Medication Prescription and Dispense (MPD)
0.1.0 - ci-build
Medication Prescription and Dispense (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
Official URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel | Version: 0.1.0 | |||
Active as of 2025-03-30 | Computable Name: OffLabel | |||
Copyright/Legal: IHE http://www.ihe.net/Governance/#Intellectual_Property |
Indicates that the prescriber has intentionally prescribed the medication in a manner not covered by the product authorization — such as for a different indication, age group, dosage, or route of administration.
Context of Use
This extension may be used on the following element(s):
MedicationRequest
MedicationStatement
Usage info
Usage:
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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0..* | Extension | Off-label use | |
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1..* | Extension | Extension | |
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Content/Rules for all slices | |||
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1..1 | Extension | Indicates off-label use. Must be 'true' when .reason is provided. | |
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0..0 | |||
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1..1 | uri | "isOffLabelUse" | |
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0..1 | boolean | Value of extension | |
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0..* | Extension | Reason or related clarification for off-label use. | |
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0..0 | |||
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1..1 | uri | "reason" | |
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0..1 | CodeableConcept | Value of extension | |
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1..1 | uri | "http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel" | |
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0..0 | |||
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Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Extension | Off-label use | |
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0..1 | id | Unique id for inter-element referencing | |
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1..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | Extension | Indicates off-label use. Must be 'true' when .reason is provided. | |
![]() ![]() ![]() ![]() ![]() |
0..1 | id | Unique id for inter-element referencing | |
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0..0 | |||
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1..1 | uri | "isOffLabelUse" | |
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0..1 | boolean | Value of extension | |
![]() ![]() ![]() ![]() |
0..* | Extension | Reason or related clarification for off-label use. | |
![]() ![]() ![]() ![]() ![]() |
0..1 | id | Unique id for inter-element referencing | |
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0..0 | |||
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1..1 | uri | "reason" | |
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0..1 | CodeableConcept | Value of extension | |
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1..1 | uri | "http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel" | |
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This structure is derived from Extension
Summary
Complex Extension: Indicates that the prescriber has intentionally prescribed the medication in a manner not covered by the product authorization — such as for a different indication, age group, dosage, or route of administration.
Differential View
This structure is derived from Extension
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Extension | Off-label use | |
![]() ![]() ![]() |
1..* | Extension | Extension | |
![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
1..1 | Extension | Indicates off-label use. Must be 'true' when .reason is provided. | |
![]() ![]() ![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "isOffLabelUse" | |
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | Value of extension | |
![]() ![]() ![]() ![]() |
0..* | Extension | Reason or related clarification for off-label use. | |
![]() ![]() ![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "reason" | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Value of extension | |
![]() ![]() ![]() |
1..1 | uri | "http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel" | |
![]() ![]() ![]() |
0..0 | |||
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Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Extension | Off-label use | |
![]() ![]() ![]() |
0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | Extension | Indicates off-label use. Must be 'true' when .reason is provided. | |
![]() ![]() ![]() ![]() ![]() |
0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "isOffLabelUse" | |
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | Value of extension | |
![]() ![]() ![]() ![]() |
0..* | Extension | Reason or related clarification for off-label use. | |
![]() ![]() ![]() ![]() ![]() |
0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "reason" | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Value of extension | |
![]() ![]() ![]() |
1..1 | uri | "http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel" | |
![]() |
This structure is derived from Extension
Summary
Complex Extension: Indicates that the prescriber has intentionally prescribed the medication in a manner not covered by the product authorization — such as for a different indication, age group, dosage, or route of administration.
Other representations of profile: CSV, Excel, Schematron
Id | Grade | Path(s) | Details | Requirements |
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() |