HL7 Prescription Prescription 1 1 Mandatory false Directions provided by a prescribing practitioner for a specific medication to be administered to an individual Used to record details about the prescribed medication, administration schedule, dosage and dispensing. SubstanceAdministration Prescription.id 1 1 Mandatory id false Master Resource Id, always first in all resources Prescription.identifier 0 unbounded Mandatory HumanId true A identifier used in an external system and associated with this medication Prescriptions are almost always assigned specific numerical identifiers .id Prescription.status 1 1 Mandatory code PrescriptionStatus true Actual status of the prescription .statusCode Prescription.patient 1 1 Mandatory Resource(Patient) true The patient the prescription is prescribing medicine for Prescription.prescriber 1 1 Mandatory Resource(Agent) false The clinician or doctor prescribing the medication Prescription.prescribed 1 1 Mandatory dateTime false Date/time on which the prescription was written Prescription.dispense 0 1 Optional false Details of the dispense as requested by the prescriber Prescription.dispense.repeats 0 1 Optional integer false Requested number of repeats Default is "1" Prescription.dispense.quantity 1 1 Mandatory Quantity false Requested quantity per repeat Prescription.dispense.dispenser 0 1 Optional Resource(Agent|Organization) false Person to fullfil the requested dispense Prescription.medicine 1 1 Mandatory false The one single medicatine, vaccine or therapeutic good prescribed in this prescription. Prescription.medicine.productCode 0 1 Conditional Can only be left empty if it cannot be coded Coding MedicationKind true Coded representation of medicine Conformance should be "Required", not "Optional" Prescription.medicine.description 0 1 Conditional Mandatory when medication cannot be coded string false Textual description of medicine, including strength and ingredients Prescription.medicine.activeIngredient 0 unbounded Optional false The substance in the medication formulation that is pharmaceutically active and is responsible for the medication's therapeutic effect Prescription.medicine.activeIngredient.productCode 1 1 Mandatory Coding MedicationKind false Coded representation of active ingredient Prescription.medicine.activeIngredient.quantity 0 1 Optional Ratio false Quantity of active ingredient expressed in relation to the whole of the prepared medicine Prescription.medicine.inactiveIngredient 0 unbounded Optional false Ingredients in the medication that are not active Prescription.medicine.inactiveIngredient.productCode 1 1 Mandatory Coding MedicationKind false Coded representation of the inactive ingredient Prescription.medicine.inactiveIngredient.quantity 0 1 Optional Ratio false Quantity of inactive ingredient expressed in relation to the whole of the prepared medicine Prescription.administrationRequest 1 1 Mandatory false Instructions for the use of the medication. Includes details about the timing schedule, dosis amounts and additional usage instructions. Prescription.administrationRequest.description 0 1 Optional string false Textual description of the use of the medication. Can contain more details than the structured information under this element, but must be in accordance with it. May not contain information about the medicine itself. Prescription.administrationRequest.totalPeriodicDosis 0 1 Optional Ratio false Total dose per day/week or other period when more specific information is missing or cannot be expressed using the timing specifications. It should be possible, as a last resort, to specify e.g. a daily dosis, even if more specific details are unknown Prescription.administrationRequest.start 0 1 Conditional Duration is given OR (Start is given AND (Duration OR End is given)) OR (Duration, Start and End are not given) dateTime false First moment on which medication should be taken Prescription.administrationRequest.end 0 1 Conditional Duration is given OR (Start is given AND (Duration OR End is given)) OR (Duration, Start and End are not given) dateTime false Last moment on which medication should be taken Prescription.administrationRequest.duration 0 1 Conditional Duration is given OR (Start is given AND (Duration OR End is given)) OR (Duration, Start and End are not given) Quantity false Total duration of administration Prescription.administrationRequest.numberOfAdministrations 0 1 Conditional Can be given instead of Duration, as specified above integer false Maximum number of separate administrations before the instruction ends. Prescription.administrationRequest.dosageInstruction 1 unbounded Mandatory false Specification of dose and schedule for administration The can be >1 dosage instruction to support administration of varying doses, resulting in 1 instruction per fixed dose. Prescription.administrationRequest.dosageInstruction.precondition 0 unbounded Optional CodeableConcept AdministrationPrecondition false Precondition for starting the administration specified in this instruction Prescription.administrationRequest.dosageInstruction.prn 0 1 Optional code BooleanYesNo false Pro re nate, "If necessary": Specifies whether administration depens on the state and symptoms of the patient Default is "false" Prescription.administrationRequest.dosageInstruction.additionalInstruction 0 unbounded Optional CodeableConcept AdministrationInstruction false Additional details to guide administration. Especially relevant for medicine administered by patient Prescription.administrationRequest.dosageInstruction.route 0 1 Optional CodeableConcept AdministrationRoute false Route of administration (oral, nasal, intravenous) Since the route of administration is generally determined by the choice of medication, it is not necessary to provide a value in route Prescription.administrationRequest.dosageInstruction.dose[x] 1 1 Mandatory Quantity Interval(Quantity) false Dose per administration, expressed in units of the (prepared) product Dose may be an interval, "2-3 tablets per 4 hours" Prescription.administrationRequest.dosageInstruction.rate 0 1 Optional Quantity false Flow-rate for IV Prescription.administrationRequest.dosageInstruction.schedule 1 unbounded Mandatory Schedule false Schedule for administration. If multiple are given, they are considered to be active in parrallel Will submit proposal to change Schedule type. Prescription.reason 0 1 Optional CodeableConcept PrescriptionReason false Diagnosis which is the reason for prescribing this medicine Prescription.extensions 0 1 Optional false See Extensions Prescription.text 1 1 Mandatory Narrative false Text summary of the prescription, for human interpretation