The formal definitions for the elements in the prescription resource. Also available as an XML file.
| Prescription |
| Definition | Directions provided by a prescribing practitioner for a specific medication to be administered (and possibly) supplied to an individual |
| Control | 1..1 |
| Requirements | Used to record details about the prescribed medication, administration schedule, dosage and dispensing. |
| RIM Mapping | SubstanceAdministration |
| Prescription.identifier |
| Definition | A identifier used in an external system and associated with this medication |
| Control | 0..* |
| Type | HumanId |
| Must Understand | true |
| Requirements | Prescriptions are almost always assigned specific numerical identifiers |
| RIM Mapping | SubstanceAdministration.id |
| Prescription.status |
| Definition | Actual status of the prescription |
| Control | 1..1 |
| Type | code from PrescriptionStatus |
| Must Understand | true |
| RIM Mapping | SubstanceAdministration.statusCode |
| Prescription.patient |
| Definition | The patient the prescription is prescribing medicine for |
| Control | 1..1 |
| Type | Resource(Patient) |
| Must Understand | true |
| Prescription.prescriber |
| Definition | The clinician or doctor prescribing the medication |
| Control | 1..1 |
| Type | Resource(Agent) |
| Prescription.prescribed |
| Definition | Date/time on which the prescription was written |
| Control | 1..1 |
| Type | dateTime |
| Prescription.dispense |
| Definition | Details of the dispense as requested by the prescriber |
| Control | 0..1 |
| Prescription.dispense.repeats |
| Definition | Requested number of repeats |
| Control | 0..1 |
| Type | integer |
| Comments | Default is "1" |
| Prescription.dispense.quantity |
| Definition | Requested quantity per repeat |
| Control | 1..1 |
| Type | Quantity |
| Prescription.dispense.dispenser |
| Definition | Person to fulfill the requested dispense |
| Control | 0..1 |
| Type | Resource(Agent|Organization) |
| Prescription.medicine |
| Definition | The one single medicine, vaccine or other product prescribed in this prescription. |
| Control | 1..1 |
| Prescription.medicine.identification |
| Definition | Text and or Code(s) that identify the medicine |
| Control | 0..1 |
| Type | CodeableConcept from MedicationKind |
| Must Understand | true |
| Prescription.medicine.activeIngredient |
| Definition | The substance in the medication formulation that is pharmaceutically active and is responsible for the medication's therapeutic effect |
| Control | 0..* |
| Prescription.medicine.activeIngredient.identification |
| Definition | Coded representation of active ingredient |
| Control | 1..1 |
| Type | CodeableConcept from MedicationKind |
| Prescription.medicine.activeIngredient.quantity[x] |
| Definition | Quantity of active ingredient expressed in relation to the whole of the prepared medicine |
| Control | 0..1 |
| Type | Ratio|code |
| To Do | Declare domain of QuantityExceptions once bug is fixed |
| Prescription.medicine.inactiveIngredient |
| Definition | Ingredients in the medication that are not active |
| Control | 0..* |
| Prescription.medicine.inactiveIngredient.identification |
| Definition | Coded representation of the inactive ingredient |
| Control | 1..1 |
| Type | CodeableConcept from MedicationKind |
| Prescription.medicine.inactiveIngredient.quantity[x] |
| Definition | Quantity of inactive ingredient expressed in relation to the whole of the prepared medicine |
| Control | 0..1 |
| Type | Ratio|code |
| To Do | Declare domain of QuantityExceptions once bug is fixed |
| Prescription.administrationRequest |
| Definition | Instructions for the use of the medication. Includes details about the timing schedule, dose amounts and additional usage instructions. |
| Control | 1..1 |
| Prescription.administrationRequest.description |
| Definition | Textual description of the use of the medication. |
| Control | 0..1 |
| Type | string |
| Comments | 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.totalPeriodicDose |
| Definition | Total dose per day/week or other period when more specific information is missing or cannot be expressed using the timing specifications. |
| Control | 0..1 |
| Type | Ratio |
| Requirements | It should be possible, as a last resort, to specify e.g. a daily dose, even if more specific details are unknown |
| Prescription.administrationRequest.start |
| Definition | First moment on which medication should be taken |
| Control | 0..1 |
| Type | dateTime |
| Prescription.administrationRequest.end |
| Definition | Last moment on which medication should be taken |
| Control | 0..1 |
| Type | dateTime |
| Prescription.administrationRequest.duration |
| Definition | Total duration of administration |
| Control | 0..1 |
| Type | Quantity |
| Prescription.administrationRequest.numberOfAdministrations |
| Definition | Maximum number of separate administrations before the instruction ends. |
| Control | 0..1 |
| Type | integer |
| Prescription.administrationRequest.dosageInstruction |
| Definition | Specification of dose and schedule for administration |
| Control | 1..* |
| Comments | The can be >1 dosage instruction to support administration of varying doses, resulting in 1 instruction per fixed dose. |
| Prescription.administrationRequest.dosageInstruction.precondition |
| Definition | Precondition for starting the administration specified in this instruction |
| Control | 0..* |
| Type | CodeableConcept from AdministrationPrecondition |
| Prescription.administrationRequest.dosageInstruction.prn |
| Definition | As required (from Latin Pro Re Nate): Specifies whether administration is given to a fixed schedule (No) or only when the the state and symptoms of the patient at the time require it (Yes). |
| Control | 0..1 |
| Type | boolean |
| Comments | Default is "false" |
| Prescription.administrationRequest.dosageInstruction.additionalInstruction |
| Definition | Additional details to guide administration. Especially relevant for medicine administered by patient |
| Control | 0..* |
| Type | CodeableConcept from AdministrationInstruction |
| Prescription.administrationRequest.dosageInstruction.route |
| Definition | Route of administration (oral, nasal, intravenous) |
| Control | 0..1 |
| Type | CodeableConcept from AdministrationRoute |
| Comments | 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] |
| Definition | Dose per administration, expressed in units of the (prepared) product |
| Control | 1..1 |
| Type | Quantity|Range |
| Comments | Dose may be an interval, "2-3 tablets per 4 hours" |
| Prescription.administrationRequest.dosageInstruction.rate |
| Definition | Flow-rate for IV |
| Control | 0..1 |
| Type | Quantity |
| Prescription.administrationRequest.dosageInstruction.schedule |
| Definition | Schedule for administration. If multiple are given, they are considered to be active in parallel |
| Control | 1..* |
| Type | Schedule |
| Comments | Will submit proposal to change Schedule type. |
| Prescription.reason |
| Definition | Diagnosis which is the reason for prescribing this medicine |
| Control | 0..1 |
| Type | CodeableConcept from PrescriptionReason |
| Prescription.extension |
| Definition | See Extensions |
| Control | 0..* |
| Type | Extension |
| Prescription.text |
| Definition | Text summary of resource (for human interpretation) |
| Control | 1..1 |
| Type | Narrative |
This is an old version of FHIR retained for archive purposes. Do not use for anything else