| Package | hl7.fhir.eu.mpd-r5 |
| Type | ImplementationGuide |
| Id | hl7.fhir.eu.mpd-r5 |
| FHIR Version | R5 |
| Source | http://hl7.eu/fhir/mpd-r5/https://build.fhir.org/ig/hl7-eu/mpd-r5/index.html |
| URL | http://hl7.eu/fhir/mpd-r5/ImplementationGuide/hl7.fhir.eu.mpd-r5 |
| Version | 0.1.0-ballot |
| Status | draft |
| Date | 2025-06-04T19:38:47+00:00 |
| Name | Hl7EuMedPrescriptionDispenseIg |
| Title | HL7 Europe Medication Prescription and Dispense |
| Realm | eu |
| Authority | hl7 |
| Description | This guide describes how to represent in HL7 FHIR Prescription and Dispense in the European context |
| Copyright | Used by permission of HL7 Europe, all rights reserved Creative Commons License |
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Note: links and images are rebased to the (stated) source
Generated Narrative: ImplementationGuide hl7.fhir.eu.mpd-r5
The official URL for this implementation guide is:
http://hl7.eu/fhir/mpd-r5/ImplementationGuide/hl7.fhir.eu.mpd-r5
This guide describes how to represent in HL7 FHIR Prescription and Dispense in the European context
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"title": "HL7 Europe Medication Prescription and Dispense",
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"description": "This guide describes how to represent in HL7 FHIR Prescription and Dispense in the European context",
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],
"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": [
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
}
],
"reference": {
"reference": "Medication/01A-Cefuroxime1500GenericExplicit"
},
"name": "01A-Cefuroxime1500GenericExplicit",
"description": "1A. Cefuroxime 1500mg (1.5g) powder for solution in a vial. Generic product, defined by attributes.",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
}
],
"reference": {
"reference": "Medication/01B-Cefuroxime1500GenericConcept"
},
"name": "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).",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
}
],
"reference": {
"reference": "Medication/01C-Cefuroxime1500Branded"
},
"name": "01C-Cefuroxime1500Branded",
"description": "1C. Cefuroxime 1500mg (1.5g) powder for solution in a vial. Branded packaged product, defined by attributes.",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
}
],
"reference": {
"reference": "Medication/01D-Cefuroxime750Branded"
},
"name": "01D-Cefuroxime750Branded",
"description": "1D. Cefuroxime 750mg powder for solution in a vial (5 vials per package). Branded packaged product, defined by attributes.",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
}
],
"reference": {
"reference": "Medication/02A-ClotrimazoleCanifugCremolum"
},
"name": "02A-ClotrimazoleCanifugCremolum",
"description": "2A. Clotrimazole cream 10mg/g and 6 pessaries 100g. Branded packaged product, consisting of different medication items. Defined by attributes.",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
}
],
"reference": {
"reference": "Medication/02A1-CanifugCremolumCreamItem"
},
"name": "02A1-CanifugCremolumCreamItem",
"description": "2A1. Clotrimazole cream (10mg/g, 1 tube of 20g) as part of Canifug Cremolum product (ISO IDMP manufactured item)",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
}
],
"reference": {
"reference": "Medication/02A2-CanifugCremolumPessaryItem"
},
"name": "02A2-CanifugCremolumPessaryItem",
"description": "2A2. Clotrimazole pessary (6 pessaries of 100mg) as part of Canifug Cremolum product (ISO IDMP manufactured item)",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
}
],
"reference": {
"reference": "Medication/03B-VitaminBComplexBranded"
},
"name": "03B-VitaminBComplexBranded",
"description": "3B. Milgamma N, B-vitamin complex. Branded packaged product, defined by attributes.",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
}
],
"reference": {
"reference": "Medication/04A-FirmagonBranded"
},
"name": "04A-FirmagonBranded",
"description": "4A. Firmagon. Branded packaged product, defined by attributes, includes administration devices.",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
}
],
"reference": {
"reference": "Medication/05A-Tilidin-Branded"
},
"name": "05A-Tilidin-Branded",
"description": "5A. Tilidin (50mg), Naloxon (4mg) oral drops. Branded packaged product, defined by attributes. Unusual strength.",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
}
],
"reference": {
"reference": "Bundle/100A-multiitem-prescription-with-orchestration"
},
"name": "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.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "RequestOrchestration"
}
],
"reference": {
"reference": "RequestOrchestration/100B-RequestOrchestration"
},
"name": "100B-RequestOrchestration",
"description": "100B. A grouper for the lines of a multiitem prescription. It should not be considered the prescription object as such.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
}
],
"reference": {
"reference": "MedicationRequest/100C-3-medication-prescription-request1"
},
"name": "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.",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
}
],
"reference": {
"reference": "MedicationRequest/100C-3-medication-prescription-request2"
},
"name": "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.",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
}
],
"reference": {
"reference": "MedicationRequest/100C-3-medication-prescription-request3"
},
"name": "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.",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
}
],
"reference": {
"reference": "Bundle/200A-multiitem-prescription-without-orchestration"
},
"name": "200A-multiitem-prescription-without-orchestration",
"description": "200A. Multiitem prescription where items on the same prescription are not interdependent. Kept together by the same groupIdentifier.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
}
],
"reference": {
"reference": "MedicationRequest/200C-2-medication-prescription-request1"
},
"name": "200C-2-medication-prescription-request1",
"description": "200C-1. A prescription item (MedicationRequest) that is a part of a two-item-prescription.",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
}
],
"reference": {
"reference": "MedicationRequest/200C-2-medication-prescription-request2"
},
"name": "200C-2-medication-prescription-request2",
"description": "200C-2. A prescription item (MedicationRequest) that is a part of a two-item-prescription.",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
}
],
"reference": {
"reference": "Bundle/300A-multiitem-prescription-with-orchestration"
},
"name": "300A-multiitem-prescription-with-orchestration",
"description": "300A. Multiitem prescription with RequestOrchestration. 2 products dispensable as 1 multiitem product.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "RequestOrchestration"
}
],
"reference": {
"reference": "RequestOrchestration/300B-RequestOrchestration"
},
"name": "300B-RequestOrchestration",
"description": "300B. A grouper for the lines of a multiitem prescription.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
}
],
"reference": {
"reference": "MedicationRequest/300C-2-medication-prescription-request1"
},
"name": "300C-2-medication-prescription-request1",
"description": "300C-1. A prescription item (MedicationRequest) that is a part of a two-item-prescription. Clotrimazole pessaries.",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
}
],
"reference": {
"reference": "MedicationRequest/300C-2-medication-prescription-request2"
},
"name": "300C-2-medication-prescription-request2",
"description": "300C-2. A prescription item (MedicationRequest) that is a part of a two-item-prescription. Clotrimazole cream.",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationDispense"
}
],
"reference": {
"reference": "MedicationDispense/300D-dispense-for-2-requests"
},
"name": "300D-dispense-for-2-requests",
"description": "300D. Medication dispense dispensing one combination product for two prescribed products (multiitem prescription).",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationDispense-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
}
],
"reference": {
"reference": "MedicationRequest/400C-prescription-cefuroxime-singleline"
},
"name": "400C-prescription-cefuroxime-singleline",
"description": "400C. A prescription/request with one medication and changing dosaging. Uses 'actionable' tag. Cefuroxime sodium.",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationDispense"
}
],
"reference": {
"reference": "MedicationDispense/400D-dispense-1"
},
"name": "400D-dispense-1",
"description": "400D-1. Medication dispense fulfilling the first part of the order: 1 package containing 10 vials",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationDispense-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationDispense"
}
],
"reference": {
"reference": "MedicationDispense/400D-dispense-2"
},
"name": "400D-dispense-2",
"description": "400D-2. Medication dispense fulfilling the second part of the order: 3 packages containing 5 vials each",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationDispense-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationDispense"
}
],
"reference": {
"reference": "MedicationDispense/400E-refused-dispense"
},
"name": "400E-refused-dispense",
"description": "400E. Refusal of medication dispense",
"isExample": true,
"profile": [
"http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationDispense-eu-mpd"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:logical"
}
],
"reference": {
"reference": "StructureDefinition/Prescription"
},
"name": "A - Prescription",
"description": "Prescription. Several Sections of the eHN guideline.",
"isExample": false,
"groupingId": "eHNGuidelines"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:logical"
}
],
"reference": {
"reference": "StructureDefinition/Subject"
},
"name": "A.1.1 Patient administrative data",
"description": "Patient. Sections A1.1 of the eHN guideline.",
"isExample": false,
"groupingId": "eHNGuidelines"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:logical"
}
],
"reference": {
"reference": "StructureDefinition/MedicinalProduct"
},
"name": "A1.4 Identification of the prescribed product",
"description": "Identification of the prescribed product. Section A1.4 of the eHN guideline",
"isExample": false,
"groupingId": "eHNGuidelines"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:logical"
}
],
"reference": {
"reference": "StructureDefinition/Dispensation"
},
"name": "B.1 Dispensation information (provided by the dispensing pharmacy)",
"description": "Dispensation information (provided by the dispensing pharmacy). Section B1 of the guidelines",
"isExample": false,
"groupingId": "eHNGuidelines"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "PractitionerRole"
}
],
"reference": {
"reference": "PractitionerRole/doctor1"
},
"name": "doctor1",
"description": "Dr Meryl Ärztin - clinical oncologist. PractitionerRole resource (practitioner working in a specific organisation).",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/Medication-eu-mpd"
},
"name": "Medication: MPD",
"description": "This profile defines how to represent Medication data on ePrescription and eDispensation",
"isExample": false,
"groupingId": "FHIRProfiles"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/MedicationDispense-eu-mpd"
},
"name": "MedicationDispense: MPD",
"description": "MedicationDispense profile for capturing dispensation information based on a medication prescription.",
"isExample": false,
"groupingId": "FHIRProfiles"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/MedicationRequest-eu-mpd"
},
"name": "MedicationRequest: MPD",
"description": "This profile defines how to represent ePrescription or other medication request.",
"isExample": false,
"groupingId": "FHIRProfiles"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Organization"
}
],
"reference": {
"reference": "Organization/organization1"
},
"name": "organization1",
"description": "An organization: clinic. Organization resource.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Organization"
}
],
"reference": {
"reference": "Organization/organization2"
},
"name": "organization2",
"description": "An organization: pharmacy. Organization resource.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
}
],
"reference": {
"reference": "Patient/patient1"
},
"name": "patient1",
"description": "A patient: Thomas, born 1950. Patient resource.",
"isExample": true
},
{
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{
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{
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{
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{
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{
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{
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{
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{
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