MyHealth@Eu Electronic Prescription and Dispense
0.1.0 - draft 150

MyHealth@Eu Electronic Prescription and Dispense - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Logical Model: Medication dispense model

Official URL: http://fhir.ehdsi.eu/epd/StructureDefinition/MyHealthEuMedicationDispense Version: 0.1.0
Draft as of 2026-05-22 Computable Name: MyHealthEuMedicationDispense

Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

Logical model for medication dispensation (based on request or independently)

Usages:

  • This Logical Model is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MyHealthEuMedicationDispense 0..* EHDSMedicationDispense Medication dispense model

Elements defined in Ancestors:header, dispenseLocation, receiver[x], relatedRequest, medication, dispensedQuantity, timeOfDispensation, substitutionOccurred, dosageInstructions, note
Instances of this logical model can be the target of a Reference
... header 1..1 Base Basic metadata for this information
.... subject 1..1 EHDSPatient Patient/subject information
.... identifier O 0..* Identifier Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
ObligationsActor
SHALL:handle EHDSI Handler
.... author[x] 1..* The actor who issued the dispense record. Responsibility for the dispense should be traceable from this information.
..... authorEHDSHealthProfessional EHDSHealthProfessional
..... authorEHDSOrganisation EHDSOrganisation
..... authorEHDSDevice EHDSDevice
.... date O 1..1 dateTime Date and time of issuing the dispense record
ObligationsActor
SHALL:handle EHDSI Handler
.... status 1..1 CodeableConcept The status of the dispense, e.g. completed, declined, entered-in-error
Binding Description: (preferred): HL7 MedicationDispense Status Codes
.... language 0..1 CodeableConcept Language in which the resource is written. Language is expressed by the IETF language tag.
Binding Description: (preferred): BCP 47
... dispenseLocation 0..1 EHDSLocation Location of dispense
... receiver[x] 0..1 Identification of the person who received the dispensed medication, especially when it was not the patient. When not present, it is assumed that the patient is the receiver.
.... receiverEHDSPatient EHDSPatient
.... receiverEHDSHealthProfessional EHDSHealthProfessional
.... receiverEHDSRelatedPerson EHDSRelatedPerson
... medication O 1..1 MyHealthEuMedication Exact dispensed product. If multiple medications are dispensed together, multiple dispense records should be created.
ObligationsActor
SHALL:handle EHDSI Handler
... dispensedQuantity O 1..1 Quantity Number of dispensed packages if the package size is known, or number of smaller items/units, according to the medication dispensed. A unit is expected.
Binding Description: (preferred): UCUM, EDQM Standard Terms
ObligationsActor
SHALL:handle EHDSI Handler
... timeOfDispensation O 0..1 dateTime Date and time when medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing dispense record.
ObligationsActor
SHALL:handle EHDSI Handler
... substitutionOccurred O 0..1 boolean Whether substitution was made by the dispenser. Definition of substitution is specific to the jurisdiction.
ObligationsActor
SHALL:handle EHDSI Handler
... dosageInstructions 0..1 EHDSDosage Dosage and administration instructions
... note 0..1 string Additional information or comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MyHealthEuMedicationDispense.​header.status Base preferred Not State Unknown
MyHealthEuMedicationDispense.​header.language Base preferred Not State Unknown
MyHealthEuMedicationDispense.​dispensedQuantity Base preferred Not State Unknown

This structure is derived from EHDSMedicationDispense

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MyHealthEuMedicationDispense 0..* EHDSMedicationDispense Medication dispense model

Elements defined in Ancestors:header, dispenseLocation, receiver[x], relatedRequest, medication, dispensedQuantity, timeOfDispensation, substitutionOccurred, dosageInstructions, note
Instances of this logical model can be the target of a Reference
... header
.... identifier O 0..* Identifier Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
ObligationsActor
SHALL:handle EHDSI Handler
.... date O 1..1 dateTime Date and time of issuing the dispense record
ObligationsActor
SHALL:handle EHDSI Handler
... relatedRequest O 0..* Identifier Identifier of the prescription item the dispense is related to
ObligationsActor
SHALL:handle EHDSI Handler
... medication O 1..1 MyHealthEuMedication Exact dispensed product. If multiple medications are dispensed together, multiple dispense records should be created.
ObligationsActor
SHALL:handle EHDSI Handler
... timeOfDispensation O 0..1 dateTime Date and time when medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing dispense record.
ObligationsActor
SHALL:handle EHDSI Handler
... substitutionOccurred O 0..1 boolean Whether substitution was made by the dispenser. Definition of substitution is specific to the jurisdiction.
ObligationsActor
SHALL:handle EHDSI Handler

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MyHealthEuMedicationDispense 0..* EHDSMedicationDispense Medication dispense model

Elements defined in Ancestors:header, dispenseLocation, receiver[x], relatedRequest, medication, dispensedQuantity, timeOfDispensation, substitutionOccurred, dosageInstructions, note
Instances of this logical model can be the target of a Reference
... header 1..1 Base Basic metadata for this information
.... subject 1..1 EHDSPatient Patient/subject information
.... identifier O 0..* Identifier Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
ObligationsActor
SHALL:handle EHDSI Handler
.... author[x] 1..* The actor who issued the dispense record. Responsibility for the dispense should be traceable from this information.
..... authorEHDSHealthProfessional EHDSHealthProfessional
..... authorEHDSOrganisation EHDSOrganisation
..... authorEHDSDevice EHDSDevice
.... date O 1..1 dateTime Date and time of issuing the dispense record
ObligationsActor
SHALL:handle EHDSI Handler
.... status 1..1 CodeableConcept The status of the dispense, e.g. completed, declined, entered-in-error
Binding Description: (preferred): HL7 MedicationDispense Status Codes
.... language 0..1 CodeableConcept Language in which the resource is written. Language is expressed by the IETF language tag.
Binding Description: (preferred): BCP 47
... dispenseLocation 0..1 EHDSLocation Location of dispense
... receiver[x] 0..1 Identification of the person who received the dispensed medication, especially when it was not the patient. When not present, it is assumed that the patient is the receiver.
.... receiverEHDSPatient EHDSPatient
.... receiverEHDSHealthProfessional EHDSHealthProfessional
.... receiverEHDSRelatedPerson EHDSRelatedPerson
... medication O 1..1 MyHealthEuMedication Exact dispensed product. If multiple medications are dispensed together, multiple dispense records should be created.
ObligationsActor
SHALL:handle EHDSI Handler
... dispensedQuantity O 1..1 Quantity Number of dispensed packages if the package size is known, or number of smaller items/units, according to the medication dispensed. A unit is expected.
Binding Description: (preferred): UCUM, EDQM Standard Terms
ObligationsActor
SHALL:handle EHDSI Handler
... timeOfDispensation O 0..1 dateTime Date and time when medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing dispense record.
ObligationsActor
SHALL:handle EHDSI Handler
... substitutionOccurred O 0..1 boolean Whether substitution was made by the dispenser. Definition of substitution is specific to the jurisdiction.
ObligationsActor
SHALL:handle EHDSI Handler
... dosageInstructions 0..1 EHDSDosage Dosage and administration instructions
... note 0..1 string Additional information or comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MyHealthEuMedicationDispense.​header.status Base preferred Not State Unknown
MyHealthEuMedicationDispense.​header.language Base preferred Not State Unknown
MyHealthEuMedicationDispense.​dispensedQuantity Base preferred Not State Unknown

This structure is derived from EHDSMedicationDispense

Summary

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MyHealthEuMedicationDispense 0..* EHDSMedicationDispense Medication dispense model

Elements defined in Ancestors:header, dispenseLocation, receiver[x], relatedRequest, medication, dispensedQuantity, timeOfDispensation, substitutionOccurred, dosageInstructions, note
Instances of this logical model can be the target of a Reference
... header 1..1 Base Basic metadata for this information
.... subject 1..1 EHDSPatient Patient/subject information
.... identifier O 0..* Identifier Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
ObligationsActor
SHALL:handle EHDSI Handler
.... author[x] 1..* The actor who issued the dispense record. Responsibility for the dispense should be traceable from this information.
..... authorEHDSHealthProfessional EHDSHealthProfessional
..... authorEHDSOrganisation EHDSOrganisation
..... authorEHDSDevice EHDSDevice
.... date O 1..1 dateTime Date and time of issuing the dispense record
ObligationsActor
SHALL:handle EHDSI Handler
.... status 1..1 CodeableConcept The status of the dispense, e.g. completed, declined, entered-in-error
Binding Description: (preferred): HL7 MedicationDispense Status Codes
.... language 0..1 CodeableConcept Language in which the resource is written. Language is expressed by the IETF language tag.
Binding Description: (preferred): BCP 47
... dispenseLocation 0..1 EHDSLocation Location of dispense
... receiver[x] 0..1 Identification of the person who received the dispensed medication, especially when it was not the patient. When not present, it is assumed that the patient is the receiver.
.... receiverEHDSPatient EHDSPatient
.... receiverEHDSHealthProfessional EHDSHealthProfessional
.... receiverEHDSRelatedPerson EHDSRelatedPerson
... medication O 1..1 MyHealthEuMedication Exact dispensed product. If multiple medications are dispensed together, multiple dispense records should be created.
ObligationsActor
SHALL:handle EHDSI Handler
... dispensedQuantity O 1..1 Quantity Number of dispensed packages if the package size is known, or number of smaller items/units, according to the medication dispensed. A unit is expected.
Binding Description: (preferred): UCUM, EDQM Standard Terms
ObligationsActor
SHALL:handle EHDSI Handler
... timeOfDispensation O 0..1 dateTime Date and time when medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing dispense record.
ObligationsActor
SHALL:handle EHDSI Handler
... substitutionOccurred O 0..1 boolean Whether substitution was made by the dispenser. Definition of substitution is specific to the jurisdiction.
ObligationsActor
SHALL:handle EHDSI Handler
... dosageInstructions 0..1 EHDSDosage Dosage and administration instructions
... note 0..1 string Additional information or comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MyHealthEuMedicationDispense.​header.status Base preferred Not State Unknown
MyHealthEuMedicationDispense.​header.language Base preferred Not State Unknown
MyHealthEuMedicationDispense.​dispensedQuantity Base preferred Not State Unknown

Differential View

This structure is derived from EHDSMedicationDispense

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MyHealthEuMedicationDispense 0..* EHDSMedicationDispense Medication dispense model

Elements defined in Ancestors:header, dispenseLocation, receiver[x], relatedRequest, medication, dispensedQuantity, timeOfDispensation, substitutionOccurred, dosageInstructions, note
Instances of this logical model can be the target of a Reference
... header
.... identifier O 0..* Identifier Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
ObligationsActor
SHALL:handle EHDSI Handler
.... date O 1..1 dateTime Date and time of issuing the dispense record
ObligationsActor
SHALL:handle EHDSI Handler
... relatedRequest O 0..* Identifier Identifier of the prescription item the dispense is related to
ObligationsActor
SHALL:handle EHDSI Handler
... medication O 1..1 MyHealthEuMedication Exact dispensed product. If multiple medications are dispensed together, multiple dispense records should be created.
ObligationsActor
SHALL:handle EHDSI Handler
... timeOfDispensation O 0..1 dateTime Date and time when medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing dispense record.
ObligationsActor
SHALL:handle EHDSI Handler
... substitutionOccurred O 0..1 boolean Whether substitution was made by the dispenser. Definition of substitution is specific to the jurisdiction.
ObligationsActor
SHALL:handle EHDSI Handler

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MyHealthEuMedicationDispense 0..* EHDSMedicationDispense Medication dispense model

Elements defined in Ancestors:header, dispenseLocation, receiver[x], relatedRequest, medication, dispensedQuantity, timeOfDispensation, substitutionOccurred, dosageInstructions, note
Instances of this logical model can be the target of a Reference
... header 1..1 Base Basic metadata for this information
.... subject 1..1 EHDSPatient Patient/subject information
.... identifier O 0..* Identifier Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
ObligationsActor
SHALL:handle EHDSI Handler
.... author[x] 1..* The actor who issued the dispense record. Responsibility for the dispense should be traceable from this information.
..... authorEHDSHealthProfessional EHDSHealthProfessional
..... authorEHDSOrganisation EHDSOrganisation
..... authorEHDSDevice EHDSDevice
.... date O 1..1 dateTime Date and time of issuing the dispense record
ObligationsActor
SHALL:handle EHDSI Handler
.... status 1..1 CodeableConcept The status of the dispense, e.g. completed, declined, entered-in-error
Binding Description: (preferred): HL7 MedicationDispense Status Codes
.... language 0..1 CodeableConcept Language in which the resource is written. Language is expressed by the IETF language tag.
Binding Description: (preferred): BCP 47
... dispenseLocation 0..1 EHDSLocation Location of dispense
... receiver[x] 0..1 Identification of the person who received the dispensed medication, especially when it was not the patient. When not present, it is assumed that the patient is the receiver.
.... receiverEHDSPatient EHDSPatient
.... receiverEHDSHealthProfessional EHDSHealthProfessional
.... receiverEHDSRelatedPerson EHDSRelatedPerson
... medication O 1..1 MyHealthEuMedication Exact dispensed product. If multiple medications are dispensed together, multiple dispense records should be created.
ObligationsActor
SHALL:handle EHDSI Handler
... dispensedQuantity O 1..1 Quantity Number of dispensed packages if the package size is known, or number of smaller items/units, according to the medication dispensed. A unit is expected.
Binding Description: (preferred): UCUM, EDQM Standard Terms
ObligationsActor
SHALL:handle EHDSI Handler
... timeOfDispensation O 0..1 dateTime Date and time when medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing dispense record.
ObligationsActor
SHALL:handle EHDSI Handler
... substitutionOccurred O 0..1 boolean Whether substitution was made by the dispenser. Definition of substitution is specific to the jurisdiction.
ObligationsActor
SHALL:handle EHDSI Handler
... dosageInstructions 0..1 EHDSDosage Dosage and administration instructions
... note 0..1 string Additional information or comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MyHealthEuMedicationDispense.​header.status Base preferred Not State Unknown
MyHealthEuMedicationDispense.​header.language Base preferred Not State Unknown
MyHealthEuMedicationDispense.​dispensedQuantity Base preferred Not State Unknown

This structure is derived from EHDSMedicationDispense

Summary

 

Other representations of profile: CSV, Excel