Medication Prescription and Dispense (MPD)
1.0.0-comment-3 - ballot

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 1.0.0-comment-3 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/113/merge and changes regularly. See the Directory of published versions

## Usage Examples

Workflow management is important for

## Workflow Concepts

1. Status management
2. Medication overview
3. Adverse drug events
4. Lists - admission and discharge
5. Grouping

## Order initiation

1. Simple prescription 1.1. Required validation ?
   1.1.1. depending on the drug type - e.g. narcotics
   1.1. Optional review ?
   1.1. Prescription drafting + confirmation
   1.1. Prescription from proposal 1.1. Order protocols 1.1. Prescription after dispense

## Changes

1. Cancellation/change of the prescription 1.1. By prescriber 1.1. By pharmacist or patient 1.1. After initiation

## Dispense

1. Substitution or override
   1.1. Change from Pharmaceutical to Medicinal product 1.1. Extemporaneous preparations 1.1. Override by pharmacist?
   1.1. Substitution
   1.1. Declined dispense 1.1. e.g. prescription 500mg tablet and dispense 1000mg half tablet

2. Dispense without prescription
   1.1. OTC
   1.1. Medication requiring prescription e.g. acute

## Administration

1. Administration orders