Medication Prescription and Delivery (MPD)
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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

Logical Model: MedicationOrderIHEPWP - Detailed Descriptions

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).

Control0..?
2. MedicationOrderIHEPWP.identifier
Definition

The business identifier(s) for the medication order

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
3. MedicationOrderIHEPWP.date
Definition

When prescription was initially made

Control0..1
TypedateTime
4. MedicationOrderIHEPWP.patient
Definition

The person for which the medication is prescribed.

Control1..1
TypeReference(Patient)
5. MedicationOrderIHEPWP.reason
Definition

Reason for prescribing (e.g. diagnosis, prognosis, protocol, clinical assessment …)(may or may not be explicitly stated)

Control0..*
TypeReference(Condition|Observation)
6. MedicationOrderIHEPWP.note
Definition

Additional Information about the prescription

Control0..*
TypeAnnotation
7. MedicationOrderIHEPWP.requester
Definition

Who made the prescription

Control0..1
TypeReference(Practitioner)
8. MedicationOrderIHEPWP.status
Definition

Status of the prescription ORDERED|PLACED|IN PROGRESS|COMPLETED|CANCELLED|DISCONTINUED|SUSPENDED

Control1..1
Typecode
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.

Control0..*
TypeBackboneElement
10. MedicationOrderIHEPWP.prescriptionItem.prescriptionItemID
Definition

Prescription Item ID

Control1..1
TypeIdentifier
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

Control0..1
TypeDuration
12. MedicationOrderIHEPWP.prescriptionItem.reasonForPrescribing
Definition

Reason for prescribing (e.g. diagnosis, prognosis, protocol, clinical assessment …)

Control0..1
Typestring
13. MedicationOrderIHEPWP.prescriptionItem.Frequency
Control0..1
Typestring
14. MedicationOrderIHEPWP.prescriptionItem.substitutionAllowed
Definition

Substitution allowed or not (can the pharmacist do a substitution of medication?)

Control0..1
Typestring
15. MedicationOrderIHEPWP.prescriptionItem.route
Definition

Route of administration

Control0..1
Typestring
16. MedicationOrderIHEPWP.prescriptionItem.Dosage
Control0..1
Typestring
17. MedicationOrderIHEPWP.prescriptionItem.intakePattern
Definition

Intake pattern for the medication

Control0..1
Typestring
18. MedicationOrderIHEPWP.prescriptionItem.medicalInstructions
Definition

Diagnosis or reason for prescribing is this similar the 3rd bullet point?

Control0..1
Typestring
19. MedicationOrderIHEPWP.prescriptionItem.alertAboutRestrictions
Definition

Alert about prescribing restrictions

Control0..1
Typestring
20. MedicationOrderIHEPWP.prescriptionItem.relatedtoChronic
Definition

Related to a chronic disease or not (listed or unlisted)

Control0..1
Typestring
21. MedicationOrderIHEPWP.prescriptionItem.specificFollowUp
Definition

Specific follow-up elements

Control0..1
Typestring
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)

Control0..1
Typestring
23. MedicationOrderIHEPWP.prescriptionItem.status
Definition

Status (see the “Relevant Standards” chapter)

Control0..1
Typestring

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).

Control0..*
2. MedicationOrderIHEPWP.identifier
Definition

The business identifier(s) for the medication order

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
3. MedicationOrderIHEPWP.date
Definition

When prescription was initially made

Control0..1
TypedateTime
4. MedicationOrderIHEPWP.patient
Definition

The person for which the medication is prescribed.

Control1..1
TypeReference(Patient)
5. MedicationOrderIHEPWP.reason
Definition

Reason for prescribing (e.g. diagnosis, prognosis, protocol, clinical assessment …)(may or may not be explicitly stated)

Control0..*
TypeReference(Condition|Observation)
6. MedicationOrderIHEPWP.note
Definition

Additional Information about the prescription

Control0..*
TypeAnnotation
7. MedicationOrderIHEPWP.requester
Definition

Who made the prescription

Control0..1
TypeReference(Practitioner)
8. MedicationOrderIHEPWP.status
Definition

Status of the prescription ORDERED|PLACED|IN PROGRESS|COMPLETED|CANCELLED|DISCONTINUED|SUSPENDED

Control1..1
Typecode
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.

Control0..*
TypeBackboneElement
InvariantsDefined 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).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
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 Namesextensions, 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.

InvariantsDefined 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

Control1..1
TypeIdentifier
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

Control0..1
TypeDuration
13. MedicationOrderIHEPWP.prescriptionItem.reasonForPrescribing
Definition

Reason for prescribing (e.g. diagnosis, prognosis, protocol, clinical assessment …)

Control0..1
Typestring
14. MedicationOrderIHEPWP.prescriptionItem.Frequency
Control0..1
Typestring
15. MedicationOrderIHEPWP.prescriptionItem.substitutionAllowed
Definition

Substitution allowed or not (can the pharmacist do a substitution of medication?)

Control0..1
Typestring
16. MedicationOrderIHEPWP.prescriptionItem.route
Definition

Route of administration

Control0..1
Typestring
17. MedicationOrderIHEPWP.prescriptionItem.Dosage
Control0..1
Typestring
18. MedicationOrderIHEPWP.prescriptionItem.intakePattern
Definition

Intake pattern for the medication

Control0..1
Typestring
19. MedicationOrderIHEPWP.prescriptionItem.medicalInstructions
Definition

Diagnosis or reason for prescribing is this similar the 3rd bullet point?

Control0..1
Typestring
20. MedicationOrderIHEPWP.prescriptionItem.alertAboutRestrictions
Definition

Alert about prescribing restrictions

Control0..1
Typestring
21. MedicationOrderIHEPWP.prescriptionItem.relatedtoChronic
Definition

Related to a chronic disease or not (listed or unlisted)

Control0..1
Typestring
22. MedicationOrderIHEPWP.prescriptionItem.specificFollowUp
Definition

Specific follow-up elements

Control0..1
Typestring
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)

Control0..1
Typestring
24. MedicationOrderIHEPWP.prescriptionItem.status
Definition

Status (see the “Relevant Standards” chapter)

Control0..1
Typestring

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).

Control0..*
2. MedicationOrderIHEPWP.identifier
Definition

The business identifier(s) for the medication order

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
3. MedicationOrderIHEPWP.date
Definition

When prescription was initially made

Control0..1
TypedateTime
4. MedicationOrderIHEPWP.patient
Definition

The person for which the medication is prescribed.

Control1..1
TypeReference(Patient)
5. MedicationOrderIHEPWP.reason
Definition

Reason for prescribing (e.g. diagnosis, prognosis, protocol, clinical assessment …)(may or may not be explicitly stated)

Control0..*
TypeReference(Condition|Observation)
6. MedicationOrderIHEPWP.note
Definition

Additional Information about the prescription

Control0..*
TypeAnnotation
7. MedicationOrderIHEPWP.requester
Definition

Who made the prescription

Control0..1
TypeReference(Practitioner)
8. MedicationOrderIHEPWP.status
Definition

Status of the prescription ORDERED|PLACED|IN PROGRESS|COMPLETED|CANCELLED|DISCONTINUED|SUSPENDED

Control1..1
Typecode
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.

Control0..*
TypeBackboneElement
InvariantsDefined 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis element introduces a set of slices on MedicationOrderIHEPWP.prescriptionItem.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
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).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
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 Namesextensions, 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.

InvariantsDefined 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

Control1..1
TypeIdentifier
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

Control0..1
TypeDuration
15. MedicationOrderIHEPWP.prescriptionItem.reasonForPrescribing
Definition

Reason for prescribing (e.g. diagnosis, prognosis, protocol, clinical assessment …)

Control0..1
Typestring
16. MedicationOrderIHEPWP.prescriptionItem.Frequency
Control0..1
Typestring
17. MedicationOrderIHEPWP.prescriptionItem.substitutionAllowed
Definition

Substitution allowed or not (can the pharmacist do a substitution of medication?)

Control0..1
Typestring
18. MedicationOrderIHEPWP.prescriptionItem.route
Definition

Route of administration

Control0..1
Typestring
19. MedicationOrderIHEPWP.prescriptionItem.Dosage
Control0..1
Typestring
20. MedicationOrderIHEPWP.prescriptionItem.intakePattern
Definition

Intake pattern for the medication

Control0..1
Typestring
21. MedicationOrderIHEPWP.prescriptionItem.medicalInstructions
Definition

Diagnosis or reason for prescribing is this similar the 3rd bullet point?

Control0..1
Typestring
22. MedicationOrderIHEPWP.prescriptionItem.alertAboutRestrictions
Definition

Alert about prescribing restrictions

Control0..1
Typestring
23. MedicationOrderIHEPWP.prescriptionItem.relatedtoChronic
Definition

Related to a chronic disease or not (listed or unlisted)

Control0..1
Typestring
24. MedicationOrderIHEPWP.prescriptionItem.specificFollowUp
Definition

Specific follow-up elements

Control0..1
Typestring
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)

Control0..1
Typestring
26. MedicationOrderIHEPWP.prescriptionItem.status
Definition

Status (see the “Relevant Standards” chapter)

Control0..1
Typestring