The Dispense Consumer retrieves dispense records from the Dispense Responder.

The Dispense Receiver accepts and stores dispense reports from the Dispense Reporter.

The Dispense Reporter submits dispense reports to the Dispense Receiver.

The Dispense Responder provides access to dispense records to the Dispense Consumer.

The Order Consumer retrieves medication orders for dispensing or review.

The Order Placer is responsible for submitting a medication order to an Order Receiver.

The Order Receiver processes received medication orders and may store or forward them for further processing.

The Order Responder provides access to medication orders stored in the system.

The CapabilityStatement for the Dispense Consumer Actor describes the requirements for systems that retrieve dispense data.

The CapabililtyStatement for the Dispense Receiver Actor expresses the compliance requirements for systems implementing the actor.

The CapabililtyStatement for the Dispense Reporter Actor expresses the compliance requirements for systems implementing the actor.

The CapabililtyStatement for the Dispense Responder Actor expresses the compliance requirements for systems implementing the actor.

The CapabililtyStatement for the Order Consumer Actor expresses the compliance requirements for systems implementing the actor.

The CapabililtyStatement for the Order Placer Actor expresses the compliance requirements for systems implementing the actor.

The CapabililtyStatement for the Order Receiver Actor expresses the compliance requirements for systems implementing the actor.

The CapabililtyStatement for the Order Responder Actor expresses the compliance requirements for systems implementing the actor.

Search on the resources that are linked to a RequestOrchestration - important to allow for example _revInclude

Single search on both request.identifier or groupIdentifier

Logical model for usage instructions for administring the requested product. Based on FHIR Dosage complex data type.

Logical model for medication dispense report (based on request or independently)

Logical model for medication prescription or other types of medication orders

Logical model for multiline medication prescription

Logical model for prescribed/dispensed medication. The model is shared by statements, requests, dispensations, and treatment lines. Each of those may have different restrictions in FHIR profile.

Logical model for patient (basic data relevant for this use case)

Logical model for practitioner (basic data relevant for this use case)

Medication for clinical use cases. This could be a branded product or a generic concept, also allowing describing pack size and components of complex products.

MedicationDispense profile for capturing dispensation information based on a medication prescription.

IHE Medication Order profile

Any characteristic of the medicinal product prescribed or dispensed (for example, price, textual package description, special program information, etc)

Medication classification/category. Allows the product to be classified by various systems, e.g ATC, narcotic class, legal status of supply, etc..

Device, typically an administration device, included in the medicinal product.

Medication ingredient role - whether it is an active ingredient, excipient, adjuvant, solvent, flavouring, etc.

Name of the medicinal product. This is typically the name of a real product as registered. This element should not contain display names of virtual product concepts.

Size of a manufactured item or unit of presentation. For example, size of one vial in a package that may contain several vials.

Substance for marking the basis of strength. When the precise active ingredient is a salt, the strength is often provided for the active moiety (basis of strength).

Strength type (e.g. concentration strength, presentation strength)

Unit of presentation, typically describing the smallest countable package item (e.g tablet, vial, ampoule, etc). Unit of presentation is also often used in describing pack size and the denominator of strength. If the size of presentation unit is relevant, it should be described in sizeOfItem extension.

Total amount of product being requested. This may refer to number of packages when package size is indicated in Medication resource.

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.

1A. Cefuroxime 1500mg (1.5g) powder for solution in a vial. Generic product, defined by attributes.

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).

1C. Cefuroxime 1500mg (1.5g) powder for solution in a vial. Branded packaged product, defined by attributes.

1D. Cefuroxime 750mg powder for solution in a vial (5 vials per package). Branded packaged product, defined by attributes.

2A. Clotrimazole cream 10mg/g and 6 pessaries 100g. Branded packaged product, consisting of different medication items. Defined by attributes.

2A2. Clotrimazole cream (10mg/g, 1 tube of 20g) as part of Canifug Cremolum product (ISO IDMP manufactured item)

2A1. Clotrimazole pessary (6 pessaries of 100mg) as part of Canifug Cremolum product (ISO IDMP manufactured item)

3B. Milgamma N, B-vitamin complex. Branded packaged product, defined by attributes.

4A. Firmagon. Branded packaged product, defined by attributes, includes administration devices.

05A. Tilidin (50mg), Naloxon (4mg) oral drops. Branded packaged product, defined by attributes. Unusual strength.

Medication dispense fulfilling the first part of the order: 1 package containing 10 vials

Medication dispense fulfilling the second part of the order: 3 packages containing 5 vials each

A prescription/request with one medication and changing dosaging. Uses 'actionable' tag. Cefuroxime sodium.

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.

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.

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.

Multiitem prescription where items on the same prescription are not interdependent. Kept together by the same groupIdentifier.

Medication dispense dispensing one combination product for two prescribed products (multiitem prescription)

Prescription Line 1

Prescription Line 2

Prescription Line 3

Prescription Line 4

Prescription Line 5

Prescription Line 6

Prescription Line 7

Prescription Line 8

Prescription Line 9

Dr Meryl Ärztin - clinical oncologist

An organization: clinic

An organization: pharmacy

A patient: Thomas, born 1950

A patient: Emily, born 1990

Mr Moon Farmatseut - pharmacist

Dr Meryl Ärztin

Mr Moon Farmatseut