Generated Narrative: StructureDefinition IHEMultilineOrder Name Flags Card. Type Description & Constraints IHEMultilineOrder 0..* Base Medication order - multiline (model) Instances of this logical model can be the target of a Reference #xD; identifier 1..* Identifier Business identifier(s) for the prescription group #xD; patient 1..1 Reference(Patient (model)) The person for whom the medication is prescribed/ordered #xD; prescriber 1..1 Reference(Practitioner (model) | PractitionerRole) The person who made the prescription, and who takes the responsibility of the treatment #xD; issueDate 1..1 dateTime Time of issuing (signing) the prescription by health care practicioner #xD; recorder 0..1 Reference(Practitioner (model) | PractitionerRole) The recorder of the prescription/draft in the information system #xD; recordingDate 0..1 dateTime Time of authoring the prescription/draft in the information system #xD; validFrom 0..1 dateTime Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate #xD; validUntil 0..1 dateTime The validity period end date. The prescription is not dispensable after this date. #xD; medicationLine 1..* Base Medication line in the prescription #xD; status 1..1 CodeableConcept Status of the prescription, this should not be status of treatment #xD; statusReason 0..* CodeableConcept Reason for the current status of prescription, for example the reason why the prescription was made invalid #xD; category 0..* CodeableConcept Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc). #xD; basedOn 0..1 Reference(Medication order - multiline (model)) What this order is based on #xD; medication 1..1 Reference(Medicinal product (model)) Prescribed product, branded, generic, virtual, extemporal, etc #xD; prescriptionIntent 0..1 CodeableConcept Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc #xD; indication 0..* CodeableConcept Reason for the prescription (typically diagnosis, prophylaxis, or a procedure) #xD; indicationText 0..1 string Reason for the prescription in textual form. This might not be allowed by some implementations. #xD; indicationReference 0..* string Reason for the prescription - as a reference to a problem, result, etc. #xD; treatmentPeriod 0..1 Period Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.) #xD; quantityPrescribed 0..1 Quantity Overall quantity of prescribed product (e.g number of packages or number of tablets). #xD; dosageInstructions 0..* Reference(Dosaging (model)) Dosaging and administration instructions #xD; preparationInstructions 0..1 string Additional instructions about preparation or dispense #xD; substitution 0..1 Base Whether and which type of substitution is allowed for this medication treatment line #xD; allowed[x] 0..1 Whether substitution is allowed or not (or type of substitution). #xD; allowedBoolean boolean #xD; allowedCodeableConcept CodeableConcept #xD; reason[x] 0..1 Reason for the substitution requirement #xD; reasonCodeableConcept CodeableConcept #xD; reasonString string #xD; 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 product. #xD; isOffLabelUse 1..1 boolean Indicates off-label use. Must be 'true' when .reason is provided. #xD; reason[x] 0..* Reason or related clarification for off-label use. #xD; reasonCodeableConcept CodeableConcept #xD; reasonString string #xD; repeatsAllowed 0..1 integer Number of refills authorized #xD; minimumDispenseInterval 0..1 Duration Minimum Dispense Interval #xD; comment 0..* string Additional information or comments #xD; Documentation for this format
Integrating the Healthcare Enterprise (IHE)
Logical model for multiline medication prescription
IHE http://www.ihe.net/Governance/#Intellectual_Property
Business identifier(s) for the prescription group
The person for whom the medication is prescribed/ordered
Question: would we want to add basic Patient model?
The person who made the prescription, and who takes the responsibility of the treatment
Question: would we want to add basic Practicioner model?
Time of issuing (signing) the prescription by health care practicioner
The recorder of the prescription/draft in the information system
Time of authoring the prescription/draft in the information system
Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
The validity period end date. The prescription is not dispensable after this date.
Status of the prescription, this should not be status of treatment
Reason for the current status of prescription, for example the reason why the prescription was made invalid
Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
This is a reference to the order that this order is based on. For example, a prescription for a medication may be based on a proposal, and an administration request may be based on a prescription.
Prescribed product, branded, generic, virtual, extemporal, etc
Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc
Reason for the prescription (typically diagnosis, prophylaxis, or a procedure)
Reason for the prescription in textual form. This might not be allowed by some implementations.
Reason for the prescription - as a reference to a problem, result, etc.
Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)
Overall quantity of prescribed product (e.g number of packages or number of tablets).
Dosaging and administration instructions
Additional instructions about preparation or dispense
Whether and which type of substitution is allowed for this medication treatment line
Whether substitution is allowed or not (or type of substitution).
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 product.
Indicates off-label use. Must be 'true' when .reason is provided.
Reason or related clarification for off-label use.
How many times the prescription item can be dispensed in addition to the original dispense.
If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.