Medication Prescription and Delivery (MPD)
0.1.0 - ci-build
Medication Prescription and Delivery (MPD), published by Integrating the Healthcare Enterprise (IHE). This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/IHE/pharm-mm/ and changes regularly. See the Directory of published versions
Active as of 2023-02-04 |
Definitions for the MedicationOrderIHEPWP logical model.
Guidance on how to interpret the contents of this table can be found here.
1. MedicationOrderIHEPWP | |
Definition | A prescription is issued by one ordering healthcare professional for one patient, in the context of zero or one encounter (between the patient and the ordering physician and/or the healthcare institution). |
Control | 0..? |
2. MedicationOrderIHEPWP.identifier | |
Definition | The business identifier(s) for the medication order |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..1 |
Type | Identifier |
3. MedicationOrderIHEPWP.date | |
Definition | When prescription was initially made |
Control | 0..1 |
Type | dateTime |
4. MedicationOrderIHEPWP.patient | |
Definition | The person for which the medication is prescribed. |
Control | 1..1 |
Type | Reference(Patient) |
5. MedicationOrderIHEPWP.reason | |
Definition | Reason for prescribing (e.g. diagnosis, prognosis, protocol, clinical assessment …)(may or may not be explicitly stated) |
Control | 0..* |
Type | Reference(Condition|Observation) |
6. MedicationOrderIHEPWP.note | |
Definition | Additional Information about the prescription |
Control | 0..* |
Type | Annotation |
7. MedicationOrderIHEPWP.requester | |
Definition | Who made the prescription |
Control | 0..1 |
Type | Reference(Practitioner) |
8. MedicationOrderIHEPWP.status | |
Definition | Status of the prescription ORDERED|PLACED|IN PROGRESS|COMPLETED|CANCELLED|DISCONTINUED|SUSPENDED |
Control | 1..1 |
Type | code |
9. MedicationOrderIHEPWP.prescriptionItem | |
Definition | A prescription item belongs to one prescription and represents one prescribed medication. It may be associated with one or more observations. Prescription Item is the atomic entity for logistics, distribution and billing. |
Control | 0..* |
Type | BackboneElement |
10. MedicationOrderIHEPWP.prescriptionItem.prescriptionItemID | |
Definition | Prescription Item ID |
Control | 1..1 |
Type | Identifier |
11. MedicationOrderIHEPWP.prescriptionItem.treatmentDate | |
Definition | Beginning date of treatment / length of treatment / End of treatment date ( the date the treatment is due to end) and/or number of renewals |
Control | 0..1 |
Type | Duration |
12. MedicationOrderIHEPWP.prescriptionItem.reasonForPrescribing | |
Definition | Reason for prescribing (e.g. diagnosis, prognosis, protocol, clinical assessment …) |
Control | 0..1 |
Type | string |
13. MedicationOrderIHEPWP.prescriptionItem.Frequency | |
Control | 0..1 |
Type | string |
14. MedicationOrderIHEPWP.prescriptionItem.substitutionAllowed | |
Definition | Substitution allowed or not (can the pharmacist do a substitution of medication?) |
Control | 0..1 |
Type | string |
15. MedicationOrderIHEPWP.prescriptionItem.route | |
Definition | Route of administration |
Control | 0..1 |
Type | string |
16. MedicationOrderIHEPWP.prescriptionItem.Dosage | |
Control | 0..1 |
Type | string |
17. MedicationOrderIHEPWP.prescriptionItem.intakePattern | |
Definition | Intake pattern for the medication |
Control | 0..1 |
Type | string |
18. MedicationOrderIHEPWP.prescriptionItem.medicalInstructions | |
Definition | Diagnosis or reason for prescribing is this similar the 3rd bullet point? |
Control | 0..1 |
Type | string |
19. MedicationOrderIHEPWP.prescriptionItem.alertAboutRestrictions | |
Definition | Alert about prescribing restrictions |
Control | 0..1 |
Type | string |
20. MedicationOrderIHEPWP.prescriptionItem.relatedtoChronic | |
Definition | Related to a chronic disease or not (listed or unlisted) |
Control | 0..1 |
Type | string |
21. MedicationOrderIHEPWP.prescriptionItem.specificFollowUp | |
Definition | Specific follow-up elements |
Control | 0..1 |
Type | string |
22. MedicationOrderIHEPWP.prescriptionItem.additionalComment | |
Definition | Additional comment (may be used by the prescriber to inform the pharmacist that he is aware of a potential ICA) |
Control | 0..1 |
Type | string |
23. MedicationOrderIHEPWP.prescriptionItem.status | |
Definition | Status (see the “Relevant Standards” chapter) |
Control | 0..1 |
Type | string |
Guidance on how to interpret the contents of this table can be found here.
1. MedicationOrderIHEPWP | |
Definition | A prescription is issued by one ordering healthcare professional for one patient, in the context of zero or one encounter (between the patient and the ordering physician and/or the healthcare institution). |
Control | 0..* |
2. MedicationOrderIHEPWP.identifier | |
Definition | The business identifier(s) for the medication order |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..1 |
Type | Identifier |
3. MedicationOrderIHEPWP.date | |
Definition | When prescription was initially made |
Control | 0..1 |
Type | dateTime |
4. MedicationOrderIHEPWP.patient | |
Definition | The person for which the medication is prescribed. |
Control | 1..1 |
Type | Reference(Patient) |
5. MedicationOrderIHEPWP.reason | |
Definition | Reason for prescribing (e.g. diagnosis, prognosis, protocol, clinical assessment …)(may or may not be explicitly stated) |
Control | 0..* |
Type | Reference(Condition|Observation) |
6. MedicationOrderIHEPWP.note | |
Definition | Additional Information about the prescription |
Control | 0..* |
Type | Annotation |
7. MedicationOrderIHEPWP.requester | |
Definition | Who made the prescription |
Control | 0..1 |
Type | Reference(Practitioner) |
8. MedicationOrderIHEPWP.status | |
Definition | Status of the prescription ORDERED|PLACED|IN PROGRESS|COMPLETED|CANCELLED|DISCONTINUED|SUSPENDED |
Control | 1..1 |
Type | code |
9. MedicationOrderIHEPWP.prescriptionItem | |
Definition | A prescription item belongs to one prescription and represents one prescribed medication. It may be associated with one or more observations. Prescription Item is the atomic entity for logistics, distribution and billing. |
Control | 0..* |
Type | BackboneElement |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
10. MedicationOrderIHEPWP.prescriptionItem.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
11. MedicationOrderIHEPWP.prescriptionItem.prescriptionItemID | |
Definition | Prescription Item ID |
Control | 1..1 |
Type | Identifier |
12. MedicationOrderIHEPWP.prescriptionItem.treatmentDate | |
Definition | Beginning date of treatment / length of treatment / End of treatment date ( the date the treatment is due to end) and/or number of renewals |
Control | 0..1 |
Type | Duration |
13. MedicationOrderIHEPWP.prescriptionItem.reasonForPrescribing | |
Definition | Reason for prescribing (e.g. diagnosis, prognosis, protocol, clinical assessment …) |
Control | 0..1 |
Type | string |
14. MedicationOrderIHEPWP.prescriptionItem.Frequency | |
Control | 0..1 |
Type | string |
15. MedicationOrderIHEPWP.prescriptionItem.substitutionAllowed | |
Definition | Substitution allowed or not (can the pharmacist do a substitution of medication?) |
Control | 0..1 |
Type | string |
16. MedicationOrderIHEPWP.prescriptionItem.route | |
Definition | Route of administration |
Control | 0..1 |
Type | string |
17. MedicationOrderIHEPWP.prescriptionItem.Dosage | |
Control | 0..1 |
Type | string |
18. MedicationOrderIHEPWP.prescriptionItem.intakePattern | |
Definition | Intake pattern for the medication |
Control | 0..1 |
Type | string |
19. MedicationOrderIHEPWP.prescriptionItem.medicalInstructions | |
Definition | Diagnosis or reason for prescribing is this similar the 3rd bullet point? |
Control | 0..1 |
Type | string |
20. MedicationOrderIHEPWP.prescriptionItem.alertAboutRestrictions | |
Definition | Alert about prescribing restrictions |
Control | 0..1 |
Type | string |
21. MedicationOrderIHEPWP.prescriptionItem.relatedtoChronic | |
Definition | Related to a chronic disease or not (listed or unlisted) |
Control | 0..1 |
Type | string |
22. MedicationOrderIHEPWP.prescriptionItem.specificFollowUp | |
Definition | Specific follow-up elements |
Control | 0..1 |
Type | string |
23. MedicationOrderIHEPWP.prescriptionItem.additionalComment | |
Definition | Additional comment (may be used by the prescriber to inform the pharmacist that he is aware of a potential ICA) |
Control | 0..1 |
Type | string |
24. MedicationOrderIHEPWP.prescriptionItem.status | |
Definition | Status (see the “Relevant Standards” chapter) |
Control | 0..1 |
Type | string |
Guidance on how to interpret the contents of this table can be found here.
1. MedicationOrderIHEPWP | |
Definition | A prescription is issued by one ordering healthcare professional for one patient, in the context of zero or one encounter (between the patient and the ordering physician and/or the healthcare institution). |
Control | 0..* |
2. MedicationOrderIHEPWP.identifier | |
Definition | The business identifier(s) for the medication order |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..1 |
Type | Identifier |
3. MedicationOrderIHEPWP.date | |
Definition | When prescription was initially made |
Control | 0..1 |
Type | dateTime |
4. MedicationOrderIHEPWP.patient | |
Definition | The person for which the medication is prescribed. |
Control | 1..1 |
Type | Reference(Patient) |
5. MedicationOrderIHEPWP.reason | |
Definition | Reason for prescribing (e.g. diagnosis, prognosis, protocol, clinical assessment …)(may or may not be explicitly stated) |
Control | 0..* |
Type | Reference(Condition|Observation) |
6. MedicationOrderIHEPWP.note | |
Definition | Additional Information about the prescription |
Control | 0..* |
Type | Annotation |
7. MedicationOrderIHEPWP.requester | |
Definition | Who made the prescription |
Control | 0..1 |
Type | Reference(Practitioner) |
8. MedicationOrderIHEPWP.status | |
Definition | Status of the prescription ORDERED|PLACED|IN PROGRESS|COMPLETED|CANCELLED|DISCONTINUED|SUSPENDED |
Control | 1..1 |
Type | code |
9. MedicationOrderIHEPWP.prescriptionItem | |
Definition | A prescription item belongs to one prescription and represents one prescribed medication. It may be associated with one or more observations. Prescription Item is the atomic entity for logistics, distribution and billing. |
Control | 0..* |
Type | BackboneElement |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
10. MedicationOrderIHEPWP.prescriptionItem.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
Summary | false |
11. MedicationOrderIHEPWP.prescriptionItem.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on MedicationOrderIHEPWP.prescriptionItem.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
12. MedicationOrderIHEPWP.prescriptionItem.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
13. MedicationOrderIHEPWP.prescriptionItem.prescriptionItemID | |
Definition | Prescription Item ID |
Control | 1..1 |
Type | Identifier |
14. MedicationOrderIHEPWP.prescriptionItem.treatmentDate | |
Definition | Beginning date of treatment / length of treatment / End of treatment date ( the date the treatment is due to end) and/or number of renewals |
Control | 0..1 |
Type | Duration |
15. MedicationOrderIHEPWP.prescriptionItem.reasonForPrescribing | |
Definition | Reason for prescribing (e.g. diagnosis, prognosis, protocol, clinical assessment …) |
Control | 0..1 |
Type | string |
16. MedicationOrderIHEPWP.prescriptionItem.Frequency | |
Control | 0..1 |
Type | string |
17. MedicationOrderIHEPWP.prescriptionItem.substitutionAllowed | |
Definition | Substitution allowed or not (can the pharmacist do a substitution of medication?) |
Control | 0..1 |
Type | string |
18. MedicationOrderIHEPWP.prescriptionItem.route | |
Definition | Route of administration |
Control | 0..1 |
Type | string |
19. MedicationOrderIHEPWP.prescriptionItem.Dosage | |
Control | 0..1 |
Type | string |
20. MedicationOrderIHEPWP.prescriptionItem.intakePattern | |
Definition | Intake pattern for the medication |
Control | 0..1 |
Type | string |
21. MedicationOrderIHEPWP.prescriptionItem.medicalInstructions | |
Definition | Diagnosis or reason for prescribing is this similar the 3rd bullet point? |
Control | 0..1 |
Type | string |
22. MedicationOrderIHEPWP.prescriptionItem.alertAboutRestrictions | |
Definition | Alert about prescribing restrictions |
Control | 0..1 |
Type | string |
23. MedicationOrderIHEPWP.prescriptionItem.relatedtoChronic | |
Definition | Related to a chronic disease or not (listed or unlisted) |
Control | 0..1 |
Type | string |
24. MedicationOrderIHEPWP.prescriptionItem.specificFollowUp | |
Definition | Specific follow-up elements |
Control | 0..1 |
Type | string |
25. MedicationOrderIHEPWP.prescriptionItem.additionalComment | |
Definition | Additional comment (may be used by the prescriber to inform the pharmacist that he is aware of a potential ICA) |
Control | 0..1 |
Type | string |
26. MedicationOrderIHEPWP.prescriptionItem.status | |
Definition | Status (see the “Relevant Standards” chapter) |
Control | 0..1 |
Type | string |