Medication Prescription and Dispense (MPD)
1.0.0-preview - ci-build

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-preview 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/92/merge and changes regularly. See the Directory of published versions

## Resource Profile: IHEMedicationDispense - Mappings

Active as of 2025-05-01

Mappings for the IHEMedicationDispense resource profile.

### Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

IHEMedicationDispense
MedicationDispense | Event
identifier | Event.identifier
partOf | Event.partOf
status | Event.status
medication | Event.code
subject | Event.subject
encounter | Event.encounter
performer | Event.performer
actor | Event.performer.actor
authorizingPrescription | Event.basedOn
whenHandedOver | Event.occurrence[x]
note | Event.note

### Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

IHEMedicationDispense
MedicationDispense | clinical.medication
identifier | FiveWs.identifier
status | FiveWs.status
medication | FiveWs.what[x]
subject | FiveWs.subject[x]
supportingInformation | FiveWs.context

### Mappings for RIM Mapping (http://hl7.org/v3)

IHEMedicationDispense
MedicationDispense | Entity, Role, or Act,Supply[moodCode=EVN]
text | Act.text?
contained | N/A
extension | N/A
modifierExtension | N/A
identifier | .id
basedOn | .outboundRelationship[typeCode=FLFS].target
partOf | .outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]
status | .statusCode
statusChanged | .subjectOf Observation[code = statusChange].value = date
category | .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication dispense"].value
medication | .participation[typeCode=PRD].role
subject | .participation[typeCode=SBJ].role[classCode=PAT]
encounter | .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]
supportingInformation | .outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]
performer | .participation[typeCode=PRF]
id | n/a
extension | n/a
modifierExtension | N/A
function | participation[typeCode=PRF].functionCode
actor | .role
location | .participation[typeCode=LOC].role
authorizingPrescription | .outboundRelationship[typeCode=FLFS].target[moodCode=RQO]
type | .code
quantity | .quantity
daysSupply | effectiveUseTime
recorded | .MedicationDispense.dataEnterer..time
whenPrepared | .effectiveTime[xmi:type=IVL_TS].low
whenHandedOver | .effectiveTime[xmi:type=IVL_TS].high
destination | .participation[typeCode=DST].role
receiver | .participation[typeCode=RCV].role
note | .inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]
renderedDosageInstruction | SubstanceAdministration.text
dosageInstruction | .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]
substitution | .outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]
id | n/a
extension | n/a
modifierExtension | N/A
wasSubstituted | .actionNegationInd
type | .code
reason | .reasonCode
responsibleParty | .participation[typeCode=PFM].role[classCode=ASSIGN]
eventHistory | .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

### Mappings for V3 Pharmacy Dispense RMIM (http://www.hl7.org/v3/PORX_RM020070UV)

IHEMedicationDispense
MedicationDispense |
identifier | CombinedMedicationDispense.id
status | CombinedMedicationDispense.SupplyEvent.statusCode
medication | CombinedMedicationRequest.component1.AdministrationRequest.consumable
authorizingPrescription | CombinedMedicationDispense.inFulfillmentOf
type | CombinedMedicationDispense.SupplyEvent.code
quantity | CombinedMedicationDispense.SupplyEvent.quantity
whenPrepared | CombinedMedicationDispense.SupplyEvent.effectiveTime
whenHandedOver | CombinedMedicationDispense.SupplyEvent.effectiveTime
destination | CombinedMedicationDispense.SupplyEvent.destination
receiver | CombinedMedicationDispense.SupplyEvent.receiver
substitution | CombinedMedicationDispense.substitutionMade
type | CombinedMedicationDispense.substitutionMade.code
reason | CombinedMedicationDispense.substitutionMade.reasonCode
responsibleParty | CombinedMedicationDispense.substitutionMade.ResponsibleParty

### Mappings for HL7 V2 Mapping (http://hl7.org/v2)

IHEMedicationDispense
MedicationDispense |
medication | RXD-2 Dispense/Give Code
subject | PID-3 Patient ID List
authorizingPrescription | ORC-2 Placer Order Number
type | RXD-33 Dispense Type
quantity | RXD-4 Actual Dispense Amount / RXD-5.1 Actual Dispense Units.code / RXD-5.3 Actual Dispense Units.name of coding system
daysSupply | TQ1.6 Timing/Quantity Segment Service Duration. Prior to v2.5, ORC.7.3 Common Order Segment / Quantity/Timing / Duration component. This is a formatted string, first character for the time unit (e.g., D=days), followed by the value. For example, “D14” represents “14 days supply” From v2.5 on, TQ1.6 Timing/Quantity Segment / Service Duration. This is a CQ data type (<Quantity (NM)> ^ <Units (CWE)>), thus for days supply, assuming the unit of measure is “days”, the numeric value is TQ1.6.1 (…|14^ For backwards compatibility, ORC.7 was permitted through v2.6. Both forms (field and segment) may be present in v2.5, v2.5.1, and v2.6
whenPrepared | RXD-3 Date/Time Dispensed
whenHandedOver | RXD-3 Date/Time Dispensed
destination | RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address
note | RXD-9 Dispense Notes
substitution |
type | RXO-9 Allow Substitutions / RXE-9 Substitution Status