Medication Prescription and Dispense (MPD)
1.0.0-comment-3 - ballot

Medication Prescription and Dispense (MPD), published by Integrating the Healthcare Enterprise (IHE). This guide is not an authorized publication; it is the continuous build for version 1.0.0-comment-3 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/pharm-mpd/tree/98-pc-clarify-the-transaction-pharm-5 and changes regularly. See the Directory of published versions

## Logical Model: IHEMultilineOrder - Detailed Descriptions

Active as of 2026-04-23

Definitions for the IHEMultilineOrder logical model.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

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

0. IHEMultilineOrder
Definition | Logical model for multiline medication prescription Base definition for all types defined in FHIR type system.
Short | Medication order - multiline (model)Base for all types and resources
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. IHEMultilineOrder.identifier
Definition | Business identifier(s) for the prescription group
Short | Business identifier(s) for the prescription group
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..*
Type | Identifier
4. IHEMultilineOrder.patient
Definition | Question: would we want to add basic Patient model?
Short | The person for whom the medication is prescribed/ordered
Control | 1..1
Type | Reference(Patient (model))
6. IHEMultilineOrder.prescriber
Definition | Question: would we want to add basic Practicioner model?
Short | The person who made the prescription, and who takes the responsibility of the treatment
Control | 1..1
Type | Reference(Practitioner (model), PractitionerRole)
8. IHEMultilineOrder.issueDate
Definition | Time of issuing (signing) the prescription by health care practicioner
Short | Time of issuing (signing) the prescription by health care practicioner
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. IHEMultilineOrder.recorder
Definition | The recorder of the prescription/draft in the information system
Short | The recorder of the prescription/draft in the information system
Control | 0..1
Type | Reference(Practitioner (model), PractitionerRole)
12. IHEMultilineOrder.recordingDate
Definition | Time of authoring the prescription/draft in the information system
Short | Time of authoring the prescription/draft in the information system
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. IHEMultilineOrder.validFrom
Definition | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
Short | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. IHEMultilineOrder.validUntil
Definition | The validity period end date. The prescription is not dispensable after this date.
Short | The validity period end date. The prescription is not dispensable after this date.
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
18. IHEMultilineOrder.medicationLine
Definition | Medication line in the prescription
Short | Medication line in the prescription
Control | 1..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. IHEMultilineOrder.medicationLine.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1 This element is affected by the following invariants: ele-1
Type | id string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
22. IHEMultilineOrder.medicationLine.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 managable, 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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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())
Slicing | This element introduces a set of slices on `IHEMultilineOrder.medicationLine.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
24. IHEMultilineOrder.medicationLine.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 managable, 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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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())
26. IHEMultilineOrder.medicationLine.status
Definition | Status of the prescription, this should not be status of treatment
Short | Status of the prescription, this should not be status of treatment
Control | 1..1
Type | CodeableConcept
28. IHEMultilineOrder.medicationLine.statusReason
Definition | Reason for the current status of prescription, for example the reason why the prescription was made invalid
Short | Reason for the current status of prescription, for example the reason why the prescription was made invalid
Control | 0..*
Type | CodeableConcept
30. IHEMultilineOrder.medicationLine.category
Definition | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
Short | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
Control | 0..*
Type | CodeableConcept
32. IHEMultilineOrder.medicationLine.basedOn
Definition | 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.
Short | What this order is based on
Control | 0..1
Type | Reference(Medication order - multiline (model))
34. IHEMultilineOrder.medicationLine.medication
Definition | Prescribed product, branded, generic, virtual, extemporal, etc
Short | Prescribed product, branded, generic, virtual, extemporal, etc
Control | 1..1
Type | Reference(Medicinal product (model))
36. IHEMultilineOrder.medicationLine.prescriptionIntent
Definition | Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc
Short | Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc
Control | 0..1
Type | CodeableConcept
38. IHEMultilineOrder.medicationLine.indication
Definition | Reason for the prescription (typically diagnosis, prophylaxis, or a procedure)
Short | Reason for the prescription (typically diagnosis, prophylaxis, or a procedure)
Control | 0..*
Type | CodeableConcept
40. IHEMultilineOrder.medicationLine.indicationText
Definition | Reason for the prescription in textual form. This might not be allowed by some implementations.
Short | Reason for the prescription in textual form. This might not be allowed by some implementations.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
42. IHEMultilineOrder.medicationLine.indicationReference
Definition | Reason for the prescription - as a reference to a problem, result, etc.
Short | Reason for the prescription - as a reference to a problem, result, etc.
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
44. IHEMultilineOrder.medicationLine.treatmentPeriod
Definition | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)
Short | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)
Control | 0..1
Type | Period
46. IHEMultilineOrder.medicationLine.quantityPrescribed
Definition | Overall quantity of prescribed product (e.g number of packages or number of tablets).
Short | Overall quantity of prescribed product (e.g number of packages or number of tablets).
Control | 0..1
Type | Quantity
48. IHEMultilineOrder.medicationLine.dosageInstructions
Definition | Dosaging and administration instructions
Short | Dosaging and administration instructions
Control | 0..*
Type | Reference(Dosaging (model))
50. IHEMultilineOrder.medicationLine.preparationInstructions
Definition | Additional instructions about preparation or dispense
Short | Additional instructions about preparation or dispense
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
52. IHEMultilineOrder.medicationLine.substitution
Definition | Whether and which type of substitution is allowed for this medication treatment line
Short | Whether and which type of substitution is allowed for this medication treatment line
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. IHEMultilineOrder.medicationLine.substitution.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1 This element is affected by the following invariants: ele-1
Type | id string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
56. IHEMultilineOrder.medicationLine.substitution.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 managable, 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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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())
Slicing | This element introduces a set of slices on `IHEMultilineOrder.medicationLine.substitution.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
58. IHEMultilineOrder.medicationLine.substitution.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 managable, 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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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())
60. IHEMultilineOrder.medicationLine.substitution.allowed[x]
Definition | Whether substitution is allowed or not (or type of substitution).
Short | Whether substitution is allowed or not (or type of substitution).
Control | 0..1
Type | Choice of: boolean, CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
62. IHEMultilineOrder.medicationLine.substitution.reason[x]
Definition | Reason for the substitution requirement
Short | Reason for the substitution requirement
Control | 0..1
Type | Choice of: CodeableConcept, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
64. IHEMultilineOrder.medicationLine.offLabel
Definition | 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.
Short | 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.
Control | 0..1
Type | Base
66. IHEMultilineOrder.medicationLine.offLabel.isOffLabelUse
Definition | Indicates off-label use. Must be 'true' when .reason is provided.
Short | Indicates off-label use. Must be 'true' when .reason is provided.
Control | 1..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
68. IHEMultilineOrder.medicationLine.offLabel.reason[x]
Definition | Reason or related clarification for off-label use.
Short | Reason or related clarification for off-label use.
Control | 0..*
Type | Choice of: CodeableConcept, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
70. IHEMultilineOrder.medicationLine.repeatsAllowed
Definition | How many times the prescription item can be dispensed in addition to the original dispense.
Short | Number of refills authorized
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
72. IHEMultilineOrder.medicationLine.minimumDispenseInterval
Definition | If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
Short | Minimum Dispense Interval
Control | 0..1
Type | Duration
74. IHEMultilineOrder.comment
Definition | Additional information or comments
Short | Additional information or comments
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension

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

0. IHEMultilineOrder
Definition | Logical model for multiline medication prescription
Short | Medication order - multiline (model)
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. IHEMultilineOrder.identifier
Definition | Business identifier(s) for the prescription group
Short | Business identifier(s) for the prescription group
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..*
Type | Identifier
4. IHEMultilineOrder.patient
Definition | Question: would we want to add basic Patient model?
Short | The person for whom the medication is prescribed/ordered
Control | 1..1
Type | Reference(Patient (model))
6. IHEMultilineOrder.prescriber
Definition | Question: would we want to add basic Practicioner model?
Short | The person who made the prescription, and who takes the responsibility of the treatment
Control | 1..1
Type | Reference(Practitioner (model), PractitionerRole)
8. IHEMultilineOrder.issueDate
Definition | Time of issuing (signing) the prescription by health care practicioner
Short | Time of issuing (signing) the prescription by health care practicioner
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. IHEMultilineOrder.recorder
Definition | The recorder of the prescription/draft in the information system
Short | The recorder of the prescription/draft in the information system
Control | 0..1
Type | Reference(Practitioner (model), PractitionerRole)
12. IHEMultilineOrder.recordingDate
Definition | Time of authoring the prescription/draft in the information system
Short | Time of authoring the prescription/draft in the information system
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. IHEMultilineOrder.validFrom
Definition | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
Short | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. IHEMultilineOrder.validUntil
Definition | The validity period end date. The prescription is not dispensable after this date.
Short | The validity period end date. The prescription is not dispensable after this date.
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
18. IHEMultilineOrder.medicationLine
Definition | Medication line in the prescription
Short | Medication line in the prescription
Control | 1..*
Type | BackboneElement
20. IHEMultilineOrder.medicationLine.status
Definition | Status of the prescription, this should not be status of treatment
Short | Status of the prescription, this should not be status of treatment
Control | 1..1
Type | CodeableConcept
22. IHEMultilineOrder.medicationLine.statusReason
Definition | Reason for the current status of prescription, for example the reason why the prescription was made invalid
Short | Reason for the current status of prescription, for example the reason why the prescription was made invalid
Control | 0..*
Type | CodeableConcept
24. IHEMultilineOrder.medicationLine.category
Definition | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
Short | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
Control | 0..*
Type | CodeableConcept
26. IHEMultilineOrder.medicationLine.basedOn
Definition | 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.
Short | What this order is based on
Control | 0..1
Type | Reference(Medication order - multiline (model))
28. IHEMultilineOrder.medicationLine.medication
Definition | Prescribed product, branded, generic, virtual, extemporal, etc
Short | Prescribed product, branded, generic, virtual, extemporal, etc
Control | 1..1
Type | Reference(Medicinal product (model))
30. IHEMultilineOrder.medicationLine.prescriptionIntent
Definition | Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc
Short | Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc
Control | 0..1
Type | CodeableConcept
32. IHEMultilineOrder.medicationLine.indication
Definition | Reason for the prescription (typically diagnosis, prophylaxis, or a procedure)
Short | Reason for the prescription (typically diagnosis, prophylaxis, or a procedure)
Control | 0..*
Type | CodeableConcept
34. IHEMultilineOrder.medicationLine.indicationText
Definition | Reason for the prescription in textual form. This might not be allowed by some implementations.
Short | Reason for the prescription in textual form. This might not be allowed by some implementations.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
36. IHEMultilineOrder.medicationLine.indicationReference
Definition | Reason for the prescription - as a reference to a problem, result, etc.
Short | Reason for the prescription - as a reference to a problem, result, etc.
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
38. IHEMultilineOrder.medicationLine.treatmentPeriod
Definition | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)
Short | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)
Control | 0..1
Type | Period
40. IHEMultilineOrder.medicationLine.quantityPrescribed
Definition | Overall quantity of prescribed product (e.g number of packages or number of tablets).
Short | Overall quantity of prescribed product (e.g number of packages or number of tablets).
Control | 0..1
Type | Quantity
42. IHEMultilineOrder.medicationLine.dosageInstructions
Definition | Dosaging and administration instructions
Short | Dosaging and administration instructions
Control | 0..*
Type | Reference(Dosaging (model))
44. IHEMultilineOrder.medicationLine.preparationInstructions
Definition | Additional instructions about preparation or dispense
Short | Additional instructions about preparation or dispense
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
46. IHEMultilineOrder.medicationLine.substitution
Definition | Whether and which type of substitution is allowed for this medication treatment line
Short | Whether and which type of substitution is allowed for this medication treatment line
Control | 0..1
Type | BackboneElement
48. IHEMultilineOrder.medicationLine.substitution.allowed[x]
Definition | Whether substitution is allowed or not (or type of substitution).
Short | Whether substitution is allowed or not (or type of substitution).
Control | 0..1
Type | Choice of: boolean, CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
50. IHEMultilineOrder.medicationLine.substitution.reason[x]
Definition | Reason for the substitution requirement
Short | Reason for the substitution requirement
Control | 0..1
Type | Choice of: CodeableConcept, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
52. IHEMultilineOrder.medicationLine.offLabel
Definition | 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.
Short | 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.
Control | 0..1
Type | Base
54. IHEMultilineOrder.medicationLine.offLabel.isOffLabelUse
Definition | Indicates off-label use. Must be 'true' when .reason is provided.
Short | Indicates off-label use. Must be 'true' when .reason is provided.
Control | 1..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
56. IHEMultilineOrder.medicationLine.offLabel.reason[x]
Definition | Reason or related clarification for off-label use.
Short | Reason or related clarification for off-label use.
Control | 0..*
Type | Choice of: CodeableConcept, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
58. IHEMultilineOrder.medicationLine.repeatsAllowed
Definition | How many times the prescription item can be dispensed in addition to the original dispense.
Short | Number of refills authorized
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
60. IHEMultilineOrder.medicationLine.minimumDispenseInterval
Definition | If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
Short | Minimum Dispense Interval
Control | 0..1
Type | Duration
62. IHEMultilineOrder.comment
Definition | Additional information or comments
Short | Additional information or comments
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension

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

0. IHEMultilineOrder
Definition | Logical model for multiline medication prescription
Short | Medication order - multiline (model)
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. IHEMultilineOrder.identifier
Definition | Business identifier(s) for the prescription group
Short | Business identifier(s) for the prescription group
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..*
Type | Identifier
4. IHEMultilineOrder.patient
Definition | Question: would we want to add basic Patient model?
Short | The person for whom the medication is prescribed/ordered
Control | 1..1
Type | Reference(Patient (model))
6. IHEMultilineOrder.prescriber
Definition | Question: would we want to add basic Practicioner model?
Short | The person who made the prescription, and who takes the responsibility of the treatment
Control | 1..1
Type | Reference(Practitioner (model), PractitionerRole)
8. IHEMultilineOrder.issueDate
Definition | Time of issuing (signing) the prescription by health care practicioner
Short | Time of issuing (signing) the prescription by health care practicioner
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. IHEMultilineOrder.recorder
Definition | The recorder of the prescription/draft in the information system
Short | The recorder of the prescription/draft in the information system
Control | 0..1
Type | Reference(Practitioner (model), PractitionerRole)
12. IHEMultilineOrder.recordingDate
Definition | Time of authoring the prescription/draft in the information system
Short | Time of authoring the prescription/draft in the information system
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. IHEMultilineOrder.validFrom
Definition | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
Short | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. IHEMultilineOrder.validUntil
Definition | The validity period end date. The prescription is not dispensable after this date.
Short | The validity period end date. The prescription is not dispensable after this date.
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
18. IHEMultilineOrder.medicationLine
Definition | Medication line in the prescription
Short | Medication line in the prescription
Control | 1..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. IHEMultilineOrder.medicationLine.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1 This element is affected by the following invariants: ele-1
Type | id
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
22. IHEMultilineOrder.medicationLine.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 managable, 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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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()`)
Slicing | This element introduces a set of slices on `IHEMultilineOrder.medicationLine.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
24. IHEMultilineOrder.medicationLine.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 managable, 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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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()`)
26. IHEMultilineOrder.medicationLine.status
Definition | Status of the prescription, this should not be status of treatment
Short | Status of the prescription, this should not be status of treatment
Control | 1..1
Type | CodeableConcept
28. IHEMultilineOrder.medicationLine.statusReason
Definition | Reason for the current status of prescription, for example the reason why the prescription was made invalid
Short | Reason for the current status of prescription, for example the reason why the prescription was made invalid
Control | 0..*
Type | CodeableConcept
30. IHEMultilineOrder.medicationLine.category
Definition | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
Short | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).
Control | 0..*
Type | CodeableConcept
32. IHEMultilineOrder.medicationLine.basedOn
Definition | 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.
Short | What this order is based on
Control | 0..1
Type | Reference(Medication order - multiline (model))
34. IHEMultilineOrder.medicationLine.medication
Definition | Prescribed product, branded, generic, virtual, extemporal, etc
Short | Prescribed product, branded, generic, virtual, extemporal, etc
Control | 1..1
Type | Reference(Medicinal product (model))
36. IHEMultilineOrder.medicationLine.prescriptionIntent
Definition | Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc
Short | Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc
Control | 0..1
Type | CodeableConcept
38. IHEMultilineOrder.medicationLine.indication
Definition | Reason for the prescription (typically diagnosis, prophylaxis, or a procedure)
Short | Reason for the prescription (typically diagnosis, prophylaxis, or a procedure)
Control | 0..*
Type | CodeableConcept
40. IHEMultilineOrder.medicationLine.indicationText
Definition | Reason for the prescription in textual form. This might not be allowed by some implementations.
Short | Reason for the prescription in textual form. This might not be allowed by some implementations.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
42. IHEMultilineOrder.medicationLine.indicationReference
Definition | Reason for the prescription - as a reference to a problem, result, etc.
Short | Reason for the prescription - as a reference to a problem, result, etc.
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
44. IHEMultilineOrder.medicationLine.treatmentPeriod
Definition | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)
Short | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.)
Control | 0..1
Type | Period
46. IHEMultilineOrder.medicationLine.quantityPrescribed
Definition | Overall quantity of prescribed product (e.g number of packages or number of tablets).
Short | Overall quantity of prescribed product (e.g number of packages or number of tablets).
Control | 0..1
Type | Quantity
48. IHEMultilineOrder.medicationLine.dosageInstructions
Definition | Dosaging and administration instructions
Short | Dosaging and administration instructions
Control | 0..*
Type | Reference(Dosaging (model))
50. IHEMultilineOrder.medicationLine.preparationInstructions
Definition | Additional instructions about preparation or dispense
Short | Additional instructions about preparation or dispense
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
52. IHEMultilineOrder.medicationLine.substitution
Definition | Whether and which type of substitution is allowed for this medication treatment line
Short | Whether and which type of substitution is allowed for this medication treatment line
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. IHEMultilineOrder.medicationLine.substitution.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1 This element is affected by the following invariants: ele-1
Type | id
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
56. IHEMultilineOrder.medicationLine.substitution.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 managable, 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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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()`)
Slicing | This element introduces a set of slices on `IHEMultilineOrder.medicationLine.substitution.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
58. IHEMultilineOrder.medicationLine.substitution.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 managable, 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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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()`)
60. IHEMultilineOrder.medicationLine.substitution.allowed[x]
Definition | Whether substitution is allowed or not (or type of substitution).
Short | Whether substitution is allowed or not (or type of substitution).
Control | 0..1
Type | Choice of: boolean, CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
62. IHEMultilineOrder.medicationLine.substitution.reason[x]
Definition | Reason for the substitution requirement
Short | Reason for the substitution requirement
Control | 0..1
Type | Choice of: CodeableConcept, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
64. IHEMultilineOrder.medicationLine.offLabel
Definition | 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.
Short | 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.
Control | 0..1
Type | Base
66. IHEMultilineOrder.medicationLine.offLabel.isOffLabelUse
Definition | Indicates off-label use. Must be 'true' when .reason is provided.
Short | Indicates off-label use. Must be 'true' when .reason is provided.
Control | 1..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
68. IHEMultilineOrder.medicationLine.offLabel.reason[x]
Definition | Reason or related clarification for off-label use.
Short | Reason or related clarification for off-label use.
Control | 0..*
Type | Choice of: CodeableConcept, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
70. IHEMultilineOrder.medicationLine.repeatsAllowed
Definition | How many times the prescription item can be dispensed in addition to the original dispense.
Short | Number of refills authorized
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
72. IHEMultilineOrder.medicationLine.minimumDispenseInterval
Definition | If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here.
Short | Minimum Dispense Interval
Control | 0..1
Type | Duration
74. IHEMultilineOrder.comment
Definition | Additional information or comments
Short | Additional information or comments
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension