SHALL:handle MyHealth@EU Handler
subject	O	1..1	MyHealthEuPatient	The person for whom the medication is prescribed/ordered. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
identifier	O	1..*	Identifier	Business identifier(s) for the prescription. [Used for searching] Obligations Actor SHOULD:handle MyHealth@EU Handler
author[x]	O	1..*		The prescriber, the person who made the prescription, and who takes the responsibility for the treatment. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
authorMyHealthEuHealthProfessionalEpd			MyHealthEuHealthProfessionalEpd
authorMyHealthEuOrganisation			MyHealthEuOrganisation
date	O	1..1	dateTime	Time of issuing (signing) the prescription by health care professional. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
status		1..1	CodeableConcept	Status of authorisation for dispensing the prescription items. This should not be the status of treatment. For a multiple-item prescription, this conveys the aggregate status of the entire prescription. In case of a single-item prescription, prescriptionItem.status shall be the same as EHDSMedicationPrescription.header.status. [Used for searching]
language		0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
statusReason[x]		0..1		Reason for the current status of prescription, for example the reason why the prescription was made invalid or changed from a previous state.
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
presentedForm	O	0..*	EHDSAttachment	Entire prescription as issued. Various formats could be provided, PDF format is recommended. Obligations Actor SHALL:handle MyHealth@EU Handler
prescriptionItem	O	1..*	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. Obligations Actor SHALL:handle MyHealth@EU Handler
identifier	O	1..*	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] Obligations Actor SHALL:handle MyHealth@EU Handler
status		1..1	CodeableConcept	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]
statusReason[x]		0..1		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
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
medication	O	1..1	MyHealthEuMedicationEpd	Prescribed product, branded, generic, virtual, extemporal, etc Obligations Actor SHALL:handle MyHealth@EU Handler
indication[x]	O	0..*		Reason for the prescription (typically diagnosis, or a procedure) Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode Obligations Actor MAY:able-to-populate MyHealth@EU Handler
indicationCodeableConcept			CodeableConcept
indicationString			string
intendedUseType		0..1	CodeableConcept	Intent of the prescription - prophylaxis, treatment, anesthesia, etc
periodOfUse	O	0..1	Period	Period over which the medication is to be taken (in case of multiple dosage schemes, this would be the overall period of all dosages.) Obligations Actor SHALL:handle MyHealth@EU Handler
quantityPrescribed	O	0..1	Quantity	Overall quantity of prescribed product (e.g number of packages or number of tablets). Binding Description: (preferred): UCUM, EDQM Standard Terms Obligations Actor SHALL:handle MyHealth@EU Handler
dosageInstructions	O	1..1	MyHealthEuDosagingEpd	Dosage and administration instructions Obligations Actor SHALL:handle MyHealth@EU Handler
validityPeriod	O	0..1	Period	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. Obligations Actor SHOULD:handle MyHealth@EU Handler
substitution	O	0..1	Base	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. Obligations Actor MAY:able-to-populate MyHealth@EU Handler
allowed[x]		0..1		Whether and to what extent substitution is allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
reason[x]		0..1		Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
reasonCodeableConcept			CodeableConcept
reasonString			string
numberOfRepeats		0..1	integer	Number of refills authorised - how many times the prescription item can be dispensed in addition to the original dispense.
minimumDispenseInterval		0..1	Quantity	Minimum dispense interval. If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
offLabel		0..1	Base	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
isOffLabelUse		1..1	boolean	Indicates off-label use. Must be 'true' when .reason is provided.
reason[x]		0..*		Reason or related clarification for off-label use
reasonCodeableConcept			CodeableConcept
reasonString			string
note	O	0..1	string	Additional information or comments, e.g. message to the dispenser Obligations Actor MAY:able-to-populate MyHealth@EU Handler
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MyHealthEuPrescription.​header.language	Base	preferred		Not State	Unknown
MyHealthEuPrescription.​prescriptionItem.indication[x]	Base	preferred		Not State	Unknown
MyHealthEuPrescription.​prescriptionItem.quantityPrescribed	Base	preferred		Not State	Unknown

Differential View

This structure is derived from EHDSMedicationPrescription

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MyHealthEuPrescription		0..*	EHDSMedicationPrescription	Medication Prescription model Elements defined in Ancestors:header, header, presentedForm, prescriptionItem
header	O	1..1	Base	Prescription header Obligations Actor SHALL:handle MyHealth@EU Handler
subject	O	1..1	MyHealthEuPatient	The person for whom the medication is prescribed/ordered. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
identifier	O	1..*	Identifier	Business identifier(s) for the prescription. [Used for searching] Obligations Actor SHOULD:handle MyHealth@EU Handler
author[x]	O	1..*		The prescriber, the person who made the prescription, and who takes the responsibility for the treatment. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
authorMyHealthEuHealthProfessionalEpd			MyHealthEuHealthProfessionalEpd
authorMyHealthEuOrganisation			MyHealthEuOrganisation
date	O	1..1	dateTime	Time of issuing (signing) the prescription by health care professional. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
presentedForm	O	0..*	EHDSAttachment	Entire prescription as issued. Various formats could be provided, PDF format is recommended. Obligations Actor SHALL:handle MyHealth@EU Handler
prescriptionItem	O	1..*	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. Obligations Actor SHALL:handle MyHealth@EU Handler
identifier	O	1..*	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] Obligations Actor SHALL:handle MyHealth@EU Handler
medication	O	1..1	MyHealthEuMedicationEpd	Prescribed product, branded, generic, virtual, extemporal, etc Obligations Actor SHALL:handle MyHealth@EU Handler
indication[x]	O	0..*	CodeableConcept, string	Reason for the prescription (typically diagnosis, or a procedure) Obligations Actor MAY:able-to-populate MyHealth@EU Handler
periodOfUse	O	0..1	Period	Period over which the medication is to be taken (in case of multiple dosage schemes, this would be the overall period of all dosages.) Obligations Actor SHALL:handle MyHealth@EU Handler
quantityPrescribed	O	0..1	Quantity	Overall quantity of prescribed product (e.g number of packages or number of tablets). Obligations Actor SHALL:handle MyHealth@EU Handler
dosageInstructions	O	1..1	MyHealthEuDosagingEpd	Dosage and administration instructions Obligations Actor SHALL:handle MyHealth@EU Handler
validityPeriod	O	0..1	Period	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. Obligations Actor SHOULD:handle MyHealth@EU Handler
substitution	O	0..1	Base	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. Obligations Actor MAY:able-to-populate MyHealth@EU Handler
note	O	0..1	string	Additional information or comments, e.g. message to the dispenser Obligations Actor MAY:able-to-populate MyHealth@EU Handler
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MyHealthEuPrescription		0..*	EHDSMedicationPrescription	Medication Prescription model Elements defined in Ancestors:header, header, presentedForm, prescriptionItem
header	O	1..1	Base	Prescription header Obligations Actor SHALL:handle MyHealth@EU Handler
subject	O	1..1	MyHealthEuPatient	The person for whom the medication is prescribed/ordered. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
identifier	O	1..*	Identifier	Business identifier(s) for the prescription. [Used for searching] Obligations Actor SHOULD:handle MyHealth@EU Handler
author[x]	O	1..*		The prescriber, the person who made the prescription, and who takes the responsibility for the treatment. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
authorMyHealthEuHealthProfessionalEpd			MyHealthEuHealthProfessionalEpd
authorMyHealthEuOrganisation			MyHealthEuOrganisation
date	O	1..1	dateTime	Time of issuing (signing) the prescription by health care professional. [Used for searching] Obligations Actor SHALL:handle MyHealth@EU Handler
status		1..1	CodeableConcept	Status of authorisation for dispensing the prescription items. This should not be the status of treatment. For a multiple-item prescription, this conveys the aggregate status of the entire prescription. In case of a single-item prescription, prescriptionItem.status shall be the same as EHDSMedicationPrescription.header.status. [Used for searching]
language		0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
statusReason[x]		0..1		Reason for the current status of prescription, for example the reason why the prescription was made invalid or changed from a previous state.
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
presentedForm	O	0..*	EHDSAttachment	Entire prescription as issued. Various formats could be provided, PDF format is recommended. Obligations Actor SHALL:handle MyHealth@EU Handler
prescriptionItem	O	1..*	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. Obligations Actor SHALL:handle MyHealth@EU Handler
identifier	O	1..*	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] Obligations Actor SHALL:handle MyHealth@EU Handler
status		1..1	CodeableConcept	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]
statusReason[x]		0..1		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
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
medication	O	1..1	MyHealthEuMedicationEpd	Prescribed product, branded, generic, virtual, extemporal, etc Obligations Actor SHALL:handle MyHealth@EU Handler
indication[x]	O	0..*		Reason for the prescription (typically diagnosis, or a procedure) Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode Obligations Actor MAY:able-to-populate MyHealth@EU Handler
indicationCodeableConcept			CodeableConcept
indicationString			string
intendedUseType		0..1	CodeableConcept	Intent of the prescription - prophylaxis, treatment, anesthesia, etc
periodOfUse	O	0..1	Period	Period over which the medication is to be taken (in case of multiple dosage schemes, this would be the overall period of all dosages.) Obligations Actor SHALL:handle MyHealth@EU Handler
quantityPrescribed	O	0..1	Quantity	Overall quantity of prescribed product (e.g number of packages or number of tablets). Binding Description: (preferred): UCUM, EDQM Standard Terms Obligations Actor SHALL:handle MyHealth@EU Handler
dosageInstructions	O	1..1	MyHealthEuDosagingEpd	Dosage and administration instructions Obligations Actor SHALL:handle MyHealth@EU Handler
validityPeriod	O	0..1	Period	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. Obligations Actor SHOULD:handle MyHealth@EU Handler
substitution	O	0..1	Base	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. Obligations Actor MAY:able-to-populate MyHealth@EU Handler
allowed[x]		0..1		Whether and to what extent substitution is allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
reason[x]		0..1		Reason for the substitution requirement (e.g. Biological product, Patient allergic to an excipient in alternative products, etc)
reasonCodeableConcept			CodeableConcept
reasonString			string
numberOfRepeats		0..1	integer	Number of refills authorised - how many times the prescription item can be dispensed in addition to the original dispense.
minimumDispenseInterval		0..1	Quantity	Minimum dispense interval. If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
offLabel		0..1	Base	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
isOffLabelUse		1..1	boolean	Indicates off-label use. Must be 'true' when .reason is provided.
reason[x]		0..*		Reason or related clarification for off-label use
reasonCodeableConcept			CodeableConcept
reasonString			string
note	O	0..1	string	Additional information or comments, e.g. message to the dispenser Obligations Actor MAY:able-to-populate MyHealth@EU Handler
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MyHealthEuPrescription.​header.language	Base	preferred		Not State	Unknown
MyHealthEuPrescription.​prescriptionItem.indication[x]	Base	preferred		Not State	Unknown
MyHealthEuPrescription.​prescriptionItem.quantityPrescribed	Base	preferred		Not State	Unknown

This structure is derived from EHDSMedicationPrescription

Summary

Other representations of profile: CSV, Excel