Medication Prescription and Dispense (MPD)
1.0.0-comment-2 - 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-2 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/jct-draft and changes regularly. See the Directory of published versions

## PHARM-9: Retrieve Medication Dispenses

This section corresponds to transaction [PHARM-9] of the IHE Technical Framework. Transaction [PHARM-9] is used by the Dispense Consumer and the Dispense Responder actors. The Retrieve Medication Dispense [PHARM-9] transaction is used to transmit a `medicationDispense`.

This section corresponds to transaction [PHARM-9] of the IHE Technical Framework. Transaction [PHARM-9] is used by the Dispense Consumer and the Dispense Responder actors. The Retrieve Dispense [PHARM-9] transaction is used to obtain MedicationRequests for further handling - for example gettting a prescription for dispense.

### X:Y.Z.1 Scope

The Retrieve Dispenses [PHARM-9] transaction allows the Dispense Consumer to query the Dispense Responder for Dispenses.

- …

### X:Y.Z.2 Actors Roles

Table X:Y.Z.2-1: Actor Roles

Actor | Role
--- | ---
Dispense Consumer | Queries existing Dispenses from the Order Responder
Dispense Responder | Provides access to stored Dispenses

### X:Y.Z.3 Referenced Standards

FHIR-R5 HL7 FHIR Release 5.0

### X:Y.Z.4 Messages

Figure X:Y.Z.4-1: Retrieve Dispenses Interactions

#### X:Y.Z.4.1 Retrieve Dispenses Request Message

The Dispense Consumer submits a query using the HTTP `GET` or `POST` method to the `/MedicationDispense` endpoint, with the search parameters indicated below. Alternatively, the Dispense Consumer can submit a query using the HTTP GET or `POST` method to the `/` endpoint with the `_type` search parameter populated - `_type=MedicationDispense`.

##### X:Y.Z.4.1.1 Trigger Events

This method is invoked when needing to view or process prescriptions, for example when selecting a medication for dispense.

##### X:Y.Z.4.1.2 Message Semantics

Search parameters that SHALL be supported:

- `identifier` — Search by the identifier of the MedicationRequest.
- `patient` — Search by the patient subject of the MedicationRequest.
- `status` — Filter MedicationRequests by their status (e.g., active, completed).
- `prescription` — Filter by the prescription ID

###### X:Y.Z.4.1.2.1 Resource content

The Retrieve Dispense transaction is a search query.

##### X:Y.Z.4.1.3 Expected Actions

Upon receiving the `MedicationRequest`, the Dispense Responder is expected to respond with the orders if the conditions are met:

- The search parameters match
- The resources can be accessed i.e. they are not restricted to the Dispense Consumer

#### X:Y.Z.4.2 Retrieve Dispenses Response

The Dispense Responder SHALL respond with a Search `Bundle`, containing the resources that correspond to the search and can be accessed (e.g. are allowed by any access control mechanisms).

##### X:Y.Z.4.2.1 Trigger Events

The response is always expected.

##### X:Y.Z.4.2.2 Message Semantics

The Response SHALL be a search `Bundle` containing the MedicationRequests (optionally RequestGroups if that is part of the search).

###### X:Y.Z.4.2.2.1 Resource content

The content of the MedicationRequests in the `Bundle` SHALL conform to the profiles defined in the MedicationOrder profile.

In case of error, the response SHALL contain an `OperationOutcome`.

##### X:Y.Z.4.2.3 Expected Actions

Upon receiving the response, the Dispense Consumer can will store, process or initiate handling of the orders as part of the business process.