Medication Prescription and Dispense (MPD)
1.0.0-comment-3 - ballot
Medication Prescription and Dispense (MPD)
1.0.0-comment-3 - ballot
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-comment-3 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
| Active as of 2026-04-23 |
Definitions for the IHEMultilineOrder logical model.
Guidance on how to interpret the contents of this table can be foundhere
| 0. IHEMultilineOrder | |
| Definition | Logical model for multiline medication prescription Base definition for all types defined in FHIR type system. |
| Short | Medication order - multiline (model)Base for all types and resources |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. IHEMultilineOrder.identifier | |
| Definition | Business identifier(s) for the prescription group |
| Short | Business identifier(s) for the prescription group |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 1..* |
| Type | Identifier |
| 4. IHEMultilineOrder.patient | |
| Definition | Question: would we want to add basic Patient model? |
| Short | The person for whom the medication is prescribed/ordered |
| Control | 1..1 |
| Type | Reference(Patient (model)) |
| 6. IHEMultilineOrder.prescriber | |
| Definition | Question: would we want to add basic Practicioner model? |
| Short | The person who made the prescription, and who takes the responsibility of the treatment |
| Control | 1..1 |
| Type | Reference(Practitioner (model), PractitionerRole) |
| 8. IHEMultilineOrder.issueDate | |
| Definition | Time of issuing (signing) the prescription by health care practicioner |
| Short | Time of issuing (signing) the prescription by health care practicioner |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 10. IHEMultilineOrder.recorder | |
| Definition | The recorder of the prescription/draft in the information system |
| Short | The recorder of the prescription/draft in the information system |
| Control | 0..1 |
| Type | Reference(Practitioner (model), PractitionerRole) |
| 12. IHEMultilineOrder.recordingDate | |
| Definition | Time of authoring the prescription/draft in the information system |
| Short | Time of authoring the prescription/draft in the information system |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 14. IHEMultilineOrder.validFrom | |
| Definition | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate |
| Short | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 16. IHEMultilineOrder.validUntil | |
| Definition | The validity period end date. The prescription is not dispensable after this date. |
| Short | The validity period end date. The prescription is not dispensable after this date. |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 18. IHEMultilineOrder.medicationLine | |
| Definition | Medication line in the prescription |
| Short | Medication line in the prescription |
| Control | 1..* |
| Type | Base |
| 20. IHEMultilineOrder.medicationLine.status | |
| Definition | Status of the prescription, this should not be status of treatment |
| Short | Status of the prescription, this should not be status of treatment |
| Control | 1..1 |
| Type | CodeableConcept |
| 22. IHEMultilineOrder.medicationLine.statusReason | |
| Definition | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Short | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Control | 0..* |
| Type | CodeableConcept |
| 24. IHEMultilineOrder.medicationLine.category | |
| Definition | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc). |
| Short | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc). |
| Control | 0..* |
| Type | CodeableConcept |
| 26. IHEMultilineOrder.medicationLine.basedOn | |
| Definition | This is a reference to the order that this order is based on. For example, a prescription for a medication may be based on a proposal, and an administration request may be based on a prescription. |
| Short | What this order is based on |
| Control | 0..1 |
| Type | Reference(Medication order - multiline (model)) |
| 28. IHEMultilineOrder.medicationLine.medication | |
| Definition | Prescribed product, branded, generic, virtual, extemporal, etc |
| Short | Prescribed product, branded, generic, virtual, extemporal, etc |
| Control | 1..1 |
| Type | Reference(Medicinal product (model)) |
| 30. IHEMultilineOrder.medicationLine.prescriptionIntent | |
| Definition | Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc |
| Short | Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc |
| Control | 0..1 |
| Type | CodeableConcept |
| 32. IHEMultilineOrder.medicationLine.indication | |
| Definition | Reason for the prescription (typically diagnosis, prophylaxis, or a procedure) |
| Short | Reason for the prescription (typically diagnosis, prophylaxis, or a procedure) |
| Control | 0..* |
| Type | CodeableConcept |
| 34. IHEMultilineOrder.medicationLine.indicationText | |
| Definition | Reason for the prescription in textual form. This might not be allowed by some implementations. |
| Short | Reason for the prescription in textual form. This might not be allowed by some implementations. |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 36. IHEMultilineOrder.medicationLine.indicationReference | |
| Definition | Reason for the prescription - as a reference to a problem, result, etc. |
| Short | Reason for the prescription - as a reference to a problem, result, etc. |
| Control | 0..* |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 38. IHEMultilineOrder.medicationLine.treatmentPeriod | |
| Definition | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.) |
| Short | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.) |
| Control | 0..1 |
| Type | Period |
| 40. IHEMultilineOrder.medicationLine.quantityPrescribed | |
| Definition | Overall quantity of prescribed product (e.g number of packages or number of tablets). |
| Short | Overall quantity of prescribed product (e.g number of packages or number of tablets). |
| Control | 0..1 |
| Type | Quantity |
| 42. IHEMultilineOrder.medicationLine.dosageInstructions | |
| Definition | Dosaging and administration instructions |
| Short | Dosaging and administration instructions |
| Control | 0..* |
| Type | Reference(Dosaging (model)) |
| 44. IHEMultilineOrder.medicationLine.preparationInstructions | |
| Definition | Additional instructions about preparation or dispense |
| Short | Additional instructions about preparation or dispense |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 46. IHEMultilineOrder.medicationLine.substitution | |
| Definition | Whether and which type of substitution is allowed for this medication treatment line |
| Short | Whether and which type of substitution is allowed for this medication treatment line |
| Control | 0..1 |
| Type | Base |
| 48. IHEMultilineOrder.medicationLine.substitution.allowed[x] | |
| Definition | Whether substitution is allowed or not (or type of substitution). |
| Short | Whether substitution is allowed or not (or type of substitution). |
| Control | 0..1 |
| Type | Choice of: boolean, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 50. IHEMultilineOrder.medicationLine.substitution.reason[x] | |
| Definition | Reason for the substitution requirement |
| Short | Reason for the substitution requirement |
| Control | 0..1 |
| Type | Choice of: CodeableConcept, string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 52. IHEMultilineOrder.medicationLine.offLabel | |
| Definition | Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product. |
| Short | Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product. |
| Control | 0..1 |
| Type | Base |
| 54. IHEMultilineOrder.medicationLine.offLabel.isOffLabelUse | |
| Definition | Indicates off-label use. Must be 'true' when .reason is provided. |
| Short | Indicates off-label use. Must be 'true' when .reason is provided. |
| Control | 1..1 |
| Type | boolean |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 56. IHEMultilineOrder.medicationLine.offLabel.reason[x] | |
| Definition | Reason or related clarification for off-label use. |
| Short | Reason or related clarification for off-label use. |
| Control | 0..* |
| Type | Choice of: CodeableConcept, string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 58. IHEMultilineOrder.medicationLine.repeatsAllowed | |
| Definition | How many times the prescription item can be dispensed in addition to the original dispense. |
| Short | Number of refills authorized |
| Control | 0..1 |
| Type | integer |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 60. IHEMultilineOrder.medicationLine.minimumDispenseInterval | |
| Definition | If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here. |
| Short | Minimum Dispense Interval |
| Control | 0..1 |
| Type | Duration |
| 62. IHEMultilineOrder.comment | |
| Definition | Additional information or comments |
| Short | Additional information or comments |
| Control | 0..* |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Guidance on how to interpret the contents of this table can be foundhere
| 0. IHEMultilineOrder | |
| Definition | Logical model for multiline medication prescription |
| Short | Medication order - multiline (model) |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. IHEMultilineOrder.identifier | |
| Definition | Business identifier(s) for the prescription group |
| Short | Business identifier(s) for the prescription group |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 1..* |
| Type | Identifier |
| 4. IHEMultilineOrder.patient | |
| Definition | Question: would we want to add basic Patient model? |
| Short | The person for whom the medication is prescribed/ordered |
| Control | 1..1 |
| Type | Reference(Patient (model)) |
| 6. IHEMultilineOrder.prescriber | |
| Definition | Question: would we want to add basic Practicioner model? |
| Short | The person who made the prescription, and who takes the responsibility of the treatment |
| Control | 1..1 |
| Type | Reference(Practitioner (model), PractitionerRole) |
| 8. IHEMultilineOrder.issueDate | |
| Definition | Time of issuing (signing) the prescription by health care practicioner |
| Short | Time of issuing (signing) the prescription by health care practicioner |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 10. IHEMultilineOrder.recorder | |
| Definition | The recorder of the prescription/draft in the information system |
| Short | The recorder of the prescription/draft in the information system |
| Control | 0..1 |
| Type | Reference(Practitioner (model), PractitionerRole) |
| 12. IHEMultilineOrder.recordingDate | |
| Definition | Time of authoring the prescription/draft in the information system |
| Short | Time of authoring the prescription/draft in the information system |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 14. IHEMultilineOrder.validFrom | |
| Definition | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate |
| Short | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 16. IHEMultilineOrder.validUntil | |
| Definition | The validity period end date. The prescription is not dispensable after this date. |
| Short | The validity period end date. The prescription is not dispensable after this date. |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 18. IHEMultilineOrder.medicationLine | |
| Definition | Medication line in the prescription |
| Short | Medication line in the prescription |
| Control | 1..* |
| Type | Base |
| 20. IHEMultilineOrder.medicationLine.status | |
| Definition | Status of the prescription, this should not be status of treatment |
| Short | Status of the prescription, this should not be status of treatment |
| Control | 1..1 |
| Type | CodeableConcept |
| 22. IHEMultilineOrder.medicationLine.statusReason | |
| Definition | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Short | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Control | 0..* |
| Type | CodeableConcept |
| 24. IHEMultilineOrder.medicationLine.category | |
| Definition | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc). |
| Short | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc). |
| Control | 0..* |
| Type | CodeableConcept |
| 26. IHEMultilineOrder.medicationLine.basedOn | |
| Definition | This is a reference to the order that this order is based on. For example, a prescription for a medication may be based on a proposal, and an administration request may be based on a prescription. |
| Short | What this order is based on |
| Control | 0..1 |
| Type | Reference(Medication order - multiline (model)) |
| 28. IHEMultilineOrder.medicationLine.medication | |
| Definition | Prescribed product, branded, generic, virtual, extemporal, etc |
| Short | Prescribed product, branded, generic, virtual, extemporal, etc |
| Control | 1..1 |
| Type | Reference(Medicinal product (model)) |
| 30. IHEMultilineOrder.medicationLine.prescriptionIntent | |
| Definition | Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc |
| Short | Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc |
| Control | 0..1 |
| Type | CodeableConcept |
| 32. IHEMultilineOrder.medicationLine.indication | |
| Definition | Reason for the prescription (typically diagnosis, prophylaxis, or a procedure) |
| Short | Reason for the prescription (typically diagnosis, prophylaxis, or a procedure) |
| Control | 0..* |
| Type | CodeableConcept |
| 34. IHEMultilineOrder.medicationLine.indicationText | |
| Definition | Reason for the prescription in textual form. This might not be allowed by some implementations. |
| Short | Reason for the prescription in textual form. This might not be allowed by some implementations. |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 36. IHEMultilineOrder.medicationLine.indicationReference | |
| Definition | Reason for the prescription - as a reference to a problem, result, etc. |
| Short | Reason for the prescription - as a reference to a problem, result, etc. |
| Control | 0..* |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 38. IHEMultilineOrder.medicationLine.treatmentPeriod | |
| Definition | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.) |
| Short | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.) |
| Control | 0..1 |
| Type | Period |
| 40. IHEMultilineOrder.medicationLine.quantityPrescribed | |
| Definition | Overall quantity of prescribed product (e.g number of packages or number of tablets). |
| Short | Overall quantity of prescribed product (e.g number of packages or number of tablets). |
| Control | 0..1 |
| Type | Quantity |
| 42. IHEMultilineOrder.medicationLine.dosageInstructions | |
| Definition | Dosaging and administration instructions |
| Short | Dosaging and administration instructions |
| Control | 0..* |
| Type | Reference(Dosaging (model)) |
| 44. IHEMultilineOrder.medicationLine.preparationInstructions | |
| Definition | Additional instructions about preparation or dispense |
| Short | Additional instructions about preparation or dispense |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 46. IHEMultilineOrder.medicationLine.substitution | |
| Definition | Whether and which type of substitution is allowed for this medication treatment line |
| Short | Whether and which type of substitution is allowed for this medication treatment line |
| Control | 0..1 |
| Type | Base |
| 48. IHEMultilineOrder.medicationLine.substitution.allowed[x] | |
| Definition | Whether substitution is allowed or not (or type of substitution). |
| Short | Whether substitution is allowed or not (or type of substitution). |
| Control | 0..1 |
| Type | Choice of: boolean, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 50. IHEMultilineOrder.medicationLine.substitution.reason[x] | |
| Definition | Reason for the substitution requirement |
| Short | Reason for the substitution requirement |
| Control | 0..1 |
| Type | Choice of: CodeableConcept, string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 52. IHEMultilineOrder.medicationLine.offLabel | |
| Definition | Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product. |
| Short | Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product. |
| Control | 0..1 |
| Type | Base |
| 54. IHEMultilineOrder.medicationLine.offLabel.isOffLabelUse | |
| Definition | Indicates off-label use. Must be 'true' when .reason is provided. |
| Short | Indicates off-label use. Must be 'true' when .reason is provided. |
| Control | 1..1 |
| Type | boolean |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 56. IHEMultilineOrder.medicationLine.offLabel.reason[x] | |
| Definition | Reason or related clarification for off-label use. |
| Short | Reason or related clarification for off-label use. |
| Control | 0..* |
| Type | Choice of: CodeableConcept, string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 58. IHEMultilineOrder.medicationLine.repeatsAllowed | |
| Definition | How many times the prescription item can be dispensed in addition to the original dispense. |
| Short | Number of refills authorized |
| Control | 0..1 |
| Type | integer |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 60. IHEMultilineOrder.medicationLine.minimumDispenseInterval | |
| Definition | If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here. |
| Short | Minimum Dispense Interval |
| Control | 0..1 |
| Type | Duration |
| 62. IHEMultilineOrder.comment | |
| Definition | Additional information or comments |
| Short | Additional information or comments |
| Control | 0..* |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Guidance on how to interpret the contents of this table can be foundhere
| 0. IHEMultilineOrder | |
| Definition | Logical model for multiline medication prescription |
| Short | Medication order - multiline (model) |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. IHEMultilineOrder.identifier | |
| Definition | Business identifier(s) for the prescription group |
| Short | Business identifier(s) for the prescription group |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 1..* |
| Type | Identifier |
| 4. IHEMultilineOrder.patient | |
| Definition | Question: would we want to add basic Patient model? |
| Short | The person for whom the medication is prescribed/ordered |
| Control | 1..1 |
| Type | Reference(Patient (model)) |
| 6. IHEMultilineOrder.prescriber | |
| Definition | Question: would we want to add basic Practicioner model? |
| Short | The person who made the prescription, and who takes the responsibility of the treatment |
| Control | 1..1 |
| Type | Reference(Practitioner (model), PractitionerRole) |
| 8. IHEMultilineOrder.issueDate | |
| Definition | Time of issuing (signing) the prescription by health care practicioner |
| Short | Time of issuing (signing) the prescription by health care practicioner |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 10. IHEMultilineOrder.recorder | |
| Definition | The recorder of the prescription/draft in the information system |
| Short | The recorder of the prescription/draft in the information system |
| Control | 0..1 |
| Type | Reference(Practitioner (model), PractitionerRole) |
| 12. IHEMultilineOrder.recordingDate | |
| Definition | Time of authoring the prescription/draft in the information system |
| Short | Time of authoring the prescription/draft in the information system |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 14. IHEMultilineOrder.validFrom | |
| Definition | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate |
| Short | Effective date of the prescription. The prescription is not dispensable before this date. In most cases this information repeats issueDate |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 16. IHEMultilineOrder.validUntil | |
| Definition | The validity period end date. The prescription is not dispensable after this date. |
| Short | The validity period end date. The prescription is not dispensable after this date. |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 18. IHEMultilineOrder.medicationLine | |
| Definition | Medication line in the prescription |
| Short | Medication line in the prescription |
| Control | 1..* |
| Type | Base |
| 20. IHEMultilineOrder.medicationLine.status | |
| Definition | Status of the prescription, this should not be status of treatment |
| Short | Status of the prescription, this should not be status of treatment |
| Control | 1..1 |
| Type | CodeableConcept |
| 22. IHEMultilineOrder.medicationLine.statusReason | |
| Definition | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Short | Reason for the current status of prescription, for example the reason why the prescription was made invalid |
| Control | 0..* |
| Type | CodeableConcept |
| 24. IHEMultilineOrder.medicationLine.category | |
| Definition | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc). |
| Short | Category or categories of prescription. For example type of reimbursement, or type of prescription (e.g. hospital, private, etc). |
| Control | 0..* |
| Type | CodeableConcept |
| 26. IHEMultilineOrder.medicationLine.basedOn | |
| Definition | This is a reference to the order that this order is based on. For example, a prescription for a medication may be based on a proposal, and an administration request may be based on a prescription. |
| Short | What this order is based on |
| Control | 0..1 |
| Type | Reference(Medication order - multiline (model)) |
| 28. IHEMultilineOrder.medicationLine.medication | |
| Definition | Prescribed product, branded, generic, virtual, extemporal, etc |
| Short | Prescribed product, branded, generic, virtual, extemporal, etc |
| Control | 1..1 |
| Type | Reference(Medicinal product (model)) |
| 30. IHEMultilineOrder.medicationLine.prescriptionIntent | |
| Definition | Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc |
| Short | Type of intent of the prescription - prophylaxis, treatment, anesthesia, etc |
| Control | 0..1 |
| Type | CodeableConcept |
| 32. IHEMultilineOrder.medicationLine.indication | |
| Definition | Reason for the prescription (typically diagnosis, prophylaxis, or a procedure) |
| Short | Reason for the prescription (typically diagnosis, prophylaxis, or a procedure) |
| Control | 0..* |
| Type | CodeableConcept |
| 34. IHEMultilineOrder.medicationLine.indicationText | |
| Definition | Reason for the prescription in textual form. This might not be allowed by some implementations. |
| Short | Reason for the prescription in textual form. This might not be allowed by some implementations. |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 36. IHEMultilineOrder.medicationLine.indicationReference | |
| Definition | Reason for the prescription - as a reference to a problem, result, etc. |
| Short | Reason for the prescription - as a reference to a problem, result, etc. |
| Control | 0..* |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 38. IHEMultilineOrder.medicationLine.treatmentPeriod | |
| Definition | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.) |
| Short | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.) |
| Control | 0..1 |
| Type | Period |
| 40. IHEMultilineOrder.medicationLine.quantityPrescribed | |
| Definition | Overall quantity of prescribed product (e.g number of packages or number of tablets). |
| Short | Overall quantity of prescribed product (e.g number of packages or number of tablets). |
| Control | 0..1 |
| Type | Quantity |
| 42. IHEMultilineOrder.medicationLine.dosageInstructions | |
| Definition | Dosaging and administration instructions |
| Short | Dosaging and administration instructions |
| Control | 0..* |
| Type | Reference(Dosaging (model)) |
| 44. IHEMultilineOrder.medicationLine.preparationInstructions | |
| Definition | Additional instructions about preparation or dispense |
| Short | Additional instructions about preparation or dispense |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 46. IHEMultilineOrder.medicationLine.substitution | |
| Definition | Whether and which type of substitution is allowed for this medication treatment line |
| Short | Whether and which type of substitution is allowed for this medication treatment line |
| Control | 0..1 |
| Type | Base |
| 48. IHEMultilineOrder.medicationLine.substitution.allowed[x] | |
| Definition | Whether substitution is allowed or not (or type of substitution). |
| Short | Whether substitution is allowed or not (or type of substitution). |
| Control | 0..1 |
| Type | Choice of: boolean, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 50. IHEMultilineOrder.medicationLine.substitution.reason[x] | |
| Definition | Reason for the substitution requirement |
| Short | Reason for the substitution requirement |
| Control | 0..1 |
| Type | Choice of: CodeableConcept, string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 52. IHEMultilineOrder.medicationLine.offLabel | |
| Definition | Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product. |
| Short | Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product. |
| Control | 0..1 |
| Type | Base |
| 54. IHEMultilineOrder.medicationLine.offLabel.isOffLabelUse | |
| Definition | Indicates off-label use. Must be 'true' when .reason is provided. |
| Short | Indicates off-label use. Must be 'true' when .reason is provided. |
| Control | 1..1 |
| Type | boolean |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 56. IHEMultilineOrder.medicationLine.offLabel.reason[x] | |
| Definition | Reason or related clarification for off-label use. |
| Short | Reason or related clarification for off-label use. |
| Control | 0..* |
| Type | Choice of: CodeableConcept, string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 58. IHEMultilineOrder.medicationLine.repeatsAllowed | |
| Definition | How many times the prescription item can be dispensed in addition to the original dispense. |
| Short | Number of refills authorized |
| Control | 0..1 |
| Type | integer |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 60. IHEMultilineOrder.medicationLine.minimumDispenseInterval | |
| Definition | If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here. |
| Short | Minimum Dispense Interval |
| Control | 0..1 |
| Type | Duration |
| 62. IHEMultilineOrder.comment | |
| Definition | Additional information or comments |
| Short | Additional information or comments |
| Control | 0..* |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
IG © 2021+ Integrating the Healthcare Enterprise (IHE). Package ihe.pharm.mpd#1.0.0-comment-3 based on FHIR 5.0.0. Generated 2026-04-23
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