{
"description": "Logical model for multiline medication prescription",
"_filename": "StructureDefinition-IHEMultilineOrder.json",
"package_name": "ihe.pharm.mpd",
"date": "2025-05-27T16:32:53+02:00",
"derivation": "specialization",
"publisher": "Integrating the Healthcare Enterprise (IHE)",
"fhirVersion": "5.0.0",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
} ]
} ],
"name": "IHEMultilineOrder",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"copyright": "IHE http://www.ihe.net/Governance/#Intellectual_Property",
"type": "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/IHEMultilineOrder",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Medication order - multiline (model)",
"package_version": "1.0.0-comment-2",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/logical-target",
"valueBoolean": true
} ],
"snapshot": {
"element": [ {
"path": "IHEMultilineOrder",
"min": 0,
"definition": "Logical model for multiline medication prescription",
"isModifier": false,
"short": "Medication order - multiline (model)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"max": "*",
"id": "IHEMultilineOrder",
"base": {
"max": "*",
"min": 0,
"path": "Base"
}
}, {
"id": "IHEMultilineOrder.identifier",
"max": "*",
"min": 1,
"base": {
"max": "*",
"min": 1,
"path": "IHEMultilineOrder.identifier"
},
"path": "IHEMultilineOrder.identifier",
"type": [ {
"code": "Identifier"
} ],
"short": "Business identifier(s) for the prescription group",
"definition": "Business identifier(s) for the prescription group"
}, {
"id": "IHEMultilineOrder.patient",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "IHEMultilineOrder.patient"
},
"path": "IHEMultilineOrder.patient",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/PatientBasic" ]
} ],
"short": "The person for whom the medication is prescribed/ordered",
"definition": "Question: would we want to add basic Patient model?"
}, {
"id": "IHEMultilineOrder.prescriber",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "IHEMultilineOrder.prescriber"
},
"path": "IHEMultilineOrder.prescriber",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/PractitionerBasic", "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ]
} ],
"short": "The person who made the prescription, and who takes the responsibility of the treatment",
"definition": "Question: would we want to add basic Practicioner model?"
}, {
"id": "IHEMultilineOrder.issueDate",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "IHEMultilineOrder.issueDate"
},
"path": "IHEMultilineOrder.issueDate",
"type": [ {
"code": "dateTime"
} ],
"short": "Time of issuing (signing) the prescription by health care practicioner",
"definition": "Time of issuing (signing) the prescription by health care practicioner"
}, {
"id": "IHEMultilineOrder.recorder",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.recorder"
},
"path": "IHEMultilineOrder.recorder",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/PractitionerBasic", "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ]
} ],
"short": "The recorder of the prescription/draft in the information system",
"definition": "The recorder of the prescription/draft in the information system"
}, {
"id": "IHEMultilineOrder.recordingDate",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.recordingDate"
},
"path": "IHEMultilineOrder.recordingDate",
"type": [ {
"code": "dateTime"
} ],
"short": "Time of authoring the prescription/draft in the information system",
"definition": "Time of authoring the prescription/draft in the information system"
}, {
"id": "IHEMultilineOrder.validFrom",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.validFrom"
},
"path": "IHEMultilineOrder.validFrom",
"type": [ {
"code": "dateTime"
} ],
"short": "Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate",
"definition": "Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate"
}, {
"id": "IHEMultilineOrder.validUntil",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.validUntil"
},
"path": "IHEMultilineOrder.validUntil",
"type": [ {
"code": "dateTime"
} ],
"short": "The validity period end date. The prescription is not dispensable after this date.",
"definition": "The validity period end date. The prescription is not dispensable after this date."
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "IHEMultilineOrder.medicationLine",
"min": 1,
"definition": "Medication line in the prescription",
"short": "Medication line in the prescription",
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "IHEMultilineOrder.medicationLine",
"base": {
"max": "*",
"min": 1,
"path": "IHEMultilineOrder.medicationLine"
}
}, {
"path": "IHEMultilineOrder.medicationLine.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "IHEMultilineOrder.medicationLine.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "IHEMultilineOrder.medicationLine.extension",
"min": 0,
"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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "IHEMultilineOrder.medicationLine.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "IHEMultilineOrder.medicationLine.modifierExtension",
"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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).",
"min": 0,
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "IHEMultilineOrder.medicationLine.modifierExtension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"id": "IHEMultilineOrder.medicationLine.status",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "IHEMultilineOrder.medicationLine.status"
},
"path": "IHEMultilineOrder.medicationLine.status",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Status of the prescription, this should not be status of treatment",
"definition": "Status of the prescription, this should not be status of treatment"
}, {
"id": "IHEMultilineOrder.medicationLine.statusReason",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.statusReason"
},
"path": "IHEMultilineOrder.medicationLine.statusReason",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Reason for the current status of prescription, for example the reason why the prescription was made invalid",
"definition": "Reason for the current status of prescription, for example the reason why the prescription was made invalid"
}, {
"id": "IHEMultilineOrder.medicationLine.category",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.category"
},
"path": "IHEMultilineOrder.medicationLine.category",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).",
"definition": "Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc)."
}, {
"id": "IHEMultilineOrder.medicationLine.basedOn",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.basedOn"
},
"path": "IHEMultilineOrder.medicationLine.basedOn",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/IHEMultilineOrder" ]
} ],
"short": "What this order is based on",
"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."
}, {
"id": "IHEMultilineOrder.medicationLine.medication",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "IHEMultilineOrder.medicationLine.medication"
},
"path": "IHEMultilineOrder.medicationLine.medication",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/MedicinalProductModel" ]
} ],
"short": "Prescribed product, branded, generic, virtual, extemporal, etc",
"definition": "Prescribed product, branded, generic, virtual, extemporal, etc"
}, {
"id": "IHEMultilineOrder.medicationLine.prescriptionIntent",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.prescriptionIntent"
},
"path": "IHEMultilineOrder.medicationLine.prescriptionIntent",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc",
"definition": "Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc"
}, {
"id": "IHEMultilineOrder.medicationLine.indication",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.indication"
},
"path": "IHEMultilineOrder.medicationLine.indication",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Reason for the prescription (typically diagnosis, prophylaxis, or a procedure)",
"definition": "Reason for the prescription (typically diagnosis, prophylaxis, or a procedure)"
}, {
"id": "IHEMultilineOrder.medicationLine.indicationText",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.indicationText"
},
"path": "IHEMultilineOrder.medicationLine.indicationText",
"type": [ {
"code": "string"
} ],
"short": "Reason for the prescription in textual form. This might not be allowed by some implementations.",
"definition": "Reason for the prescription in textual form. This might not be allowed by some implementations."
}, {
"id": "IHEMultilineOrder.medicationLine.indicationReference",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.indicationReference"
},
"path": "IHEMultilineOrder.medicationLine.indicationReference",
"type": [ {
"code": "string"
} ],
"short": "Reason for the prescription - as a reference to a problem, result, etc.",
"definition": "Reason for the prescription - as a reference to a problem, result, etc."
}, {
"id": "IHEMultilineOrder.medicationLine.treatmentPeriod",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.treatmentPeriod"
},
"path": "IHEMultilineOrder.medicationLine.treatmentPeriod",
"type": [ {
"code": "Period"
} ],
"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.)",
"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.)"
}, {
"id": "IHEMultilineOrder.medicationLine.quantityPrescribed",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.quantityPrescribed"
},
"path": "IHEMultilineOrder.medicationLine.quantityPrescribed",
"type": [ {
"code": "Quantity"
} ],
"short": "Overall quantity of prescribed product (e.g number of packages or number of tablets).",
"definition": "Overall quantity of prescribed product (e.g number of packages or number of tablets)."
}, {
"id": "IHEMultilineOrder.medicationLine.dosageInstructions",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.dosageInstructions"
},
"path": "IHEMultilineOrder.medicationLine.dosageInstructions",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/DosagingInformation" ]
} ],
"short": "Dosaging and administration instructions",
"definition": "Dosaging and administration instructions"
}, {
"id": "IHEMultilineOrder.medicationLine.preparationInstructions",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.preparationInstructions"
},
"path": "IHEMultilineOrder.medicationLine.preparationInstructions",
"type": [ {
"code": "string"
} ],
"short": "Additional instructions about preparation or dispense",
"definition": "Additional instructions about preparation or dispense"
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "IHEMultilineOrder.medicationLine.substitution",
"min": 0,
"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",
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "IHEMultilineOrder.medicationLine.substitution",
"base": {
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.substitution"
}
}, {
"path": "IHEMultilineOrder.medicationLine.substitution.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "IHEMultilineOrder.medicationLine.substitution.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "IHEMultilineOrder.medicationLine.substitution.extension",
"min": 0,
"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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "IHEMultilineOrder.medicationLine.substitution.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "IHEMultilineOrder.medicationLine.substitution.modifierExtension",
"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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).",
"min": 0,
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "IHEMultilineOrder.medicationLine.substitution.modifierExtension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"id": "IHEMultilineOrder.medicationLine.substitution.allowed[x]",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.substitution.allowed[x]"
},
"path": "IHEMultilineOrder.medicationLine.substitution.allowed[x]",
"type": [ {
"code": "boolean"
}, {
"code": "CodeableConcept"
} ],
"short": "Whether substitution is allowed or not (or type of substitution).",
"definition": "Whether substitution is allowed or not (or type of substitution)."
}, {
"id": "IHEMultilineOrder.medicationLine.substitution.reason[x]",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.substitution.reason[x]"
},
"path": "IHEMultilineOrder.medicationLine.substitution.reason[x]",
"type": [ {
"code": "CodeableConcept"
}, {
"code": "string"
} ],
"short": "Reason for the substitution requirement",
"definition": "Reason for the substitution requirement"
}, {
"id": "IHEMultilineOrder.medicationLine.offLabel",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.offLabel"
},
"path": "IHEMultilineOrder.medicationLine.offLabel",
"type": [ {
"code": "Base"
} ],
"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.",
"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."
}, {
"id": "IHEMultilineOrder.medicationLine.offLabel.isOffLabelUse",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "IHEMultilineOrder.medicationLine.offLabel.isOffLabelUse"
},
"path": "IHEMultilineOrder.medicationLine.offLabel.isOffLabelUse",
"type": [ {
"code": "boolean"
} ],
"short": "Indicates off-label use. Must be 'true' when .reason is provided.",
"definition": "Indicates off-label use. Must be 'true' when .reason is provided."
}, {
"id": "IHEMultilineOrder.medicationLine.offLabel.reason[x]",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.offLabel.reason[x]"
},
"path": "IHEMultilineOrder.medicationLine.offLabel.reason[x]",
"type": [ {
"code": "CodeableConcept"
}, {
"code": "string"
} ],
"short": "Reason or related clarification for off-label use.",
"definition": "Reason or related clarification for off-label use."
}, {
"id": "IHEMultilineOrder.medicationLine.repeatsAllowed",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.repeatsAllowed"
},
"path": "IHEMultilineOrder.medicationLine.repeatsAllowed",
"type": [ {
"code": "integer"
} ],
"short": "Number of refills authorized",
"definition": "How many times the prescription item can be dispensed in addition to the original dispense."
}, {
"id": "IHEMultilineOrder.medicationLine.minimumDispenseInterval",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.minimumDispenseInterval"
},
"path": "IHEMultilineOrder.medicationLine.minimumDispenseInterval",
"type": [ {
"code": "Duration"
} ],
"short": "Minimum Dispense Interval",
"definition": "If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here."
}, {
"id": "IHEMultilineOrder.comment",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "IHEMultilineOrder.comment"
},
"path": "IHEMultilineOrder.comment",
"type": [ {
"code": "string"
} ],
"short": "Additional information or comments",
"definition": "Additional information or comments"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "5.0.0"
} ]
},
"status": "active",
"id": "2524eabb-2b90-4afa-85f1-63df34a32cab",
"kind": "logical",
"url": "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/IHEMultilineOrder",
"version": "1.0.0-comment-2",
"differential": {
"element": [ {
"id": "IHEMultilineOrder",
"path": "IHEMultilineOrder",
"short": "Medication order - multiline (model)",
"definition": "Logical model for multiline medication prescription"
}, {
"id": "IHEMultilineOrder.identifier",
"max": "*",
"min": 1,
"path": "IHEMultilineOrder.identifier",
"type": [ {
"code": "Identifier"
} ],
"short": "Business identifier(s) for the prescription group",
"definition": "Business identifier(s) for the prescription group"
}, {
"id": "IHEMultilineOrder.patient",
"max": "1",
"min": 1,
"path": "IHEMultilineOrder.patient",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/PatientBasic" ]
} ],
"short": "The person for whom the medication is prescribed/ordered",
"definition": "Question: would we want to add basic Patient model?"
}, {
"id": "IHEMultilineOrder.prescriber",
"max": "1",
"min": 1,
"path": "IHEMultilineOrder.prescriber",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/PractitionerBasic", "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ]
} ],
"short": "The person who made the prescription, and who takes the responsibility of the treatment",
"definition": "Question: would we want to add basic Practicioner model?"
}, {
"id": "IHEMultilineOrder.issueDate",
"max": "1",
"min": 1,
"path": "IHEMultilineOrder.issueDate",
"type": [ {
"code": "dateTime"
} ],
"short": "Time of issuing (signing) the prescription by health care practicioner",
"definition": "Time of issuing (signing) the prescription by health care practicioner"
}, {
"id": "IHEMultilineOrder.recorder",
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.recorder",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/PractitionerBasic", "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ]
} ],
"short": "The recorder of the prescription/draft in the information system",
"definition": "The recorder of the prescription/draft in the information system"
}, {
"id": "IHEMultilineOrder.recordingDate",
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.recordingDate",
"type": [ {
"code": "dateTime"
} ],
"short": "Time of authoring the prescription/draft in the information system",
"definition": "Time of authoring the prescription/draft in the information system"
}, {
"id": "IHEMultilineOrder.validFrom",
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.validFrom",
"type": [ {
"code": "dateTime"
} ],
"short": "Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate",
"definition": "Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate"
}, {
"id": "IHEMultilineOrder.validUntil",
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.validUntil",
"type": [ {
"code": "dateTime"
} ],
"short": "The validity period end date. The prescription is not dispensable after this date.",
"definition": "The validity period end date. The prescription is not dispensable after this date."
}, {
"id": "IHEMultilineOrder.medicationLine",
"max": "*",
"min": 1,
"path": "IHEMultilineOrder.medicationLine",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Medication line in the prescription",
"definition": "Medication line in the prescription"
}, {
"id": "IHEMultilineOrder.medicationLine.status",
"max": "1",
"min": 1,
"path": "IHEMultilineOrder.medicationLine.status",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Status of the prescription, this should not be status of treatment",
"definition": "Status of the prescription, this should not be status of treatment"
}, {
"id": "IHEMultilineOrder.medicationLine.statusReason",
"max": "*",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.statusReason",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Reason for the current status of prescription, for example the reason why the prescription was made invalid",
"definition": "Reason for the current status of prescription, for example the reason why the prescription was made invalid"
}, {
"id": "IHEMultilineOrder.medicationLine.category",
"max": "*",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.category",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc).",
"definition": "Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc)."
}, {
"id": "IHEMultilineOrder.medicationLine.basedOn",
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.basedOn",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/IHEMultilineOrder" ]
} ],
"short": "What this order is based on",
"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."
}, {
"id": "IHEMultilineOrder.medicationLine.medication",
"max": "1",
"min": 1,
"path": "IHEMultilineOrder.medicationLine.medication",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/MedicinalProductModel" ]
} ],
"short": "Prescribed product, branded, generic, virtual, extemporal, etc",
"definition": "Prescribed product, branded, generic, virtual, extemporal, etc"
}, {
"id": "IHEMultilineOrder.medicationLine.prescriptionIntent",
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.prescriptionIntent",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc",
"definition": "Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc"
}, {
"id": "IHEMultilineOrder.medicationLine.indication",
"max": "*",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.indication",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Reason for the prescription (typically diagnosis, prophylaxis, or a procedure)",
"definition": "Reason for the prescription (typically diagnosis, prophylaxis, or a procedure)"
}, {
"id": "IHEMultilineOrder.medicationLine.indicationText",
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.indicationText",
"type": [ {
"code": "string"
} ],
"short": "Reason for the prescription in textual form. This might not be allowed by some implementations.",
"definition": "Reason for the prescription in textual form. This might not be allowed by some implementations."
}, {
"id": "IHEMultilineOrder.medicationLine.indicationReference",
"max": "*",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.indicationReference",
"type": [ {
"code": "string"
} ],
"short": "Reason for the prescription - as a reference to a problem, result, etc.",
"definition": "Reason for the prescription - as a reference to a problem, result, etc."
}, {
"id": "IHEMultilineOrder.medicationLine.treatmentPeriod",
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.treatmentPeriod",
"type": [ {
"code": "Period"
} ],
"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.)",
"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.)"
}, {
"id": "IHEMultilineOrder.medicationLine.quantityPrescribed",
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.quantityPrescribed",
"type": [ {
"code": "Quantity"
} ],
"short": "Overall quantity of prescribed product (e.g number of packages or number of tablets).",
"definition": "Overall quantity of prescribed product (e.g number of packages or number of tablets)."
}, {
"id": "IHEMultilineOrder.medicationLine.dosageInstructions",
"max": "*",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.dosageInstructions",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/DosagingInformation" ]
} ],
"short": "Dosaging and administration instructions",
"definition": "Dosaging and administration instructions"
}, {
"id": "IHEMultilineOrder.medicationLine.preparationInstructions",
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.preparationInstructions",
"type": [ {
"code": "string"
} ],
"short": "Additional instructions about preparation or dispense",
"definition": "Additional instructions about preparation or dispense"
}, {
"id": "IHEMultilineOrder.medicationLine.substitution",
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.substitution",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Whether and which type of substitution is allowed for this medication treatment line",
"definition": "Whether and which type of substitution is allowed for this medication treatment line"
}, {
"id": "IHEMultilineOrder.medicationLine.substitution.allowed[x]",
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.substitution.allowed[x]",
"type": [ {
"code": "boolean"
}, {
"code": "CodeableConcept"
} ],
"short": "Whether substitution is allowed or not (or type of substitution).",
"definition": "Whether substitution is allowed or not (or type of substitution)."
}, {
"id": "IHEMultilineOrder.medicationLine.substitution.reason[x]",
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.substitution.reason[x]",
"type": [ {
"code": "CodeableConcept"
}, {
"code": "string"
} ],
"short": "Reason for the substitution requirement",
"definition": "Reason for the substitution requirement"
}, {
"id": "IHEMultilineOrder.medicationLine.offLabel",
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.offLabel",
"type": [ {
"code": "Base"
} ],
"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.",
"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."
}, {
"id": "IHEMultilineOrder.medicationLine.offLabel.isOffLabelUse",
"max": "1",
"min": 1,
"path": "IHEMultilineOrder.medicationLine.offLabel.isOffLabelUse",
"type": [ {
"code": "boolean"
} ],
"short": "Indicates off-label use. Must be 'true' when .reason is provided.",
"definition": "Indicates off-label use. Must be 'true' when .reason is provided."
}, {
"id": "IHEMultilineOrder.medicationLine.offLabel.reason[x]",
"max": "*",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.offLabel.reason[x]",
"type": [ {
"code": "CodeableConcept"
}, {
"code": "string"
} ],
"short": "Reason or related clarification for off-label use.",
"definition": "Reason or related clarification for off-label use."
}, {
"id": "IHEMultilineOrder.medicationLine.repeatsAllowed",
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.repeatsAllowed",
"type": [ {
"code": "integer"
} ],
"short": "Number of refills authorized",
"definition": "How many times the prescription item can be dispensed in addition to the original dispense."
}, {
"id": "IHEMultilineOrder.medicationLine.minimumDispenseInterval",
"max": "1",
"min": 0,
"path": "IHEMultilineOrder.medicationLine.minimumDispenseInterval",
"type": [ {
"code": "Duration"
} ],
"short": "Minimum Dispense Interval",
"definition": "If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here."
}, {
"id": "IHEMultilineOrder.comment",
"max": "*",
"min": 0,
"path": "IHEMultilineOrder.comment",
"type": [ {
"code": "string"
} ],
"short": "Additional information or comments",
"definition": "Additional information or comments"
} ]
},
"contact": [ {
"name": "Integrating the Healthcare Enterprise (IHE)",
"telecom": [ {
"value": "http://ihe.net",
"system": "url"
}, {
"value": "secretary@ihe.net",
"system": "email"
} ]
}, {
"name": "José Costa Teixeira",
"telecom": [ {
"use": "work",
"value": "jose.a.teixeira@gmail.com",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base"
}