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/hl7-eu/mpd-r5/ and changes regularly. See the Directory of published versions

## Mapping to Profiles

### Mappings from EHDS models to FHIR profiles

EHDS logical information models are provided by Xt-EHR project. Please read more about the models on Logical Models page.
Mappings from eHealth Network Guidelines are not provided by this guide.

#### Prescription

EHDS Medication Prescription model allows multiple items prescribed on one prescription. In such case, EHDS.MedicationPrescription.identifier maps to MedicationRequest.groupIdentifier, and RequestOrchestration/RequestGroup may be the target of some of the prescription elements. Please read implementation notes for more information.

Logical model element | FHIR Path R5 | FHIR Path R4
EHDSMedicationPrescription.header.identifier | MedicationRequest.identifier or .groupIdentifier | MedicationRequest.identifier or .groupIdentifier
EHDSMedicationPrescription.header.authorship.author | MedicationRequest.requester | MedicationRequest.requester
EHDSMedicationPrescription.header.authorship.datetime | MedicationRequest.authoredOn | MedicationRequest.authoredOn
EHDSMedicationPrescription.header.subject | MedicationRequest.subject | MedicationRequest.subject
EHDSMedicationPrescription.header.validFrom | MedicationRequest.dispenseRequest.validityPeriod.start | MedicationRequest.dispenseRequest.validityPeriod.start
EHDSMedicationPrescription.header.validUntil | MedicationRequest.dispenseRequest.validityPeriod.end | MedicationRequest.dispenseRequest.validityPeriod.end
EHDSMedicationPrescription.header.recorder | MedicationRequest.recorder | MedicationRequest.recorder
EHDSMedicationPrescription.header.recordingDate | MedicationRequest.eventhistory.recorded | MedicationRequest.eventhistory.recorded
EHDSMedicationPrescription.header.status | MedicationRequest.status or RequestOrchestration.status (for multi-item) | MedicationRequest.status or RequestGroup.status (for multi-item)
EHDSMedicationPrescription.header.statusReason[x] | MedicationRequest.statusReason | MedicationRequest.statusReason
EHDSMedicationPrescription.comment | MedicationRequest.note.text, RequestOrchestration.note.text | MedicationRequest.note.text, RequestGroup.note.text
EHDSMedicationPrescription.prescriptionItem | MedicationRequest | MedicationRequest
EHDSMedicationPrescription.prescriptionItem.identifier | MedicationRequest.identifier | MedicationRequest.identifier
EHDSMedicationPrescription.prescriptionItem.category | MedicationRequest.category | MedicationRequest.category
EHDSMedicationPrescription.prescriptionItem.status | MedicationRequest.status | MedicationRequest.status
EHDSMedicationPrescription.prescriptionItem.statusReason[x] | MedicationRequest.statusReason | MedicationRequest.statusReason
EHDSMedicationPrescription.prescriptionItem.medication | MedicationRequest.medication | MedicationRequest.medication[x]
EHDSMedicationPrescription.prescriptionItem.indication[x] | MedicationRequest.reason | MedicationRequest.reasonCode or .reasonReference
EHDSMedicationPrescription.prescriptionItem.indicationText | MedicationRequest.reason.concept.text | MedicationRequest.reasonCode.text
EHDSMedicationPrescription.prescriptionItem.prescriptionIntent | MedicationRequest.reason | MedicationRequest.reason
EHDSMedicationPrescription.prescriptionItem.treatmentPeriod | MedicationRequest.effectiveDosePeriod | MedicationRequest.extension:effectiveDosePeriod
EHDSMedicationPrescription.prescriptionItem.quantityPrescribed | MedicationRequest.dispenseRequest.extension: prescribedQuantity | MedicationRequest.dispenseRequest.extension: prescribedQuantity
EHDSMedicationPrescription.prescriptionItem.dosageInstructions | MedicationRequest.dosageInstruction | MedicationRequest.dosageInstruction
EHDSMedicationPrescription.prescriptionItem.preparationInstructions | MedicationRequest.dispenseRequest.dispenserInstruction |
EHDSMedicationPrescription.prescriptionItem.substitution | MedicationRequest.substitution | MedicationRequest.substitution
EHDSMedicationPrescription.prescriptionItem.substitution.allowed[x] | MedicationRequest.substitution.allowed[x] | MedicationRequest.substitution.allowed[x]
EHDSMedicationPrescription.prescriptionItem.substitution.reason[x] | MedicationRequest.substitution.reason | MedicationRequest.substitution.reason
EHDSMedicationPrescription.prescriptionItem.repeatsAllowed | MedicationRequest.dispenseRequest.numberOfRepeatsAllowed | MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
EHDSMedicationPrescription.prescriptionItem.minimumDispenseInterval | MedicationRequest.dispenseRequest.dispenseInterval | MedicationRequest.dispenseRequest.dispenseInterval
EHDSMedicationPrescription.prescriptionItem.offLabel | MedicationRequest.extension:offLabelUse | MedicationRequest.extension:offLabelUse
EHDSMedicationPrescription.prescriptionItem.comment | MedicationRequest.note.text | MedicationRequest.note.text

#### Medication

Logical model element | FHIR Path R5 | FHIR Path R4
EHDSMedication.identifyingCode[x] | Medication.code OR Medication.identifier | Medication.code OR Medication.identifier
EHDSMedication.classification | Medication.extension:classification | Medication.extension:classification
EHDSMedication.productName | Medication.extension:productName | Medication.extension:productName
EHDSMedication.marketingAuthorisationHolder | Medication.marketingAuthorizationHolder | Medication.manufacturer
EHDSMedication.doseForm | Medication.doseForm | Medication.form
EHDSMedication.packSize | Medication.totalVolume | Medication.amount
EHDSMedication.item | Medication.ingredient.item.reference(Medication) | Medication.ingredient.itemReference(Medication)
EHDSMedication.item.doseForm | Medication.doseForm | Medication.form
EHDSMedication.item.ingredient |  |
EHDSMedication.item.ingredient.isActive | Medication.ingredient.isActive | Medication.ingredient.isActive
EHDSMedication.item.ingredient.substance | Medication.ingredient.item | Medication.ingredient.itemCodeableConcept
EHDSMedication.item.ingredient.strengthInfo | Medication.ingredient.strength[x] | Medication.ingredient.strength
EHDSMedication.item.ingredient.strengthInfo.strength | Medication.ingredient.strengthRatio | Medication.ingredient.strengthRatio
EHDSMedication.item.ingredient.strengthInfo.basisOfStrengthSubstance | Medication.ingredient.strength[x].extension:basisOfStrengthSubstance | Medication.ingredient.strength[x].extension:basisOfStrengthSubstance
EHDSMedication.item.unitOfPresentation | Medication.extension:unitOfPresentation | Medication.extension:unitOfPresentation
EHDSMedication.item.containedQuantity | Medication.extension:sizeOfItem | Medication.extension:sizeOfItem
EHDSMedication.item.amount | Medication.totalVolume | Medication.amount
EHDSMedication.item.packageType | Medication.extension:packageType | Medication.extension:packageType
EHDSMedication.device | Medication.extension:device | Medication.extension:device
EHDSMedication.characteristic | Medication.extension:characteristic | Medication.extension:characteristic
EHDSMedication.batch | Medication.batch | Medication.batch
EHDSMedication.batch.lotNumber | Medication.batch.lotNumber | Medication.batch.lotNumber
EHDSMedication.batch.expirationDate | Medication.batch.expirationDate | Medication.batch.expirationDate

#### Dosaging

Logical model element | FHIR Path R5 | FHIR Path R4
EHDSDosaging.sequence | Dosage.sequence | Dosage.sequence
EHDSDosaging.text | Dosage.text | Dosage.text
EHDSDosaging.additionalInstruction | Dosage.additionalInstruction | Dosage.additionalInstruction
EHDSDosaging.patientInstruction | patientInstruction | patientInstruction
EHDSDosaging.doseAndRate | Dosage.doseAndRate | Dosage.doseAndRate
EHDSDosaging.doseAndRate.type | Dosage.doseAndRate.type | Dosage.doseAndRate.type
EHDSDosaging.doseAndRate.dose[x] | Dosage.doseAndRate.dose[x] | Dosage.doseAndRate.dose[x]
EHDSDosaging.doseAndRate.rate[x] | Dosage.doseAndRate.rate[x] | Dosage.doseAndRate.rate[x]
EHDSDosaging.timing | Dosage.timing | Dosage.timing
EHDSDosaging.timing.event | Dosage.timing.event | Dosage.timing.event
EHDSDosaging.timing.code | Dosage.timing.code | Dosage.timing.code
EHDSDosaging.timing.repeat | Dosage.timing.repeat | Dosage.timing.repeat
EHDSDosaging.timing.repeat.bounds | Dosage.timing.repeat.bounds[x] | Dosage.timing.repeat.bounds[x]
EHDSDosaging.timing.repeat.bounds.duration | Dosage.timing.repeat.boundsDuration | Dosage.timing.repeat.boundsDuration
EHDSDosaging.timing.repeat.bounds.range | Dosage.timing.repeat.boundsRange | Dosage.timing.repeat.boundsRange
EHDSDosaging.timing.repeat.bounds.period | Dosage.timing.repeat.boundsPeriod | Dosage.timing.repeat.boundsPeriod
EHDSDosaging.timing.repeat.count |  |
EHDSDosaging.timing.repeat.count.count | Dosage.timing.repeat.count | Dosage.timing.repeat.count
EHDSDosaging.timing.repeat.count.countMax | Dosage.timing.repeat.countMax | Dosage.timing.repeat.countMax
EHDSDosaging.timing.repeat.duration |  |
EHDSDosaging.timing.repeat.duration.duration | Dosage.timing.repeat.duration + Dosage.timing.repeat.durationUnit | Dosage.timing.repeat.duration + Dosage.timing.repeat.durationUnit
EHDSDosaging.timing.repeat.duration.durationMax | Dosage.timing.repeat.durationMax + Dosage.timing.repeat.durationUnit | Dosage.timing.repeat.durationMax + Dosage.timing.repeat.durationUnit
EHDSDosaging.timing.repeat.frequency |  |
EHDSDosaging.timing.repeat.frequency.numberOfTimes | Dosage.timing.repeat.frequency | Dosage.timing.repeat.frequency
EHDSDosaging.timing.repeat.frequency.maxNumberOfTimes | Dosage.timing.repeat.frequencyMax | Dosage.timing.repeat.frequencyMax
EHDSDosaging.timing.repeat.frequency.period | Dosage.timing.repeat.period + Dosage.timing.repeat.periodUnit | Dosage.timing.repeat.period + Dosage.timing.repeat.periodUnit
EHDSDosaging.timing.repeat.frequency.periodMax | Dosage.timing.repeat.periodMax + Dosage.timing.repeat.periodUnit | Dosage.timing.repeat.periodMax + Dosage.timing.repeat.periodUnit
EHDSDosaging.timing.repeat.dayOfWeek | Dosage.timing.repeat.dayOfWeek | Dosage.timing.repeat.dayOfWeek
EHDSDosaging.timing.repeat.timeOfDay | Dosage.timing.repeat.timeOfDay | Dosage.timing.repeat.timeOfDay
EHDSDosaging.timing.repeat.eventTime |  |
EHDSDosaging.timing.repeat.eventTime.when | Dosage.timing.repeat.when | Dosage.timing.repeat.when
EHDSDosaging.timing.repeat.eventTime.offset | Dosage.timing.repeat.offset | Dosage.timing.repeat.offset
EHDSDosaging.asNeeded | Dosage.asNeeded | Dosage.asNeededBoolean
EHDSDosaging.asNeededFor | Dosage.asNeededFor | Dosage.asNeededCodeableConcept
EHDSDosaging.bodySite | Dosage.site | Dosage.site
EHDSDosaging.routeOfAdministration | Dosage.route | Dosage.route
EHDSDosaging.methodOfAdministration | Dosage.method | Dosage.method
EHDSDosaging.maxDose |  |
EHDSDosaging.maxDose.maxDosePerPeriod | Dosage.maxDosePerPeriod | Dosage.maxDosePerPeriod
EHDSDosaging.maxDose.maxDosePerAdministration | Dosage.maxDosePerAdministration | Dosage.maxDosePerAdministration
EHDSDosaging.maxDose.maxDosePerLifetime | Dosage.maxDosePerLifetime | Dosage.maxDosePerLifetime

#### Medication Dispense

Logical model element | FHIR Path R5 | FHIR Path R4
EHDSMedicationDispense.header.identifier | MedicationDispense.identifier | MedicationDispense.identifier
EHDSMedicationDispense.header.status | MedicationDispense.status | MedicationDispense.status
EHDSMedicationDispense.header.statusReason[x] | MedicationDispense.notPerformedReason | MedicationDispense.statusReason
EHDSMedicationDispense.header.subject | MedicationDispense.subject | MedicationDispense.subject
EHDSMedicationDispense.header.authorship.author | MedicationDispense.performer.actor | MedicationDispense.performer.actor
EHDSMedicationDispense.header.authorship.datetime | MedicationDispense.whenHandedOver or .recorded | MedicationDispense.whenHandedOver
EHDSMedicationDispense.receiver[x] | MedicationDispense.receiver | MedicationDispense.receiver
EHDSMedicationDispense.dispenseLocation | MedicationDispense.location | MedicationDispense.location
EHDSMedicationDispense.relatedRequest | MedicationDispense.authorizingPrescription | MedicationDispense.authorizingPrescription
EHDSMedicationDispense.medication | MedicationDispense.medication | MedicationDispense.medication[x]
EHDSMedicationDispense.dispensedQuantity | MedicationDispense.quantity | MedicationDispense.quantity
EHDSMedicationDispense.timeOfDispensation | MedicationDispense.whenHandedOver | MedicationDispense.whenHandedOver
EHDSMedicationDispense.substitution | MedicationDispense.substitution | MedicationDispense.substitution
EHDSMedicationDispense.substitution.substitutionOccurred | MedicationDispense.substitution.wasSubstituted | MedicationDispense.substitution.wasSubstituted
EHDSMedicationDispense.substitution.substitutionType | MedicationDispense.substitution.type | MedicationDispense.substitution.type
EHDSMedicationDispense.substitution.substitutionReason | MedicationDispense.substitution.reason | MedicationDispense.substitution.reason
EHDSMedicationDispense.dosageInstructions | MedicationDispense.dosageInstruction | MedicationDispense.dosageInstruction
EHDSMedicationDispense.comment | MedicationDispense.note | MedicationDispense.note

#### Dispense Decline

Logical model element | FHIR Path R5 | FHIR Path R4
EHDSDispenseDecline.header.identifier | MedicationDispense.identifier | MedicationDispense.identifier
EHDSDispenseDecline.header.subject | MedicationDispense.subject | MedicationDispense.subject
EHDSDispenseDecline.header.status | MedicationDispense.status | MedicationDispense.status
EHDSDispenseDecline.header.statusReason[x] | MedicationDispense.notPerformedReason | MedicationDispense.statusReason
EHDSDispenseDecline.header.authorship.author | MedicationDispense.performer.actor | MedicationDispense.performer.actor
EHDSDispenseDecline.header.authorship.datetime | MedicationDispense.whenHandedOver or .recorded | MedicationDispense.whenHandedOver
EHDSDispenseDecline.relatedRequest | MedicationDispense.authorizingPrescription | MedicationDispense.authorizingPrescription
EHDSDispenseDecline.comment | MedicationDispense.note | MedicationDispense.note