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-8: Submit Medication Dispense

This section corresponds to transaction [PHARM-8] of the IHE Technical Framework. Transaction [PHARM-8] is used by the Dispense Reporter and the Dispense Receiver actors. The Submit Medication Dispense [PHARM-8] transaction is used to transmit a `MedicationDispense`.

### X:Y.Z.1 Scope

The Submit Medication Dispense [PHARM-8] transaction passes a `MedicationDispense` from a Dispense Reporter to a Dispense Receiver.

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

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

Actor | Role
--- | ---
Dispense Reporter | Submits dispense reports to the Dispense Receiver
Dispense Receiver | Accepts and stores dispense reports from the Dispense Reporter

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

FHIR-R5 HL7 FHIR Release 5.0

### X:Y.Z.4 Messages

Figure X:Y.Z.4-1: Submit Medication Dispense Interactions

#### X:Y.Z.4.1 Submit Medication Dispense Request Message

The Dispense Reporter submits a MedicationDispense resource using the HTTP `POST` or `PUT` method to the /MedicationDispense endpoint.

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

This method is invoked When medication is dispensed, partially dispensed, updated, or refused/declined.

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

The content type of the HTTP body SHALL be either `application/fhir+json` or `application/fhir+xml`.

The Dispense Reporter SHALL assure the Dispense record is consistent and actionable before sending.

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

The content of the Submit Medication Dispense is a `MedicationDispense` resource.
The semantics of the request and data elements are captured in the IHE Medication Dispense Model and the technical specification in the IHEMedicationDispense profile.

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

Upon receiving the `MedicationDispense`, the Dispense Receiver is expected to store and/or forward the order.

#### X:Y.Z.4.2 Submit Medication Dispense Response

The Dispense Receiver SHALL return an HTTP Status code appropriate to the processing outcome.

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

This response is always expected and provides the Dispense Reporter with acknowledgement including any technical issues.

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

- On success: `201 (Created)`
- On error: `Appropriate error code`

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

The response SHALL contain the resource created from the request, including the `id`, `version`, etc. assigned by the server.

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

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

Upon receiving the response, the Dispense Reporter can persist the `id`, `status`, or trigger any issue resolution if needed.