{
"description": "This guide describes how to represent in HL7 FHIR Prescription and Dispense in the European context",
"_filename": "ImplementationGuide-hl7.fhir.eu.mpd-r5.json",
"package_name": "hl7.fhir.eu.mpd-r5",
"definition": {
"page": {
"name": "toc.html",
"page": [ {
"name": "index.html",
"title": "Home",
"sourceUrl": "index.html",
"generation": "markdown"
}, {
"name": "authors.html",
"title": "Authors and Contributors",
"sourceUrl": "authors.html",
"generation": "markdown"
}, {
"name": "background.html",
"title": "Background",
"sourceUrl": "background.html",
"generation": "markdown"
}, {
"name": "challenges.html",
"title": "Challenges",
"sourceUrl": "challenges.html",
"generation": "markdown"
}, {
"name": "copyright.html",
"title": "Copyright",
"sourceUrl": "copyright.html",
"generation": "markdown"
}, {
"name": "crossversionanalysis.html",
"title": "Cross-version Analysis",
"sourceUrl": "crossversionanalysis.html",
"generation": "markdown"
}, {
"name": "downloads.html",
"title": "Downloads",
"sourceUrl": "downloads.html",
"generation": "markdown"
}, {
"name": "dependencies.html",
"title": "Dependencies",
"sourceUrl": "dependencies.html",
"generation": "markdown"
}, {
"name": "designchoices.html",
"title": "Design Choices",
"sourceUrl": "designchoices.html",
"generation": "markdown"
}, {
"name": "examples.html",
"title": "Examples",
"sourceUrl": "examples.html",
"generation": "markdown"
}, {
"name": "implementationnotes.html",
"title": "Implementation Considerations",
"sourceUrl": "implementationnotes.html",
"generation": "markdown"
}, {
"name": "knownissues.html",
"title": "Known Issues",
"sourceUrl": "knownissues.html",
"generation": "markdown"
}, {
"name": "logicalmodels.html",
"title": "Logical Models",
"sourceUrl": "logicalmodels.html",
"generation": "markdown"
}, {
"name": "medicationconcepts.html",
"title": "Medication Concepts",
"sourceUrl": "medicationconcepts.html",
"generation": "markdown"
}, {
"name": "profiles.html",
"title": "Mapping to Profiles",
"sourceUrl": "profiles.html",
"generation": "markdown"
}, {
"name": "references.html",
"title": "Source and Additional Information",
"sourceUrl": "references.html",
"generation": "markdown"
}, {
"name": "scope.html",
"title": "Scope and Content",
"sourceUrl": "scope.html",
"generation": "markdown"
}, {
"name": "terminology.html",
"title": "Terminology Considerations",
"sourceUrl": "terminology.html",
"generation": "markdown"
}, {
"name": "usecases.html",
"title": "Use Cases",
"sourceUrl": "usecases.html",
"generation": "markdown"
} ],
"title": "Table of Contents",
"sourceUrl": "toc.html",
"generation": "html"
},
"grouping": [ {
"id": "eHNGuidelines",
"name": "Data Sets from eHN Guidelines",
"description": "eHealth Network Guidelines data sets represented as FHIR logical models. Please note, that eHN data sets do not have explicit information about cardinality and data types. New, fully machine-readable logical information models are being created in Xt-EHR project. See more information about new EHDS logical models work on [Logical Models page](logicalmodels.html)."
}, {
"id": "FHIRProfiles",
"name": "FHIR Profiles",
"description": "Profiles for ePrescription and eDispensation use case. Note that there is no single profile for ePrescription, but only for MedicationRequest, which translates to a single line on a prescription (read more in [Implementation Notes](implementationnotes.html)). Profiles for Patient, PractitionerRole, and Organization are published in HL7 Europe Base IG. All profiles are based on [EHDS logical information models](logicalmodels.html) that are being developed by Xt-EHR project."
} ],
"resource": [ {
"name": "01A-Cefuroxime1500GenericExplicit",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"isExample": true,
"reference": {
"reference": "Medication/01A-Cefuroxime1500GenericExplicit"
},
"description": "1A. Cefuroxime 1500mg (1.5g) powder for solution in a vial. Generic product, defined by attributes."
}, {
"name": "01B-Cefuroxime1500GenericConcept",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"isExample": true,
"reference": {
"reference": "Medication/01B-Cefuroxime1500GenericConcept"
},
"description": "1B. Cefuroxime 1500mg (1.5g) powder for solution in a vial. Generic product, defined by a code system (receiving system is expected to have access to the code system for additional attributes or display names)."
}, {
"name": "01C-Cefuroxime1500Branded",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"isExample": true,
"reference": {
"reference": "Medication/01C-Cefuroxime1500Branded"
},
"description": "1C. Cefuroxime 1500mg (1.5g) powder for solution in a vial. Branded packaged product, defined by attributes."
}, {
"name": "01D-Cefuroxime750Branded",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"isExample": true,
"reference": {
"reference": "Medication/01D-Cefuroxime750Branded"
},
"description": "1D. Cefuroxime 750mg powder for solution in a vial (5 vials per package). Branded packaged product, defined by attributes."
}, {
"name": "02A-ClotrimazoleCanifugCremolum",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"isExample": true,
"reference": {
"reference": "Medication/02A-ClotrimazoleCanifugCremolum"
},
"description": "2A. Clotrimazole cream 10mg/g and 6 pessaries 100g. Branded packaged product, consisting of different medication items. Defined by attributes."
}, {
"name": "02A1-CanifugCremolumCreamItem",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"isExample": true,
"reference": {
"reference": "Medication/02A1-CanifugCremolumCreamItem"
},
"description": "2A1. Clotrimazole cream (10mg/g, 1 tube of 20g) as part of Canifug Cremolum product (ISO IDMP manufactured item)"
}, {
"name": "02A2-CanifugCremolumPessaryItem",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"isExample": true,
"reference": {
"reference": "Medication/02A2-CanifugCremolumPessaryItem"
},
"description": "2A2. Clotrimazole pessary (6 pessaries of 100mg) as part of Canifug Cremolum product (ISO IDMP manufactured item)"
}, {
"name": "03B-VitaminBComplexBranded",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"isExample": true,
"reference": {
"reference": "Medication/03B-VitaminBComplexBranded"
},
"description": "3B. Milgamma N, B-vitamin complex. Branded packaged product, defined by attributes."
}, {
"name": "04A-FirmagonBranded",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"isExample": true,
"reference": {
"reference": "Medication/04A-FirmagonBranded"
},
"description": "4A. Firmagon. Branded packaged product, defined by attributes, includes administration devices."
}, {
"name": "05A-Tilidin-Branded",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"isExample": true,
"reference": {
"reference": "Medication/05A-Tilidin-Branded"
},
"description": "5A. Tilidin (50mg), Naloxon (4mg) oral drops. Branded packaged product, defined by attributes. Unusual strength."
}, {
"name": "100A-multiitem-prescription-with-orchestration",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
} ],
"isExample": true,
"reference": {
"reference": "Bundle/100A-multiitem-prescription-with-orchestration"
},
"description": "100A. Multiitem prescription with RequestOrchestration (R4 RequestGroup). 42-day cycle treatment consisting of three medications that should start at the same time. Wrapped in a Bundle for better readability."
}, {
"name": "100B-RequestOrchestration",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "RequestOrchestration"
} ],
"isExample": true,
"reference": {
"reference": "RequestOrchestration/100B-RequestOrchestration"
},
"description": "100B. A grouper for the lines of a multiitem prescription. It should not be considered the prescription object as such."
}, {
"name": "100C-3-medication-prescription-request1",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
} ],
"isExample": true,
"reference": {
"reference": "MedicationRequest/100C-3-medication-prescription-request1"
},
"description": "100C-1. A prescription item (MedicationRequest) that is a part of a three-item-prescription (42-day treatment cycle). Generic. Thalidomide 50mgx4 once a day before bed for 42 days."
}, {
"name": "100C-3-medication-prescription-request2",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
} ],
"isExample": true,
"reference": {
"reference": "MedicationRequest/100C-3-medication-prescription-request2"
},
"description": "100C-2. A prescription item (MedicationRequest) that is a part of a three-item-prescription (42-day treatment cycle). Generic. Melphalan 2mgx4 once a day for 4 days in the beginning of cycle."
}, {
"name": "100C-3-medication-prescription-request3",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
} ],
"isExample": true,
"reference": {
"reference": "MedicationRequest/100C-3-medication-prescription-request3"
},
"description": "100C-3. A prescription item (MedicationRequest) that is a part of a three-item-prescription (42-day treatment cycle). Generic. Prednisone 50mgx3 once a day for 4 days in the beginning of cycle."
}, {
"name": "200A-multiitem-prescription-without-orchestration",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
} ],
"isExample": true,
"reference": {
"reference": "Bundle/200A-multiitem-prescription-without-orchestration"
},
"description": "200A. Multiitem prescription where items on the same prescription are not interdependent. Kept together by the same groupIdentifier."
}, {
"name": "200C-2-medication-prescription-request1",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
} ],
"isExample": true,
"reference": {
"reference": "MedicationRequest/200C-2-medication-prescription-request1"
},
"description": "200C-1. A prescription item (MedicationRequest) that is a part of a two-item-prescription."
}, {
"name": "200C-2-medication-prescription-request2",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
} ],
"isExample": true,
"reference": {
"reference": "MedicationRequest/200C-2-medication-prescription-request2"
},
"description": "200C-2. A prescription item (MedicationRequest) that is a part of a two-item-prescription."
}, {
"name": "300A-multiitem-prescription-with-orchestration",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
} ],
"isExample": true,
"reference": {
"reference": "Bundle/300A-multiitem-prescription-with-orchestration"
},
"description": "300A. Multiitem prescription with RequestOrchestration. 2 products dispensable as 1 multiitem product."
}, {
"name": "300B-RequestOrchestration",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "RequestOrchestration"
} ],
"isExample": true,
"reference": {
"reference": "RequestOrchestration/300B-RequestOrchestration"
},
"description": "300B. A grouper for the lines of a multiitem prescription."
}, {
"name": "300C-2-medication-prescription-request1",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
} ],
"isExample": true,
"reference": {
"reference": "MedicationRequest/300C-2-medication-prescription-request1"
},
"description": "300C-1. A prescription item (MedicationRequest) that is a part of a two-item-prescription. Clotrimazole pessaries."
}, {
"name": "300C-2-medication-prescription-request2",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
} ],
"isExample": true,
"reference": {
"reference": "MedicationRequest/300C-2-medication-prescription-request2"
},
"description": "300C-2. A prescription item (MedicationRequest) that is a part of a two-item-prescription. Clotrimazole cream."
}, {
"name": "300D-dispense-for-2-requests",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationDispense-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationDispense"
} ],
"isExample": true,
"reference": {
"reference": "MedicationDispense/300D-dispense-for-2-requests"
},
"description": "300D. Medication dispense dispensing one combination product for two prescribed products (multiitem prescription)."
}, {
"name": "400C-prescription-cefuroxime-singleline",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
} ],
"isExample": true,
"reference": {
"reference": "MedicationRequest/400C-prescription-cefuroxime-singleline"
},
"description": "400C. A prescription/request with one medication and changing dosaging. Uses 'actionable' tag. Cefuroxime sodium."
}, {
"name": "400D-dispense-1",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationDispense-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationDispense"
} ],
"isExample": true,
"reference": {
"reference": "MedicationDispense/400D-dispense-1"
},
"description": "400D-1. Medication dispense fulfilling the first part of the order: 1 package containing 10 vials"
}, {
"name": "400D-dispense-2",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationDispense-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationDispense"
} ],
"isExample": true,
"reference": {
"reference": "MedicationDispense/400D-dispense-2"
},
"description": "400D-2. Medication dispense fulfilling the second part of the order: 3 packages containing 5 vials each"
}, {
"name": "400E-refused-dispense",
"profile": [ "http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationDispense-eu-mpd" ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationDispense"
} ],
"isExample": true,
"reference": {
"reference": "MedicationDispense/400E-refused-dispense"
},
"description": "400E. Refusal of medication dispense"
}, {
"name": "A - Prescription",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:logical"
} ],
"isExample": false,
"reference": {
"reference": "StructureDefinition/Prescription"
},
"groupingId": "eHNGuidelines",
"description": "Prescription. Several Sections of the eHN guideline."
}, {
"name": "A.1.1 Patient administrative data",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:logical"
} ],
"isExample": false,
"reference": {
"reference": "StructureDefinition/Subject"
},
"groupingId": "eHNGuidelines",
"description": "Patient. Sections A1.1 of the eHN guideline."
}, {
"name": "A1.4 Identification of the prescribed product",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:logical"
} ],
"isExample": false,
"reference": {
"reference": "StructureDefinition/MedicinalProduct"
},
"groupingId": "eHNGuidelines",
"description": "Identification of the prescribed product. Section A1.4 of the eHN guideline"
}, {
"name": "B.1 Dispensation information (provided by the dispensing pharmacy)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:logical"
} ],
"isExample": false,
"reference": {
"reference": "StructureDefinition/Dispensation"
},
"groupingId": "eHNGuidelines",
"description": "Dispensation information (provided by the dispensing pharmacy). Section B1 of the guidelines"
}, {
"name": "doctor1",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "PractitionerRole"
} ],
"isExample": true,
"reference": {
"reference": "PractitionerRole/doctor1"
},
"description": "Dr Meryl Ärztin - clinical oncologist. PractitionerRole resource (practitioner working in a specific organisation)."
}, {
"name": "Medication: MPD",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"isExample": false,
"reference": {
"reference": "StructureDefinition/Medication-eu-mpd"
},
"groupingId": "FHIRProfiles",
"description": "This profile defines how to represent Medication data on ePrescription and eDispensation"
}, {
"name": "MedicationDispense: MPD",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"isExample": false,
"reference": {
"reference": "StructureDefinition/MedicationDispense-eu-mpd"
},
"groupingId": "FHIRProfiles",
"description": "MedicationDispense profile for capturing dispensation information based on a medication prescription."
}, {
"name": "MedicationRequest: MPD",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"isExample": false,
"reference": {
"reference": "StructureDefinition/MedicationRequest-eu-mpd"
},
"groupingId": "FHIRProfiles",
"description": "This profile defines how to represent ePrescription or other medication request."
}, {
"name": "organization1",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Organization"
} ],
"isExample": true,
"reference": {
"reference": "Organization/organization1"
},
"description": "An organization: clinic. Organization resource."
}, {
"name": "organization2",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Organization"
} ],
"isExample": true,
"reference": {
"reference": "Organization/organization2"
},
"description": "An organization: pharmacy. Organization resource."
}, {
"name": "patient1",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
} ],
"isExample": true,
"reference": {
"reference": "Patient/patient1"
},
"description": "A patient: Thomas, born 1950. Patient resource."
}, {
"name": "patient2",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
} ],
"isExample": true,
"reference": {
"reference": "Patient/patient2"
},
"description": "A patient: Emily, born 1990. Patient resource."
}, {
"name": "pharmacist1",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "PractitionerRole"
} ],
"isExample": true,
"reference": {
"reference": "PractitionerRole/pharmacist1"
},
"description": "Mr Moon Farmatseut - pharmacist. PractitionerRole resource (practitioner working in a specific organisation)."
}, {
"name": "practitioner1",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Practitioner"
} ],
"isExample": true,
"reference": {
"reference": "Practitioner/practitioner1"
},
"description": "Dr Meryl Ärztin. Practitioner resource (not related to a specific organisation)."
}, {
"name": "practitioner2",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Practitioner"
} ],
"isExample": true,
"reference": {
"reference": "Practitioner/practitioner2"
},
"description": "Mr Moon Farmatseut. Practitioner resource (not related to a specific organisation)."
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-internal-dependency",
"valueCode": "hl7.fhir.uv.tools.r5#0.5.0"
} ],
"parameter": [ {
"code": {
"code": "copyrightyear",
"system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
},
"value": "2023+"
}, {
"code": {
"code": "releaselabel",
"system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
},
"value": "ballot"
}, {
"code": {
"code": "special-url",
"system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
},
"value": "http://hl7.eu/fhir/StructureDefinition/package-type"
}, {
"code": {
"code": "autoload-resources",
"system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
},
"value": "true"
}, {
"code": {
"code": "path-resource",
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