HL7 Europe Medication Prescription and Dispense
0.1.0-ci-build - ci-build 150

HL7 Europe Medication Prescription and Dispense, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Colliandor/mpd-r5/ and changes regularly. See the Directory of published versions

## : 300A-multiitem-prescription-with-orchestration - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "300A-multiitem-prescription-with-orchestration",
      "type" : "collection",
      "entry" : [
        {
          "fullUrl" : "https://example.com/RequestOrchestration/300B-RequestOrchestration",
          "resource" : {
            "resourceType" : "RequestOrchestration",
            "id" : "300B-RequestOrchestration",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestOrchestration_300B-RequestOrchestration\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestOrchestration 300B-RequestOrchestration</b></p><a name=\"300B-RequestOrchestration\"> </a><a name=\"hc300B-RequestOrchestration\"> </a><p><b>groupIdentifier</b>: 300</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>subject</b>: <a href=\"Patient-patient1.html\">Thomas Engine  Male, DoB: 1950-09-15 ( 12345)</a></p><blockquote><p><b>action</b></p><p><b>resource</b>: <a href=\"MedicationRequest-300C-2-medication-prescription-request1.html\">MedicationRequest: identifier = 300-1/2; groupIdentifier = 300; status = active; intent = option; authoredOn = 2024-10-06</a></p></blockquote><blockquote><p><b>action</b></p><p><b>resource</b>: <a href=\"MedicationRequest-300C-2-medication-prescription-request2.html\">MedicationRequest: identifier = 300-2/2; groupIdentifier = 300; status = active; intent = option; authoredOn = 2024-10-06</a></p></blockquote></div>"
            },
            "groupIdentifier" : {
              "value" : "300"
            },
            "status" : "active",
            "intent" : "order",
            "subject" : {
              🔗 "reference" : "Patient/patient1"
            },
            "action" : [
              {
                "resource" : {
                  🔗 "reference" : "MedicationRequest/300C-2-medication-prescription-request1"
                }
              },
              {
                "resource" : {
                  🔗 "reference" : "MedicationRequest/300C-2-medication-prescription-request2"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://example.com/MedicationRequest/300C-2-medication-prescription-request1",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "300C-2-medication-prescription-request1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_300C-2-medication-prescription-request1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest 300C-2-medication-prescription-request1</b></p><a name=\"300C-2-medication-prescription-request1\"> </a><a name=\"hc300C-2-medication-prescription-request1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MedicationRequest-eu-mpd.html\">MedicationRequest: MPD</a></p></div><p><b>identifier</b>: 300-1/2</p><p><b>groupIdentifier</b>: 300</p><p><b>status</b>: Active</p><p><b>intent</b>: Option</p><h3>Medications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Medication-02A2-CanifugCremolumPessaryItem.html\">Medication: extension = Pessary; doseForm = Pessary; totalVolume = 6 Pessary</a></td></tr></table><p><b>subject</b>: <a href=\"Patient-patient1.html\">Thomas Engine  Male, DoB: 1950-09-15 ( 12345)</a></p><p><b>authoredOn</b>: 2024-10-06</p><p><b>requester</b>: <a href=\"PractitionerRole-doctor1.html\">PractitionerRole Clinical oncologist</a></p><h3>Reasons</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 72934000}\">Candidiasis of vagina</span></td></tr></table><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Late Evening, Once per 1 day</p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1 Pessary<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code733007009 = 'Pessary (unit of presentation)')</span></td></tr></table></blockquote><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>2024-10-06 --&gt; 2024-12-06</td><td>1</td><td>6 Pessary<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code733007009 = 'Pessary (unit of presentation)')</span></td></tr></table></div>"
            },
            "identifier" : [
              {
                "value" : "300-1/2"
              }
            ],
            "groupIdentifier" : {
              "value" : "300"
            },
            "status" : "active",
            "intent" : "option",
            "medication" : {
              "reference" : {
                🔗 "reference" : "Medication/02A2-CanifugCremolumPessaryItem"
              }
            },
            "subject" : {
              🔗 "reference" : "Patient/patient1"
            },
            "authoredOn" : "2024-10-06",
            "requester" : {
              🔗 "reference" : "PractitionerRole/doctor1"
            },
            "reason" : [
              {
                "concept" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "72934000",
                      "display" : "Candidiasis of vagina"
                    }
                  ]
                }
              }
            ],
            "dosageInstruction" : [
              {
                "timing" : {
                  "repeat" : {
                    "boundsDuration" : {
                      "value" : 6,
                      "unit" : "day",
                      "system" : "http://unitsofmeasure.org",
                      "code" : "d"
                    },
                    "frequency" : 1,
                    "period" : 1,
                    "periodUnit" : "d",
                    "when" : [
                      "EVE.late"
                    ]
                  }
                },
                "doseAndRate" : [
                  {
                    "doseQuantity" : {
                      "value" : 1,
                      "unit" : "Pessary",
                      "system" : "http://snomed.info/sct",
                      "code" : "733007009"
                    }
                  }
                ]
              }
            ],
            "dispenseRequest" : {
              "validityPeriod" : {
                "start" : "2024-10-06",
                "end" : "2024-12-06"
              },
              "numberOfRepeatsAllowed" : 1,
              "quantity" : {
                "value" : 6,
                "unit" : "Pessary",
                "system" : "http://snomed.info/sct",
                "code" : "733007009"
              }
            }
          }
        },
        {
          "fullUrl" : "https://example.com/MedicationRequest/300C-2-medication-prescription-request2",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "300C-2-medication-prescription-request2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_300C-2-medication-prescription-request2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest 300C-2-medication-prescription-request2</b></p><a name=\"300C-2-medication-prescription-request2\"> </a><a name=\"hc300C-2-medication-prescription-request2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MedicationRequest-eu-mpd.html\">MedicationRequest: MPD</a></p></div><p><b>identifier</b>: 300-2/2</p><p><b>groupIdentifier</b>: 300</p><p><b>status</b>: Active</p><p><b>intent</b>: Option</p><h3>Medications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Medication-02A1-CanifugCremolumCreamItem.html\">Medication: extension = Tube,20 gram; doseForm = Vaginal cream; totalVolume = 1 Tube</a></td></tr></table><p><b>subject</b>: <a href=\"Patient-patient1.html\">Thomas Engine  Male, DoB: 1950-09-15 ( 12345)</a></p><p><b>authoredOn</b>: 2024-10-06</p><p><b>requester</b>: <a href=\"PractitionerRole-doctor1.html\">PractitionerRole Clinical oncologist</a></p><h3>Reasons</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 72934000}\">Candidiasis of vagina</span></td></tr></table><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: 2 per 1 day</p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1 Application - unit of product usage<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code413568008 = 'Application')</span></td></tr></table></blockquote><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>2024-10-06 --&gt; 2024-12-06</td><td>1</td><td>20 gram(s)<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg = 'g')</span></td></tr></table></div>"
            },
            "identifier" : [
              {
                "value" : "300-2/2"
              }
            ],
            "groupIdentifier" : {
              "value" : "300"
            },
            "status" : "active",
            "intent" : "option",
            "medication" : {
              "reference" : {
                🔗 "reference" : "Medication/02A1-CanifugCremolumCreamItem"
              }
            },
            "subject" : {
              🔗 "reference" : "Patient/patient1"
            },
            "authoredOn" : "2024-10-06",
            "requester" : {
              🔗 "reference" : "PractitionerRole/doctor1"
            },
            "reason" : [
              {
                "concept" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "72934000",
                      "display" : "Candidiasis of vagina"
                    }
                  ]
                }
              }
            ],
            "dosageInstruction" : [
              {
                "timing" : {
                  "repeat" : {
                    "boundsDuration" : {
                      "value" : 6,
                      "unit" : "day",
                      "system" : "http://unitsofmeasure.org",
                      "code" : "d"
                    },
                    "frequency" : 2,
                    "period" : 1,
                    "periodUnit" : "d"
                  }
                },
                "doseAndRate" : [
                  {
                    "doseQuantity" : {
                      "value" : 1,
                      "unit" : "Application - unit of product usage",
                      "system" : "http://snomed.info/sct",
                      "code" : "413568008"
                    }
                  }
                ]
              }
            ],
            "dispenseRequest" : {
              "validityPeriod" : {
                "start" : "2024-10-06",
                "end" : "2024-12-06"
              },
              "numberOfRepeatsAllowed" : 1,
              "quantity" : {
                "value" : 20,
                "unit" : "gram(s)",
                "system" : "http://unitsofmeasure.org",
                "code" : "g"
              }
            }
          }
        },
        {
          "fullUrl" : "https://example.com/PractitionerRole/doctor1",
          "resource" : {
            "resourceType" : "PractitionerRole",
            "id" : "doctor1",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_doctor1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole doctor1</b></p><a name=\"doctor1\"> </a><a name=\"hcdoctor1\"> </a><p><b>practitioner</b>: <a href=\"Practitioner-practitioner1.html\">Dr Meryl Ärztin</a></p><p><b>organization</b>: <a href=\"Organization-organization1.html\">Dr Ärztin Private Practice</a></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 309295000}\">Clinical oncologist</span></p></div>"
            },
            "practitioner" : {
              🔗 "reference" : "Practitioner/practitioner1",
              "display" : "Dr Meryl Ärztin"
            },
            "organization" : {
              🔗 "reference" : "Organization/organization1",
              "display" : "Dr Ärztin Private Practice"
            },
            "code" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "309295000",
                    "display" : "Clinical oncologist"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "https://example.com/Patient/patient1",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "patient1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient1</b></p><a name=\"patient1\"> </a><a name=\"hcpatient1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base-r5/0.1.0-ballot/StructureDefinition-patient-eu-core.html\">Patient (EU core)</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Thomas Engine  Male, DoB: 1950-09-15 ( 12345)</p><hr/></div>"
            },
            "identifier" : [
              {
                "value" : "12345"
              }
            ],
            "name" : [
              {
                "family" : "Engine",
                "given" : [
                  "Thomas"
                ]
              }
            ],
            "gender" : "male",
            "birthDate" : "1950-09-15"
          }
        },
        {
          "fullUrl" : "https://example.com/Medication/02A2-CanifugCremolumPessaryItem",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "02A2-CanifugCremolumPessaryItem",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd"
              ]
            },
            "text" : {
              "status" : "extensions",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_02A2-CanifugCremolumPessaryItem\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication 02A2-CanifugCremolumPessaryItem</b></p><a name=\"02A2-CanifugCremolumPessaryItem\"> </a><a name=\"hc02A2-CanifugCremolumPessaryItem\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Medication-eu-mpd.html\">Medication: MPD</a></p></div><p><b>Medication - Unit of presentation</b>: <span title=\"Codes:{http://standardterms.edqm.eu 15039000}\">Pessary</span></p><p><b>doseForm</b>: <span title=\"Codes:{http://standardterms.edqm.eu 10909000}\">Pessary</span></p><p><b>totalVolume</b>: 6 Pessary<span style=\"background: LightGoldenRodYellow\"> (Details: standardterms.edqm.eu  code15039000 = 'Pessary')</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 387325003}\">Clotrimazole</span></td></tr></table><p><b>isActive</b>: true</p><p><b>strength</b>: 100 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span>/1 Pessary<span style=\"background: LightGoldenRodYellow\"> (Details: EDQM Standard Terms  code15039000 = 'Pessary')</span></p></blockquote></div>"
            },
            "extension" : [
              {
                "url" : "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "15039000",
                      "display" : "Pessary"
                    }
                  ]
                }
              }
            ],
            "doseForm" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "10909000",
                  "display" : "Pessary"
                }
              ]
            },
            "totalVolume" : {
              "value" : 6,
              "unit" : "Pessary",
              "system" : "http://standardterms.edqm.eu",
              "code" : "15039000"
            },
            "ingredient" : [
              {
                "item" : {
                  "concept" : {
                    "coding" : [
                      {
                        "system" : "http://snomed.info/sct",
                        "code" : "387325003",
                        "display" : "Clotrimazole"
                      }
                    ]
                  }
                },
                "isActive" : true,
                "strengthRatio" : {
                  "numerator" : {
                    "value" : 100,
                    "unit" : "milligram",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mg"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "Pessary",
                    "system" : "http://standardterms.edqm.eu",
                    "code" : "15039000"
                  }
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://example.com/Medication/02A1-CanifugCremolumCreamItem",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "02A1-CanifugCremolumCreamItem",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd"
              ]
            },
            "text" : {
              "status" : "extensions",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_02A1-CanifugCremolumCreamItem\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication 02A1-CanifugCremolumCreamItem</b></p><a name=\"02A1-CanifugCremolumCreamItem\"> </a><a name=\"hc02A1-CanifugCremolumCreamItem\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Medication-eu-mpd.html\">Medication: MPD</a></p></div><p><b>Medication - Unit of presentation</b>: <span title=\"Codes:{http://standardterms.edqm.eu 15058000}\">Tube</span></p><p><b>Medication - Size of Item</b>: 20 gram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg = 'g')</span></p><p><b>doseForm</b>: <span title=\"Codes:{http://standardterms.edqm.eu 10901000}\">Vaginal cream</span></p><p><b>totalVolume</b>: 1 Tube<span style=\"background: LightGoldenRodYellow\"> (Details: EDQM Standard Terms  code15058000 = 'Tube')</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 387325003}\">Clotrimazole</span></td></tr></table><p><b>isActive</b>: true</p><p><b>strength</b>: 10 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span>/1 gram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg = 'g')</span></p></blockquote></div>"
            },
            "extension" : [
              {
                "url" : "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "15058000",
                      "display" : "Tube"
                    }
                  ]
                }
              },
              {
                "url" : "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem",
                "valueQuantity" : {
                  "value" : 20,
                  "unit" : "gram",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "g"
                }
              }
            ],
            "doseForm" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "10901000",
                  "display" : "Vaginal cream"
                }
              ]
            },
            "totalVolume" : {
              "value" : 1,
              "unit" : "Tube",
              "system" : "http://standardterms.edqm.eu",
              "code" : "15058000"
            },
            "ingredient" : [
              {
                "item" : {
                  "concept" : {
                    "coding" : [
                      {
                        "system" : "http://snomed.info/sct",
                        "code" : "387325003",
                        "display" : "Clotrimazole"
                      }
                    ]
                  }
                },
                "isActive" : true,
                "strengthRatio" : {
                  "numerator" : {
                    "value" : 10,
                    "unit" : "milligram",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mg"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "gram",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "g"
                  }
                }
              }
            ]
          }
        }
      ]
    }