Medication Prescription and Delivery (MPD)
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Medication Prescription and Delivery (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 and changes regularly. See the Directory of published versions

Interoperability Model

The Pharmacy Interoperability Model provides the basis for the interactions needs that are supported by this publication.

Interoperability ModelPlanOrder EntryPharmacy ValidationPharmacy DistributionDistribution / PreparationAdministration Planning Planning Prescription Order Pharmacy Validated Order Pharmacy Validated Order Pharmacy Validated Order Preparation Report Administration Report Prescription Order Preparation Report Pharmacy Validated Order Administration Report Preparation Report


As for the sequence, we have the following:

Typical Medication WorkflowPrescription  PlacerPharmaceutical  AdviserMedication  DispenserMedication Administration  InformerAdvance Prescription NotificationAdvance Prescription NotificationMedication OrderPharmacy Validated OrderValidated Order ConfirmationPharmacy Validated OrderMed. Preparation ReportMed. Preparation ReportRepetitionAdministration reportnAdministration reportn


Regarding the whitepaper, the state transitions should act as follows:

  1. Hospital setting
State transitions of Medication Prescription (Item) in the Hospital subdomainPlacedIn ProgressDiscontinuedCompletedSuspended accept abort abort complete suspend resume abort complete


  1. Community setting
State transitions of Medication Prescription (Item) in Community subdomainOrderedPlacedCancelledDiscontinuedIn ProgressCompleted place to pharmacy cancel or expire abort accept abort complete