HL7 Europe Medication Prescription and Dispense, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0 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
This page explains how conceptual elements from the EHDS logical model are expressed in the corresponding FHIR MedicationRequestEuMpd profile used by this Implementation Guide.
| EHDSMedicationPrescription (Logical Model) | Relationship | MedicationRequestEuMpd | ||
|---|---|---|---|---|
| Element | Relation | Resource | Element | Notes |
| header | related-to | MedicationRequest | . | Backbone element |
| header.subject | equivalent | MedicationRequest | subject | Reference to Patient. |
| header.identifier | source-is-narrower-than-target | MedicationRequest | identifier | Prescription identifier and prescription item identifier are usually the same in environments using single-item prescriptions. |
| header.identifier | source-is-narrower-than-target | MedicationRequest | groupIdentifier | Use as the shared prescription identifier for MedicationRequest instances that belong to the same multi-item prescription. |
| header.author[x] | equivalent | MedicationRequest | requester | |
| header.date | equivalent | MedicationRequest | authoredOn | |
| header.status | equivalent | MedicationRequest | status | |
| header.statusReason[x] | equivalent | MedicationRequest | statusReason | The model also allows string data type which maps to CodeableConcept.text, but note element may also be used for additional clarifications. |
| presentedForm | no-map | MedicationRequest | Reference a DocumentReference containing the rendered prescription. | |
| prescriptionItem | equivalent | MedicationRequest | . | Create one MedicationRequest per prescription item. |
| prescriptionItem.identifier | equivalent | MedicationRequest | identifier | |
| prescriptionItem.status | equivalent | MedicationRequest | status | For single-item prescriptions, same meaning as header.status. |
| prescriptionItem.statusReason[x] | equivalent | MedicationRequest | statusReason | The model also allows string data type which maps to CodeableConcept.text, but note element may also be used for additional clarifications. |
| prescriptionItem.medication | equivalent | MedicationRequest | medication[x]〔R4〕 medication〔R5〕 |
|
| prescriptionItem.indication[x] | equivalent | MedicationRequest | reasonCode〔R4〕 reason〔R5〕 |
The model also allows string data type which maps to CodeableConcept.text, but note element may also be used for additional clarifications. |
| prescriptionItem.intendedUseType | source-is-narrower-than-target | MedicationRequest | category | Use dedicated category code or custom extension if additional granularity is required. |
| prescriptionItem.periodOfUse | related-to | MedicationRequest | extension:effectiveDosePeriod〔R4〕 effectiveDosePeriod〔R5〕 |
|
| prescriptionItem.quantityPrescribed | equivalent | MedicationRequest | dispenseRequest.extension:prescribedQuantity | |
| prescriptionItem.dosageInstructions | equivalent | MedicationRequest | dosageInstruction | Map each EHDSDosage entry to dosageInstruction. |
| prescriptionItem.validityPeriod | equivalent | MedicationRequest | dispenseRequest.validityPeriod | |
| prescriptionItem.substitution | equivalent | MedicationRequest | substitution | |
| prescriptionItem.substitution.allowed[x] | equivalent | MedicationRequest | substitution.allowed[x] | The guide requires support for at least Boolean data type. |
| prescriptionItem.substitution.reason[x] | equivalent | MedicationRequest | substitution.reason | The model also allows string data type which maps to CodeableConcept.text, but note element may also be used for additional clarifications. |
| prescriptionItem.numberOfRepeats | equivalent | MedicationRequest | dispenseRequest.numberOfRepeatsAllowed | |
| prescriptionItem.minimumDispenseInterval | equivalent | MedicationRequest | dispenseRequest.dispenseInterval | |
| prescriptionItem.offLabel | related-to | MedicationRequest | extension:offLabelUse | |
| prescriptionItem.offLabel.isOffLabelUse | related-to | MedicationRequest | extension:offLabelUse | |
| prescriptionItem.offLabel.reason[x] | related-to | MedicationRequest | extension:offLabelUse.reason | The model also allows string data type which maps to CodeableConcept.text, but note element may also be used for additional clarifications. |
| prescriptionItem.note | equivalent | MedicationRequest | note.text | Use note.author / note.time if available. |
Return to overview: EHDS Logical Models → FHIR Profiles