Medication Prescription and Delivery (MPD)
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Medication Prescription and Delivery (MPD), published by Integrating the Healthcare Enterprise (IHE). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/pharm-mpd/tree/master and changes regularly. See the Directory of published versions

Logical Model: MedicationDispensation - Detailed Descriptions

Active as of 2024-12-31

Definitions for the MedicationDispensation logical model.

Guidance on how to interpret the contents of this table can be found here

0. MedicationDispensation
Definition

Logical model for medication dispensation (based on request or independently)


Base definition for all types defined in FHIR type system.

ShortMedication dispensation (model)Base for all types and resources
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. MedicationDispensation.identifier
Definition

Identifier for the dispense

ShortIdentifier for the dispense
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeElement(II)
4. MedicationDispensation.patient
Definition

The person for whom the medication is prescribed/ordered

ShortThe person for whom the medication is prescribed/ordered
Control1..1
TypeReference(Patient (model))
6. MedicationDispensation.receiver
Definition

Identification of the person who received the dispensed medication, especially when it was not the patient

ShortIdentification of the person who received the dispensed medication, especially when it was not the patient
Control0..1
TypeReference(Patient (model), Practitioner (model))
8. MedicationDispensation.dispenser
Definition

The person who dispensed the product, and takes the responsibility of the dispensation

ShortThe person who dispensed the product, and takes the responsibility of the dispensation
Control1..1
TypeReference(Practitioner (model), Organization, Device)
10. MedicationDispensation.relatedRequest
Definition

Prescription/request/order the dispense is related to

ShortPrescription/request/order the dispense is related to
Control0..*
TypeReference(Medication prescription (model))
12. MedicationDispensation.medication
Definition

Exact dispensed product

ShortExact dispensed product
Control1..1
TypeReference(Medicinal product (model))
14. MedicationDispensation.dispensedQuantity
Definition

Number of dispensed packages if the pack size is known, or number of smaller items/units

ShortNumber of dispensed packages if the pack size is known, or number of smaller items/units
Control1..1
TypeElement(PQ)
16. MedicationDispensation.timeOfDispensation
Definition

Date and time of dispensation

ShortDate and time of dispensation
Control1..1
TypeElement(DT)
18. MedicationDispensation.substitution
Definition

Question: is this relevant? It is in eHDSI dispensation.

ShortIndicated whether substitution was made by the dispenser
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. MedicationDispensation.substitution.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
This element is affected by the following invariants: ele-1
Typeidstring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
22. MedicationDispensation.substitution.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on MedicationDispensation.substitution.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 24. MedicationDispensation.substitution.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    26. MedicationDispensation.substitution.substitutionOccurred
    Definition

    Question: is this relevant? It is in eHDSI dispensation.

    ShortIndicated whether substitution was made by the dispenser
    Control0..1
    TypeElement(BL)
    28. MedicationDispensation.substitution.substitutionType
    Definition

    Question: is this relevant? It is in eHDSI dispensation.

    ShortIndicated whether substitution was made by the dispenser
    Control0..1
    TypeElement(CD)
    30. MedicationDispensation.status
    Definition

    Status of the dispensation

    ShortStatus of the dispensation
    Control1..1
    TypeElement(CD)
    32. MedicationDispensation.statusReason
    Definition

    Reason for the current status of dispensation, for example the reason why the dispensation was made invalid

    ShortReason for the current status of dispensation, for example the reason why the dispensation was made invalid
    Control0..*
    TypeElement(CD)
    34. MedicationDispensation.statusReasonText
    Definition

    Textual reason for the current status of dispensation

    ShortTextual reason for the current status of dispensation
    Control0..1
    TypeElement(ST)
    36. MedicationDispensation.usageInstructions
    Definition

    Dosaging and administration instructions

    ShortDosaging and administration instructions
    Control0..*
    TypeReference(Dosaging (model))

    Guidance on how to interpret the contents of this table can be found here

    0. MedicationDispensation
    Definition

    Logical model for medication dispensation (based on request or independently)

    ShortMedication dispensation (model)
    Logical ModelInstances of this logical model are not marked to be the target of a Reference
    2. MedicationDispensation.identifier
    Definition

    Identifier for the dispense

    ShortIdentifier for the dispense
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeElement(II)
    4. MedicationDispensation.patient
    Definition

    The person for whom the medication is prescribed/ordered

    ShortThe person for whom the medication is prescribed/ordered
    Control1..1
    TypeReference(Patient (model))
    6. MedicationDispensation.receiver
    Definition

    Identification of the person who received the dispensed medication, especially when it was not the patient

    ShortIdentification of the person who received the dispensed medication, especially when it was not the patient
    Control0..1
    TypeReference(Patient (model), Practitioner (model))
    8. MedicationDispensation.dispenser
    Definition

    The person who dispensed the product, and takes the responsibility of the dispensation

    ShortThe person who dispensed the product, and takes the responsibility of the dispensation
    Control1..1
    TypeReference(Practitioner (model), Organization, Device)
    10. MedicationDispensation.relatedRequest
    Definition

    Prescription/request/order the dispense is related to

    ShortPrescription/request/order the dispense is related to
    Control0..*
    TypeReference(Medication prescription (model))
    12. MedicationDispensation.medication
    Definition

    Exact dispensed product

    ShortExact dispensed product
    Control1..1
    TypeReference(Medicinal product (model))
    14. MedicationDispensation.dispensedQuantity
    Definition

    Number of dispensed packages if the pack size is known, or number of smaller items/units

    ShortNumber of dispensed packages if the pack size is known, or number of smaller items/units
    Control1..1
    TypeElement(PQ)
    16. MedicationDispensation.timeOfDispensation
    Definition

    Date and time of dispensation

    ShortDate and time of dispensation
    Control1..1
    TypeElement(DT)
    18. MedicationDispensation.substitution
    Definition

    Question: is this relevant? It is in eHDSI dispensation.

    ShortIndicated whether substitution was made by the dispenser
    Control0..1
    TypeBackboneElement
    20. MedicationDispensation.substitution.substitutionOccurred
    Definition

    Question: is this relevant? It is in eHDSI dispensation.

    ShortIndicated whether substitution was made by the dispenser
    Control0..1
    TypeElement(BL)
    22. MedicationDispensation.substitution.substitutionType
    Definition

    Question: is this relevant? It is in eHDSI dispensation.

    ShortIndicated whether substitution was made by the dispenser
    Control0..1
    TypeElement(CD)
    24. MedicationDispensation.status
    Definition

    Status of the dispensation

    ShortStatus of the dispensation
    Control1..1
    TypeElement(CD)
    26. MedicationDispensation.statusReason
    Definition

    Reason for the current status of dispensation, for example the reason why the dispensation was made invalid

    ShortReason for the current status of dispensation, for example the reason why the dispensation was made invalid
    Control0..*
    TypeElement(CD)
    28. MedicationDispensation.statusReasonText
    Definition

    Textual reason for the current status of dispensation

    ShortTextual reason for the current status of dispensation
    Control0..1
    TypeElement(ST)
    30. MedicationDispensation.usageInstructions
    Definition

    Dosaging and administration instructions

    ShortDosaging and administration instructions
    Control0..*
    TypeReference(Dosaging (model))

    Guidance on how to interpret the contents of this table can be found here

    0. MedicationDispensation
    Definition

    Logical model for medication dispensation (based on request or independently)

    ShortMedication dispensation (model)
    Control0..*
    Is Modifierfalse
    Logical ModelInstances of this logical model are not marked to be the target of a Reference
    2. MedicationDispensation.identifier
    Definition

    Identifier for the dispense

    ShortIdentifier for the dispense
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeElement(II)
    4. MedicationDispensation.patient
    Definition

    The person for whom the medication is prescribed/ordered

    ShortThe person for whom the medication is prescribed/ordered
    Control1..1
    TypeReference(Patient (model))
    6. MedicationDispensation.receiver
    Definition

    Identification of the person who received the dispensed medication, especially when it was not the patient

    ShortIdentification of the person who received the dispensed medication, especially when it was not the patient
    Control0..1
    TypeReference(Patient (model), Practitioner (model))
    8. MedicationDispensation.dispenser
    Definition

    The person who dispensed the product, and takes the responsibility of the dispensation

    ShortThe person who dispensed the product, and takes the responsibility of the dispensation
    Control1..1
    TypeReference(Practitioner (model), Organization, Device)
    10. MedicationDispensation.relatedRequest
    Definition

    Prescription/request/order the dispense is related to

    ShortPrescription/request/order the dispense is related to
    Control0..*
    TypeReference(Medication prescription (model))
    12. MedicationDispensation.medication
    Definition

    Exact dispensed product

    ShortExact dispensed product
    Control1..1
    TypeReference(Medicinal product (model))
    14. MedicationDispensation.dispensedQuantity
    Definition

    Number of dispensed packages if the pack size is known, or number of smaller items/units

    ShortNumber of dispensed packages if the pack size is known, or number of smaller items/units
    Control1..1
    TypeElement(PQ)
    16. MedicationDispensation.timeOfDispensation
    Definition

    Date and time of dispensation

    ShortDate and time of dispensation
    Control1..1
    TypeElement(DT)
    18. MedicationDispensation.substitution
    Definition

    Question: is this relevant? It is in eHDSI dispensation.

    ShortIndicated whether substitution was made by the dispenser
    Control0..1
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. MedicationDispensation.substitution.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    This element is affected by the following invariants: ele-1
    Typeid
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    22. MedicationDispensation.substitution.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on MedicationDispensation.substitution.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 24. MedicationDispensation.substitution.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      26. MedicationDispensation.substitution.substitutionOccurred
      Definition

      Question: is this relevant? It is in eHDSI dispensation.

      ShortIndicated whether substitution was made by the dispenser
      Control0..1
      TypeElement(BL)
      28. MedicationDispensation.substitution.substitutionType
      Definition

      Question: is this relevant? It is in eHDSI dispensation.

      ShortIndicated whether substitution was made by the dispenser
      Control0..1
      TypeElement(CD)
      30. MedicationDispensation.status
      Definition

      Status of the dispensation

      ShortStatus of the dispensation
      Control1..1
      TypeElement(CD)
      32. MedicationDispensation.statusReason
      Definition

      Reason for the current status of dispensation, for example the reason why the dispensation was made invalid

      ShortReason for the current status of dispensation, for example the reason why the dispensation was made invalid
      Control0..*
      TypeElement(CD)
      34. MedicationDispensation.statusReasonText
      Definition

      Textual reason for the current status of dispensation

      ShortTextual reason for the current status of dispensation
      Control0..1
      TypeElement(ST)
      36. MedicationDispensation.usageInstructions
      Definition

      Dosaging and administration instructions

      ShortDosaging and administration instructions
      Control0..*
      TypeReference(Dosaging (model))