Medication
1.1.0 - STU Belgium flag

This page is part of the HL7 BE Medication IG (v1.1.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Logical Model: Medication prescription (model)

Official URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeModelMedicationPrescription Version: 1.1.0
Active as of 2025-10-10 Computable Name: BeModelMedicationPrescription

Logical model for medication prescription (or some other form of order)

Relationship with other elements:

The Medication Prescription relates to the other data structures in the following way:

 Medication  Medication Line Prescription Dispense      

Usages:

  • This Logical Model is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. BeModelMedicationPrescription 0..* Base Medication prescription (model)
Instances of this logical model can be the target of a Reference
... identifier 1..* Identifier(5.2.0) Business identifier(s) for the prescription
... recordedDate 1..1 dateTime Time of authoring the prescription/draft in the information system
... basedOnMedicationLine 0..1 Reference(Medication Line (model)) Link to the Medication Line from which this request is based
... status 1..1 CodeableConcept Status of the prescription, this should not be status of treatment
Binding: Medication Prescription Status (required)
... statusReason 0..1 CodeableConcept Reason for the current status of prescription, for example the reason why the prescription was made invalid
... statusChanged 0..1 dateTime Date and time when the status of the prescription was changed
... medication 1..1 Reference(Medication (model)) Prescribed product, branded, generic, virtual, extemporaneous, etc
... prescriber 1..1 Reference(Practitioner | PractitionerRole) The person who made the prescription, and who takes the responsibility of the treatment
... organization 0..1 Reference(BeOrganization) The organization from which the prescriber issues the prescription.
... indication 0..* BackboneElement Reason for the prescription (typically diagnosis, or a procedure)
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... reference 0..* Reference() Reason for the prescription (typically diagnosis, or a procedure)
.... code 0..* CodeableConcept Reason or text for the prescription (typically diagnosis, or a procedure)
... dosage 0..* BeModelDosagingInformation Dosaging and administration instructions
... offLabel 0..1 boolean Off-Label / Dosage Override
.... @id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional content defined by implementations
.... @value 0..1 boolean Primitive value for boolean
.... isOffLabelUse 0..1 boolean Off-Label / Dosage Override
.... reason 1..1 CodeableConcept Dosage Override reason
... substitution 0..1 BackboneElement Whether substitution is allowed, and reason
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... substitutionAllowed 1..1 boolean Substitution of the product is allowed.
... instructionForReimbursement 0..1 CodeableConcept Instructions for reimbursement
Binding: Medication request reimbursement type ValueSet (extensible)
... validFrom 1..1 dateTime Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
... validUntil 0..1 dateTime The validity period end date. The prescription is not dispensable after this date.
... dispenseRequest 0..1 BackboneElement Dispense Request or authorization for the prescribed medication
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... quantityPerDispense 0..1 SimpleQuantity Amount of medication to supply per dispense
... note 0..* string Additional information or comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
BeModelMedicationPrescription.​status Base required Medication Prescription Status 📦1.1.0 This IG
BeModelMedicationPrescription.​instructionForReimbursement Base extensible Medication request reimbursement type ValueSet 📦1.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. BeModelMedicationPrescription 0..* Base Medication prescription (model)
Instances of this logical model can be the target of a Reference
... identifier 1..* Identifier(5.2.0) Business identifier(s) for the prescription
... recordedDate 1..1 dateTime Time of authoring the prescription/draft in the information system
... basedOnMedicationLine 0..1 Reference(Medication Line (model)) Link to the Medication Line from which this request is based
... status 1..1 CodeableConcept Status of the prescription, this should not be status of treatment
Binding: Medication Prescription Status (required)
... statusReason 0..1 CodeableConcept Reason for the current status of prescription, for example the reason why the prescription was made invalid
... statusChanged 0..1 dateTime Date and time when the status of the prescription was changed
... medication 1..1 Reference(Medication (model)) Prescribed product, branded, generic, virtual, extemporaneous, etc
... prescriber 1..1 Reference(Practitioner | PractitionerRole) The person who made the prescription, and who takes the responsibility of the treatment
... organization 0..1 Reference(BeOrganization) The organization from which the prescriber issues the prescription.
... indication 0..* BackboneElement Reason for the prescription (typically diagnosis, or a procedure)
.... reference 0..* Reference() Reason for the prescription (typically diagnosis, or a procedure)
.... code 0..* CodeableConcept Reason or text for the prescription (typically diagnosis, or a procedure)
... dosage 0..* BeModelDosagingInformation Dosaging and administration instructions
... offLabel 0..1 boolean Off-Label / Dosage Override
.... isOffLabelUse 0..1 boolean Off-Label / Dosage Override
.... reason 1..1 CodeableConcept Dosage Override reason
... substitution 0..1 BackboneElement Whether substitution is allowed, and reason
.... substitutionAllowed 1..1 boolean Substitution of the product is allowed.
... instructionForReimbursement 0..1 CodeableConcept Instructions for reimbursement
Binding: Medication request reimbursement type ValueSet (extensible)
... validFrom 1..1 dateTime Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
... validUntil 0..1 dateTime The validity period end date. The prescription is not dispensable after this date.
... dispenseRequest 0..1 BackboneElement Dispense Request or authorization for the prescribed medication
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... quantityPerDispense 0..1 SimpleQuantity Amount of medication to supply per dispense
... note 0..* string Additional information or comments

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
BeModelMedicationPrescription.​status Base required Medication Prescription Status 📦1.1.0 This IG
BeModelMedicationPrescription.​instructionForReimbursement Base extensible Medication request reimbursement type ValueSet 📦1.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. BeModelMedicationPrescription 0..* Base Medication prescription (model)
Instances of this logical model can be the target of a Reference
... identifier 1..* Identifier(5.2.0) Business identifier(s) for the prescription
... recordedDate 1..1 dateTime Time of authoring the prescription/draft in the information system
... basedOnMedicationLine 0..1 Reference(Medication Line (model)) Link to the Medication Line from which this request is based
... status 1..1 CodeableConcept Status of the prescription, this should not be status of treatment
Binding: Medication Prescription Status (required)
... statusReason 0..1 CodeableConcept Reason for the current status of prescription, for example the reason why the prescription was made invalid
... statusChanged 0..1 dateTime Date and time when the status of the prescription was changed
... medication 1..1 Reference(Medication (model)) Prescribed product, branded, generic, virtual, extemporaneous, etc
... prescriber 1..1 Reference(Practitioner | PractitionerRole) The person who made the prescription, and who takes the responsibility of the treatment
... organization 0..1 Reference(BeOrganization) The organization from which the prescriber issues the prescription.
... indication 0..* BackboneElement Reason for the prescription (typically diagnosis, or a procedure)
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... reference 0..* Reference() Reason for the prescription (typically diagnosis, or a procedure)
.... code 0..* CodeableConcept Reason or text for the prescription (typically diagnosis, or a procedure)
... dosage 0..* BeModelDosagingInformation Dosaging and administration instructions
... offLabel 0..1 boolean Off-Label / Dosage Override
.... @id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional content defined by implementations
.... @value 0..1 boolean Primitive value for boolean
.... isOffLabelUse 0..1 boolean Off-Label / Dosage Override
.... reason 1..1 CodeableConcept Dosage Override reason
... substitution 0..1 BackboneElement Whether substitution is allowed, and reason
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... substitutionAllowed 1..1 boolean Substitution of the product is allowed.
... instructionForReimbursement 0..1 CodeableConcept Instructions for reimbursement
Binding: Medication request reimbursement type ValueSet (extensible)
... validFrom 1..1 dateTime Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
... validUntil 0..1 dateTime The validity period end date. The prescription is not dispensable after this date.
... dispenseRequest 0..1 BackboneElement Dispense Request or authorization for the prescribed medication
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... quantityPerDispense 0..1 SimpleQuantity Amount of medication to supply per dispense
... note 0..* string Additional information or comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
BeModelMedicationPrescription.​status Base required Medication Prescription Status 📦1.1.0 This IG
BeModelMedicationPrescription.​instructionForReimbursement Base extensible Medication request reimbursement type ValueSet 📦1.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. BeModelMedicationPrescription 0..* Base Medication prescription (model)
Instances of this logical model can be the target of a Reference
... identifier 1..* Identifier(5.2.0) Business identifier(s) for the prescription
... recordedDate 1..1 dateTime Time of authoring the prescription/draft in the information system
... basedOnMedicationLine 0..1 Reference(Medication Line (model)) Link to the Medication Line from which this request is based
... status 1..1 CodeableConcept Status of the prescription, this should not be status of treatment
Binding: Medication Prescription Status (required)
... statusReason 0..1 CodeableConcept Reason for the current status of prescription, for example the reason why the prescription was made invalid
... statusChanged 0..1 dateTime Date and time when the status of the prescription was changed
... medication 1..1 Reference(Medication (model)) Prescribed product, branded, generic, virtual, extemporaneous, etc
... prescriber 1..1 Reference(Practitioner | PractitionerRole) The person who made the prescription, and who takes the responsibility of the treatment
... organization 0..1 Reference(BeOrganization) The organization from which the prescriber issues the prescription.
... indication 0..* BackboneElement Reason for the prescription (typically diagnosis, or a procedure)
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... reference 0..* Reference() Reason for the prescription (typically diagnosis, or a procedure)
.... code 0..* CodeableConcept Reason or text for the prescription (typically diagnosis, or a procedure)
... dosage 0..* BeModelDosagingInformation Dosaging and administration instructions
... offLabel 0..1 boolean Off-Label / Dosage Override
.... @id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional content defined by implementations
.... @value 0..1 boolean Primitive value for boolean
.... isOffLabelUse 0..1 boolean Off-Label / Dosage Override
.... reason 1..1 CodeableConcept Dosage Override reason
... substitution 0..1 BackboneElement Whether substitution is allowed, and reason
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... substitutionAllowed 1..1 boolean Substitution of the product is allowed.
... instructionForReimbursement 0..1 CodeableConcept Instructions for reimbursement
Binding: Medication request reimbursement type ValueSet (extensible)
... validFrom 1..1 dateTime Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
... validUntil 0..1 dateTime The validity period end date. The prescription is not dispensable after this date.
... dispenseRequest 0..1 BackboneElement Dispense Request or authorization for the prescribed medication
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... quantityPerDispense 0..1 SimpleQuantity Amount of medication to supply per dispense
... note 0..* string Additional information or comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
BeModelMedicationPrescription.​status Base required Medication Prescription Status 📦1.1.0 This IG
BeModelMedicationPrescription.​instructionForReimbursement Base extensible Medication request reimbursement type ValueSet 📦1.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. BeModelMedicationPrescription 0..* Base Medication prescription (model)
Instances of this logical model can be the target of a Reference
... identifier 1..* Identifier(5.2.0) Business identifier(s) for the prescription
... recordedDate 1..1 dateTime Time of authoring the prescription/draft in the information system
... basedOnMedicationLine 0..1 Reference(Medication Line (model)) Link to the Medication Line from which this request is based
... status 1..1 CodeableConcept Status of the prescription, this should not be status of treatment
Binding: Medication Prescription Status (required)
... statusReason 0..1 CodeableConcept Reason for the current status of prescription, for example the reason why the prescription was made invalid
... statusChanged 0..1 dateTime Date and time when the status of the prescription was changed
... medication 1..1 Reference(Medication (model)) Prescribed product, branded, generic, virtual, extemporaneous, etc
... prescriber 1..1 Reference(Practitioner | PractitionerRole) The person who made the prescription, and who takes the responsibility of the treatment
... organization 0..1 Reference(BeOrganization) The organization from which the prescriber issues the prescription.
... indication 0..* BackboneElement Reason for the prescription (typically diagnosis, or a procedure)
.... reference 0..* Reference() Reason for the prescription (typically diagnosis, or a procedure)
.... code 0..* CodeableConcept Reason or text for the prescription (typically diagnosis, or a procedure)
... dosage 0..* BeModelDosagingInformation Dosaging and administration instructions
... offLabel 0..1 boolean Off-Label / Dosage Override
.... isOffLabelUse 0..1 boolean Off-Label / Dosage Override
.... reason 1..1 CodeableConcept Dosage Override reason
... substitution 0..1 BackboneElement Whether substitution is allowed, and reason
.... substitutionAllowed 1..1 boolean Substitution of the product is allowed.
... instructionForReimbursement 0..1 CodeableConcept Instructions for reimbursement
Binding: Medication request reimbursement type ValueSet (extensible)
... validFrom 1..1 dateTime Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
... validUntil 0..1 dateTime The validity period end date. The prescription is not dispensable after this date.
... dispenseRequest 0..1 BackboneElement Dispense Request or authorization for the prescribed medication
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... quantityPerDispense 0..1 SimpleQuantity Amount of medication to supply per dispense
... note 0..* string Additional information or comments

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
BeModelMedicationPrescription.​status Base required Medication Prescription Status 📦1.1.0 This IG
BeModelMedicationPrescription.​instructionForReimbursement Base extensible Medication request reimbursement type ValueSet 📦1.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. BeModelMedicationPrescription 0..* Base Medication prescription (model)
Instances of this logical model can be the target of a Reference
... identifier 1..* Identifier(5.2.0) Business identifier(s) for the prescription
... recordedDate 1..1 dateTime Time of authoring the prescription/draft in the information system
... basedOnMedicationLine 0..1 Reference(Medication Line (model)) Link to the Medication Line from which this request is based
... status 1..1 CodeableConcept Status of the prescription, this should not be status of treatment
Binding: Medication Prescription Status (required)
... statusReason 0..1 CodeableConcept Reason for the current status of prescription, for example the reason why the prescription was made invalid
... statusChanged 0..1 dateTime Date and time when the status of the prescription was changed
... medication 1..1 Reference(Medication (model)) Prescribed product, branded, generic, virtual, extemporaneous, etc
... prescriber 1..1 Reference(Practitioner | PractitionerRole) The person who made the prescription, and who takes the responsibility of the treatment
... organization 0..1 Reference(BeOrganization) The organization from which the prescriber issues the prescription.
... indication 0..* BackboneElement Reason for the prescription (typically diagnosis, or a procedure)
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... reference 0..* Reference() Reason for the prescription (typically diagnosis, or a procedure)
.... code 0..* CodeableConcept Reason or text for the prescription (typically diagnosis, or a procedure)
... dosage 0..* BeModelDosagingInformation Dosaging and administration instructions
... offLabel 0..1 boolean Off-Label / Dosage Override
.... @id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional content defined by implementations
.... @value 0..1 boolean Primitive value for boolean
.... isOffLabelUse 0..1 boolean Off-Label / Dosage Override
.... reason 1..1 CodeableConcept Dosage Override reason
... substitution 0..1 BackboneElement Whether substitution is allowed, and reason
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... substitutionAllowed 1..1 boolean Substitution of the product is allowed.
... instructionForReimbursement 0..1 CodeableConcept Instructions for reimbursement
Binding: Medication request reimbursement type ValueSet (extensible)
... validFrom 1..1 dateTime Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate
... validUntil 0..1 dateTime The validity period end date. The prescription is not dispensable after this date.
... dispenseRequest 0..1 BackboneElement Dispense Request or authorization for the prescribed medication
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... quantityPerDispense 0..1 SimpleQuantity Amount of medication to supply per dispense
... note 0..* string Additional information or comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
BeModelMedicationPrescription.​status Base required Medication Prescription Status 📦1.1.0 This IG
BeModelMedicationPrescription.​instructionForReimbursement Base extensible Medication request reimbursement type ValueSet 📦1.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel

Notes:

Detailed diagram:

BeModelMedicationPrescriptionidentifier 1..*prescriber 1..1organization 0..1patient 1..1recordedDate 1..1status 1..1statusReason 0..1statusChanged 0..1validFrom 1..1validUntil 0..1basedOnMedicationLine 0..1medication 1..1indication 0..*reference 0..*code 0..*dosage 0..*dispenseRequest 0..1dispenseInterval 0..1quantityPerDispense 0..1substitution 0..1substitutionAllowed 1..1substitutionAllowedReason 0..1instructionForReimbursement 0..1offLabel 0..1isOffLabelUse 0..1reason 1..1note 0..*