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

Search Parameters

Systems SHALL support searching for medication prescriptions and dispenses for a single subject (Patient).
The priority searches are for prescriptions of a certain patient and dispenses related to a specific prescription.
The following tables list the priority search parameters, most of which are defined in FHIR core specification.

Search for MedicationRequest (medication prescriptions)

The following search parameters should be considered for prescriptions.

Search parameter FHIR profile element Notes
patient MedicationRequest.subject (Patient) Mandatory to support, both independently and in combination with other search parameters. Search parameter subject may be considered equivalent in most cases, since there is no expectation to support subject as Group.
identifier MedicationRequest.identifier When a prescription contains only one medication, the identifier value is typically the same as the prescription number.
group-or-identifier (IHE MPD) MedicationRequest.groupIdentifier and/or .identifier May be required for multi-item prescriptions, where groupIdentifier represents the prescription number (see also IHE MPD combined search for identifier OR groupIdentifier).
requester MedicationRequest.requester Used to search prescriptions by prescriber.
authoredOn MedicationRequest.authoredOn Used to search prescriptions by the time period of issuance.
status MedicationRequest.status Typically used to filter for active requests.

MedicationRequest.dispenseRequest.validityPeriod may also need to be considered when determining actionable prescriptions.

Search for MedicationDispense (medication dispenses)

The following search parameters should be considered for dispenses.

Search parameter FHIR profile element Notes
patient MedicationDispense.subject (Patient) Mandatory to support, both independently and in combination with other search parameters. Search parameter subject may be considered equivalent in most cases, since there is no expectation to support subject as Group.
identifier MedicationDispense.identifier  
status MedicationDispense.status  
prescription MedicationDispense.authorizingPrescription  
performer MedicationDispense.performer.actor  
recorded / whenHandedOver MedicationDispense.recorded or .whenHandedOver In R4 profile, recorded is provided via an extension. In some implementations, the same information may instead be conveyed using whenHandedOver. The requirement is to enable searching for dispenses within a specified time period.

Please refer to EU Health Data API implementation guide for further information about API requirements.