Include examples of prescription

[costateixeira]

examples:

• prescription by brand
• prescription by substance
• magistral preparation prescription (text)
• formulary reference (officinal formula)
• magistral preparation (structured)

[smals-jy]

@smals-jy

[smals-jy]

In https://recip-e.be/wp-content/uploads/2022/11/recipePP-xsd-kmehr-1.28.zip , several examples of prescriptions are available. You can find below the categories.

⚠️ Beware that Recip-e uses 0000000 as a special code (both for CNK & VMPGROUP) when the product / substance identifier isn't available in some examples, like explained in Recip-e_contents-guidelines_Kmehr-1.28-1-VMN.pdf at pages 24-26. @costateixeira According to me, it should be a free-text without any identifier in FHIR & explained / expressed in the IG so data isn't polluted by some KMEHR bad design choice no ?

By Brand

• recipePP-1.28-example1.xml
• recipePP-1.28-example2.xml
• recipePP-1.28-example3.xml
• recipePP-1.28-example6.xml
• recipePP-1.28-example7.xml
• recipePP-1.28-example9.xml
• recipePP-1.28-example10.xml
• recipePP-1.28-example11.xml
• recipePP-1.28-example12.xml
• recipePP-1.28-example13.xml
• recipePP-1.28-example14.xml
• recipePP-1.28-example15.xml

By Substance

• recipePP-1.28-example8.xml
• recipePP-1.28-example16.xml
• recipePP-1.28-example17.xml
• recipePP-1.28-example20.xml
• recipePP-1.28-example21.xml

Magistral Preparation Prescription (Text)

• recipePP-1.28-example4.xml
• recipePP-1.28-example5.xml

Formulary Reference (Officinal Formula)

• recipePP-1.28-example18.xml
• recipePP-1.28-example26.xml

Magistral Preparation (Structured)

• recipePP-1.28-example19.xml
• recipePP-1.28-example22.xml
• recipePP-1.28-example23.xml
• recipePP-1.28-example24.xml
• recipePP-1.28-example25.xml
• recipePP-1.28-example27.xml

[smals-jy]

In recipePP-1.28-example12.xml, you have an example of "Renewal". Looks like the issue about it is still open : #189 ?

FYI : I am working on a POC of the Recip-e examples to FHIR format : https://github.com/smals-jy/KMEHR-tests/tree/main/output/fhir-prescriptions

[smals-jy]

First round of examples (and their config files for generation) is done, it could be improved when specs become more clear across time. Feedback is welcome. Here is my checklist :

• Extension: InstructionsForReimbursement
• Substitution (Yes / No)
• Galenic form => mapped to http://hl7.org/fhir/ValueSet/medication-form-codes
• Posology / Regimen => can be mapped to FHIR / SNOMED CT thanks to work I previously did for Medication Scheme
• Renewal => waiting for Add support for "Renewal" #189 to be resolved
• Formulary Reference system (TMF2, ....) => I created a dummy https://www.ehealth.fgov.be/standards/fhir/medication/CodeSystem/pharmacy-formularies system for that atm
• ValueSet for KMEHR CD-UNIT (used for ingredient quantity) => I created a dummy https://www.ehealth.fgov.be/standards/fhir/medication/CodeSystem/cd-unit system for that atm
• ValueSet for KMEHR CD-QUANTITYPREFIX (used for ingredient quantity prefix) => I created a dummy https://www.ehealth.fgov.be/standards/fhir/medication/CodeSystem/quantiy-prefix system for that atm

Hope it helps you @costateixeira

[KarlienHL7Belgium]

Smals recip-e experts are already working on it @smals-ruw and can be attached on this issue
Examples will be discussed in the WG later one

[viloskovic]

Here are the updated examples with the requested changes:

Example 1: Lasix Prescription

{
  "resourceType": "MedicationRequest",
  "id": "example-01-lasix",
  "meta": {
    "profile": [ "https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeMedicationPrescription" ]
  },
  "contained": [ {
    "resourceType": "PractitionerRole",
    "id": "1",
    "meta": {
      "profile": [ "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole" ]
    },
    "practitioner": {
      "identifier": {
        "system": "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
        "value": "18273645002"
      }
    },
    "code": [ {
      "coding": [ {
        "system": "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty",
        "code": "persphysician",
        "display": "persphysician"
      } ]
    } ]
  } ],
  "identifier": {
    "system": "http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-prescription",
    "value": "prescription-01-lasix"
  },
  "status": "active",
  "intent": "order",
  "priority": "routine",
  "medicationCodeableConcept": {
    "coding": [ {
      "system": "urn:be:samv2:amppackage",
      "code": "067663-02",
      "display": "Lasix 40 mg tabl. 50",
      "userSelected": true
    } ]
  },
  "subject": {
    "identifier": {
      "system": "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin",
      "value": "urn:be:fgov:ehealth:pseudo:v2:12345678901.inTransit",
      "_value": {
        "extension": [ {
          "url": "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization",
          "extension": [ {
            "url": "format",
            "valueCode": "direct"
          }, {
            "url": "marker",
            "valueBoolean": true
          } ]
        } ]
      }
    }
  },
  "authoredOn": "2025-10-19T00:00:00+02:00",
  "requester": {
    "reference": "#1"
  },
  "dosageInstruction": [ {
    "timing": {
      "code": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/timing-abbreviation",
          "code": "QOD",
          "display": "QOD"
        } ]
      }
    },
    "asNeededBoolean": false
  } ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2025-10-19T00:00:00+02:00",
      "end": "2026-01-18T00:00:00+01:00"
    }
  },
  "substitution": {
    "allowedBoolean": false
  }
}

Example 2: Hukyndra Prescription

{
  "resourceType": "MedicationRequest",
  "id": "example-04-hukyndra",
  "meta": {
    "profile": [ "https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeMedicationPrescription" ]
  },
  "contained": [ {
    "resourceType": "PractitionerRole",
    "id": "1",
    "meta": {
      "profile": [ "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole" ]
    },
    "practitioner": {
      "identifier": {
        "system": "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
        "value": "19384756003"
      }
    },
    "code": [ {
      "coding": [ {
        "system": "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty",
        "code": "persphysician",
        "display": "persphysician"
      } ]
    } ]
  } ],
  "identifier": {
    "system": "http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-prescription",
    "value": "prescription-04-hukyndra"
  },
  "status": "active",
  "intent": "order",
  "priority": "routine",
  "medicationCodeableConcept": {
    "coding": [ {
      "system": "urn:be:samv2:amppackage",
      "code": "594755-01",
      "display": "Hukyndra 40 mg inf. opl. s.c. voorgev. spuit 6 x 0.4 ml",
      "userSelected": true
    } ]
  },
  "subject": {
    "identifier": {
      "system": "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin",
      "value": "urn:be:fgov:ehealth:pseudo:v2:12345678901.inTransit",
      "_value": {
        "extension": [ {
          "url": "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization",
          "extension": [ {
            "url": "format",
            "valueCode": "direct"
          }, {
            "url": "marker",
            "valueBoolean": true
          } ]
        } ]
      }
    }
  },
  "authoredOn": "2025-10-19T00:00:00+02:00",
  "requester": {
    "reference": "#1"
  },
  "dosageInstruction": [ {
    "sequence": 1,
    "timing": {
      "repeat": {
        "boundsDuration": {
          "value": 1,
          "unit": "week",
          "system": "http://unitsofmeasure.org",
          "code": "wk"
        }
      }
    },
    "asNeededBoolean": false,
    "doseAndRate": [ {
      "type": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code": "ordered",
          "display": "Ordered"
        } ]
      },
      "doseQuantity": {
        "value": 80,
        "system": "http://unitsofmeasure.org",
        "code": "mg"
      }
    } ]
  }, {
    "sequence": 2,
    "timing": {
      "repeat": {
        "boundsDuration": {
          "value": 1,
          "unit": "week",
          "system": "http://unitsofmeasure.org",
          "code": "wk"
        }
      }
    },
    "asNeededBoolean": false,
    "doseAndRate": [ {
      "type": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code": "ordered",
          "display": "Ordered"
        } ]
      },
      "doseQuantity": {
        "value": 40,
        "system": "http://unitsofmeasure.org",
        "code": "mg"
      }
    } ]
  }, {
    "sequence": 3,
    "timing": {
      "repeat": {
        "frequency": 1,
        "period": 2,
        "periodUnit": "wk"
      }
    },
    "asNeededBoolean": false,
    "doseAndRate": [ {
      "type": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code": "ordered",
          "display": "Ordered"
        } ]
      },
      "doseQuantity": {
        "value": 40,
        "system": "http://unitsofmeasure.org",
        "code": "mg"
      }
    } ]
  } ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2025-10-19T00:00:00+02:00",
      "end": "2026-01-18T00:00:00+01:00"
    }
  },
  "substitution": {
    "allowedBoolean": false
  }
}

Example 3: Bisoprolol Prescription

{
  "resourceType": "MedicationRequest",
  "id": "example-08-bisoprolol",
  "meta": {
    "profile": [ "https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeMedicationPrescription" ]
  },
  "contained": [ {
    "resourceType": "PractitionerRole",
    "id": "1",
    "meta": {
      "profile": [ "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole" ]
    },
    "practitioner": {
      "identifier": {
        "system": "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
        "value": "21495867004"
      }
    },
    "code": [ {
      "coding": [ {
        "system": "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty",
        "code": "persphysician",
        "display": "persphysician"
      } ]
    } ]
  } ],
  "identifier": {
    "system": "http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-prescription",
    "value": "prescription-08-bisoprolol"
  },
  "status": "active",
  "intent": "order",
  "priority": "routine",
  "medicationCodeableConcept": {
    "coding": [ {
      "system": "urn:be:samv2:vmpgroup",
      "code": "3889",
      "display": "bisoprolol oraal 2,5 mg",
      "userSelected": true
    } ]
  },
  "subject": {
    "identifier": {
      "system": "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin",
      "value": "urn:be:fgov:ehealth:pseudo:v2:12345678901.inTransit",
      "_value": {
        "extension": [ {
          "url": "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization",
          "extension": [ {
            "url": "format",
            "valueCode": "direct"
          }, {
            "url": "marker",
            "valueBoolean": true
          } ]
        } ]
      }
    }
  },
  "authoredOn": "2025-10-19T00:00:00+02:00",
  "requester": {
    "reference": "#1"
  },
  "dosageInstruction": [ {
    "timing": {
      "repeat": {
        "boundsDuration": {
          "value": 3,
          "unit": "month",
          "system": "http://unitsofmeasure.org",
          "code": "mo"
        },
        "frequency": 1,
        "period": 1,
        "periodUnit": "d"
      }
    },
    "asNeededBoolean": false,
    "doseAndRate": [ {
      "type": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code": "ordered",
          "display": "Ordered"
        } ]
      },
      "doseQuantity": {
        "value": 2.5,
        "system": "http://unitsofmeasure.org",
        "code": "mg"
      }
    } ]
  } ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2025-10-19T00:00:00+02:00",
      "end": "2026-01-18T00:00:00+01:00"
    }
  },
  "substitution": {
    "allowedBoolean": true
  }
}

Example 4: Gutron Prescription

{
  "resourceType": "MedicationRequest",
  "id": "example-10-gutron",
  "meta": {
    "profile": [ "https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeMedicationPrescription" ]
  },
  "contained": [ {
    "resourceType": "PractitionerRole",
    "id": "1",
    "meta": {
      "profile": [ "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole" ]
    },
    "practitioner": {
      "identifier": {
        "system": "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
        "value": "22506978005"
      }
    },
    "code": [ {
      "coding": [ {
        "system": "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty",
        "code": "persphysician",
        "display": "persphysician"
      } ]
    } ]
  } ],
  "identifier": {
    "system": "http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-prescription",
    "value": "prescription-10-gutron"
  },
  "status": "active",
  "intent": "order",
  "priority": "routine",
  "medicationCodeableConcept": {
    "coding": [ {
      "system": "urn:be:samv2:amppackage",
      "userSelected": false
    } ],
    "text": "Gutron 5mg 20"
  },
  "subject": {
    "identifier": {
      "system": "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin",
      "value": "urn:be:fgov:ehealth:pseudo:v2:12345678901.inTransit",
      "_value": {
        "extension": [ {
          "url": "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization",
          "extension": [ {
            "url": "format",
            "valueCode": "direct"
          }, {
            "url": "marker",
            "valueBoolean": true
          } ]
        } ]
      }
    }
  },
  "authoredOn": "2025-10-19T00:00:00+02:00",
  "requester": {
    "reference": "#1"
  },
  "dosageInstruction": [ {
    "sequence": 1,
    "text": "Hartstimulans; bij verlaagde bloeddruk als add-on.",
    "timing": {
      "repeat": {
        "boundsDuration": {
          "value": 1,
          "unit": "week",
          "system": "http://unitsofmeasure.org",
          "code": "wk"
        },
        "frequency": 3,
        "period": 1,
        "periodUnit": "d"
      }
    },
    "asNeededBoolean": false,
    "doseAndRate": [ {
      "type": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code": "ordered",
          "display": "Ordered"
        } ]
      },
      "doseQuantity": {
        "value": 2.5,
        "system": "http://unitsofmeasure.org",
        "code": "mg"
      }
    } ]
  }, {
    "sequence": 2,
    "timing": {
      "repeat": {
        "boundsDuration": {
          "value": 1,
          "unit": "week",
          "system": "http://unitsofmeasure.org",
          "code": "wk"
        },
        "frequency": 3,
        "period": 1,
        "periodUnit": "d"
      }
    },
    "asNeededBoolean": false,
    "doseAndRate": [ {
      "type": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code": "ordered",
          "display": "Ordered"
        } ]
      },
      "doseQuantity": {
        "value": 5,
        "system": "http://unitsofmeasure.org",
        "code": "mg"
      }
    } ]
  }, {
    "sequence": 3,
    "timing": {
      "repeat": {
        "boundsDuration": {
          "value": 1,
          "unit": "week",
          "system": "http://unitsofmeasure.org",
          "code": "wk"
        },
        "frequency": 3,
        "period": 1,
        "periodUnit": "d"
      }
    },
    "asNeededBoolean": false,
    "doseAndRate": [ {
      "type": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code": "ordered",
          "display": "Ordered"
        } ]
      },
      "doseQuantity": {
        "value": 7.5,
        "system": "http://unitsofmeasure.org",
        "code": "mg"
      }
    } ]
  }, {
    "sequence": 4,
    "timing": {
      "repeat": {
        "frequency": 3,
        "period": 1,
        "periodUnit": "d"
      }
    },
    "asNeededBoolean": false,
    "doseAndRate": [ {
      "type": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code": "ordered",
          "display": "Ordered"
        } ]
      },
      "doseQuantity": {
        "value": 10,
        "system": "http://unitsofmeasure.org",
        "code": "mg"
      }
    } ]
  } ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2025-10-19T00:00:00+02:00",
      "end": "2026-01-18T00:00:00+01:00"
    }
  },
  "substitution": {
    "allowedBoolean": false
  }
}

[KarlienHL7Belgium]

Can these examples be integrated in the build @recipe-ruben @viloskovic

[KarlienHL7Belgium]

the business documentation will also mention/refer to these examples - @costateixeira will liase with RIZIV team