Medication Prescription and Dispense (MPD)
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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/jct-wip and changes regularly. See the Directory of published versions

Actors and Transactions Overview

Transactions

For managing the lifecycle of orders (from proposal to draft or plan, to active prescription and fulfilled prescription), and considering the variety of use cases and architectures that this profile is intended to support (Push, Pull, central repositories, etc.), IHE presents the following actors for managing orders - submission and retrieval:


For Dispense, a similar approach is taken:

Medication Prescription and Dispense - Actors and Transactions - Dispense ​ MedicationDispense Reporter ​ MedicationDispense Consumer ​MedicationDispense Receiver ​MedicationDispense Responder    PHARM-9Retrieve Dispense↓   PHARM-8Submit Dispense↓


Table XX.1-1: IHE MPD - Actors and Transactions

         
Actors Transactions Initiator or Responder Optionality Reference
Medication Order Placer PHARM-5 Initiator O PHARM MPD TF-2: 3.Y1
Medication Order Receiver PHARM-5 Responder O PHARM MPD TF-2: 3.Y1
Medication Order Consumer PHARM-7 Initiator R PHARM MPD TF-2: 3.Y1
Medication Order Responder PHARM-7 Responder R PHARM MPD TF-2: 3.Y1
Medication Dispense Reporter PHARM-8 Initiator R PHARM MPD TF-2: 3.Y1
Medication Dispense Receiver PHARM-8 Responder R PHARM MPD TF-2: 3.Y1
Medication Dispense Consumer PHARM-9 Initiator R PHARM MPD TF-2: 3.Y1
Medication Dispense Responder PHARM-9 Responder R PHARM MPD TF-2: 3.Y1

Note 1: The transaction PHARM-5 for submitting an order uses the MedicationRequest. IHE REcognizes that in common cases, the request also includes other resources, so in future editions we expect to prepare a new transaction for submitting medication orders. This current specification only provides the transaction using MedicationRequest.

XX.1.1 Actors

The actors in this profile are described in more detail in the sections below.

Order Placer - this actor is responsible for submitting an order. This can be a prescription, or an update of an existing prescription, or a draft prescrition, or other.

Order Receiver - This actor represents the entity that receives the orders from the placer. This is used in a Push scenario, where the order receiver receives the pushed order.

Order Responder - this actor is responsible for responding to order queries, e.g feching the orders for a patient, etc.

This is used in a Pull scenario, where an Order Consumer (or other actors) can query the existing orders from the Order Responder.

Order Consumer - this actor represents an entity that handles or processes the order, typically for dispensing, but can also be for further authorization, verification, etc.

Actor Options

No options are defined at the moment.

Required Grouping

No actor groupings are defined at the moment.