HL7 Europe Medication Prescription and Dispense
0.1.0 - 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 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/mpd/ and changes regularly. See the Directory of published versions

Artifacts Summary

Contents:

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Data Sets from eHN Guidelines

eHealth Network Guidelines data sets represented as FHIR logical models. Please note, that eHN data sets do not have explicit information about cardinality and data types. New, fully machine-readable logical information models are being created in Xt-EHR project. See more information about new EHDS logical models work on Logical Models page.

A - Prescription

Prescription. Several Sections of the eHN guideline.
A.1.1 Patient administrative data

Patient. Sections A1.1 of the eHN guideline.
A1.4 Identification of the prescribed product

Identification of the prescribed product. Section A1.4 of the eHN guideline
B.1 Dispensation information (provided by the dispensing pharmacy)

Dispensation information (provided by the dispensing pharmacy). Section B1 of the guidelines

FHIR Profiles

Profiles for ePrescription and eDispensation use case. Note that there is no single profile for ePrescription, but only for MedicationRequest, which translates to a single line on a prescription (read more in Implementation Notes). Profiles for Patient, PractitionerRole, and Organization are published in HL7 Europe Base IG. All profiles are based on EHDS logical information models that are being developed by Xt-EHR project.

Medication: MPD

This profile defines how to represent MedicationRequest in HL7 FHIR for the purpose of this guide.
MedicationDispense: MPD

This profile defines how to represent the supply and the associated administration instructions in HL7 FHIR for the purpose of this guide.
MedicationRequest: MPD

This profile defines how to represent MedicationRequest in HL7 FHIR for the purpose of this guide.

Mappings from eHN Data Sets

These concept maps represent a high-level mapping from eHN guidelines data sets and FHIR profiles in this IG. Please note that mappings from EHDS logical models are provided on Logical models page.

eHN eDispense to this guide Map

eHN eDispensation Model to this guide Map
eHN ePrescription to this guide Map

eHN ePrescription Model to this guide Map
eHN Medicinal Product to this guide Map

eHN Medicinal Product Model to this guide Map

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

01A-Cefuroxime1500GenericExplicit

1A. Cefuroxime 1500mg (1.5g) powder for solution in a vial. Generic product, defined by attributes.
01B-Cefuroxime1500GenericConcept

1B. Cefuroxime 1500mg (1.5g) powder for solution in a vial. Generic product, defined by a code system (receiving system is expected to have access to the code system for additional attributes or display names).
01C-Cefuroxime1500Branded

1C. Cefuroxime 1500mg (1.5g) powder for solution in a vial (10 vials per package). Branded packaged product, defined by attributes.
01D-Cefuroxime750Branded

1D. Cefuroxime 750mg powder for solution in a vial (5 vials per package). Branded packaged product, defined by attributes.
02A-ClotrimazoleCanifugCremolum

2A. Clotrimazole cream 10mg/g and 6 pessaries 100g. Branded packaged product, consisting of different medication items. Defined by attributes.
02A1-CanifugCremolumCreamItem

2A1. Clotrimazole cream (10mg/g, 1 tube of 20g) as part of Canifug Cremolum product (ISO IDMP manufactured item)
02A2-CanifugCremolumPessaryItem

2A2. Clotrimazole pessary (6 pessaries of 100mg) as part of Canifug Cremolum product (ISO IDMP manufactured item)
03B-VitaminBComplexBranded

3B. Milgamma N, B-vitamin complex. Branded packaged product, defined by attributes.
04A-FirmagonBranded

4A. Firmagon. Branded packaged product, defined by attributes, includes administration devices.
05A-Tilidin-Branded

5A. Tilidin (50mg), Naloxon (4mg) oral drops. Branded packaged product, defined by attributes. Unusual strength.
100A-multiitem-prescription-with-orchestration

100A. Multiitem prescription with RequestGroup (R5 RequestOrchestration). 42-day cycle treatment consisting of three medications that should start at the same time. Wrapped in a Bundle for better readability.
100B-RequestOrchestration

100B. A grouper for the lines of a multiitem prescription. It should not be considered the prescription object as such.
100C-3-medication-prescription-request1

100C-1. A prescription item (MedicationRequest) that is a part of a three-item-prescription (42-day treatment cycle). Generic. Thalidomide 50mgx4 once a day before bed for 42 days.
100C-3-medication-prescription-request2

100C-2. A prescription item (MedicationRequest) that is a part of a three-item-prescription (42-day treatment cycle). Generic. Melphalan 2mgx4 once a day for 4 days in the beginning of cycle.
100C-3-medication-prescription-request3

100C-3. A prescription item (MedicationRequest) that is a part of a three-item-prescription (42-day treatment cycle). Generic. Prednisone 50mgx3 once a day for 4 days in the beginning of cycle.
200A-multiitem-prescription-without-orchestration

200A. Multiitem prescription where items on the same prescription are not interdependent. Kept together by the same groupIdentifier.
200C-2-medication-prescription-request1

200C-1. A prescription item (MedicationRequest) that is a part of a two-item-prescription.
200C-2-medication-prescription-request2

200C-2. A prescription item (MedicationRequest) that is a part of a two-item-prescription.
300A-multiitem-prescription-with-orchestration

300A. Multiitem prescription with RequestOrchestration. 2 products dispensable as 1 multiitem product.
300B-RequestOrchestration

300B. A grouper for the lines of a multiitem prescription.
300C-2-medication-prescription-request1

300C-1. A prescription item (MedicationRequest) that is a part of a two-item-prescription. Clotrimazole pessaries.
300C-2-medication-prescription-request2

300C-2. A prescription item (MedicationRequest) that is a part of a two-item-prescription. Clotrimazole cream.
300D-dispense-for-2-requests

300D. Medication dispense dispensing one combination product for two prescribed products (multiitem prescription)
400C-prescription-cefuroxime-singleline

400C. A prescription/request with one medication and changing dosaging. Uses 'actionable' tag. Cefuroxime sodium.
400D-dispense-1

400D-1. Medication dispense fulfilling the first part of the order: 1 package containing 10 vials
400D-dispense-2

400D-2. Medication dispense fulfilling the second part of the order: 3 packages containing 5 vials each
400E-refused-dispense

400E. Refusal of medication dispense
doctor1

Dr Meryl Ärztin - clinical oncologist. PractitionerRole resource (practitioner working in a specific organisation).
organization1

An organization: clinic. Organization resource.
organization2

An organization: pharmacy. Organization resource.
patient1

A patient: Thomas, born 1950. Patient resource.
patient2

A patient: Emily, born 1990. Patient resource.
pharmacist1

Mr Moon Farmatseut - pharmacist. PractitionerRole resource (practitioner working in a specific organisation).
practitioner1

Dr Meryl Ärztin. Practitioner resource (not related to a specific organisation).
practitioner2

Mr Moon Farmatseut. Practitioner resource (not related to a specific organisation).